• 제목/요약/키워드: Nail

검색결과 604건 처리시간 0.025초

경골 원위간부 골절 치료의 골수강내 금속정 고정술과 최소침습 금속판 고정술의 비교: 기능적, 미용적 결과의 후향적 비교 (Intramedullary Nailing versus Minimally Invasive Plate Osteosynthesis for Distal Tibia Shaft Fractures: Retrospective Comparison of Functional and Cosmetic Outcomes)

  • 김가현;김인희;김건중;임성준;윤지영;김종원;김용민
    • 대한족부족관절학회지
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    • 제27권3호
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    • pp.93-98
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    • 2023
  • Purpose: This study compared the functional and cosmetic treatment outcomes of intramedullary nailing (IM nail) and minimally invasive plate osteosynthesis (MIPO) for distal tibia shaft fractures. Materials and Methods: Forty-eight patients with distal tibia shaft fractures (distal 1/3 of the diaphysis, AO/OTA [AO Foundation/Orthopaedic Trauma Association]) 43 managed by an IM nail (n=30) or MIPO (n=18) who had minimum one-year follow-up were enrolled in this study. The radiological, functional, and cosmetic outcomes in the two groups were compared retrospectively. Results: All patients achieved bone union. The mean bone union time of the IM nail and MIPO groups was 18.5 and 22.6 weeks, respectively (p=0.078). One patient in the MIPO group showed posterior angulation and valgus deformity of more than five degrees. The mean American Orthopaedic Foot and Ankle Society (AOFAS) functional scores were similar: 83.3 in the IM nail group and 84.6 in the MIPO group (p=0.289). The most salient difference was the cosmetic result of the surgical scar. The length of the scars around the ankle in the IM nail group was significantly smaller than the MIPO group (2.6 cm vs. 10.6 cm; p=0.035). The patient satisfaction survey of surgical scars revealed a significantly higher satisfaction rate in the IM nail group than in the MIPO group (93% vs. 44%; p<0.001). Conclusion: This study showed that both treatment methods for distal tibia shaft fractures have similar therapeutic efficacy regarding the radiological and functional outcomes. On the other hand, the IM nail technique showed superior cosmetic outcomes than the MIPO technique. IM nails may be more recommended in patients with high demand for cosmetic results.

다철근 스프링 네일링 공법의 보강효과 검토에 관한 연구 (A Study on Reinforcing Effect of Multi-Bar Spring Nailing)

  • 이충호;정영진;김동식;채영수
    • 한국재난정보학회 논문집
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    • 제3권2호
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    • pp.147-169
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    • 2007
  • This study investigates the reinforcing effects of the Multi-bar Spring nails with respect to the conventional Soil-nails in artificial slopes. Based on wide experience related to design and construction, soil nails have been widely applied to reinforce slope in the world. Multi-bar spring nails are one of the improved soil nailing methods. These method maximizes bending, shearing, pull-out resistance for those multi-nails, not unit nail, that are inserted in the borehole using special spacer at regular intervals. In addition, because cutting plane is confined effect resulting from a pressured plate at the end of the nails with compression spring equipment, slope stability is secured using MS-nailing method. Analyzing bending, pull-out, shearing condition of MS-nail, it was examined throughly elastic region, load transfer capacity, reinforcing effect on cutting plate of MS-nails. In addition, Pilot and laboratory tests, numerical analysis were carried out to verify the superiority of MS-nailing method. In case, MS nailing method is applied to reinforce artificial slope, it was analyzed that bending, pull-out, shearing resistance was increased more than existing nailing method was applied. In this study, it was shown that surface failure was more or less prevented using MS-nailing method, confining effect on cutting plane using spring stuck to flexible equipment.

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중국 여대생의 외모관리 특성과 의복구매행동 (A Study on the Chinese University Women's Appearance Management Characteristics and Clothing Purchasing Behavior)

  • 왕야;김용숙
    • 한국생활과학회지
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    • 제16권1호
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    • pp.145-157
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    • 2007
  • The purpose of this study was to identify Chinese university women's appearance management characteristics and clothing purchasing behavior. A self-administered questionnaire was used. Research period was 15th - 30th March. Frequencies, percent, factor analysis, cluster analysis, ANOVA, chi-square test were done. The results of study were: 1. The factors of appearance management characteristics were food management, skin care, weight control & tooth correction, nail & hair care, and use of identity kits. The factors of clothing selection criteria were outlook & appropriateness, management & service, fashion & brand, and individuality & price, and factors of information resources were marketer oriented & neutral and consumer oriented & store. 2. Chinese university women were segmented into positive appearance management group, food & skin management group, nail care & identity kits using group, and appearance management stagnated group. Positive appearance management group selected their clothing to pursuit individuality & relaxation, fashion, and conformity, considered fashion or brands more, used various information sources. Food & skin management group purchased their clothing for conformity. Nail care & identity kits using group considered management & service of clothing more, utilized consumer oriented & store information more. 3. Positive appearance management group were younger, and spent more pocket money and for their appearances. Food & skin management group were older, but nail care & identity kits using group were older. Appearance stagnated group spent less pocket money and appearance management.

제거식 쏘일네일의 고정자소켓 강도에 관한 실험적 해석 (Experimental Analysis of the fixed socket strength of a removable soil nail)

  • 김낙경;김성규;윤승권;조규완;김웅규;이충호
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2008년도 춘계 학술발표회 초청강연 및 논문집
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    • pp.1250-1253
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    • 2008
  • As a reinforcement technique, the application of removable soil nailing has been extended to solve the public grievance of typical soil nailing such as the geotechnical environmental problem and invasion of adjacent land. In the case of removable soil nailing, pullout capacity of the nail depends on the adhesive strength of a fixed socket. Because the existing fixed socket is made from a plastic product, the strength of a socket is less than a steel bar and then the yield failure by abrasion and deformation is occurred on the steel bar-socket contact surface. In this study, therefore, experimental analysis from laboratory test of a removable soil nail equipped with steel socket, improving the adhesive strength of steel bar-socket connection is performed to estimate the increase effect of pullout capacity of a soil nail.

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Longitudinal Supraspinatus Tear Associated with Antegrade Humeral Intramedullary Nailing: A Case Report and Literature Review with Focus Placed on Nail Entry Point

  • Shon, Min Soo;Bang, Tae Jung;Yoo, Jae Chul
    • Clinics in Shoulder and Elbow
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    • 제18권1호
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    • pp.47-51
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    • 2015
  • Iatrogenic damage of the rotator cuff followed by postoperative shoulder function loss is a potential complication after antegrade intramedullary nailing (AIN) for a humeral fracture. The authors present a case of arthroscopic rotator cuff repair and subacromial decompression of a non-healed rotator cuff tendon (mainly supraspinatus) and secondary impingement syndrome caused either by the tear or a proud nail after AIN for a mid-shaft humeral fracture. At presentation, the patient complained of right shoulder pain and 'snapping', especially during forward elevation and abduction of the shoulder, of 4 years duration. Right shoulder pain started sometime after pain due to the humeral shaft fracture, operation had subsided, and persisted after nail removal. Arthroscopic findings showed a longitudinal rotator cuff tear at the nail entry point that had not healed and severe fibrous hypertrophy on the acromion underspace, which is a unique finding since most longitudinal splits of tendon fibers are more likely to heal than conventional rotator cuff tears detached from bone. The torn rotator cuff was repaired after debridement and placing side-to-side sutures. At his 34-month follow-up after rotator cuff repair, the patient showed complete recovery and had excellent clinical scores.

유한요소법을 이용한 골절치료용 임플란트 시스템 형상설계에 관한 연구 (A Study On Shape Design of Implant Systems For Bone Fracture Operations By Using Finite Element Method)

  • 조지현;서금희;서태일
    • 한국생산제조학회지
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    • 제21권3호
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    • pp.425-432
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    • 2012
  • This paper investigates shape design processes of two implant systems for bone fracture treatment ; Bone plate and Interlocking nail system. These systems can directly fix fractured human bones by surgical operations. The bone plates consist of various shaped plates and implant screws for fixation of fractured human bones with various manual instruments allowing to handle them. The material corresponds to titanium alloy Ti6Al4V because it is harmless material for human body as well as significantly rigid. This system has to be suitably rigid as well as manually bended in orthopedic surgery operations. The Interlocking nail system is a kind of nail implanted inside fractured human bones. The shapes of these systems have to be suitably designed in order to endure various loads as well as avoid any damages. If various shaped prototypes would be fabricated and tested to design the optimal shapes, optimal shapes could be obtained but very long time and expensive costs must be required. In this paper finite element method was applied into these systems. Under various boundary conditions a series of structural analysis was conducted by using ANSYS. Finally important shape factors could be determined on the basis of the analysis results.

An Analysis on the Relationships between Professions in the Beauty Industry and Blood Type

  • Jo, Byeongsun;Kim, Sungnam
    • 패션비즈니스
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    • 제17권6호
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    • pp.1-17
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    • 2013
  • This study was carried out after the author experienced different personalities according to blood type over many years and thus have attempted to find out the relationships between blood type and each occupation in the industry. This study aims to analyze employees in the beauty industry (hair design, skin care, nail art and makeup) in Seoul with regard to their blood types. The significance of this study is to provide baseline data for entrants and managers in the beauty industry in order to help them choose the right occupation and reduce turnover rates through analyzing employee personalities by blood type. Research topics include the following: first, to understand the characteristics of employees in the beauty industry; and second, to find out the relationships between blood types and types of professions. After conducting an inquiry into the relationships between blood type and profession in the industry, a significant portion of skin care (49.3%) and nail art (43.8%) professionals was blood type A; nail artists (43.8%), type AB; hair designers (54.7%), type B; and makeup artists (50.0%) and hair designers (29.2%), type O. In conclusion, these results reflect the personalities of people within the beauty industry by blood type. Skin care and nail art shops are quiet environments, whereas hair salons are relatively louder with contemporary music along with the sounds of various equipment.

The Tensile Properties for Powder-driven-nail Connections for Japanese Larch Small Round Timber

  • Shim, Kug-Bo;Lee, Do-Sik
    • Journal of the Korean Wood Science and Technology
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    • 제33권2호통권130호
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    • pp.8-16
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    • 2005
  • In an effort to encourage the development of value added engineered applications for small diameter round timber, research is being conducted to develop and verify design guidelines for connections with specific application to round timbers. The objective of this research is to provide potential users with a number of viable connection options applicable in the fabrication of engineered, round wood structural components and systems. Target uses include trusses, built up flange beams and space frames. This paper presents information on a mortised steel plate connection fabricated using powder driven nails in 6 cm diameter Japanese Larch. The design load for PDN connections are around 1.3 kN per nail with strip and 0.8 kN per nail without stripe. The design model for PDN connectors could be chosen by the number of nails. If the number of nails are more than the critical number between nail bearing and wood failure, the wood failure model could be the way to design the structure safely. The wood failure model needs to be studied more but the model could be the tensile and cleavage mixed failure model.

휨 저항을 고려한 네일 거동에 대한 수치해석적 분석 (Numerical Analysis of the Nail Behavior Considering Resisting Bending Moment)

  • 전상수;김두섭;장양원
    • 한국지반공학회논문집
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    • 제23권10호
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    • pp.85-96
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    • 2007
  • 쏘일 네일 공법은 기존의 지보공법에 비해 시공의 편리성과 경제성, 안정성이 우수하여 최근 현장에 적용되는 사례가 증가하고 있다. 하지만, 쏘일 네일 공법에 대한 공학적인 접근은 미흡하여 우리나라에서는 지금까지 체계적인 설계 공법이 확립되지 못한 실정이다. 기존의 쏘일 네일 공법 설계에는 네일에 작용하는 전단 저항 및 휨 저항을 고려하지 않았으나, 철근과 시멘트로 구성된 쏘일 네일은 전단 및 휨에 대한 저항을 가지고 있다. 따라서, 본 논문에서는 네일의 전단 및 휨 저항을 고려한 쏘일 네일 보강시 수치해석 프로그램인 $FLAC^{2D}$를 이용해 사면의 안정성을 분석하였다.

저토피 토사터널에 적용된 선지보 네일공법의 시공 및 계측사례 (The Case of Measurement for Shallow Soil Tunnel with Pre-Supported Nail Method)

  • 서동현;이승호
    • 한국지반환경공학회 논문집
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    • 제13권11호
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    • pp.69-79
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    • 2012
  • 선지보 네일공법은 터널의 굴착 전에 지반을 보강하므로 기존 지보시스템에 의한 NATM공법에 비해 굴착과정에서 변위를 최소화할 수 있어 안정성과 시공효율을 높일 수 있는 장점이 있다. 본 연구에서는 지하수위가 높고 미고결지반으로 구성된 천층터널에 대해 선지보 네일공법의 적용성을 현장계측관리 사례을 통해 연구하였으며, 지반보강개념에서 선지보 네일공법의 메카니즘과 기존 지보시스템의 메카니즘을 비교 분석하였다. 상하분할 굴착과정에서 굴착단계별 변위증폭이 뚜렷이 관찰되는 기존 지보시스템에 비해 선지보 네일공법은 초기변위 이후 단계굴착별 변위증폭량이 작고 이내 수렴되는 경향을 보여 다단굴착으로 인한 영향이 미미한 것으로 분석되었다. 선지보 네일공법은 종래 NATM공법과 비교할 때 단계굴착 시 응력변화에 대해 민감하고 아칭효과가 발생되지 않는 취약한 지반 즉, 토사터널인 천층터널에서 그 적용성이 뛰어난 것으로 판단된다.