• Title/Summary/Keyword: Repair joint

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Unusual Isolated Complete Tear of Subscapularis and Biceps Long Head Tendon Associated with Heterotopic Ossification

  • Sohn, Hoon-Sang;Baek, Duck In;Shon, Min Soo
    • Clinics in Shoulder and Elbow
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    • v.17 no.3
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    • pp.127-133
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    • 2014
  • Heterotopic ossification (HO) within the substance of the subscapularis tendon is a rare lesion which remains a poorly described condition with little known of the exact mechanisms involved. Furthermore, its clinical importance remains still unclear. To our knowledge, there are no studies present to data regarding HO within the substance of the subscapularis tendon, even with resultant isolated complete tear of the subscapularis tendon. Here we present a case of huge HO associated with unusual isolated complete tear of subscapularis tendon concomitant with tear of biceps long head tendon. After arthroscopic debridement for the complete tear site of biceps long head tendon, mini-open excision of the ossification and subscapularis repair with suture anchor fixation were performed. The patient showed complete recovery of strength and function of the subscapularis at subsequent 24 months follow up.

A Study of Equipment Improvment method of the Expansion joint & Air Section in Rigid Trolley Bar System (AL T-Bar) (강체전차선방식(AL T-Bar)에서의 Expansion joint 및 Air Section 설비 개량방안 연구)

  • Yoo Jeung-Sang;Jang Woo Jin;Lee Byung-Song
    • Proceedings of the KSR Conference
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    • 2003.10c
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    • pp.523-528
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    • 2003
  • AS City traffic means, the electric railway of the role is overwhelming with recognizing good merits of safety, no environment disruption and accurate destination time. Currently, Korea subway are running about 290km through eight subway lines. The latest constructed subway had been made by imperoved matherials which is going on improving. Therefore, we researched this project to keep up facilites easily, repress a leakge current and reduse install cost and repair time in changing facility at overhead Contact wire system because of arc by reforming construction plan about Expansion Joint and Air Section which is regarded as weak point when facilities are fixed and maintianed of Rigid Trolley bar System. as above we can contribute various part to making useful O.C.S(overhead contact wire system)

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Fatigue Assessment of Butt Joint with Weld Defect in Steel Bridge (강교 용접 결함부의 피로평가)

  • Juhn, Gui Hyun
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.2 no.1
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    • pp.98-107
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    • 1998
  • There are many weld defects such as surface crack, lack of fusion, and imcomplete penetration in the butt joint of the existing steel bridges. The crack-like defects may significantly reduce the fatigue life of the structure. This paper presents the procedure and the results of the fatigue assessment of the butt joints with weld defect in the existing steel girder bridge. The butt joints with imcomple penetration were instrumented with strain gages to determine the stress histogram under normal traffic. Based on the measured stress histogram the crack propagation analyses were performed for the fatigue assesment. By using the suggested procedure and methodology, one can decide the time of periodic inspection and the necessity of repair of the butt joints with serious weld defects in the existing steel bridge.

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EFFECT OF HEPATOCYTE GROWTH FACTOR ON THE REPAIR OF DEFECT IN THE ARTICULAR DISC IN RABBIT TEMPOROMANDIBULAR JOINT (가토의 측두하악관절원판 결손에서 간세포 성장인자가 치유에 미치는 영향)

  • Kim, Bok-Joo;Seong, Hwa-Sik;Kim, Chul-Hoon;Kim, Gyoo-Cheon;Hwang, Hee-Sung;Shin, Sang-Hun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.1-7
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    • 2009
  • Purpose: The purpose of this study is to investigate the therapeutic use of Hepatocyte growth factor(Adv.CMV.HGF) in temporomandibular joint disc defect. Materials and methods: Twelve New Zealand white rabbits, weighing 2.5 - 3.0 kg, were used in this experiment. Defects(2 mm in diameter) were created in their TMJ discs. Recombinant Adv.CMV.HGF with gelatin sponge($Gelfoam^{(R)}$) as carrier was implanted in the defects. We divided the rabbits into four batches according to the duration of the implantation - of 1, 4, 8, 12 weeks - and both left and right TMJ of each rabbit in all groups were used in the research : left joints were used as experiment group and right were control group. Each batch of rabbits was killed one, four, eight and twelve weeks after the experimentation respectively, and called Group A, B, C, and D. (Group A = 1 wk, B = 4 wks, C = 8 wks, and D = 12 wks) Results: The experimental group showed a significant increase in the number of chondroblasts and active cell differentiation at the margin of the defects. Compared to the control group, in the experiment group chondroblasts increased and chondrocytes showed a columnar arrangement, which is witnessed at the time of cell differentiation. Conclusion: This study supports the case that Avd.CMV.HGF may be useful in the repair of articular disc of the rabbit TMJ.

Comparison between Chronic Ulnar and Radial Collateral Ligament Repairs in the Metacarpophalangeal Joint of the Thumb (무지 중수지 관절의 만성 파열된 척측, 요측 측부 인대 봉합술 후 결과 비교)

  • Lee, Sanglim;Ha, Jiyun;Kim, Ji Yeong;Jeon, Suk Ha
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.254-261
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    • 2018
  • Purpose: Favorable results have been reported after the direct repair of chronic ulnar collateral ligament ruptures of the thumb metacarpophalangeal (MP) joint, but the results for radial ligament seem rather controversial. The purpose of this study is to compare the results of ligament reattachment between chronic rupture of the ulnar and the radial collateral ligament (RCL) of the joint. Methods: We reviewed retrospectively the radiologic and clinical results of ligament reattachment with suture anchors for chronic (more than 6 weeks) rupture of the collateral ligament of the thumb MP joint with averaged 22-month follow-up. The data between 6 radial and 8 ulnar ligament repairs were compared statistically. Results: The average of postoperative ulnar deviation angle was $13.3^{\circ}$ in radial ligament and $2.0^{\circ}$ in ulnar ligament (p=0.020) in the last follow-up plain X-ray. Postoperative ligament instability was positive in 4 out of the 6 radial repairs and no case with instability was observed in ulnar ligament. In postoperative follow-up, sustained joint subluxation was observed only in 2 out of the 6 radial repairs. Conclusion: The delayed repair of the RCL of the thumb MP joint resulted in less favorable outcomes and ligament instability was observed postoperatively in more than half of the cases.

FEM Analysis of the Spline Joint with Bolt Pre-load (스플라인결합 조인트의 볼트 예하중에 대한 유한요소 해석)

  • Tak, Seung-Min;Kang, Min-Kyu;Park, Dong-Jin;Lee, Seok-Soon
    • Journal of the Korean Society for Precision Engineering
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    • v.28 no.11
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    • pp.1316-1322
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    • 2011
  • Most of the mechanical structures use bolting or spot welding for the whole structure. In recent years, bolting & rivets are used rather than the welding due to reassembly and repair. Analysis of bolted joints is so complicate that many conditions must be considered such as pre-load and contact, etc.. Bolted joint analysis is done by theoretical, experimental & numerical methods. However, numerical analysis in the bolted joint is used because the contact and stress in the joints are changed due to the pre-load. In this study, we analysis the slip and the deformation of the contact area in the joint depending on the pre-load and find the optimized bolting condition.

Treatment of Multidirectional Instability of the Shoulder with Inferior Capsular Shift (하방 관절낭 이동술을 이용한 다방향 견관절 불안정의 치료)

  • Lee Byoung Chang;Chun Churl Hong;Park Seong Kyu
    • Clinics in Shoulder and Elbow
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    • v.3 no.2
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    • pp.79-86
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    • 2000
  • Purpose: We analysed the clinical efficacy of inferior capsular shift operation in multidirectional instability of the shoulder joint in terms of functional aspects and patient's satisfaction Materials and Methods: From July, 1998 to March, 2000, we treated 23 cases of multidirectional instability of the shoulder joint with T-shaped inferior capsular shift and/or Bankart repair. All of them have complained of an experience about frank dislocations. Two of them has a voluntary component. We evaluated them according to complication, function, range of motion, stability and patient's satisfaction with an average follow-up of 15 months(the range of 9 to 27 months). Results: Eight cases were atraumatic multidirectional instability and coexisting Bankart lesion were present in 15. There was no redislocation, but one case of symptomatic subluxation, 3 cases of transient nerve palsy and 2 cases of feeling of laxity developed. Limitation of motion after surgery was an average of 3.4° in flexion, and 8.5° in external rotation. With Rowe scoring system, the clinical result was excellent or good in 22 cases and poor in one. According to American shoulder and elbow society, pain score improved to 1.4 from 6.1, and stability score also improved to 1.8 from 9.1. Conclusion: In multidirectional shoulder instability, one should pay attention to finding a coexisting Bankart lesion. In that case, adequate capsular volume reduction by using inferior capsular shift as well as repair of Bankart lesion is needed to get a good surgical outcome.

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An Analysis of Constructability and Economic Efficiency for Pipe Work using Insert & Coupling Joint Method (일체형 삽입식 신속 연결구를 이용한 건축 배관 연결 공법의 시공성 및 경제성 분석)

  • Kim Tae-Hoon;Kim Dae-Won;Suk Sung-Joon;Park Chul;Lee Jun-Seo;Kang Kyung-In
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2006.05a
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    • pp.189-194
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    • 2006
  • The internal construction industry is not situation of cost reduction based on low wages anymore by the increase in wages as insufficient supply of stilled workers. Recently remodeling constructions that only need to change facilities as to stay the existing structures are on the increase. Now the method of piping facility used to remodeling construction needs stilled workers, large work space and a variety of tools. These complex construction process have a difficulty of high-quality and economical construction. In addition it have the hish incidence of warranty and a problem of cost increase as a commitment of manpower by warranty repair. In order to solve these problems it is necessary for appropriate new technology to the internal construction environment. Piping fittings by Insert & Coupling Joint is a method that unskilled workers can be easily constructed though one touch set up and it is convenient to maintain for repair work of piping facility. This technology show the effect of 3 percentages labor cost reduction as compared with piping fittings by press joint on apartment 500 households. Therefore this technology is supposed that attain a cost reduction though the technical and economical construction and a client satisfaction though the high-quality construction on the present construction market.

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A Study on the Repair of Fatigue Damage at Large Cast Iron structure using Cold Joint Method (냉간체결방법을 이용한 대형 주철 구조물의 피로손상수리방법에 대한 연구)

  • Lee, Sung-Riong;Lee, Dong Jun;Cho, Seok Swoo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.10
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    • pp.140-148
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    • 2019
  • Large cast iron structures are used in casings and pipes in shipsand chemical plants. Broken parts in the casings and pipescan result in failures even when stresses are below the yield strength of the part's materials. Fatigue failure of a large cast iron structure is inevitable due to the design constraints and low reliability of the material strength. A small structure can be repaired by welding, but a large structure cannot because it cannot be preheated slowly and uniformly. This study shows that a large structure can be repaired by a cold joint method using a crack repair screw. Large cast iron structures were manufactured by GC 300, and their design stress is below 3.5 MPa. The tensile strength on notched specimens repaired by crack repair screws was 8.2 MPa. Therefore, the safety factors of structures repaired by crack repair screws have a value above 2.3 and are considered to be high values.

Effect of Micro-bolt Reinforcement for Composite Scarf Joint (복합재 스카프 조인트에서의 마이크로 볼트 보강에 대한 타당성 연구)

  • Lee, Gwang-Eun;Sung, Jung-Won;Kweon, Jin-Hwe
    • Composites Research
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    • v.32 no.1
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    • pp.37-44
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    • 2019
  • The reinforcement effect of micro-bolt for a bonded scarf joint was investigated. Three scarf ratios of 1/10, 1/20, and 1/30 were considered to examine the effect of scarf patch configuration on joint strength. To maintain the same density of micro-bolt, 16, 32, and 48 bolts were installed in the scarf joint specimens with scarf ratios of 1/10, 1/20, and 1/30, respectively. Tests were also carried out on the joints that are bonded with only adhesive and that are fastened with only micro-bolts to obtain reference values. The average failure loads of the adhesive joints with scarf ratios of 1/10, 1/20, and 1/30 were 29.7, 39.6, and 44.8 kN, respectively. In case of micro-bolt reinforcement, the failure loads at the same scarf ratios were 28.4, 37.2, and 40.1 kN, respectively, which corresponds to 96, 94, and 90% of the pure adhesive joint failure loads. In the case of using only micro-bolts, the failure loads were only 13-25% of the average failure loads of pure adhesive joints. Fatigue test was also conducted for the joints with scarf ratio of 1/10. The results show that the fatigue strength of hybrid joints using both adhesive and microbolts together slightly increased compared to the fatigue strength of adhesive joint, but the rate of increase was small to 2-3%. Through this study, it was confirmed that the reinforcement effect of micro-bolt is negligible in the scarf joints where shear stress is dominating the failure, unlike in the structure where peel stress is dominant.