• Title/Summary/Keyword: Repair technique

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Recurrent Shoulder Dislocation with Rotator Cuff Tears and Bankart Lesion (중장년층에서의 회전근 개 파열과 Bankart 병변을 동반한 재발성 견관절 탈구)

  • Lee Kwang Won;Yang Dong Hyun;Ahn Jae Hoon;Kim Ha Yong;Choy Won Sik;Ha Kwon-Ick
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.1
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    • pp.81-86
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    • 2004

  • Objectives: To assess the functional outcome of Bankart repair and rotator cuff repair using miniopen technique in patients with recurrent shoulder dislocation(8 cases) with rotator cuff tears and Bankart lesion of over 40 years. Materials and Methods: From May 1991 to January 2002, twenty two patients were available to participate in the study. Mean age was 52 years old(41-67), Follow-up evaluations averaged 50.5months(10-147). Results: The patients(22 cases) were divided into two groups. Group 1: with recurrent shoulder dislocation(8 cases) with rotator cuff tears and Bankart lesion in patients over 40 years old. Group 2: without Bankart lesion(14 cases). In Group 1, mean average of forward flexion and abduction improved from 122 degrees to 154 degrees at the final follow-up and from 115 degrees to 161 degrees respectively. In terms of University of Pennsylvania patient self-assessment of pain score and VAS, scores improved from 11.0 to 5.5 and from 5.4 to 2.5 respectively. In terms of UCLA score & Constant score, scores also improved from 20.2 to 29.6 and from 48.6 to 69.0 respectively. Functional outcome of Group 1: two patients with excellent, four patients with good, and two patients with fair. Functional outcome of Group 2: two patients with excellent, six patients with good, five patients with fair, and one patient with poor. But they had no statistical significance between the two groups. All cases were improved shoulder pain at the final follow up. And six patients were satisfied with the outcome of shoulder function. Conclusions: This study demonstrates the effectiveness of Bankart repair and rotator cuff repair using miniopen technique in patients with recurrent shoulder dislocation(8 cases) with tears of rotator cuff and Bankart lesion older than 40 years. We recommend Bankart repair and rotator cuff repair at the same time.

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A Study on a Repair Technique for a Reinforced Concrete Frame Subjected to Seismic Damage Using Prestressing Cable Bracing

  • Lee, Jin Ho;EI-Ganzory, Hisham
    • Architectural research
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    • v.3 no.1
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    • pp.53-60
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    • 2001

  • The proposed building upgrading technique employs prestressing cables to function as bracing to improve the seismic performance during future events. A four-story reinforced concrete moment resisting frame damaged from an ultimate limit state earthquake is assessed and upgraded using the proposed technique. Both existing and upgraded buildings are evaluated in regard of seismic performance parameters performing static lateral load to collapse analysis and dynamic nonlinear time history analysis as well. To obtain realistic comparison of seismic performance between existing and upgraded frames, each frame is subjected to its critical ground motion that has strength demand exceeding the building strength supply. Furthermore, reliability of static lateral load to collapse analysis as a substitute to time history analysis is evaluated. The results reveal that the proposed upgrading technique improves the stiffness distribution compared to the ideal distribution that gives equal inter-story drift. As a result, the upgraded building retains more stories that contribute to energy dissipation. The overall behavior of upgraded building beyond yield is also enhanced due to the gradual change of building stiffness as the lateral load increases.

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