• Title/Summary/Keyword: Repair technique

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Anchor Hole Augmentation with Bone Cement in Arthroscopic Rotator Cuff Repair (관절경적 회전근 개 봉합술에서 골 시멘트를 이용한 봉합 나사 구멍 보강술)

  • Lee, Ho-Min;Tae, Suk-Kee;Park, Jeong-Min
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.237-243
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    • 2010
  • Purpose: In arthroscopic rotator cuff repair, the crucial step is secure fixation of Anchor to bone. However, osteoporosis of the tuberosity is frequently encountered in old patients, and can cause insecure fixation of anchors. The Aim of our study was to introduce a technique for anchor hole augmentation with bone cement when fixation failure of an anchor occurs, and to investigate the outcome. Materials and methods: Among 223 rotator cuff repairs performed between 2005 and 2009, anchor hole augmentation with polymethylmethacrylate was performed in 15 cases (all females; mean age of 65 years: range 49~77). Bone cement was injected into the anchor hole in a thick fluid state and the procedure was repeated to make a pot-like cement mantle. The anchor was inserted into the cement mantle while the cement hardened. The outcome was investigated, on average, at 16 months (6~32). Results: Radiographs showed cystic changes of the tuberosity. On follow-up radiographs and MRI, a change in the cement mantle was not noted. The final average UCLA score was 31 (28~35); 6 had excellent, 8 good and 1 fair results (p=0.008). Age-sex matched Constants score was 90 (74~98) (p=0.008). Conclusion: Anchor hole augmentation with bone cement is useful when fixation failure of an anchor is encountered due to bone atrophy. Anchor hole augmentation with bone cement does not negatively influence the outcome.

An Analysis of the Uncertainty Factors for the Life Cycle Cost of Light Railroad Transit (경량전철 교량 LCC분석을 위한 불확실성 인자 분석)

  • Won, Seo-Kyung;Lee, Du-Heon;Kim, Kyoon-Tai;Kim, Hyun-Bae;Jun, Jin-Taek;Han, Choong-Hee
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.396-400
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    • 2007
  • Various ways of automated guideway transit construction are being planned recently owing to the policies of the national government and local municipalities as well as increasing investment from the private sector. Particularly, the increase in the private investment is increasing greatly in SOC (Social Overhead Cost). This trend of promoting private sector investment must be conducted on the basis of a thorough analysis of the economic feasibility of the project from the government and construction companies in the private sector. In other words, an accurate cost analysis of initial investment cost (Construction cost), maintenance/repair cost, profit making through the operation of the concerned facilities, cost of dissolution, etc. in terms of the life cycle is very much in need. Nevertheless, the analysis of uncertainty factors and its probabilistic theory are in need of development so that they can be used in the analysis of the economic feasibility of a construction project. First of all, the actual studies on maintenance/repair cost of automated guideway transit are scarce as of yet, prohibiting an accurate computation of the cost and its economic analysis. Accordingly, this study focused on the uncertainty analysis of the economic feasibility for civil engineering structures among automated guideway transit construction projects based on the rapidly increasing investment on such structures from the private sector. For this research purpose, a cost classification system for the automated guideway transit is proposed, first of all, and the data On the cost cycle of the civil structure facilities and their unit cost are collected and analyzed. Then, the uncertainty in the cost is analyzed from the perspective of LCC. In consideration of the current status with almost no. studies on maintenance/repair of such facilities, it is expected that the cost classification system and the uncertainty analysis technique proposed in this study will greatly enhance LCC analysis and economic feasibility studies for automated guideway transit projects in the future.

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Surgery for Partial Anomalous Pulmonary Venous Connections: Modification of the Warden Procedure with a Right Atrial Appendage Flap

  • Kim, Chilsung;Cho, Yang Hyun;Lee, Mina;Yang, Ji-Hyuk;Jun, Tae-Gook;Song, Jin Young;Huh, June;Kang, I-seok
    • Journal of Chest Surgery
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    • v.47 no.2
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    • pp.94-99
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    • 2014
  • Background: Surgical repair of a partial anomalous pulmonary venous connection (PAPVC) to the superior vena cava (SVC) may be complicated by sinus node dysfunction or SVC obstruction. We modified the Warden procedure by using a right atrial auricular flap to decrease the occurrence of these complications. Methods: Between February 2005 and July 2012, 10 consecutive patients underwent a modified Warden procedure to correct PAPVC. The median patient age was 5.7 years. Eight patients (80%) had an atrial septal defect. To surgically correct the PAPVC, we made a U-shaped incision on the right atrial appendage and sutured the flap to the posterior wall of the SVC. The anterior wall was reconstructed with various patch materials. Results: No early or late deaths occurred, nor did any patient require early or late reoperation for SVC or pulmonary venous obstruction. No new arrhythmias appeared during follow-up, which was complete in all patients (mean, 29.5 months). Conclusion: Our modification of the Warden procedure seems to be effective and safe. This technique may lower the risk of SVC obstruction, pulmonary venous obstruction, and sinus dysfunction.

Reliability Analysis of Dual-Channel CAN bus for Submarine Combat System (잠수함 전투체계를 위한 이중채널 CAN 버스의 신뢰도 분석)

  • Song, Moogeun;Kim, Eunro;Lee, Dongik
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.38C no.12
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    • pp.1170-1178
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    • 2013
  • Thanks to various benefits, low-cost real-time communication networks so called fieldbus have been widely used in many industrial applications including military systems, such as aircrafts, submarines, and robots. This paper presents a reliability analysis of dual-channel CAN(Controller Area Network) fieldbus which is used for controlling various equipment of submarine combat system. A submarine combat system playing a critical role to the success of missions and survivability consists of various devices including sensors/actuators and computers. Since a communication network for submarine combat system must satisfy an extremely high level of reliability, a dual channel technique is commonly adopted. In this paper, a Petri Net based reliability model for dual-channel CAN is discussed. A reliability model called generalized stochastic Petri Nets (GSPN) is built by utilizing the information on physical faults with CAN. The effectiveness of the proposed model is analyzed in terms of unreliability with respect to failure rate and repair rate.

TEMPORALIS MUSCLE AND FASCIA TRANSPOSTITION FOR REHABILITATION OF THE PARALYZED FACE (안면신경 마비 환자에 있어서의 측두근 및 근막피판을 이용한 안면근 기능 회복 증례보고)

  • Chung, Ho-Yong;Um, In-Woong;Min, Seung-Ki;Woo, Seung-Chul;Chung, Chang-Joo;Kweon, Hyeok-Do
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.1
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    • pp.12-20
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    • 1994
  • Generally, the totally paralyzed face can never be made normal by any of the current methods of reconstruction. Careful selection of patients based on sound judgment of what can and cannot be achieved by the proposed surgical technique is paramount to a successful operation and a satisfied patient. The results are related to time of delayed between injury and repair ; the shorter the delay the better are the results. The objectives in correcting facial paralysis are to achieve normal appearance at rest ; symmetry with voluntary motion ; control of the ocular, oral, and nasal sphincter ; symmetry with involuntary emotion and controlled balance when expressing when expressing emotion ; and no significant functional deficit secondary to the reconstructive surgery. It must be employed a number of concepts, for treatment of the paralyzed face by surgeon, depending on the cause, time interval, and wound characteristics, as well as the availability of and necessity for neuromuscular substitution. Nerve grafts, crossovers, muscle transfers, free muscle and nerve-muscle grafts, micronuerovascular muscle transfers, and regional muscle transposition are the principal methods being developed. We applied the temporal musle transposition for reanimation of unilatrally paralyzed faces for long times on two patients. The results of muscle transposition can be enhanced by the patient's learning to activate the transposed muscle by voluntary effort, and are best in patients who are motivated to learn the necessary motor-sensory coordination techniques.

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The effect of crack length on SIF and elastic COD for elbow with circumferential through wall crack

  • Kim, Min Kyu;Jeon, Jun Hyeok;Choi, Jae Boong;Kim, Moon Ki
    • Nuclear Engineering and Technology
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    • v.52 no.9
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    • pp.2092-2099
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    • 2020
  • Many damages due to flow-accelerated corrosion and cracking have been observed during recent in-service inspections of nuclear power plants. To determine the operability or repair for damaged pipes, an integrity evaluation related to the damaged piping system should be performed by using already proven code and standards. One of them, the ASME Code Case is most popularly used to integrity assessment in nuclear power plants. However, the recent version of CC N-513 still recommends the simplified method which means a damaged elbow is assumed as an equivalent straight pipe. In addition, to enhance the accuracy integrity assessment in elbow, several previous studies recommend that the SIF and elastic COD values for an elbow with relatively large crack could be predicted by an interpolation technique. However, those estimates for elbow with relatively large crack might be derived to inaccurate results for crack growth analysis, such as for the allowable crack size and life estimation. Therefore, in this paper, the effect of crack length (0.3≤θ1/π≤0.5) on SIF and elastic COD for elbow is systematically investigated. Then, for large crack in elbow, accurate estimates for SIF and elastic COD, which are widely used to assess the integrity of elbows, are proposed. Those proposed solutions are expected to be the technical basis for revisions of CC N-513-4 through the validation.

Experimental and Analytical Study on the Steel Beam bonded with CFRP Strip (레진으로 접착 보강한 강재보의 거동)

  • Sung, Ikhyun
    • Journal of the Society of Disaster Information
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    • v.13 no.1
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    • pp.81-88
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    • 2017
  • In this paper, the behaviour of composite steel-CFRP members is studied experimentally and using FE-analysis. The use of advance composite materials in construction for repair and rehabilitation has become a frequent used method in the last decade. FRP composites have many advantages over the traditional technique of steel bonding for a number of reasons: 1. Composites add little or no additional weight to a building, eliminating the need for costly foundation strengthening. 2. FRP composites are very thin (1.2mm to 1.4mm). So there is no loss of floor space and negligible effect over the architectural aspect. 3. FRP composites do not corrode, this makes it long lasting. However, the method is yet to become a mainstream application due to a number of economical and design related issues. Brittle debonding failure, aging effect on bonding, broad based awareness and proper design guidelines are the main concern for future research works. This paper is focused on the ultimate load carrying capacity of the CFRP-strengthened beams and their effect on the deflection and failures modes by varying the amount of CFRP content.

Effects on the tissue reaction using compomer & Ketac Silver in the maxillary furcation in the beagle dogs (Compomer와 Ketac Silver로 성견 상악 이개부 병소 충전시 조직반응에 미치는 영향)

  • Ryu, Jea-Youn;Lim, Sung-Bin;Chung, Chin-Hyung;Lee, Chong-Heon
    • Journal of Periodontal and Implant Science
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    • v.33 no.4
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    • pp.705-715
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    • 2003
  • Procedures for treatment of molar furcation invasion defects range from open flap debridement, apically repositioned flap surgery, hemisection, tunneling or extraction, to regenerative therapies using bone grafting or guided tissue regenerative therapy, or a combination of both. Several clinical evaluations using regenerative techniques have reported the potential for osseous repair of treated furcation invasions. Regenerative treatment of maxillary molars are more difficult due to the multiple root anatomy and multiple furcation entrances therefore, purpose of this study was to evaluated histologically compomer and Ketac Silver as a barrier in the treatment of a bi-furcated maxillary premolar. Five adult beagle dogs were used in this experiment. With intrasulcular and crestal incision, mucoperiostcal flap was elevated. Following decortication with 1/2 high speed round bur, furcation defect was made on maxillary premolar. 2 month later one premolar was filled with compomer and the other premolar was filled with Ketac Silver. After 4, 8 weeks, the animals were sacrificed by vascular perfusion. Tissue block was excised including the tooth and prepared for light microscope with H-E staining. Results were as follows. 1. Compomer & Ketac Silver restoration were encapsulated fine connective tissue. 2. In 4 weeks, compomer & Ketac Silver restoration slightly infiltrated inflammatory cells but not disturb the new bone or new cementum formation. 3. In 8 weeks, compomer & Ketac Silver restoration were less infiltrated iflammatory cell and encapsulated fine connective tissue. 4. Therefore, compomer & Ketac Silver filling to the grade III maxillary furcations with multiple root anatomy and multiple furcation entrances is possible clinical method and this technique is useful method for maxillary furcation involvement but it is thought that periodic maintenance should be needed

Manufacturing Process of Microcapsules for Autonomic Damage Repair of Polymeric Composites (폴리머 복합재의 자가치료용 마이크로캡슐 제조공정 연구)

  • ;;;;M.R. Kessler;S.R. White
    • Composites Research
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    • v.15 no.2
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    • pp.32-39
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    • 2002
  • This study focused on the introduction of processing procedure for microcapsules loaded with the healing agent and then microcapsules with the healing agent were manufactured by experiments. The DCPD (dicyclopentadiene) was used for the healing agent and the shell of microcapsules was consisted of urea-formaldehyde resin. The magnitude and the site distribution of microcapsules were measured by a particle size analyzer using laser diffraction technique. Thermal analysis was conducted by using a DSC fur the healing agent, microcapsules without the healing agent, and microcapsules with the healing agent. Also thermal stability was investigated by using a TGA under continuous and isothermal heating conditions far the healing agent, microcapsules without the healing agent, microcapsules with the healing agent. According to the results. microcapsules with the healing agent were verified to be so thermally stable that the healing agent could not evaporate until the shell of microcapsules were burned.

Development of Stochastic Markov Process Model for Maintenance of Armor Units of Rubble-Mound Breakwaters (경사제 피복재의 유지관리를 위한 추계학적 Markov 확률모형의 개발)

  • Lee, Cheol-Eung
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.25 no.2
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    • pp.52-62
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    • 2013
  • A stochastic Markov process (MP) model has been developed for evaluating the probability of failure of the armor unit of rubble-mound breakwaters as a function of time. The mathematical MP model could have been formulated by combining the counting process or renewal process (CP/RP) on the load occurrences with the damage process (DP) on the cumulative damage events, and applied to the armor units of rubble-mound breakwaters. Transition probabilities have been estimated by Monte-Carlo simulation (MCS) technique with the definition of damage level of armor units, and very well satisfies some conditions constrained in the probabilistic and physical views. The probabilities of failure have been also compared and investigated in process of time which have been calculated according to the variations of return period and safety factor being the important variables related to design of armor units of rubble-mound breakwater. In particular, it can be quantitatively found how the prior damage levels can effect on the sequent probabilities of failure. Finally, two types of methodology have been in this study proposed to evaluate straightforwardly the repair times which are indispensable to the maintenance of armor units of rubble-mound breakwaters and shown several simulation results including the cost analyses.