• Title/Summary/Keyword: Repair Materials

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Associated Changes During Arthroscopic Evaluation of the Glenohumeral Joint in Rotator Cuff Tear - Comparison According to Tear Size - (회전근 개 파열의 관절경적 치료 시 관절된 관절와 상완관절의 동반 변화 -파열의 정도에 따른 차이-)

  • Choi Chang-Hyuk;Kwun Koing-Woo;Kim Shin-Kun;Lee Sang-Wook;Cho Myung-Rae;Ko Sang-Bong;Kim Tae-Hoon
    • Clinics in Shoulder and Elbow
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    • v.7 no.1
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    • pp.5-9
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    • 2004
  • Purpose: To identify associated findings in glenohumeral joint in rotator cuff tear and evaluate its clinical significance, we examined minor and major changes during arthroscopic or mini open repair. Materials & Methods: We reviewed 66 patients of rotator cuff tear treated from March, 2001 to January, 2004. Of 38 cases of small to medium tear, average age was 53 years old and involved in dominant arm in 27 cases. Of 28 cases of large to massive tear, average age was 58 years old and involved in dominant arm in 26 cases. Minor and major associated changes of the glenohumeral joint were evaluated in the tendon of biceps long head, biceps pulley, cartilage of the glenoid and humeral head, labrum and synovium. Results: Minor changes in biceps tendon were in 35% of cases, biceps pulley in 18%, cartilage of humeral head in 27%, cartilage of glenoid in 18%, labrum in 38%, and synovium in 42%. Major changes in biceps tendon were in 6% of cases, biceps pulley in 35%, arthritis of humeral head in 3%, arthritis of glenoid in 2%, labrum in 6%, and synovium in 21 %. Major changes in biceps tendon were 5% in Group I and 7% in Group Ⅱ(p>0.05) and in biceps pulley, 18% and 57% in each (P<0.05). Minor changes of arthritis were prevalent in glenoid cartilage and major changes were more prevalent in humeral head. There were no differences in minor changes of labrum and synovium, but major changes were more prevalent in Group Ⅱ. Conclusion: The prevalence of intraarticular associated changes of rotator cuff tear were 63% in synovium, 54% in labrum, 53% in biceps pulley, 41% in biceps tendon, 30% in humeral head and 20% in glenoid cartilage in order. Major changes of biceps pulley, humeral head, labrum and synovium were more prevalent in Group Ⅱ.

Arthroscopic Management of the Triangular Fibrocartilage Complex Injuries (삼각 섬유 연골 복합체 손상의 관절경적 처치)

  • Moon Young Lae;You Jae Won;Oh Jong Ho;Jin Dae Sik
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.1
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    • pp.32-35
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    • 2001
  • Purpose : To evaluate the efficacy of arthroscopic management of the triangular fibrocartilage complex(TFCC). Materials and Methods : Thirteen patients(14 wrists) with acute or chronic traumatic triangular fibrocartilage complex lesions were included in the study. The mean patients' age was 28.3 years, with a range of 21 to 45 years. All patients were diagnosed by physical examination, arthrographic or magnetic resonance imaging studies. Eight of the 14 wrists had central TFCC tear while 6 wrists had peripheral tear. Under arthroscopic control, injuries to the central portions were treated by debridement and excision of unstable tissue fragment while peripheral tears were repaired. The follow-up period averaged 28 months. The results were analyzed clinically using the Mayo modification of the Green and O' Brien wrist scoring system. Results : Nine of the 14 wrists were rated excellent,3 good and 2 fair Overall, 12 of the 14 patients rated as satisfactory and returned to sports or work activities. Conclusion : Arthroscopic treatment of TFCC resulted in a high degree of patient satisfaction and an increase in the ability to perform at workshop.

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Clinical Results of Treatment of Distal Biceps Rupture (이두박근 원위부 파열의 임상적 치료 결과)

  • Chung, Duke-Whan;Hwang, Jung-Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.8 no.1
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    • pp.13-18
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    • 2009
  • Purpose: To report the clinical results of patients treated for a rupture of the distal tendon of biceps brachii Materials and Methods: Between February 1987 and March 2004, we treated 16 patients with a rupture of the distal tendon of biceps brachii. 9 of 16 patients underwent surgical treatment. All cases were male, median age was 26.3(range, 16-48) years. The mean interval between injury and surgery was 4.7 days (range, 1~36 days). Operative correction was performed anatomically, using the two-incision technique(3 cases) or one-incision technique(6 cases). Clinical outcomes were evaluated one year after operation by assessing the review about the physical examination finding and radiologic findings with surgical findings, range of motion, muscle strength, subjective satisfaction, activity and return to previous occupation. and via telephone interview in cases of conservative treatment. Results: In cases of surgical treatment, 85.8%, 86.3% of flexion-extension and supination-pronation motion than healthy side were measured respectively. 75% of flexion power than healthy side was measured. Eight of nine(89%) were very satisfied. Eightl of nine returned to original job. In cases of conservative treatment, 65% of flexion power than pre-injury state was reported. Four of seven were satisfied, two were dissatisfied, one was very dissatisfied. Three of seven returned to original job. Conclusion: Early anatomic reconstruction can restore more strength and endurance for supination and flexion range and power. Conservative management may be considered for partial injuries, but operative repair must be considered in complete rupture, athletes, patient with high activity.

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Estimation of Bond Performance Improvement by Surface Treatment Equipments and Polymer Content by Boned Concrete Overlays (접착식 콘크리트 덧씌우기 경계면 처리 방식 및 폴리머 혼입률에 따른 부착성능 평가)

  • Jung, Won Kyong;Kim, Hyun Seok;Kwon, Oh Seon;Kim, Hyung Bae
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.1
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    • pp.39-47
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    • 2016
  • Repair methods of aging concrete pavement are generally used composite structure pavements, such a composite structure is subjected to a large impact on the mechanical behavior and ensure long-term commonality integrated under vehicle loads, environmental loads of the public in accordance with the bond strength between old and new concrete. A common of bonded concrete overlays that are currently available is Interface arrangements using a variety of equipment to ensure the excellent bond strength between old and new concrete than standard concrete, mixed with a material such as a polymer in order to improve the adhesion with the material itself. However, these method of constructions are being applied, depending on the developer site presents no special specifications apply when a specific application criteria objectively, this is due to the situation of each individual method, which is based on the difficulty in quality control of the site manager. In this study by performing a field test for polymer content via the variables that contribute most significantly to ensure bond strength and the field element core of the interface processing method and materials to ensure bond strength between the old and the new concrete, it was to derive the construction site construction method that can improve the performance of the bond strength through a review of the construction around the correlations and the bond strength according to the effective performance analysis of the conventional surface treatment process and variation of polymer volume fraction.

Effects of Gas Background Temperature Difference(Emissivity) on OGI(Optical Gas Image) Clarity (가스의 배경 온도 차이(방사율)가 OGI(Optical Gas Image)의 선명도에 미치는 영향)

  • Park, Su-Ri;Han, Sang-Wook;Kim, Byung-Jick;Hong, Cheol-Jae
    • Journal of the Korean Institute of Gas
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    • v.21 no.5
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    • pp.1-8
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    • 2017
  • Currently gas safety management in the industrial field has been done by LDAR as contact method or methane leak detector as non-contact method. But LDAR method requires a lot of man-power and methane leak detector have the limitation of methane only. Therefore the Research on the OGI(optical gas image) has big attention by industry. This research was undertaken to see the effect of background temperature difference of gas cloud on the clarity of OGI. The background temperature control panel was constructed to cool down the background temperature. OGI was taken at the various methane gas ejection rate and the designed temperature difference. The experimental results showed that the OGI(when the temperature difference is $-6^{\circ}C$) is more clear thane the OGI(when the temperature difference is zero). To quantify the clarity difference, MATLAB's RGB analysis method was employed. The RGB value of the OGI at ${\Delta}T-6^{\circ}C$ was 20% lower than the OGI at ${\Delta}T0^{\circ}C$. The clarity difference by T difference can be explained by the total radiation law. When the background temperature of the gas is lower than the air temperature, the radiation energy coming into the OGI lens is increasing. As the energy is increasing, the OGI image becomes clear.

Surgical treatment of Supravalvular Aortic Stenosis (판막상부 대동맥협착증의 외과적 요법)

  • 장우익;오삼세;이정렬;김용진;노준량;서경필
    • Journal of Chest Surgery
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    • v.31 no.8
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    • pp.763-769
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    • 1998
  • Background: Supravalvular aortic stenosis is a rare form of congenital cardiac anomaly involving ascending aorta distal to coronary orifice. Materials and methods: We operated 12 cases of supravalvular aortic stenosis between July 1986 and March 1997. Age ranged from 4 to 17(mean 10.2) years and 11 of them were male. Nine patients had clinical features of Williams syndrome. We experienced two types of supravalvular aortic stenosis, including 10 hour glass type and 2 diffuse type. Results: Preoperative transaortic pressure gradient ranged from 40 to 180(mean 92) mmHg by cardiac catheterization. Pulmonary stenosis was associated in 5 and 2 of them required angioplasty. Operative techniques included 6 standard aortoplasty with elliptical patch, 4 extended aortoplasty with inverted Y shaped patch, and 2 modified Brom's repair. There were no operative deaths. Postoperative echocardiographic evaluation was done at a mean interval of 12 months. Grade I or II aortic regurgitation was found in 3 cases. Postoperative cardiac catheterization revealed a mean transaortic pressure gradient of 26 (range 0 to 75) mmHg. A mean pressure drop was 78(range 30 to 114) mmHg. All patients were followed up for a mean of 40(range 1 to 67) months with uneventful clinical course. Conclusions: Our data proved the low mortality and excellent hemodynamic improvement after surgical relief of supravalvular aortic stenosis in children.

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Effect of non-thermal atmospheric pressure nitrogen and air plasma on the surface properties and the disinfection of denture base resin (상온대기압 질소 및 공기 플라즈마가 의치상용 레진의 표면 특성과 살균효과에 미치는 영향)

  • Seo, Hye-Yeon;Yoo, Eun-Mi;Choi, Yu-Ri;Kim, Soo-Hwa;Kim, Kwang-Mahn;Kim, Kyoung-Nam
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.5
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    • pp.783-788
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    • 2014
  • Objectives : The purpose of this study was to investigate the effect of non-thermal atmospheric pressure plasma jet(NTAPPJ) on surface properties and Streptococcus mutans disinfection of denture base resin. Methods : Self-cured denture base resin (Jet denture repair resin, Lang dental Mfg, co., USA) was used to make specimen($12mm{\times}2mm$). To observe surface change before and after plasma process, surface roughness and contact angle were measured. For sterilization experiments, the surfaces of specimens were treated with nitrogen and air NTAPPJ for 1 minute after S. mutans was inoculated on the material surfaces. Results : Before plasma process, surface roughness of denture base resin was $0.21{\mu}m{\pm}0.02{\mu}m$. After air and nitrogen NTAPPJ process, surface roughness was $0.19{\mu}m{\pm}0.03{\mu}m$ and $0.18{\mu}m{\pm}0.01{\mu}m$ respectively. There was no significant difference(p>0.05). Contact angle of control group without plasma process was $83.81^{\circ}{\pm}3.14^{\circ}$, while after plasma treatment, contact angles of air NTAPPJ and nitrogen NTAPPJ groups were $63.29^{\circ}{\pm}2.27^{\circ}$ and $46.68^{\circ}{\pm}5.82^{\circ}$ respectively. The result showed a significant decrease in contact angle after plasma process(p<0.05). Compared to the control group 6020.33(CFU/mL) without plasma process, CFU decreased significantly after air NTAPPJ 90.75(CFU/mL) and nitrogen NTAPPJ 80.25(CFU/mL) treatment(p<0.05). Conclusions : It was considered that NTAPPJ can be used for denture disinfection without changing surface properties of materials.

Material Analysis and Conservation Treatment of Sangryangmun in Jinnamgwan, Yeosu (여수 진남관 상량문의 재질분석 및 보존처리)

  • Imn, Se Yeon;Yu, Ji A;Lee, Jae Sung;Jeong, Hee Won
    • Journal of Conservation Science
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    • v.36 no.3
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    • pp.213-224
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    • 2020
  • This research conducted a component analysis and conservation treatment of "Sangryangmun," a material which had been written in 1965 and was discovered during the repair project for "Jinnamgwan" in Yeosu. The "Sangryangmun" has been stored in a cylindrical metal storage; however, defects, discolorations, hardening, and damages caused by pollutants were found. Based on the XRF analysis, rust in the cylindrical metal storage, which was made of Cu, was stuck on the surface of the "Sangryangmun". Using FT-IR and Pyrolysis-GC/MS analyses, carbonyl and compounds of fatty acids were detected; the organic material on the surface of the "Sangryangmun" was identified to have belonged to oil-based components. Therefore, it was presumed that the bast fibers of a mulberry was used in the paper. To determine the conservation materials, component analysis, condition survey, and preliminary test on adhesives were conducted. Moreover, the missing parts and partial linings were filled using mulberry-fiber paper, methyl cellulose, etc.

Open Reduction of Acromioclavicular Joint for the Acromioclavicular Joint Dislocations (견봉 쇄골 관절 탈구에 대한 견봉 쇄골 관절의 관혈적 정복술)

  • Song, Hyun-Seok;Choi, Nam-Yong;Han, Suk-Ku;Nah, Ki-Ho;Nam, Won-Sik;Yang, Hyuk-Jae;Park, Sung-Jin
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.189-195
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    • 2006
  • Purpose: To analyze the result of the accurate open reduction of acromioclavicular (AC) joint and pin fixation, coracoclavicular (CC) screw fixation without CC ligament repair for AC joint injuries. Materials and Methods: Between January 2000 and December 2003, seventeen cases with at least one year follow-up among twenty-one cases underwent operation for AC-CC ligament injuries. A transverse incision approximately 5 cm in length was made over the clavicle, and the AC joint was reduced accurately. Under the image intensifier, a cannulated screw and washer were inserted for the CC ligament. Two Steinman pins were inserted for the AC joint and the AC ligament was repaired with nonabsorbable suture. Gentle passive range of motion was begun postoperative 2 weeks. The pins were removed at $6{\sim}8$ weeks and the screw was removed at $10{\sim}12$ weeks. The results were evaluated by a distance between AC and CC joints on plain films and ASES score at last follow-up. Results: At the last follow-up, there was no limitation of motion and average ASES score was 96($86{\sim}100$ points). There was no failure showing over 5 mm difference of distance compared to opposite side on the plain films. Seven cases had the skin damages and local infection due to pin migration and three cases showed the loosening of CC screw. Conclusion: We could have satisfactory results by accurate reduction of AC joint and simple pins and screw fixation for AC-CC ligament injuries.

Long Head of the Biceps Tendon Lesion Associated with Rotator Cuff Tear (회전근 개 파열과 동반된 상완 이두 건 장두의 병변)

  • Kim, Young-Kyu;Kim, Dong-Wook;Lee, Jong-Hun
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.64-71
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    • 2010
  • Purpose: To evaluate pathologic patterns and outcomes of treatment of a biceps tendon lesion associated with a rotator cuff tear. Materials and Methods: We reviewed 92 patients (i) who underwent surgery for a cuff tear, (ii) for whom the biceps lesion could be observed retrospectively, and (iii) had a minimum follow-up of 2 years. The pathology of biceps tendon was classified into 4 types: tenosynovitis, fraying or hypertrophy, tear, and instability. All but the 4 with massive cuff tears were repaired. The biceps lesions were treated with debridement in 30, tenotomy in 10, tenodesis in 8, and recentering in 4. UCLA scoring was used for clinical results. Results: Seventy patients had a biceps lesion, 19 tenosynovitis, 22 fraying or hypertrophy, 21 a tear, and 8 instability. A biceps lesion was observed in 63% of cases of cuff tears below the medium size, and in 88% of cases with cuff tears above the large size. UCLA scores according to the pathology of the biceps lesion were 29.6 in the absence of a biceps lesion, and 28.3 in its presence. UCLA scores in patients with tenotomy or tenodesis for associated biceps tendon lesions were 28.2. Conclusion: There is a greater incidence and severity of a biceps lesion with a larger cuff tear. Therefore, the cause of a biceps lesion might be related to the cause of the cuff tear. Among the several options of treatment for biceps lesion, tenotomy or tenodesis may be particularly effective in providing pain relief.