• Journal of Korean Foot and Ankle Society
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• v.18 no.4
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• pp.202-207
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• 2014

Purpose: The purpose of this study was to evaluate the radiological and clinical outcomes of tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail for patients with complex hindfoot problems, including Charcot arthropathy, osteonecrosis of talus, combined arthritis of the ankle and subtalar joint, failure of previous ankle arthrodesis, and failed total ankle arthroplasty. Materials and Methods: Eighteen consecutive patients (10 men and 8 women) with an average age of 54 years (range, 42~72 years) underwent tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail fixation. The mean duration of follow-up was 16 months (range, 12~23 months). Radiological evaluation included assessment of the union status of ankle and subtalar joints. Clinical evaluations included visual analogue scale (VAS) for pain and patient satisfaction, and postoperative complications were analyzed. Results: Radiological union was achieved in 14 ankle joints (77%) and 16 subtalar joints (88%) at an average of 16 weeks (range, 14~40 weeks) and 14 weeks (range, 12~24 weeks), respectively. The preoperative VAS were 4.6 (range, 4~8) at rest and 8.2 (range, 7~10) during walking, and the postoperative VAS were 2.2 (range, 0~3) and 4.6 (range, 4~6), respectively (p<0.05). There were 6 nonunions (4 ankle joints and 2 subtalar joints), 3 tibia fractures, 2 delayed union of ankle joints, and 2 breakage of the implant. Conclusion: Tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail may be considered as a viable option in patients with complex hindfoot problems.

• Journal of Korean Foot and Ankle Society
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• v.22 no.3
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• pp.111-115
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• 2018

Purpose: Ingrown toenails are a common disease in the adolescent period and the treatments could be more conservative for this early stage of the disease. This study is a case series on the results of a gutter splint for an adolescent ingrown toe nail as a simple, comfortable treatment method. Materials and Methods: From 2011 to 2018, 22 patients (mean age, 12.2 years; range, 8~15 years) with ingrown toenails were treated with a gutter splint. There were 16 boys and 6 girls with 7 patients on both great toes, and additional 4 both corners of a nail, giving a total of 33 splints. Flat, plastic straws and glue or suture were used to protect the nail corners under local anesthesia. The medical records were reviewed retrospectively and phone calls were made to obtain the long-term results. Results: Fifteen splints were fixed with a suture and the other 18 splints were fixed with glue. There were 9 cases of recurrence out of 33 gutter splints, 8 out of 15 sutured splints and 1 out of 18 glued splints (p=0.010). There was no gender (p=0.383) or age (p=0.305) difference in the number of recurrences. Conclusion: For growing people, ingrown nails can be cured easily by conservative treatment for a transiently shortened or broken toenail. The glued gutter splint had a reasonable success rate as a first line treatment.

• Clinics in Shoulder and Elbow
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• v.22 no.2
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• pp.87-92
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• 2019

Background: This study was conducted to compare the radiological and clinical outcomes of internal fixation using a Polarus humeral nail for treatment of a humeral shaft fracture according to fracture types. Methods: From 43 patients, 13 were excluded and 30 patients were included. The 30 patients were divided into 2 groups: 15 in group I (Orthopaedic Trauma Association/Arbeitsgemeinschaft $f{\ddot{u}}r$ Osteosynthesefragen classification type A and B) and 15 in group II (type C). The mean age was 63.1 years (range, 20-87 years), and mean follow-up period was 2.3 years (range, 1.0-6.1 years). The causes of injuries were as follows: 12, traffic accidents; 14, simple slips; 2, simple falls; 2, contusions after lower energy trauma. Radiological and clinical evaluations were performed. Results: Radiological union was confirmed by plain anteroposterior and lateral radiographs on average of 5.0 months in group I, and 8.4 months in group II, respectively. Differences between the two groups were statistically significant (p<0.01). The clinical union value was 1.6 in group I, and 2.0 months in group II, but these values did not differ significantly (p=0.441). The mean Korean shoulder scoring system scores were 89.7 and 90.6, which did not differ significantly (p=0.352). Conclusions: Intramedullary nailing using the Polarus humeral nail is considered to be a good treatment modality for all types of humeral shaft fractures. Additionally, the Polarus humeral nail can be an optimal choice for the treatment of complex type fractures such as segmental or comminuted humeral shaft fractures.

• Journal of the Korean Orthopaedic Association
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• v.55 no.3
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• pp.193-199
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• 2020

A gamma nail has been used to treat intertrochanteric fractures since 1988. Although such cephalomedullary nails have mechanical advantages over extramedullary fixation devices, such as sliding hip screw, their beneficial effects on treating the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) 31-A1 and 31-A2 fractures are still controversial. During their 30-year history, many problems have been overcome, and new types of cephalomedullary nails have been introduced in clinical practice. New cephalomedullary nail systems facilitate nailing procedures and enhance the purchase capability of the femoral head by a lag screw. On the other hand, the failure rate still depends on the hands of the orthopedic surgeons. This review article focused on the basic principle of medial support and restoration of a medial buttress during the treatment of trochanteric fractures using a cephalomedullary nail.

• Journal of Advanced Technology Convergence
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• v.1 no.2
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• pp.83-88
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• 2022

As the number of students participating in nail art with great interest rises, it has become crucial to form instructor-student ties through offline interactions and establish relationships with education through media under the Fourth Industrial Revolution. Therefore, it would be very important to check the quality of online and offline services and examine customer satisfaction. For this, this study investigated current online and offline nail art education, service quality and satisfaction with the education. A questionnaire survey was performed a total of 319 men and women in their 10-50s or older from Daejeon, Sejong, Chungnam, Chungbuk and other regions. The collected data were analyzed, using SPSS 27.0, and the results found the followings. The above results confirm that perception of online and offline nail art education is correlated with service quality and satisfaction. However, there are limitations in generalizing the results due to a difficulty in accurate measurement. It is anticipated that if a subject area is expanded, and teachers' satisfaction is added for comparison and analysis, there would be better results.

• Journal of Advanced Technology Convergence
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• v.1 no.2
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• pp.89-93
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• 2022

This study attempted to suggest a direction for better services by analyzing correlations among usage patterns, perception, professionalism and satisfaction with nail services given through social media and commerce. For this, a questionnaire survey was performed against women in their 10-50s in Daejeon, Sejong and Chungcheong from October 1 to 20, 2021. A total of 326 copies were used for final analysis The collected data were analyzed, using SPSS 27.0. The results found the followings: As the treatments and products were more specialized, the respondents were more satisfied with services, convenience, treatments and products. Therefore, it is anticipated that the study results would available as basic data which are needed in analyzing correlations among usage patterns, perception, professionalism and satisfaction with nail services given through social media and commerce.

• Proceedings of the Korean Geotechical Society Conference
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• 1999.03a
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• pp.167-174
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• 1999

A Land slide in Granitic Gneiss weathered soil was stabilized successfully with soil nailing using 929mm steel bar. To understand the behavior of load transfer between soil and nail, in-situ pdl-out tests were carried out. The strains of steel bars were measured using strain gauges during pull-out tests. Forces-strain data from laboratory tension tests on steel bar and grouted steel bar were examined to compare with those of the pull-out tests. Comparisons were made between the pull-out test results and laboratory test result to understand load transfer mechanism.

• Proceedings of the Korean Geotechical Society Conference
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• 1993.10a
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• pp.63-68
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• 1993

Soil nailing is a method of reinforcing natural deposits of soil with passive inclusions, called nails, of steel or other materials. Its purpose is mainly to increase the tensile and shear strength of the soil mass. This method has been widely used during the last two decades to stabilize steep slopes in several countries (France, Germany, USA, Japan, etc.). The design methods that have been mostly used are Davis method, German method, and French method which are based on limit equilibrium approaches, and Juran method which utilizes the kinematical limit equilibrium design concept. This paper is focussed on the evaluation of the available design methods(especially, the France, Davis and German design methods) through comparison with each different assumption for the failure surface, the concept of failure mechanism and the definition of safety factor. The parametric study to identify the effects of design parameters on the overall factor of safety has also been conducted. By considering the results along with the associated assumptions which have been postulated in the several methods, the applicability of the method for a given soil and nail conditions has been evaluated.

• Proceedings of the Korean Geotechical Society Conference
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• 1999.10a
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• pp.481-488
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• 1999

Recently a removable soil nail is demanded due to problems beyond of economical and engineering purpose. In this study controlled displacement and controlled force field pull-out tests are carried out 7 times in order to evaluate short-term and long-term pull-out characteristics of the removable soil nail. For evaluating application of removable soil nailing system, bending tests of removable soil nails and tensile tests of fixed sockets are carried out. In the removable soil nailing system, the predicted horizontal displacements from FLAC-2D are also compared with the field measurements occurred in stepwise excavation. And approach for the stability analysis of removable soil nailing system after removed is proposed.

• Journal of Korean Neurosurgical Society
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• v.56 no.6
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• pp.537-539
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• 2014

Penetrating cerebral injuries caused by foreign bodies occur rarely due to the substantial mechanical protection offered by the skull. Throughout most of history, the brain, residing in a "closed box" of bone, has not been vulnerable to external aggression. Recently, we encountered a serious penetrating craniocerebral injury caused by a nail gun. Total excision of the offending nail via emergency craniotomy was performed, but the patient's neurologic status was not improved in spite of aggressive rehabilitative treatment. Here, we report on this troublesome case in light of a review of the relevant literature.