• Title/Summary/Keyword: Repair joint

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Coracoclavicular Screw Fixation for AC Dislocation and Unstable Distal Clavicle Fracture (견봉 쇄골 탈구와 쇄골 외측단 골절에서 일시적 오구 쇄골간 나사못 고정술)

  • Kim Jin Sub;Jun Jin Ho;Chung Yung Khee
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.133-137
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    • 1999
  • Purpose: There are so many different methods with the their own advantages and disadvantages for acute AC dislocation and distal unstable clavicle fracture. We evaluated the usefulness of temporary Bosworth's coracoclavicular fixations using the cannulated screw and reviewed our clinical results. Materials and Methods: We evaluated 34 cases of temporary coracoclavicular fixations with cannulated screw and washer for acute AC dislocation(25cases in the Type V, Ⅲ) and distal unstable clavicle fracture(9cases in the Type ⅡB, Ⅱ+Ⅲ). All cases were fixed by the same techniques, guided cannulated screw under C-arm after the repair of the CC ligament within 1 week. Bases on the regular check, screws were removed at the 6-12 weeks under local anesthesia. The final clinical and radiological results(average 14 months follow-up) were rated with the UCLA scale. Results : All shoulders were gained nearly full ROM passively at the 3-4 weeks. The overall satisfactory resuIts(excellent or good) were achieved 88%(22/25) in the acute AC dislocation and all in the distal unstable clavicle fracture. There were no definite complications except three initial fixations loosening. Conclusion: Temporary Bosworth's coracoclavicular fixation using the cannulated screw with guided pin was simple precedure and provided enough initial stability for acute AC dislocation and distal unstable clavicle fracture.

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Inferior Capsular Shift for Multidirectional Shoulder Instability in Contact Sports Athletes (접촉성 운동 선수에서 견관절 다방향 불안정성에 대한 하방 관절막 이동술)

  • Choi Chong-Hyuk;Yun Kyung-Hwan;DJ Ogilvie-Hanis
    • Clinics in Shoulder and Elbow
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    • v.3 no.1
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    • pp.10-19
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    • 2000
  • The aims of this retrospective study were to evaluate the results of inferior capsular shift operation which were approached anteriorly or posteriorly according to a main instability direction in contact sports population who had multidirectional shoulder instability. Fifty-three shoulders in 47 athletes who engaged in contact sports underwent an anterior or posterior inferior capsular shift procedure for the correction of multidirectional instability of the shoulder joint. The surgical approach was selected according to the predominant direction of the instability. Follow up was average of 42 months(24∼73 months). After anterior inferior capsular shift, anterior dislocation was recurred in three shoulders, posterior dislocation in one, and inferior dislocation in two shoulders. After posterior inferior capsular shift, one dislocation occurred anteriorly, one inferiorly and one posteriorly. The excessive tightening of capsule or improper diagnosis could be causative factors for the development of dislocation in the opposite direction to the preoperative major instability. Of six patients who could not return to their sports, five had bilateral repairs. Successful repair based on the criteria of the American shoulder and elbow association was achieved in 92% of anterior repairs, and 81 % of posterior repairs.

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Analytic Hierarchical Procedure and Economic Analysis of Pneumatic Pavement Crack Preparation Devices

  • Park, JeeWoong;Cho, Yong K.;Wang, Chao
    • Journal of Construction Engineering and Project Management
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    • v.5 no.2
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    • pp.44-52
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    • 2015
  • Various approaches have been used in crack preparations and each of the approaches has advantages and disadvantages. Although the routing method has been widely used and seems to be the best approach among the approaches, it is not a complete solution for crack preparation. This paper compares and evaluates a pneumatic crack cleaning device (CCD) developed by Robotics and Intelligent Construction Automation group at Georgia Tech, over existing devices. Surveys were conducted to discover factors that affect the performance of crack/joint preparation work. Then, data for such information were collected via field tests for devices such as router, heat lancer, air blower and CCD. Performed field test results and follow-up interviews demonstrated that the utilization of CCD has potential to offer improvements in productivity, safety, and maintenance cost. An analytic hierarchical procedure (AHP) and economic analyses were conducted. The AHP analysis considered three factors including safety, quality and productivity while the economic analyses examined the alternatives in various ways. The results indicated that the CCD was ranked first and second for the AHP analysis and economic analysis, respectively. In conclusion, the field tests and results revealed that the utilization of CCD achieved satisfactorily in performance, quality, safety and control, and showed that it has high potential in crack cleaning practice.

Hed1 Promotes Meiotic Crossover Formation in Saccharomyces cerevisiae

  • Kong, Yoon-Ju;Joo, Jeong-Hwan;Kim, Keun Pil;Hong, Soogil
    • Journal of Microbiology and Biotechnology
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    • v.27 no.2
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    • pp.405-411
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    • 2017
  • Homologous recombination occurs between homologous chromosomes and is significantly involved in programmed double-strand break (DSB) repair. Activation of two recombinases, Rad51 and Dmc1, is essential for an interhomolog bias during meiosis. Rad51 participates in both mitotic and meiotic recombination, and its strand exchange activity is regulated by an inhibitory factor during meiosis. Thus, activities of Rad51 and Dmc1 are coordinated to promote homolog bias. It has been reported that Hed1, a meiosis-specific protein in budding yeast, regulates Rad51-dependent recombination activity. Here, we investigated the role of Hed1 in meiotic recombination by ectopic expression of the protein after pre-meiotic replication in Saccharomyces cerevisiae. DNA physical analysis revealed that the overexpression of Hed1 delays the DSB-to-joint molecule (JM) transition and promotes interhomolog JM formation. The study indicates a possible role of Hed1 in controlling the strand exchange activity of Rad51 and, eventually, meiotic crossover formation.

Approach for the Treatment on Hallux Valgus (무지 외반증의 치료에 대한 고찰)

  • Lee, Sung-Hyun;Lee, Yeong-Chang
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.143-148
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    • 2019
  • Although many patients who undergo bunion repair do well and have satisfactory results, a critical evaluation of these results shows the potential for improvement. Metatarsal deformity of the hallux valgus is a 3-dimensional deformity, including rotation in the coronal plane. Theoretically, it is important to understand the 3-dimensional displacement of the first metatarsal for correcting the deformities of valgus rotation in the frontal plane. Yet the current methods of metatarsal osteotomy principally attempt to correct the deformity in the transverse plane. The modified technique for the Lapidus procedure can be used in a variety of hallux valgus conditions and severities, and the early results suggest that a powerful correction can be maintained. In addition, efforts have been made to correct the 3-dimensional deformity by performing metatarsal shaft osteotomy. In the case of degenerative arthritis, first metatarsophalangeal joint arthrodesis is a good option to correct the 3-dimensional deformation. Correction of the 3-dimensional deformity, including a rotational deformity in the frontal plane of the metatarsals, should be considered when selecting surgical treatment and is essential for achieving a good prognosis for patients with hallux valgus. This article reviews the classification and treatment of hallux valgus for correction of the 3-dimensional deformity.

Triple Labral Lesion of Shoulder - A Case Report - (견관절의 삼중 관절와 순 병변 - 증례 보고 -)

  • Choi, Nam-Yong;Song, Hyun-Seok;Yoon, Jae-Woong
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.80-83
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    • 2009
  • Purpose: A triple labral lesion represents a combination of injuries of the anterior, posterior and superior glenoid labrum. The injury mechanism and symptoms is not completely understood. Materials and Methods: We encountered a triple labral injury in a 39-year-old male complaining pain and active abduction difficulty after a motor vehicle accident. Currently, he does not complain any instability symptoms. The labrum was repaired using bio-absorbable suture anchors and a suture hook. Results: Eighteen months following surgery, the active range of motion was restored and he had no difficulty in his daily activities.

Recurrent Traumatic Glenohumeral Instability Associated with Glenoid Bone Defect - 3 Case Report - (관절 와 골 결손이 동반된 재발성 견관절 외상성 불안정증 - 3례 보고 -)

  • Tae, Suk-Kee;Oh, Jong-Soo;Kim, Jin-Young
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.76-79
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    • 2009
  • Purpose: Capsulolabral reconstruction in a traumatic anterior instability of the glenohumeral joint is successful not only for the prevention of recurrent instability but also for the restoration of function. Materials and Methods: However, a capsulolabral procedure alone cannot guarantee a successful result when there is severe bone loss of the glenoid. Results: We report the surgical technique and results of capsulolabral repair and extraarticular bone block with an autogenous iliac crest graft performed on three cases (all male, average age 28 years, minimum follow-up 12 months) with traumatic anterior instability associated with more than 30% glenoid bone loss.

Ku complex suppresses recombination in the absence of MRX activity during budding yeast meiosis

  • Yun, Hyeseon;Kim, Keunpil
    • BMB Reports
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    • v.52 no.10
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    • pp.607-612
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    • 2019
  • During meiosis, programmed double-strand breaks (DSBs) are repaired via recombination pathways that are required for faithful chromosomal segregation and genetic diversity. In meiotic progression, the non-homologous end joining (NHEJ) pathway is suppressed and instead meiotic recombination initiated by nucleolytic resection of DSB ends is the major pathway employed. This requires diverse recombinase proteins and regulatory factors involved in the formation of crossovers (COs) and non-crossovers (NCOs). In mitosis, spontaneous DSBs occurring at the G1 phase are predominantly repaired via NHEJ, mediating the joining of DNA ends. The Ku complex binds to these DSB ends, inhibiting additional DSB resection and mediating end joining with Dnl4, Lif1, and Nej1, which join the Ku complex and DSB ends. Here, we report the role of the Ku complex in DSB repair using a physical analysis of recombination in Saccharomyces cerevisiae during meiosis. We found that the Ku complex is not essential for meiotic progression, DSB formation, joint molecule formation, or CO/NCO formation during normal meiosis. Surprisingly, in the absence of the Ku complex and functional Mre11-Rad50-Xrs2 (MRX) complex, a large portion of meiotic DSBs was repaired via the recombination pathway to form COs and NCOs. Our data suggested that Ku complex prevents meiotic recombination in the elimination of MRX activity.

A baseline free method for locating imperfect bolted joints

  • Soleimanpour, Reza;Soleimani, Sayed Mohamad;Salem, Mariam Naser Sulaiman
    • Structural Monitoring and Maintenance
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    • v.9 no.3
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    • pp.237-258
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    • 2022
  • This paper studies detecting and locating loose bolts using nonlinear guided waves. The 3D Finite Element (FE) simulation is used for the prediction of guided waves' interactions with loose bolted joints. The numerical results are verified by experimentally obtained data. The study considers bolted joints consisting of two bolts. It is shown that the guided waves' interaction with surfaces of a loose bolted joint generates Contact Acoustic Nonlinearity (CAN). The study uses CAN for detecting and locating loose bolts. The processed experimentally obtained data show that the CAN is able to successfully detect and locate loose bolted joints. A 3D FE simulation scheme is developed and validated by experimentally obtained data. It is shown that FE can predict the propagation of guided waves in loose bolts and is also able to detect and locate them. Several numerical case studies with various bolt sizes are created and studied using the validated 3D FE simulation approach. It is shown that the FE simulation modeling approach and the signal processing scheme used in the current study are able to detect and locate the loose bolts in imperfect bolted joints. The outcomes of this research can provide better insights into understanding the interaction of guided waves with loose bolts. The results can also enhance the maintenance and repair of imperfect joints using the nonlinear guided waves technique.

The Effect of Animal Physiotherapy on Balance and Walking in Dog with Sciatic Nerve Injury and Degenerative Joint Disease, Case Report

  • Lee, Shinho;Cha, Yuri
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.279-284
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    • 2022
  • Objective: This study was conducted to confirm the effect of physiotherapy on the balance and walking in dog with sciatic nerve injury and degenerative arthritis of stifle joints. Design: Single case study Methods: The dog walked abnormally for six months and was administrated in S animal hospital. The dog's right hindlimb was operated for cranial cruciate ligament repair and the dog had been taking a nonsteroidal anti-inflammatory analgesic before being refered. There was severe degenerated osteoarthritis in the right hindlimb. During stance and walking, the right hindlimb was often shown partial weight bearing. The dog's left hindlimb was shown plantigrade stance and walking. The radiograph was shown an intact calcaneal tendon in the left hindlimb. In the neurologic examination, sciatic nerve injury in the left hindlimb was confirmed. The dog was treated using muscle strengthening, proprioceptive exercise, underwater treadmill and Laser therapy two, or three times a week for 3 months. At the 10th and 17th treatment, it was evaluated through stance and gait analyzer system to measure dog's balance and walking. Results: 3 months following physiotherapy, the dog's balance was improved in center of pressure(COP). And peak vertical force(PVF), vertical impulse(VI) was increased in right hindlimb and double stance was decreased. Conclusions: Physiotherapy may have improved the prognosis in this dog with severe osteoarthritis and sciatic nerve injury. This study suggested that animal physiotherapy is a valuable way to improve balance and walking.