• Title/Summary/Keyword: Open Approach

Search Result 1,470, Processing Time 0.026 seconds

Operative Treatment of Intraarticular Calcaneal Fractures using Extensile Lateral Approach (광범위 외측 도달법을 이용한 관절내 종골 골절의 수술적 치료)

  • Chung, Hyung-Jin;Ahn, Jong-Kuk;Bae, Su-Young;Jung, Hoon
    • Journal of Korean Foot and Ankle Society
    • /
    • v.13 no.1
    • /
    • pp.60-67
    • /
    • 2009
  • Purpose: This study was designed to investigate the usefulness of extensile lateral approach for accurate reduction and rigid internal fixation in comminuted intraarticular fractures of calcaneus. Materials and Methods: From October 2002 to May 2007, we managed 55 patients (62 cases) with open reduction and internal fixation using extensile lateral approach. Among these, 38 patients (43 cases) who underwent preoperative and postoperative CT scan were enrolled. All patients were evaluated over 24 months after surgery. Bohler angle and Gissane angle on plain X-ray, displacement and step-off of articular surface of calcaneus on CT scan were measured and we compared the difference between preoperative and postoperative value of them. Clinical results were assessed by using AOFAS Ankle-Hindfoot Scale. Results: The average Bohler angle was restored from $6.8^{\circ}$ to $23.5^{\circ}$ and Gissane angle was improved from $116.4^{\circ}$ to $113.5^{\circ}$ after operation. The average distance of displacement was restored from 4.2 mm to 1.4 mm and step-off of articular surface was recovered from 5.1 mm to 1.3 mm. Clinical results were excellent in 17 cases, good in 18 cases, fair in 3 cases, and poor in 5 cases. 10 cases developed postoperative complications such as skin necrosis, heel pain, limitation of motion of ankle and subtalar arthritis. Conclusion: The extensile lateral approach is valuable for the comminuted intraarticular fractures of calcaneus that enables accurate anatomical reduction and rigid internal fixation by providing direct exposure of subtalar joint.

  • PDF

Result of Surgical Treatment of Intra-Articular Fractures of the Calcaneus - Based on CT Classification and Open Reduction and Internal Fixation - (종골 관절내 골절의 수술적 치료 후 임상 결과 -전산화 단층 촬영에 따른 분류 및 관혈적 정복 및 내고정 치료-)

  • Kim, Eui-Soon;Seo, Hyun-Mo;Lee, Kyu-Min;Choi, Hun-Hwi;Moon, Myung-Sang;Lee, Man-Hee;Choi, Won-Tae
    • Journal of Korean Foot and Ankle Society
    • /
    • v.7 no.2
    • /
    • pp.238-249
    • /
    • 2003
  • Purpose: To report the clinical result of the intraarticular calcaneus fracture after open reduction and internal fixation with plate by lateral approach. Materials and Methods: Thirty-six calcaneal fractures of 33 patients(29 men and 4 women) were treated by open reduction and internal fixation using an lateral approach from March, 1997 to May, 2002 and were followed more than one year. The autogenous iliac bone graft was done in 2 cases but the others didn't. Radiographically B?hler angle and Gissane angle on simple lateral radiograph were measured and in the 15 cases, the step-off(gap) of posterior facet joint on post-operative CT images were followed. The Salama method was used for evaluation of clinical results. Results: According to Sanders classification, 19 cases of the 36 cases were classified as type II. Type III fracture were found in 12 cases and type IV in 5 cases. The following results were obtained: twenty-two cases(61.1%) out of 36 cases were estimated as good or excellent. The good results or more were obtained in 15 cases(78.9%) in type II and 7 cases(58.3%) in type ill, but no case in type IV. B?hler angles were improved from preoperative average 1.6?to postoperative average 23.4?, Gissane angle was improved from preoperative 107.2?to postoperative 122.8?, respectively. Among 36 cases, Computed tomography was carried out in 15 cases. The postoperative step-off (gap) of posterior facet joint on computed tomography was filled with cancellous bone. Satifactory results was obtained in 7 cases with 2mm gap or less and in 6 cases of 2-5mm. There were no satifactory results in 2 cases with 5mm gap or more. Conclusion: Open reduction and internal fixation for intra-articular fracture of calcaneus was thought to be a good treatment modality. It is thought that the lateral approach is one of the good one for surgical treatment, and that accurate reduction of the posterior facet, acceptable recovery of B?hler angle are more important to obtain best results.

  • PDF

Results of Arthrodesis in Ankle Arthritis with Deformity (변형을 동반한 족근 관절 관절염에 대한 관절 고정술 후 결과)

  • Park, Jong-Hyuk;Moon, Seung-Jin;Lee, Ju-Hong
    • Journal of Korean Foot and Ankle Society
    • /
    • v.9 no.1
    • /
    • pp.47-51
    • /
    • 2005
  • Purpose: We reviewed the results of ankle arthritis with advanced deformity treated with open arthrodesis. Materials and Methods: Seventeen patients who had painful ankle arthritis with advanced deformity underwent open arthrodesis using chevron osteotomy or transfibular approach and were followed for an average of 4.2 years (range, 1.5 to 9.7 years). The average age was 51.4 years and the most common cause was traumatic arthritis (13 patients). Postoperative outcome was evaluated using Mazur's grading system for ankle function. we also checked time to union, patient satisfaction, complications, position of arthrodesis and degenerative changes of adjacent joints. Results: Clinical score was improved to 76.4 points from 46.7 points. Average time to union was 4.3 months and the rate of satisfaction was 88%. Complications included 1 nonunion, 2 malunion, 1 superficial infection and 1 combined delayed union and malunion. There were 14 cases within $5^{\circ}$ valgus in frontal plane and 13 cases within neutral to $5^{\circ}$ dorsiflexion in sagittal plane. 3 cases in chevron osteotomy revealed valgus and plantarflexed position over $5^{\circ}$. Degenerative changes of adjacent joints was seen in 2 patients. Conclusion: Open arthrodesis for ankle arthritis with advanced deformity shows favorable clinical outcome. Transfibular approach shows more consistent results than chevron soteotomy for desired position of arthrodesis.

  • PDF

Performance Evaluation of OGS-FLAC Simulator for Coupled Thermal-Hydrological-Mechanical Analysis (열-수리-역학적 연계해석을 위한 OGS-FLAC 시뮬레이터의 성능 평가)

  • Park, Dohyun;Park, Chan-Hee
    • Tunnel and Underground Space
    • /
    • v.32 no.2
    • /
    • pp.144-159
    • /
    • 2022
  • The present study developed a sequential approach-based numerical simulator for modeling coupled thermal-hydrological-mechanical (THM) processes in the ground and investigated the computational performance of the coupling analysis algorithm. The present sequential approach linked the two different solvers: an open-source numerical code, OpenGeoSys for solving the thermal and hydrological processes in porous media and a commercial code, FLAC3D for solving the geomechanical response of the ground. A benchmark test of the developed simulator was carried out using a THM problem where an analytical solution is given. The benchmark problem involves the coupled behavior (variations in temperature, pore pressure, stress, and deformation with time) of a fully saturated porous medium which is subject to a point heat source. The results of the analytical solution and numerical simulation were compared and the validity of the numerical simulator was investigated.

Geometrical approach for the workspace of a 6-DOF parallel manipulator (6자유도 병렬형 매니퓰레이터의 작업공간결정을 위한 기하학적 접근)

  • 김도익;정완균;염영일
    • 제어로봇시스템학회:학술대회논문집
    • /
    • 1996.10b
    • /
    • pp.217-220
    • /
    • 1996
  • In this paper, a fully geometrical method for the determination of the workspace of a 6-DOF parallel manipulator is presented using the concept of 4-bar linkage. The reachable and dexterous can be determined from the proposed algorithm. In order to evaluate the workspace, each leg is considered as an open chain, and two kinematic constraints are developed. The proposed method is verified by simulation.

  • PDF

DESIGN AND IMPLEMENTATION OF FEATURE-BASED 3D GEO-SPATIAL RENDERING SYSTEM USING OPENGL API

  • Kim Seung-Yeb;Lee Kiwon
    • Proceedings of the KSRS Conference
    • /
    • 2005.10a
    • /
    • pp.321-324
    • /
    • 2005
  • In these days, the management and visualization of 3D geo-spatial information is regarded as one of an important issue in GiS and remote sensing fields. 3D GIS is considered with the database issues such as handling and managing of 3D geometry/topology attributes, whereas 3D visualization is basically concerned with 3D computer graphics. This study focused on the design and implementation for the OpenGL API-based rendering system for the complex types of 3D geo-spatial features. In this approach 3D features can be separately processed with the functions of authoring and manipulation of terrain segments, building segments, road segments, and other geo-based things with texture mapping. Using this implementation, it is possible to the generation of an integrated scene with these complex types of 3D features. This integrated rendering system based on the feature-based 3D-GIS model can be extended and effectively applied to urban environment analysis, 3D virtual simulation and fly-by navigation in urban planning. Furthermore, we expect that 3D-GIS visualization application based on OpenGL API can be easily extended into a real-time mobile 3D-GIS system, soon after the release of OpenGLIES which stands for OpenGL for embedded system, though this topic is beyond the scope of this implementation.

  • PDF

A Study on the Application of Open Housing System in Small-Size Apartments in Korea (오픈 하우징 시스템을 적용한 소규모 아파트먼트 디자인에 관한 연구 - 가족형태에 대응하는 가변형 아파트먼트 평면계획 -)

  • Kim Jin-Hee
    • Korean Institute of Interior Design Journal
    • /
    • v.14 no.1
    • /
    • pp.73-80
    • /
    • 2005
  • Open Housing System ideas were developed in Korea in the 1980s to satisfy the demand for variety indwelling spaces. This domestic attempt to apply open building principles was highly restricted and was applied only in support of middle-large size apartments rather than small size apartments. One of the problems was the conventional design of building structures. It was difficult to effectively satisfy the various lifestyles and transformation of dwellings because existing apartments were designed using a concrete wall structure approach, in which room sizes and arrangements were fixed by the placement of structural concrete walls. This was the result not only of structural analysis (other structural designs were possible) but also the result of the idea that the standard plan was suitable for a stable society and was easier to implement, and that change in social standards and technical upgrading was not going to happen. This study presents an apartment concept in which open building design methods were applied to satisfy the problem of various lifestyles and household sizes and preferences for small apartments. This concept also helps to create a more effective and long lasting building which decreases construction waste, saves resources and protects the environment by enabling the building to accommodate combining, increasing / decreasing, changing location or changing usage of rooms.

A Study on the Characteristics of an Unit Plan for a Tower Type Super-High-Rise-Residence (탑상형 초고층 주거건축의 단위평면 특성에 관한 연구 - 외기접합 면수별 공간구성 특성을 중심으로 -)

  • 이용광
    • Korean Institute of Interior Design Journal
    • /
    • v.13 no.5
    • /
    • pp.90-97
    • /
    • 2004
  • The purpose of this study is to grasp the spatial characteristic of the unit plan for a Super-High-Rise-Residence. This study is focused on the open air contact sides for a tower type Super-High-Rise-Residence. A tower type Super-High-Rise-Residence which has open air contacts from 1 to 3.5 sides differed in spatial characteristics of the unit plan for other apartment units. The current study analyzed 188 unit plans for the size of 40 pyong or larger in Seoul and the metropolitan areas which have been built since 1990. Open air contact side was classified as under 2 sides, 2 sides, and over 2 sides. The unit plan which belong to each open air contact side was Investigated according to the location of public area, the relationship between livingroom and master bedroom, and a method of entry to the master bedroom. The results of this study are as follow: According to increase open air contact sides is changed the location of public area in unit plan from an typical arrangement to various arrangement. Also the relationship between livingroom and master bedroom becomes loose and in a method of entry to the master bedroom increase an indirect approach through other room.

Multiloculated Hydrocephalus : Open Craniotomy or Endoscopy?

  • Lee, Yun Ho;Kwon, Young Sub;Yang, Kook Hee
    • Journal of Korean Neurosurgical Society
    • /
    • v.60 no.3
    • /
    • pp.301-305
    • /
    • 2017
  • Multiloculated hydrocephalus (MLH) is a condition in which patients have multiple, separate abnormal cerebrospinal fluid collections with no communication between them. Despite technical advancements in pediatric neurosurgery, neurological outcomes are poor in these patients and the approach to this pathology remains problematic especially given individual anatomic complexity and cerebrospinal fluid (CSF) hydrodynamics. A uniform surgical strategy has not yet been developed. Current treatment options for MLH are microsurgical fenestration of separate compartments by open craniotomy or endoscopy, shunt surgery in which multiple catheters are placed in the compartments, and combinations of these modalities. Craniotomy for fenestration allows better visualization of the compartments and membranes, and it can offer easy fenestration or excision of membranes and wide communication of cystic compartments. Hemostasis is more easily achieved. However, because of profound loss of CSF during surgery, open craniotomy is associated with an increased chance of subdural hygroma and/or hematoma collection and shunt malfunction. Endoscopy has advantages such as minimal invasiveness, avoidance of brain retraction, less blood loss, faster operation time, and shorter hospital stay. Disadvantages are also similar to those of open craniotomy. Intraoperative bleeding can usually be easily managed by irrigation or coagulation. However, handling of significant intraoperative bleeding is not as easy. Currently, endoscopic fenestration tends to be performed more often as initial treatment and open craniotomy may be useful in patients requiring repeated endoscopic procedures.

Symbolic Generation of Dynamic Equations and Modeling of a Parallel Robot (기호 운동방정식 생성과 병렬형 로봇 모델링)

  • Song, Sung-Jae;Cho, Byung-Kwan;Lee, Jang-Moo
    • Transactions of the Korean Society of Mechanical Engineers A
    • /
    • v.20 no.1
    • /
    • pp.35-43
    • /
    • 1996
  • A computer program for automatic deriving the symbolic equations of motion for robots using the programming language MATHEMATICA has been developed. The program, developed based on the Lagrange formalism, is applicable to the closed chain robots as well as the open chain robots. The closed chains are virtually cut open, and the kinematics and dynamics of the virtual open chain robot are analyzed. The constraints are applied to the virtually cut joints. As a result, the spatial closed chain robot can be considered as a tree structured open chain robot with kinematic constraints. The topology of tree structured open chain robot is described by a FATHER array. The FATHER array of a link indicates the link that is connected in the direction of base link. The constraints are represented by Lagrange multipliers. The parallel robot, DELTA, having three-dimensional closed chains is modeled and simulated to illustrate the approach.