• Clinics in Shoulder and Elbow
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• v.18 no.4
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• pp.221-228
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• 2015

Background: The The purpose of this study was to make a comparative analysis of the clinical outcomes after the operative treatment of refractory medial epicondylitis between the suture anchor group and the non-suture anchor group. Methods: We enrolled 20 patients (7 men and 13 women) with recalcitrant medial epicondylitis who were able to receive operative treatment in a minimum of an 18-month follow-up. The mean age was 48.6 years (range, 36-59 years). The patients were allocated into either the suture anchor group (7 patients) or the non-suture anchor group (13 patients). We evaluated clinical outcomes using the visual analog scale (VAS), the pain grading system of Nirschl and Pettrone, and postoperative grip strength. Results: The VAS score decreased from 8.8 to 2.0 for the suture anchor group and from 8.6 to 1.3 for the non-suture anchor group (p=0.16). The postoperative grip strength was 95%, 93% of the non-treated arm in both groups (p=0.32). The postoperative satisfaction level was good in 5 patients and fair in 2 for the suture anchor group and excellent in 5 patients, good, in 4, and fair, in 4 for the non-suture anchor group (p=0.43). The clinical outcomes did not show a statistically significant difference between the two groups. Conclusions: We found that patients with recalcitrant medial epicondylitis were treated reliably with satisfactory clinical outcomes whether or not suture anchors were used. We believe the use of suture anchors when more than 50% of the tendon origin is affected provides an effective and favorable treatment modality.

• Clinics in Shoulder and Elbow
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• v.21 no.1
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• pp.22-29
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• 2018

Background: This study is performed to evaluate anchor-related outcomes and complications after arthroscopic rotator cuff repair using 30% ${\beta}$-tricalcium phosphate (${\beta}$-TCP) with 70% poly lactic-co-glycolic acid (PLGA) biocomposite suture anchors. Methods: A total of 78 patients (mean age, $61.3{\pm}6.9years$) who underwent arthroscopic medium-to-large full-thickness rotator cuff tear repair were enrolled. The technique employed 30% ${\beta}$-TCP with 70% PLGA biocomposite suture anchors at the medial row (38 patients, Healix $BR^{TM}$ anchor [Healix group]; 40 patients, Fixone anchor B [Fixone group]). The radiologic outcomes (including perianchor cyst formation or bone substitution) and anatomical outcomes of the healing failure rate were evaluated using magnetic resonance imaging at least 6 months after surgery, the pain visual analogue scale at 3, 6 months, and final follow-up visit, and American Shoulder and Elbow Surgeons scores at least 1 year postoperatively. Anchor-related complications were also evaluated. Results: The perianchor cyst formation incidence was similar for both groups (60.5%, Healix group; 60.0%, Fixone group; p=0.967), although severe perianchor cyst incidence was slightly lower in the Fixone group (15.0%) than in the Healix group (21.1%). There was no occurrence of anchor absorption and bone substitution. No differences were observed in the healing failure rate (13.2%, Healix group; 15.0%, Fixone group; p=0.815) and functional outcome between groups (all p>0.05). Anchor breakage occurred in 5 patients (2 Healix anchors and 3 Fixone anchors); however, there were no major anchor-related complications in either group. Conclusions: No differences were observed in the clinical outcomes of the Healix and Fixone groups, neither were there any accompanying major anchor-related complications.

• Clinics in Shoulder and Elbow
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• v.23 no.4
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• pp.178-182
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• 2020

Background: The purpose of this study is to investigate clinical outcomes and radiological findings of cyst formation in the glenoid around suture anchors after arthroscopic Bankart repair with either biocomposite suture anchor or all-suture anchor in traumatic anterior shoulder instability. We hypothesized that there would be no significant difference in clinical and radiological outcomes between the two suture materials. Methods: This retrospective study reviewed 162 patients (69 in group A, biocomposite anchor; 93 in group B, all-suture anchor) who underwent arthroscopic Bankart repair of traumatic recurrent anterior shoulder instability with less than 20% glenoid defect on preoperative en-face view three-dimensional computed tomography. Patient assignment was not randomized. Results: At final follow-up, the mean subjective shoulder value, Rowe score, and University of California, Los Angeles shoulder score improved significantly in both groups. However, there were no significant differences in functional shoulder scores and recurrence rate (6%, 4/69 in group A; 5%, 5/93 in group B) between the two groups. On follow-up magnetic resonance arthrography/computed tomography arthrography, the incidence of peri-anchor cyst formation was 5.7% (4/69) in group A and 3.2% (3/93) in group B, which was not a significant difference. Conclusions: Considering the low incidence of peri-anchor cyst formation in the glenoid after Bankart repair with one of two anchor systems and the lack of association with recurrence instability, biocomposite and all-suture anchors in Bankart repair yield satisfactory outcomes with no significant difference.

• Journal of the Korean Geotechnical Society
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• v.30 no.11
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• pp.61-69
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• 2014

In this study, the performance of group suction anchors installed in sand and subjected to pullout loading was investigated by numerical analysis. The group suction anchors consist of two or three units rigidly connected to each other in parallel array and the pullout resistances were compared with that of a single anchor. Parametric study was performed using numerical models to study the effect of the physical conditions of the group anchor. The parameters include the skirt length to diameter ratio of a unit suction anchor, the pad-eye location, inclination of loading and the spacing between unit suction anchors. The analysis shows that the ratios of the pullout capacity of double suction anchor and triple suction anchor to that of single anchor are 1.7 and 2.4, respectively. The ratio increases with the increase in the spacing between the unit anchors. The other parameters such as the skirt length to the diameter ratio, the location of the pad-eye and the loading inclination have negligible effect on the ratio of pullout resistances of the group anchor to the single anchor.

• Geomechanics and Engineering
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• v.22 no.3
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• pp.265-275
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• 2020

As a flexible supporting structure, the anchoring frame structure is widely adopted to support multistage slopes in high earthquake-intensity area for its effectiveness and practicality. The previous study indicates that the anchor of anchoring frame structure is the most likely to be damaged during earthquakes. It is crucial to determine the pull-out capacity of anchor against seismic force for the seismic design of anchoring frame structure. In this study, an analytical model of a three-stage slope supported by anchoring frame structure is established, and the upper bound method of limit analysis is applied to deduce the seismic anchor force of anchoring frame structure. The pull-out capacity of anchor against seismic force of anchoring frame structure at each stage is obtained by computer programming. The proposed method is proved to be reasonable and effective compared with the existing published solution. Besides, the influence of main parameters on the pull-out capacity of anchor against seismic force is analyzed to provide some recommendations for the seismic design of anchoring frame structure.

• Journal of Korean Orthopaedic Sports Medicine
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• v.10 no.2
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• pp.69-77
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• 2011

Purpose: This study was retrospectively performed to compare the clinical outcomes of modified Brostrom procedures using the single suture anchor and the double suture anchor for chronic lateral ankle instability. Materials and Methods: Thirty-seven patients were followed up for more than 1 year after the modified Brostrom procedures using suture anchor. Single surgeon treated seventeen cases with single suture anchor and 20 cases with double suture anchor. The clinical evaluation was performed according to the Karlsson scale and Sefton grading system. Radiologic measurement of the talar tilt and anterior talar translation was performed through anterior and varus stress radiographs using Telos device. Results: The Karlsson scale had improved significantly from preoperative average of 45.2 points to 89.4 points in single suture anchor group, and from 46.4 points to 90.5 points in double suture anchor group. According to the Sefton grading system, 15 cases (88.2%) in single suture anchor group and 18 cases (90%) in double suture anchor group achieved satisfactory results. The talar tilt angle and anterior talar translation had improved significantly from preoperative average of $13.6^{\circ}$ and 8.6 mm to $5.4^{\circ}$ and 4.1 mm in single suture anchor group, from $14.1^{\circ}$ and 8.4mm to $3.9^{\circ}$ and 4 mm in double suture anchor group. Double suture anchor technique was significantly superior in postoperative talar tilt. Conclusion: Single and double suture anchor techniques produced similar clinical and functional outcomes except for talar tilt, which was significantly superior in double suture anchor group. Both modified Brostrom procedures using the single and double suture anchor appear to be effective treatment methods for chronic lateral ankle instability. Further evaluation of clinical outcomes and biomechanical studies in athletes are needed.

• Journal of Korean Foot and Ankle Society
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• v.16 no.4
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• pp.241-246
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• 2012

Purpose: The purpose of our study was to perform a comparison of the outcomes of the modified Brostrom procedure using only a suture anchor compared with using a suture anchor with a pushlock anchor. Materials and Methods: This was a retrospective study of chronic lateral ankle instability that underwent a modified Brostrom procedure using a bioabsorbable suture anchor & a pushlock anchor, performed by a single surgeon. A total of 88 patients were enrolled in the study. The function of the patient's ankles were scored using the American Orthopaedic Foot and Ankle Society (AOFAS), visual analogue scale (VAS) both preoperatively and postoperatively. Results: The difference in the overall means between the group A and group B was not statistically significant. But, the patient's satisfaction was better in the group B, and there were more complications in the group A. Conclusion: The technique presented here uses the modified Brostrom procedure with pushlock anchors to prevent the problems associated with subcutaneous knot irritation.

• Geomechanics and Engineering
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• v.11 no.5
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• pp.691-711
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• 2016

In this study, the uplift capacity of anchor plates embedded in sand was investigated by conducting model tests. Square shaped anchors were used in the tests and parameters such as relative density of sand, embedment ratio (H/B), spacing ratio between anchors (S/B) and anchor configuration affecting the uplift capacity were investigated. Breakout factor and group efficiency which are dimensionless parameters were used to show the results. A series of finite element analyses and analytical solutions were additionally performed to ascertain the validity of the findings from the laboratory model tests and to supplement the results of the model tests. It can be concluded that the embedment depth in dense sand soil condition is the most important parameter with respect to the other parameters as to influencing the uplift capacity of group anchors.

• Proceedings of the Korean Geotechical Society Conference
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• 2008.03a
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• pp.1240-1249
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• 2008

Jacket anchor was developed to increase the pullout resistance of general ground anchor in soft ground, and the mechanism of pullout resistance of jacket anchor was analyzed. Also, the ultimate bond stress of jacket anchor was estimated by ultimate resistance which is determined by field tests. Grout milk was injected into the jacket to make grout bulb of jacket anchor. The formation of grout bulb of jacket anchor increases the diameter of grout bulb, ground strength and confining pressure between anchor grout and soil. From the twelve field test results, it was observed that the pullout resistance of jacket anchor is 15.38~295.02%(average 83.53%) greater than that of general ground anchor, and plastic deformation of jacket anchor is 20.78~1,496.45%(average 288.78%) smaller than that of general ground anchor at the same load cycle. Especially, it was investigated that the increase of ultimate resistance over 200% and the reduction of plastic deformation over 600% was obtained in gravel layer. It means that the jacket anchor is superior to the general ground anchor in gravel layer. Finally, the ultimate bond stress was proposed to design jacket anchor.

• Geotechnical Engineering
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• v.10 no.4
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• pp.39-52
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• 1994

The group effect of inclined ground anchor should be considered in design, but it has been hardly studied due to the difficulties of experimental or theoretical study. In this study, the model tests for the inclined ground anchors are made, and the displacements and strain fields of ground around anchor surface are analysed. As the results of this study, the group effect of the inclined ground anchor in air dried sand ground does not show even though two anchor surfaces are very close(10.7cm, surface to surface). That is to say, ,in the case that the final failure surface by pullout of anchor shows on the anchor surface, the pullout resistances of single anchors are almost same as those of the group anchors in these model tests.