• 제목/요약/키워드: Repair joint

검색결과 274건 처리시간 0.035초

Effects of Swimming Exercise and Joint Mobilization on HSP 70 Levels in Osteoarthritic Rats

  • Kim, Se-Hum;Nam, Ki-Won;Seo, Dong-Yel
    • The Journal of Korean Physical Therapy
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    • 제26권6호
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    • pp.418-424
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    • 2014
  • Purpose: This study was performed to investigate the effect of joint mobilization on pain relief and cartilage repair in an induced osteoarthritis rat model by analyzing the expression of heat shock protein 70 in articular cartilage. Methods: MIA was injected into SD rats to induce osteoarthritis. These rats were divided into 4 groups: control group (n=30), no further treatment after the MIA injection ; experimental group I(n=30), performed swimming exercise after the MIA injection experimental group II (n=30), underwent joint mobilization after the MIA injection and experimental group III (n=30), performed swimming exercise and underwent joint mobilization after the MIA injection. For the histologic and pathophysiologic evaluation, safranin-O staining and for the immunohistochemical evaluation, the expression of HSP 70 in articular cartilage was analyzed 1, 7, 14, and 21 days after the MIA injection. Results: The inflammatory response and loss of tissue declined in experimental groups I and II over time, whereas the greatest decreases were noted in experimental group III. In the articular cartilage, low expression of HSP 70 was observed in every group on day 1, whereas HSP 70 expression was elevated on days 7 and 14 in experimental groups II and III. After 21 days, experimental group II displayed the strongest positive reaction, whereas HSP 70 was higher in experimental group III at this time point compared to that after 14 days. Conclusion: Our results showed that swimming exercise and joint mobilization had positive effects on pain relief and histologic and functional recovery in an induced osteoarthritis rat model.

경피적 나사못 고정술로 치료한 Maisonneuve 골절 (Maisonneuve Fractures Treated with Percutaneous Screw Fixation)

  • 정철용;손영찬;배준범;최문도
    • 대한족부족관절학회지
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    • 제4권2호
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    • pp.61-66
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    • 2000
  • Purpose: To evaluate the clinical validity of percutaneous screw fixation in Maisonneuve fracture. Material and Methods: Out of 5 Maisonneuve fracture patients hospitalized in the department of orthopedic surgery of Seigang hospital from February 1995 to May 1998, 4 patients were treated with percutaneous screw fixation and 1 patient was treated with percutaneous screw fixation and repair of deltoid ligament altogether. The results were evaluated on the clinical and radiological finding. Results: In all cases, the range of motion of ankle joint was normal, the complication such as postoperative pain and post-traumatic arthritis were not found. Widening of medial clear space or talar shift were not found in the follow up X-ray and tibiofibular distance, compared with normal ankle joint was same on follow up CT. Conclusion: Percutaneous screw fixation is simple, less invasive and more effective method in the treatment of Maisonneuve fracture.

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개에서 골판을 이용한 비개방성 양측성 하악골절의 수복 (Repair of Closed Bilateral Mandibular Fractures Using Bone Plate and Screw in Dogs)

  • 정순욱;한현정;김지선;김준영;정만복
    • 한국임상수의학회지
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    • 제20권1호
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    • pp.138-141
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    • 2003
  • First case, a one-year-old female Shih Tzu weighing 3 kg with closed transverse fractures of bilateral mandibular body between 2nd and 3rd premolar teeth were treated surgically with bone plates and screws, and cranial luxation of temporomandibular joints were reduced to closed method. Second case, a 8.4 years old male Yorkshire terrier weighing 2.6 kg with closed transverse/oblique fractures of bilateral mandibular body between premolar and molar teeth were treated surgically with bone plates and screws. Radiographic examination revealed that the fractures in two cases fixed well and temporomandibular joint was stabilized. One month after operation, jaw activity was excellent and malocclusion wasn't observed.

Behavior of repaired RAC beam-column joints using steel welded wire mesh jacketed with cement mortar

  • Marthong, Comingstarful
    • Advances in concrete construction
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    • 제8권2호
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    • pp.91-100
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    • 2019
  • In this paper three damaged exterior RC beam-column joints made of recycled aggregate concrete (RAC) were repaired. The aim of the study was to restore back the lost capacity of the beam-column joint to the original state or more. A relatively cheap material locally available galvanized steel welded wire mesh (GSWWM) of grid size 25 mm was used to confine the damaged region and then jacketed with cement mortar. Repaired specimens were also subjected to similar cyclic displacement as those of unrepaired specimens. Seismic parameters such as load carrying capacity, ductility, energy dissipation, stiffness degradation etc. were analyzed. Results show that repaired specimens exhibited better seismic performance and hence the adopted repairing strategies could be considered as satisfactory. These findings would be helpful to the field engineers to adopt a suitable rapid and cost efficient repairing technique for restoring the damaged frame structural joints for post earthquake usage.

A new design method for site-joints of the tower crane mast by non-linear FEM analysis

  • Ushio, Yoshitaka;Saruwatari, Tomoharu;Nagano, Yasuyuki
    • Advances in Computational Design
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    • 제4권4호
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    • pp.343-365
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    • 2019
  • Among the themes related to earthquake countermeasures at construction sites, those for tower cranes are particularly important. An accident involving the collapse of a crane during the construction of a skyscraper has serious consequences, such as human injury or death, enormous repair costs, and significant delays in construction. One of the causes of deadly tower crane collapses is the destruction of the site joints of the tower crane mast. This paper proposes a new design method by static elastoplastic finite element analysis using a supercomputer for the design of the end plate-type tensile bolted joints, which are generally applied to the site joints of a tower crane mast. This new design method not only enables highly accurate and reliable joint design but also allows for a design that considers construction conditions, such as the introduction of a pre-tension axial force on the bolts. By applying this new design method, the earthquake resistance of tower cranes will undoubtedly be improved.

Rehabilitation after Bankart and SLAP Repair

  • 김양수
    • 대한관절경학회:학술대회논문집
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    • 대한관절경학회 2008년도 춘계 공동 학술대회
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    • pp.23-28
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    • 2008
  • 1. 손상받은 조직을 보호하면서 동시에 주위 조직과의 유착을 방지하고 soft tissue의 pliability를 유지시켜 관절 운동 범위를 향상하기 위해 통증을 유발하지 않는 범위 내에서 부드러운 수동 관절 운동을 먼저 실시한다. 2. 모든 재활 프로그램은 환자의 개개인의 특성에 맞춰 운동 내용과 시기를 조정해야 한다. : Important to individualize rehab. program. 3. 능동적 관절운동 (active ROM)은 수술한 조직이 치유될 충분한 시간이 경과되었거나 환자가 통증없이 독립적인 견관절 운동이 가능할 때 실시한다. 4. Strengthening of the dynamic stabilizer(muscles around shoulder joint) 가 모든 shoulder instability 재활에 가장 기본적인 요소이다.

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유리섬유보강 박판패널에 의한 철근콘크리트 구조물의 보수.보강공법 (Repair and Strengthening of R/C Structure Using Glass Fiber Reinforced Plastic Thin Panels)

  • 천의균;진형장;박석암;김행준
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2000년도 봄 학술발표회 논문집
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    • pp.866-873
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    • 2000
  • Reinforced concrete structure can be strengthened by glass fiber reinforced plastic thin panels. The GFRP-Thin Panels are manufactured by pressing form and their application technique are similar to steel plates. The use of FGRP-Thin Panels presents several advantages. The advantages of this structural system are the case of application, the elimination of joint and corrosion at the epoxy-panel interface. This paper introduces the method of manufacturing about GFRP-Thin Panels, mechanical properties and the application of reinforced concrete structures.

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봉합나사를 이용한 Bankart 병변의 관절경적 봉합술 (Arthroscopic Bankart Repair using Suture Anchors)

  • 김경택;김철홍;신상화;곽종일
    • 대한관절경학회지
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    • 제10권2호
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    • pp.173-177
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    • 2006
  • 목적: 외상성 재발성 견관절 탈구환자에서 Bankart 병변에 대해 봉합나사를 이용한 관절경적 봉합술의 유용성을 알아보고자 한다. 대상 및 방법: 외상성 재발성 견관절 탈구로 인한 전방 불안정성 환자에 대해 봉합나사를 이용한 관절경적 Bankart병변 봉합술을 시행한 환자중에 24개월 이상 추시가 가능하였던 90례를 대상으로 Rowe와 Zarins의 평가방법을 이용하여 결과를 판정하였다. 결과: 관절경하에서 확인된 동반병변으로 Hill-Sachs병변이 46례에서, SLAP병변과 회전근개 파열병변은 각각 12례, 7례에서 관찰되었다. Rowe와 Zarin의 평가방법에 따라 평가하여 82례(91.1%)에서 양호 이상의 결과를 얻었으며, 합병증으로 재탈구가 3례에서 발생하였다. 결론: 외상성 재발성 견관절 탈구로 인한 전방불안정성 환자에서 Bankart병변에 대해 봉합나사를 이용한 관절경적 봉합술은 우수한 임상 결과와 낮은 재발율을 보이고, 합병증을 낮출 수 있는 효과적인 술식 중에 하나라고 사료된다.

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Correlation between Results of Preoperative Impingement Test and Clinical Outcomes after Arthroscopic Rotator Cuff Repair

  • Park, Sung Bae;Seo, Joong Bae;Ryu, Jee Won;Shin, Yong Eun
    • Clinics in Shoulder and Elbow
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    • 제20권3호
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    • pp.126-132
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    • 2017
  • Background: The aim of the present study was to determine the correlation between the amount of pain reduction after local anesthetic injection into the subacromial space preoperatively and clinical outcome after arthroscopic rotator cuff repair. Methods: A total of 127 patients who underwent arthroscopic rotator cuff repair and followed up at least 1 year were analyzed retrospectively. Preoperatively, a visual analogue scale (VAS) for pain was measured in all patients before and after the ultrasound guided impingement test. The participants were divied into four groups according to pain reduntion ater impingement test (Group A: >75%, Group B: 50%-75%, Group C: 25%-50%, Group D: <25%). VAS for pain, shoulder range of motion, shoulder isometric strength, ASES score were evaluated preoperatively and at 3, 6, 9, and 12 months postoperatively. Results: After surgery, the amount of pain reduction shows significantly at 3, 6 months in Groups A, B as compared to Groups C, D (p<0.05). Among the range of motion of shoulder joint, forward flexion was significantly improved in Group A at 3 months (p<0.05). The ASES score significantly improved at 3, 6 months in Groups A, B as compared to Group C, D (p<0.05). Conclusions: Preoperative degree of pain reduction after impingement test correlates with the improvement of pain after arthroscopic rotator cuff repair, especially in the early phase. Therefore, the impingement test could be effectively used.