• Clinics in Shoulder and Elbow
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• 제18권4호
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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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• 제21권1호
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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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• 제23권4호
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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.

• 한국지반공학회논문집
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• 제30권11호
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• pp.61-69
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• 2014

본 연구에서는 수치해석을 이용하여 모래지반에 설치된 병렬식 그룹석션앵커의 인발하중에 대한 거동을 분석하였다. 단일형과 병렬식 그룹석션 앵커에 대한 수치 모델을 구성하고 인발하중을 재하하여 하중재하점의 위치, 길이/직경비, 하중경사 및 단위앵커간 간격에 따른 그룹형 석션앵커의 인발지지력에 대한 영향을 연구하였다. 더블형과 트리플 그룹앵커의 인발지지력은 단일앵커의 인발지지력 대비 1.7배와 2.4배로 나타났고, 설치간격이 증가함에 따라 그 증가율은 증가하였다. 하중재하점, 하중경사, 단위앵커의 형상비의 차이는 그룹앵커의 인발저항력 증가비에 큰 영향을 주지 않는 것으로 나타났다.

• Geomechanics and Engineering
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• 제22권3호
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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.

• 대한정형외과스포츠의학회지
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• 제10권2호
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• pp.69-77
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• 2011

목적: 만성 발목관절 외측 불안정성 환자에 대한 변형 Brostrom 술식에서 단일 봉합나사와 이중 봉합나사를 이용한 기법간의 임상 결과를 후향적으로 비교하고자 하였다. 대상 및 방법: 본원에서 봉합나사를 이용한 변형 Brostrom 술식을 시행받은 환자들 중 최소 1년 이상 추시가 가능하였던 37례를 대상으로 하였다. 모든 수술은 동일한 술자에 의해 이루어졌으며 단일 봉합나사를 이용한 경우가 17예, 이중 봉합나사를 이용한 경우가 20예 였다. 임상적 결과의 평가는 Karlsson 점수 및 Sefton의 평가법을 이용하였고, 발목관절의 기계적인 안정성에 대한 방사선학적 평가로 Telos 기기를 이용한 전방 전위 및 내반 스트레스 검사가 이용되었다. 결과: Karlsson 점수는 단일 봉합나사군이 술 전 평균 45.2점에서 술 후 89.4점으로, 이중 봉합나사군이 술 전 평균 46.4점에서 90.5점으로 각각 호전되었다. Sefton 평가법상 단일 봉합나사군은 우수가 7예, 양호가 8예, 보통이 2예 였고, 이중 봉합나사군은 우수 8예, 양호 10예, 보통 2예로 나타나 각각 15례(88.2%), 18례(90%)에서 만족스러운 결과를 보였다. 스트레스 방사선검사 상 거골 경사각과 거골 전방전위는 단일 봉합나사군이 술 전 평균 13.6도, 8.6 mm에서 술 후 최종 추시시 5.4도, 4.1 mm로, 이중 봉합나사군이 술 전 평균 14.1도, 8.4 mm에서 술 후 3.9도, 4 mm로 각각 호전되었으며 두 기법간에 술 후 거골 경사각의 유의한 차이를 보였다(p<0.05). 결론: 만성 발목관절 외측 불안정성에 대한 변형 Brostrom 술식에서 단일 봉합나사와 이중 봉합나사를 이용한 기법간에 술 후 임상 결과의 유의한 차이는 없었으나, 발목관절의 기계적인 안정성은 이중 봉합나사군에서 더 우수하였다. 단일 봉합나사와 이중 봉합나사를 이용한 변형 Brostrom 술식 모두 효과적인 치료 방법이라고 생각되며, 향후 운동 선수들을 대상으로 한 치료결과 및 생역학적 분석이 필요할 것으로 생각한다.

• 대한족부족관절학회지
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• 제16권4호
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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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• 제11권5호
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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.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2008년도 춘계 학술발표회 초청강연 및 논문집
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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.

• 한국지반공학회지:지반
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• 제10권4호
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• pp.39-52
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• 1994

지반앵커의 설계시 가장 중요한 것은 극한인발력을 구하는 것이다. 앵커의 간격이 가까울 때는 앵커의 인발에 따른 지반 거동의 중첩 현상, 즉 군효과가 발생하여 앵커 1개당 극한인발력이 감소하게 된다. 현재까지 앵커의 군효과에 대한 연구가 극소수인데 그것도 대부분 연직 앵커에 관한 것으로 경사앵커에 대한 연구는 거의 없는 실정이다. 이 이유는 지반앵커의 인발에 따른 지반 거동의 관찰과 앵커표면 마찰응력을 정확하게 측정해서 분석할 수 있는 실험과 이론적 고찰이 대단히 어렵기 때문일 것이라고 생각한다. 본 연구는 공기 건조 모래지반 내에 설치된 경사 지반앵커의 군효과에 대한 모형실험에 관한 것으로, 앵커체 깊이 방향으로 부착된 10개의 변형률게이지에 의해서 앵커체 표면의 마찰응력을 구하여 군효과에 의한 마찰응력의 감소에 대해 분석하는 것이다. 실험 결과, 앵커표면간 거리가 10.7cm에 불과한 대단히 가까운 앵커의 경우에도 군효과에 의한 마찰응력의 감소와 극한인발력의 감소는 보이지 않는다. 그러나 본 연구는 건조모래 지반내의 소규모 실내모형실험에 한한 것이므로 이후 여러 가지 지반 조건하에서의 모형실험과 현장실험을 실시해서 보다 일반적으로 적용될 수 있는 연구가 지속되어야 할 것이다.