• Clinics in Shoulder and Elbow
• /
• v.21 no.4
• /
• pp.246-251
• /
• 2018

Compared to single row repair, use of lateral row anchors in suture bridge rotator cuff repair enhances repair strength and increases footprint contact area. If a lateral knotless anchor (push-in design) is inserted into osteoporotic bone, pull-out of the lateral row anchor can developed. However, failures of lateral row anchors have been reported at several months after surgery. In our cases, even though complete cuff healing occurred, delayed pull-out of the lateral row anchor in the suture bridge repair occurred. In comparison to a conventional medial anchor, further biomechanical evaluation of the pull-out force, design, and insertion angle of the lateral anchor is needed in future studies. We report three cases with delayed pull-out of lateral row anchor in suture bridge rotator cuff repair with a literature review.

• Clinics in Shoulder and Elbow
• /
• v.25 no.1
• /
• pp.15-21
• /
• 2022

Background: This study was performed to identify the incidence of screw in-type lateral anchor pull-out in patients older than 60 years who underwent rotator cuff repair for large to massive rotator cuff tear (RCT). Methods: We reviewed 25 patients over 60 who were diagnosed with large to massive RCT and underwent arthroscopic rotator cuff repair in our hospital from March 2017 to February 2021. Preoperative tear size (anterior to posterior, medial to lateral) was measured via preoperative magnetic resonance imaging (MRI). All 25 patients underwent MRI scanning on postoperative day 1 and at 3 months after surgery. The change of anchor position was measured in axial views on MRI images postoperative day 1 and 3 months after surgery. And it was statistically compared according to bone mineral density (BMD), sex, and number of lateral anchors. Results: Two MRIs (postoperative day 1 and 3 months) in 25 patients were compared. Anchor pull-out occurred in six patients during 3 months (6.7%), and the mean pull-out length difference was 1.56 mm (range, 0.16-2.58 mm). There was no significant difference in the number of pull-out anchors, degree of pull-out difference by comparing BMD (A, BMD≤-2.5; B, BMD>-2.5), sex, or number of anchors used in each surgery (C, two anchors; D, three anchors) (p>0.05). Conclusions: Pull-out of screw in-type anchors was rarely observed and the mean pull-out length difference was negligibly small in our study. The screw in-type lateral anchor seems to be a decent option without concern of anchor pull-out even in elderly patients.

• Journal of the Korean Geotechnical Society
• /
• v.33 no.11
• /
• pp.35-43
• /
• 2017

In this study, the pull-out resistance behavior of the anchor with the bump type resistors at the anchor body was experimentally investigated. In the model tests, the pull-out resistance was measured by pulling out the anchor at a constant speed. Anchor body was installed in the center of the circular sand tank. Pull-out tests were conducted for 10 conditions. The anchor type (existence of the resistor), the friction conditions of the anchor body surface ($1/3{\phi}$, $2/3{\phi}$, ${\phi}$), the bump type resistor set number (1set, 2set, 4set), and the height of resistors (0.05d, 0.10d, 0.20d) were varied. The load-displacement relationship for each conditions was measured during the pull-out tests at a constant speed (1 mm/min). Maximum pull-out length was 80 mm. As a result, the pull-out behavior of the friction type anchor and the expansion type anchor was different. As the number of resistor increased, the maximum pull-out resistance increased and the residual pull-out resistance ratio increased significantly, which were at 171~591 percent larger than that of the friction type anchor.

• Proceedings of the Korean Geotechical Society Conference
• /
• 2005.03a
• /
• pp.788-795
• /
• 2005

In this study, the progressive failure and creep of the traditional ground anchor structure were decreased and a new ground anchor that can attain the required pull-out resistance even in soft sandy soils with low confining pressure was developed. Ground anchors are classified depending on the kind of stress the grout is subjected. If the grout material is subjected to tension then it is classified as tension anchor while when the grout material is subjected to compression it is classified as compression anchor. The ground anchor that possesses both the tension and compression mechanism mentioned above is known as composition anchor. It is the objective of this study to develope this type of composition anchor. The structure of the newly developed ground anchor was presented. Pull-out test in different types of soil and the behaviour during Pull-out test was also presented.

• Proceedings of the Korean Geotechical Society Conference
• /
• 2000.03b
• /
• pp.387-394
• /
• 2000

In the present study, laboratory pull-out tests with screw anchors are carried out to investigate behavior characteristics of underground structures applied uplift seepage forces. Small scaled pull-out tests in sand were conducted under saturated condition. And then, it was observed that the upward displacement as well as the pullout load varied with spacing of the anchor. Also, analyses have been performed with the aim of pointing out the effects of various parameters on the group effect of the screw anchors.

• Proceedings of the Korean Geotechical Society Conference
• /
• 2008.03a
• /
• pp.545-552
• /
• 2008

To insure the quality and safety of ground anchors, pull-out test of anchor has to be done. In the individually controlled pull-out test system, pull-out device is used to introduce the same pull-out force to individual tendon that has a different length and a deflection. That is, that device has a separate pull-out oil jack to each tendon, thus the pull-out length of each jack is not the same, but that device introduces each tendon to the same pull-out force. In this study, the in-situ pull-out tests for the compression anchors were performed and its test results were analysed and compared to the results of center hole pull-out tests. In the case of pulling out each tendon using the individually controlled pull-out test device, the pull-out forces were distributed to a individual tendon. That device is excellent one that can solve the cause of unequal pull-out forces of each tendon appearing in the manufacture process and construction of anchors, and unequal pull-out forces due to the deferent length.

• The Academic Congress of Korean Shoulder and Elbow Society
• /
• 2009.03a
• /
• pp.159-159
• /
• 2009

Repeated pulling-out of a suture anchor in the lateral row despite repeated attempts at insertion during a rotator cuff repair is not uncommon with the suture-bridge technique, especially in patients with osteoporosis. We describe a simple procedure for dealing with the pull-out of a PushLock anchor in the lateral row using a suture anchor with a suture eyelet during rotator cuff repair applying the suture-bridge technique.

• Journal of Biomedical Engineering Research
• /
• v.29 no.2
• /
• pp.132-138
• /
• 2008

We investigated the biomechanical properties of a newly designed self-expansion type anterior cruciate ligament (ACL) anchor. The ACL anchor consists of the ring section giving the elastic force, the wedge for maintaining in contact with the femur tunnel wall and the link suspending hamstring graft or artificial ligament. The main design parameters that determine the performance of this device were the expansion angle (${\theta}$) and the thickness ($t_R$). The Ti6Al4V anchors were heated after inserting in a jig for 1 hour at $800^{\circ}C$ in a protective argon gas atmosphere and allowed to cool to room temperature in the furnace. In order to investigate the influence of the expansion angle and the thickness of the ring on the biomechanical properties of the anchor, the maximum pull-out load, stiffness and slippage of the ACL anchor were measured using the pull-out tester, and statistical analyses were also executed. The present results showed that the design parameters gave a significant effect on the performance of the self- expansion type of anchor. The pull-out load of the ACL anchors significantly increased as the thickness of the ring section was increased, having a similar trend for both expansion angles. The ACL anchor showed about 2.5 times higher values of the pull-out load than that of the minimum load (500N)required for the "accelerated rehabilitation". The optimum ${\theta}$ and $t_R$ values of this ACL anchor were suggested to have sufficient resistance against the pull-out force, high stiffness and relatively low slippage after ACL reconstruction.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.26 no.3A
• /
• pp.555-563
• /
• 2006

Recently, many bridges become not only functionally obsolete of bridge deck due to inadequate width but also structurally deficient of substructure due to erosion. In these cases, widening is almost always more economical than complete replacement, and therefore there is a need to make available the results of research and field experience pertaining to the widening of bridge substructure. But, an experimental study for the guarantee of unification between existing and new substructure with adhesive anchor is so insufficient that the development of adhesive anchor system for the unification should be settled promptly. The purpose of the present study is to explore pull out and shear characteristics of adhesive anchor system. For this purpose, several series of concrete specimens have been tested. Major test variables were the bonded length, anchor diameter and anchor slope. The pull out strength, bond stress and shear strength of adhesive faces were measured for the specimens. The present study indicates that the pull out strength increased with more bonded length and more anchor diameter, and that the bond stress decreased with more bonded length and more anchor diameter. The pull out strength and the bond stress increases with more anchor slope and it is considered that the slope of $5^{\circ}$ was more efficient. From the shear tests, it is supposed that anchor diameters more than D19 was proper to the adhesive anchor. Finally, it is expected that both experimental data in these tests and further study including mock-up tests will contribute to the establishment of the unification between existing and new substructure with adhesive anchor.

• Journal of the Korean Geotechnical Society
• /
• v.29 no.1
• /
• pp.121-133
• /
• 2013

This paper presents the results of an investigation into the pull-out capacity characteristics of screw anchor piles. Theoretical background of screw anchor pile (SAP) was first discussed. A series of reduced-scale model tests were performed on a number of cases with different SAP geometries such as pitch and diameter of screw as well as relative density of the model ground. The applicability of the pull-out capacity prediction equations were also examined based on the test results. It was shown that the pitch of screw has negligible effect on the pull-out capacity, while the diameter of screw has relatively large effect on pull-out capacity under a given condition. Practical implications of the findings from this study are discussed in great detail.