• Clinics in Shoulder and Elbow
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• v.1 no.1
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• pp.118-122
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• 1998

This study evaluated the development of osteolysis of Kudo total elbow arthroplasties according to the fixation with or without cement. Twenty-four elbows of nineteen patients of rheumatoid arthritis underwent total elbow arthroplasty from 1986 to 1993. The patients were followed for an average of 42 months ranging from 36 months to 59 months. In cemented humeri, 1 of 13 (7.7%) showed osteolysis. In the humeri of cementless fixation, 5 of II (45.5%) revealed osteolysis, representing higher rate compared to cement fixation (P<0.05). In the ulna, osteolysis was identified in none of 16 (0%) of cement fixation, which was significantly less than the incidence of osteolysis in cement less fixation (3 of 8,37.5%) (P<0.01). It was concluded that the cement fixation result in less osteolysis than the cementless fixation in Kudo type total elbow arthroplasty.

• International Journal of Concrete Structures and Materials
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• v.5 no.2
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• pp.125-131
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• 2011

Five all-lightweight alkali-activated (AA) slag concrete mixes were tested according to the variation of water content to examine the significance and limitation on the development of cementless structural concrete using lightweight aggregates. The compressive strength development rate and shrinkage strain measured from the concrete specimens were compared with empirical models proposed by ACI 209 and EC 2 for portland cement normal weight concrete. Splitting tensile strength, and moduli of elasticity and rupture were recorded and compared with design equations specified in ACI 318-08 or EC 2, and a database compiled from the present study for ordinary portland cement (OPC) lightweight concrete, wherever possible. Test results showed that the slump loss of lightweight AA slag concrete decreased with the increase of water content. In addition, the compressive strength development and different mechanical properties of lightweight AA slag concrete were comparable with those of OPC lightweight concrete and conservative comparing with predictions obtained from code provisions. Therefore, it can be proposed that the lightweight AA slag concrete is practically applicable as an environmental-friendly structural concrete.

• Hip & pelvis
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• v.30 no.4
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• pp.210-218
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• 2018

Purpose: This is a report on the outcomes associated with a consecutive series of 1,000 cementless hip arthroplasties utilizing the $Bencox^{(R)}$ hip stem-the first Korean-developed hip prosthesis. Materials and Methods: A consecutive series of 1,000 hip arthroplasties using the $Bencox^{(R)}$ hip stem were analyzed, starting from its initial release (September 2006) until June 2014. Patients in this consecutive series underwent surgery for fractures (n=552), arthritis (n=155), avascular necrosis (n=209), and revisions (n=84). Of these 1,000 cases, patients with a minimum follow-up of at least 1 year (n=616) were retrospectively analyzed for radiographic and clinical outcomes (i.e., Harris hip score). The stability of the prosthesis was evaluated by examining subsidence. Results: During the follow-up period (mean follow-up period of 54.8 months), there were 2 cases requiring revision of the femoral stem-both were caused by periprosthetic fractures and neither involved stem loosening. The mean Harris hip score during follow-up was 95.5. Bone ongrowth occurred in 95% of patients; no cases of subsidence or aseptic loosening of the stem were detected, and no cases of postoperative complications such as ceramic breakage were observed. Conclusion: Clinical and radiographic evaluations of hip arthroplasty using the $Bencox^{(R)}$ hip stem revealed excellent outcomes with an average of 54.8 month follow-up in a consecutive series of 1,000 cases.

• International conference on construction engineering and project management
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• 2009.05a
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• pp.1630-1636
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• 2009

Nine alkali-activated (AA) mortars were mixed and cured at water or air-dried conditions to explore the significance and limitation for the application of the combination of Ba and Ca ions as an alkali-activator. Ground granulated blast-furnace slag (GGBS) was used for source materials, and calcium hydroxide (Ca(OH)₂) and barium hydroxide (Ba(OH)₂) were employed as alkali activators. Test results clearly showed that the water curing condition was more effective than the air-dried curing condition for the formation of the denser calcium silicate hydrate (C-S-H) gels that had a higher molar Si/Ca ratio, resulting in a higher strength development. At the same time, the introduction of Ba(OH)₂ led to the formation of 2CaO·Al₂O₃·SiO₂·8H₂O (C₂ASH₈) hydrates with higher molar Si/Al and Ca/Al ratios. Based on the test results, it can be concluded that the developed cementless mortars have highly effective performance and high potential as an eco-friendly sustainable building material.

• Journal of the Korean Recycled Construction Resources Institute
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• v.5 no.4
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• pp.114-121
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• 2010

Portland cement production is under critical review due to high amount of CO2 gas released to the atmosphere. Attempts to increase the utilization of a by-products such as fly ash and ground granulated blast-furnace slag to partially replace the cement in concrete are gathering momentum. But most of by-products is currently dumped in landfills, thus creating a threat to the environment. Many researches on alkali-activated concrete that does not need the presence of cement as a binder have been carried out recently. However, most study deal only with alkali-activated ground granulated blast furnace slag or fly ash, as for the combined use of the both, little information is reported. In this study, we investigated the influence of mixture ratio of fly ash/ blast furnace slag tand curing condition on the flowability and compressive strength of mortar in oder to develop cementless alkali-activated concrete. In view of the results, we found out that the mixture ratio of fly ash/blast furnace slag always results to be significant factors. But the influence of curing temperature in the strength development of mortar is lower than the contribution due to other factors. At the age of 28days, the mixture 50% fly ash and 50% ground granulated blast furnace slag activated with 1:1 the mass ratio of 9M NaOH and sodium silicate, develop compressive strength of about 65 MPa under $20^{\circ}C$ curing.

• Journal of the Korea Concrete Institute
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• v.29 no.3
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• pp.299-306
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• 2017

In this research, it was examined chloride ion penetration resistance of slag-replaced concrete and cementless slag concrete considering marine environmental exposure conditions of splash zone, tidal zone and immersion zone. In the design strength of grade 24 MPa, the specimens were tested to determine their compressive strength, scanning electron microscopy images and chloride migration coefficient. Further, chloride ion penetration depth and carbonation depth of specimens exposed to marine environment were measured. Experimental results confirm that chloride migration coefficient of specimens tended to decrease with increasing the replacement ratio of ground granulated blast-furnace slag in accelerated laboratory test. In addition, the specimens exposed to the tidal zone were found to be the greatest chloride ion penetration depth compared to splash zone and immersion zone. On the other hand, the chloride ion penetration depth of the specimens exposed to splash zone tended to increase with increasing the replacement ratio of ground granulated blast-furnace slag in contrast with the results for the tidal zone and immersion zone.

• Journal of the Korean Recycled Construction Resources Institute
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• v.3 no.4
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• pp.355-365
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• 2015

This study examined the fluidity and strength properties, water resistance, durability, and freeze-thaw of cementless loess mortar using an eco-friendly hardening agent. The experimental result indicates that 28 days compressive and flexural strength of the loess mortar was increased regardless of the weathered granite soil and loess mixture ratio as the replacement ratio of the hardening agent increases. The strengths were significantly increased until 14 days regardless of the hardening agent, while the effect on the strengths increasement was relatively low after 14 days. Thus, the strength development of loess mortar concrete was found to be faster than that of the normal concrete. In addition, when the hardening agent of 10% was used, the average flexural strength was 1.7MPa which is insufficient compared to the 28-day flexural strength of 4.5MPa for the paving concrete. However, the flexural strengths of the loess mortar concrete using the hardening agents of 20% and 30% were 4.0MPa and 5.3MPa, respectively. Thus, the hardening agent need to be at least 20% so that the loess mortar can be used for paving concrete. The experiment for water resistance shows that the repeated absorption and dry reduced mass regardless of the mixing ratio of the loess. The maximum length change also decreased with increasing the substitution rate loess mixture ratio and the hardening agent. The result of the freeze-thaw resistance test indicates that the relative dynamic modulus of elasticity at 300 cycle freeze-thaw with the hardening agents of 20% and 30% were 75% and 79%, relatively. Thus, the hardening agent of at least 20% is required to obtain the relative dynamic modulus of elasticity of 60% for the loess mortar.

• Journal of Veterinary Clinics
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• v.36 no.1
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• pp.53-61
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• 2019

Total hip arthroplasty (THA) is a successful surgical treatment for both patients with chronical lameness and dogs who are nonresponsive to medical treatments, providing excellent joint function for returning dogs to the normal gait in 80% to 98% of hip dysplasia (HD) patients. The THA surgical implant system manufactured by BioMedtrix and Kyon are today widely accepted. When comparing the BioMedtrix biological fixation (BFX) system to the BioMedtrix cemented fixation (CFX) system, the many advantages of BFX, which include longer potential implant life, decreased risk of postoperative or later infection, and better implant stability, become evident. However, BFX implies a greater risk of femoral fracture during reaming and requires a more precise surgical technique to achieve good implant fit, given the press-fit nature of cementless THA. The purposes of this study are to both describe the mistakes and complications during stem implantation for beginner surgeons with both the BFX and the CFX systems and to document the initial result of 12 implantations in canine cadavers. Given the detailed evaluations of 3 specialists, who are Diplomate American College of Veterinary Surgeons (DACVS), only 3 of 11 stems were appropriately sized. Specifically, 6 stems were anteverted rather than being retroverted; further, although 7 stems were coaxial with the femoral long axis in the frontal plane, the other stems were in the varus at the frontal plane, with the proximal medial stem adjacent to the medial femoral cortex. Moderate angulation from the cranial to the caudal directions was found in 4 cases in the sagittal plane. Additionally, 1 case of femoral fissure and 1 case of perforated femoral cortex were reported. It is not easy for surgeons performing cementless THA for the first time to achieve a good result, even though they completed an educational course about it and given that catastrophic complications often occurred during early surgical clinical cases. Therefore, ex-vivo studies are sincerely required to get an expertise by rehearsing the preparation of the femoral envelop in isolated bones. Further studies should be conducted to achieve both highly accurate implant size and correct orientation during the preoperative planning. Additionally, surgeons' learning curve should be examined in future investigations.

• Architectural research
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• v.11 no.1
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• pp.25-33
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• 2009

This study presents the testing of 15 hwangtoh-based cementless concrete mixes to explore the significance and limitations of the development of eco-friendly concrete without carbon dioxide emissions while maintaining various beneficial effects. Hwangtoh, which is a kind of kaolin, was incorporated with inorganic materials, such as calcium hydroxide, to produce a cement-less binder. The main variables investigated were the water-to-binder ratio and fine aggregate-to-total aggregate ratio to ascertain the reliable mixing design of hwangtoh-based cementless concrete. The variation of slump with elapsed time was recorded in fresh concrete specimens. Mechanical properties of hardened concrete were also measured: including compressive strength gain, splitting tensile strength, moduli of rupture and elasticity, stress-strain relationship, and bond resistance. In addition, mechanical properties of hwangtoh-based cement-less concrete were compared with those of ordinary portland cement (OPC) concrete and predictions obtained from the design equations specified in ACI 318-05 and CEB-FIP for OPC concrete, wherever possible. Test results show that the mechanical properties of hwangtoh-based concrete were significantly influenced by the water-to-binder ratio and to less extend by fine aggregate-to-total aggregate ratio. The moduli of rupture and elasticity of hwangtoh-based concrete were generally lower than those of OPC concrete. In addition, the stress-strain and bond stress-slip relationships measured from hwangtoh-based concrete showed little agreement with the design model specified in CEB-FIP. However, the measured moduli of rupture and elasticity, and bond strength were higher than those given in ACI 318-05 and CEB-FIP. Overall, the test results suggest that the hwangtoh-based concrete shows highly effective performance and great potential as an environmental-friendly building material.

• Journal of Biomedical Engineering Research
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• v.23 no.2
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• pp.119-130
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• 2002

The nonlinear finite element program has been developed to analyze the design performance of an artificial hip prosthesis and long term behavior of a treated femur with stems made of composite material after cementless total hip arthroplasty(THA). The authors developed the three dimentional FEM models of femoral bone with designed composite stem which was taken with elliptic cross section of 816 brick elements under hip contact load and muscle farce in simulating single leg stand. Using the program, density changes, stress distributions and micromotions of the material femoral bone were evaluated by changing fiber orientation of stems for selected manufacturing method such as plate cut and bend mold. The results showed that the composite materials such as AS4/PEEK and T300/976 gave less bone resorption than the metallic material such as cobalt chrome alloy, titanium alloy and stainless steal. It was found that increasing the long term stability of the prosthesis in the femur could be obtained by selecting the appropriate ply orientation and stacking sequence of composite.