• Title/Summary/Keyword: Bar stabilization

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Technical Advances in Pectus Bar Stabilization in Chest Wall Deformity Surgery: 10-Year Trends and an Appraisal with 1,500 Patients

  • Heekyung Kim;Gongmin Rim;Hyung Joo Park
    • Journal of Chest Surgery
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    • v.56 no.4
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    • pp.229-237
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    • 2023
  • Background: We aimed to demonstrate the advances we have achieved in pectus excavatum surgery over the last 10 years, with a particular focus on the refinement of pectus bar stabilization techniques and devices. Methods: In total, 1,526 patients who underwent minimally invasive repair of pectus excavatum surgery from 2013 to 2022 were enrolled and analyzed. We have pursued a new paradigm of crane-powered remodeling of the entire chest wall. The method of bar stabilization has changed from claw fixators to hinge plates and, finally, to bridge plate connections. We also evaluated the effectiveness of the hinge plate (group H) and the bridge plate (group B). Results: The bar displacement rates were 0.1% (n=2) for the claw fixator, 0% for the hinge plate (n=0), and 0% for the bridge plate (n=0). We stopped using the claw fixator in 2022 and the hinge plate in 2019. Since 2022, when we shifted to a multiple-bar technique for all patients, the bridge plate has replaced both the claw fixator and the hinge plate. No bar displacement occurred in either group. Group H had more pleural effusion, wound problems (p<0.05), and longer stays (5.5 vs. 6.2 days, p=0.034) than group B. Conclusion: We have made significant progress in pectus repair surgery over the last decade, particularly in stabilizing the pectus bar and reducing perioperative complications. Our current strategy is the multiple-bar approach with bridge stabilization. Since the bridge-only technique resulted in no bar displacement, we could eliminate the invasive claw fixator or hinge plate.

The implant overdenture on the edentulous mandible using CAD/CAM system: A case report (CAD/CAM system을 이용한 하악 임플란트 피개의치 수복증례)

  • Lee, Si-Eun;Lee, So-Hyoun;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.66-73
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    • 2015
  • Alveolar bone loss and deformation can be a risk factor in removable prosthetic restoration treatment for partially or fully edentulous patients. The use of implants to solve this problem could improve the support, retention and stability of removable restoration. Attachments used in implant overdenture are versatile. The attachment should be selected according to the patients' conditions. Milled bar has been chosen when readymade bar could not be used because of the narrow distance between implants or firm stability and support of supra-structure were needed. Milled bar design is able to provide cross arch stabilization and comfortability to patients. However, it needs skilled laboratory procedures. Recently, the fabrication of milled bar has become simple and its suitability has been improved through the development of CAD/CAM system. In a 67-year-old female Alzheimer's disease patient with 8 implant fixtures on the fully edentulous site of mandible, implant overdenture with using milled bar and magnet attachment was planned. As rapid treatment was required, CAD/CAM system was used to make a simple laboratory procedure instead of a traditional fabrication process. With this system, implant overdenture with milled bar can be fabricated esthetically and functionally.

Hyper Redundant Manipulator Using Compound Three-Bar Linkages

  • Koganezawa Koichi
    • Journal of Mechanical Science and Technology
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    • v.19 no.spc1
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    • pp.320-327
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    • 2005
  • A new mechanism for hyper redundant manipulator (HRM) is presented, which comprises of serially assembled compound three-bar linkages (CTL). The CTL mechanism has some unique properties. This paper presents the forward and inverse kinematics of this mechanism and shows the simulation of the HRM havig 9 CTL units. The recursive algorithm of the inverse kinematics that the author originally developed is employed. It is fast and stable ; moreover, it enables us to obtain a solution in which the end-point of the HRM is controlled by a portion of joints. It also presents the method of the dynamical analysis. There exist kinematical constraints in the proposed closed linkage mechanism. In the dynamic analysis constraints are sufficiently sustained by the constraint stabilization method that the author developed. The mechanical structure of the HRM having some CTL units that is under construction is shown.

Hybrid Prosthesis Supported by Osseointegrated Implants in Maxilla (골유착성 임프란트에 의해 지지되는 새로운 설계의 Hybrid Prosthesis)

  • Lee, J.S.;Shin, S.W.
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.8 no.1
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    • pp.46-59
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    • 1999
  • A fixed bridge is preferred as a prosthetic option supported by oral implants. However, it is very difficult to re tore edentulous maxilla with fixed prosthesis in cases with improper position and angulation of fixtures, abnormal jaw relation, and need for proper lip support. Six Br${\aa}$nemark implants were installed in edentulous maxilla opposing mandible with natural dentition. A removable hybrid prosthesis attached to a bar milled by 6 degrees was therefore designed to overcome such disadvantages of fixed prosthesis. Lateral stabilization of removable prosthesis was obtained by framework closely fitting the milled bar. Support for the prosthesis was ensured by three elevated areas on the bar. Two precision attachments(CEKA REVAX) provided appropriate direct and indirect retention without influencing support. A clinical and laboratory procedure was presented.

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Stabilization of Co Semigroups in infinite dimensional systems by a compact linear feedback via the steady state Riccati equation

  • Park, Dong-Jo
    • 제어로봇시스템학회:학술대회논문집
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    • 1987.10a
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    • pp.729-733
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    • 1987
  • Stability of Co Semigroups perturbed via the steady state Riccati equation (SSRE) is studied. We consider an infinite dimensional system : .chi. over dot = A.chi. + Bu, in, (A), domain of A, where A is the infinitesimal generator of a Co semigroup [T(t), t.geq.0] in H. If the original Co semigroup [T(t), t.geq.0] has a lower bound : vertical bar T(t).chi. vertical bar .geq. k vertical bar .chi. vertical bar, for all .chi. in H. t.geq. 0 and k>0, then the perturbed Co semigroup via the SSRE, where the feedback operator B is compact, cannot be exponentially stable. Physical interpretation of this result is as follows : in real applications, a finite number of actuators are available, therefore the operator B is compact. When the original system is inherently unstable, that is, has an infinite number of unstable modes, the perturbed system via the SSRE cannot be stable with a uniform decay rate.

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Stabilization of Solid Waste in Lysimeter by Air Injection Mode (공기주입 방식을 이용한 매립모형조내 폐기물 안정화)

  • Kim, Kyung;Park, Joon-Seok;Lee, Hwan;Lee, Cheol-Hyo;Kim, Joung-Dae
    • Journal of Environmental Health Sciences
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    • v.31 no.1
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    • pp.15-22
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    • 2005
  • This study was conducted to evaluate air injection mode on stabilization of solid waste in lysimeter. For three lysimeters, one was maintained under anaerobic condition as control, and air was injected into two lysimeters in continuous mode (atmospheric pressure) and intermittent mode (high pressure of 2 bar). Distilled water was sprayed over solid waste in 1.4 l/$m^3$(solid waste)/day, supposing rainfall intensity of 1,200 mm/yr and 30% infiltration. Oxygen in landfill gas was not detected in control lysimeter during operational days. After 30 day-aeration, oxygen concentrations of continuous and intermittent modes were maintained in 14% and 6%, respectively. $COD_{Cr}$ removal efficiencies of continuous and intermittent modes were about 70% and 50%, and BOD5 removal efficiencies were about 80% and 20%, respectively. In view of oxygen supply, and $COD_{Cr}$ and $BOD_5$ removal, continuous air injection mode of atmospheric pressure was more effective than intermittent mode of 2 bar. Settling degree of solid waste in case of two air injection modes was 3 times higher than that of anaerobic condition as control. Considering the above results, it was thought that air injection (especially continuous atmospheric pressure) could improve degradation of solid waste and induce preliminary stabilization in landfill site.

A Comparison Analysis of EMG on Arm and Trunk Muscle Between Elastic and Inelastic Bar During The Overhead Press Exercise (오버헤드 운동 중 탄성 바와 비탄성 바의 팔과 몸통 근육에 대한 근전도 비교 분석)

  • Il Bong, Park
    • Korean Journal of Applied Biomechanics
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    • v.32 no.4
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    • pp.128-133
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    • 2022
  • Objective: This study was executed to compare and analyze shoulder muscle activation while using an inelastic bar and elastic bar during overhead press exercise. The stability and coordination of shoulder joints will be investigated by measuring and analyzing the EMG of the upper and lower arm muscles. Method: A total of 20 university male students were recruited by dividing into 2 groups; 10 elastic bar participants (age: 20.17 ± 0.41 yrs, height: 174.31 ± 3.34 cm, weight: 74.68 ± 5.65 kg) and 10 inelastic bar participants (age: 20.09 ± 0.23 yrs, height: 173.53 ± 4.11 cm, weight: 75.32 ± 3.31 kg) participated in this study. Results: The EMG analysis results of the four muscles measured in this study showed that there was no difference between the left and right muscles between the groups in Upper Trapezius muscle. In Deltoid, Infraspinatus, and Rectus Abdominis muscles, the elastic bar group was significantly higher than the inelastic bar group between groups, and there was no difference between left and right. Conclusion: Among the four muscles measured in this study, there was no difference between left and right in Deltoid, Infraspinatus, and Rectus Abdominis, but the elastic bar showed significantly higher muscle activity than the inelastic bar. Therefore, it was found that the elastic bar increases muscle activation during exercise than the inelastic bar, and in particular, it further increases muscle activation of the arms and torso, and exercise using the elastic bar can increase neuromuscular stabilization.

Effects of Active Vibration Exercise Using a Flexi-Bar on the Activity of Scapular Stabilizing Muscles: A Randomized Controlled Trial

  • Park, Chibok;Kim, Byeonggeun
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.1
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    • pp.1975-1980
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    • 2020
  • Background: It has been argued that changes in muscle activity in the upper trapezius and serratus anterior may or may not cause shoulder joint pain and dysfunction. Objective: To investigate the effects of active vibration exercise on muscle activity regarding scapular stabilization using a flexi-bar. Design: A randomized controlled trial. Methods: A total of 24 subjects were randomly assigned to a flexi-bar group with active vibration and general stick group with non-active vibration. Both groups performed the same four action programs for 6 weeks, three times a week for 30 minutes at a time. The upper trapezius muscle, middle trapezius muscle, lower trapezius muscle and serratus anterior muscle of the dominant side was measured by electromyography before and after the 6 weeks of exercise. The independent t-test and paired t-test were used to analyze data. Results: There was a significant difference between groups in upper trapezius muscle and serratus anterior muscle activity after exercise (P<.05). Also, there was a significant difference in upper trapezius muscle and serratus anterior muscle activity before and after exercise in the flexi-bar group (P<.05). Conclusion: This study demonstrates that active vibration exercise using a flexi-Bar contribute to reduce the activity of the upper trapezius muscle and promote the activity of the serratus anterior muscle.

Experimental Design of Disturbance Compensation Control to Improve Stabilization Performance of Target Aiming System (표적지향 시스템의 안정화 성능 향상을 위한 실험적 외란 보상 제어기 설계)

  • Lim Jae-Keun;Kang Min-Sig;Lyou Joon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.30 no.8 s.251
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    • pp.897-905
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    • 2006
  • This study considers an experimental design of disturbance compensation control to improve stabilization performance of main battle tanks. An adaptive non-parametric design technique based on the Filtered-x Least Mean Square(FXLMS) algorithm is applied in the consideration of model uncertainties. The optimal compensator is designed by two-step design procedures: determination of frequency response function of the disturbance compensator which can cancel the disturbance of series of single harmonics by using the FXLMS algorithm and determination of the compensator polynomial which can fit the frequency response function obtained in the first step optimally by using a curve fitting technique. The disturbance compensator is applied to a simple experimental gun-torsion bar-motor system which simulates gun driving servo-system. Along with experimental results, the feasibility of the proposed technique is illustrated. Experimental results demonstrate that the proposed control reduces the standard deviation of stabilization error to 47.6% that by feedback control alone. The directional properties of the FXLMS Algorithm such as the direction of convergence and its convergence speed are also verified experimentally.