• Title/Summary/Keyword: Screw stability

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Clinical Experience of Anterior Cervical Interbody Fusion with the PCB System (전방 경추 유합술에서의 PCB System의 임상적 경험)

  • Kim, Sung Han;Kim, Ho Jin;Kang, Jae Kyu;Doh, Jong Oung;Lee, Chun Dae
    • Journal of Korean Neurosurgical Society
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    • v.30 no.10
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    • pp.1170-1176
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    • 2001
  • Objective : The purpose of the study was to evaluate the clinical and radiological results after discectomy and Lubboc bone graft in the surgical management of the cervical diseases with a new titanium interbody implant and integrated screw fixation(PCB) by anterior approach. Methods : The authors retrospectively analyzed 28 cases of anterior cervical fusion with PCB system and Lubboc bone(xeno graft) from september 1998 to december 2000. Twenty-eight patients with cervical diseases underwent decompression cervical lesion and followed from 5 to 27 months with a mean follow-up of 14 months. There patients were evaluated with clinically and radiologically at immediate postoperative period and at 3, 6, 9, and 12 months. Result : The authors investigated the pre- and postoperative intervertebral disc space, clinical outcomes, radiography fusion rate, and Cobb angle in the fixed segments by anterior approach. The lordotic angles and height of disc space were increased after the operation. The clinical outcome of patients follow-up was good or excellent result based on Odom's criteria with improvement of clinical symptom in about 92.9% of the cervical diseases. Two patients showed loosening of the lower and upper cervical screw of PCB instruments, and two patients showed swallowing difficulty and wound infection Conclusion : The PCB system is a new implant for anterior cervical interbody fusion in the degenerative cervical disease and disc herniations. It provides immediate stability and segment distraction. The results of this study indicate that the PCB system is safe, easy handling of hardware, less complications, high fusion rate, and has provide the keeping the intervertebral disc space height and lordotic angles.

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Ankle Arthrodesis Outcomes in Ankle Osteoarthritis: Comparison between Anterior Approach and Transfibular Approach (족근 관절 관절염에서 족관절 유합술의 결과: 전방 도달법과 경비골 도달법 비교)

  • Pak, Chi Hyoung;Lee, Jun Young;Jeong, Yeon Joo
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.4
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    • pp.189-194
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    • 2014
  • Purpose: The purpose of this study was to compare the clinical and radiologic results of arthrodesis between anterior approach and transfibular approach arthrodesis in ankle arthritis. Materials and Methods: There were 61 cases of ankle arthritis treated by anterior or transfibular ankle arthrodesis in our hospital from April 2008 to March 2012. We investigated 29 cases (27 patients) who underwent ankle arthrodesis with an anterior approach (15 cases) and transfibular approach (14 cases), and were followed for over two years. Clinically, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, pain visual analogue scale (VAS), and subjective satisfaction degrees were evaluated. In addition, ankle coronal and sagittal alignments were evaluated using plain radiographs at 6 and 24 months, postoperatively. Results: Clinically, preoperative mean AOFAS score and VAS was 41.3 and 6.4, and were changed to 58.9 and 3.3 postoperatively in the anterior approach group. In the transfibular approach group, preoperative mean AOFAS score was 36.6 and VAS was 7.1, and they were changed to 54.9 and 3.4 postoperatively. However, no significant differences in the clinical results were observed between the two groups (p=0.297). Duration of attaining union was 8.1 weeks in the anterior approach group and 10.4 weeks in the transfibular approach group. Complications were delayed union in one case, nonunion in three cases, cancellous screw breakage in three cases, and complex regional reflex syndrome in one case. Conclusion: After transfibular ankle arthrodesis as treatment of ankle osteoarthritis, the tendency for valgus angulation of the ankle at the final follow-up was observed and 6.5 mm cancellous screw breakage occurred frequently. Therefore, in order to achieve better stability, it is necessary to use 6.5 mm cannulated screws rather than 6.5 mm cancellous screws for ankle arthrodesis.

A Study on the Manufacturing and Properties of High Density Polyethylene Composites Filled with Waste Gypsum (부산 석고를 충전한 고밀도폴리에틸렌 복합재료 제조 및 물성 연구)

  • Jin, Woo Seok;Moon, Junho;Kong, Tae Woong;Kim, Hyang Tae;Choi, Sang Hwan;Oh, Jeong Seok
    • Journal of Adhesion and Interface
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    • v.22 no.3
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    • pp.106-110
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    • 2021
  • Recently, research using waste among eco-friendly materials has been attracting attention. In this study, we investigated the physical properties of blends in which high density polyethylene (HDPE) was filled with waste gypsum (CaSO4) generated during fertilizer manufacturing. Composites were prepared by adding the gypsum content 0~20 wt% using a twin screw extruder. The mechanical, rheological, and thermal properties of the composites were evaluated. It was found that the tensile strength of the composites was less than 4.1% compared to that of unfilled HDPE, so there is no significant deterioration in physical properties. The thermal stability of the composites was improved as the gypsum content increased and the gypsum content had little effect on the viscosities of the composites.

Load Transfer Test for Re-tensioning Post-Tension Kit for Prestressed Concrete (프리스트레스트 콘크리트 부재용 재긴장 정착구 하중전달시험)

  • Hur, Jae-Hoon;Lho, Byeong-Cheol
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.25 no.5
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    • pp.8-14
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    • 2021
  • Post-tensioned prestressed concrete members experience immediate prestress losses as well as time-dependent prestress losses such as creep, dry shrinkage and relaxation. In addition, the stress of the upper and lower parts of the member changes due to the change in dead load due to the replacement of the upper slab and/or pavement. Such changes in fiber stress may affect the safety of the member, and it is necessary to adjust the prestressing force. Therefore, in this study, a screw type of re-tensioning post-tension kit is proposed, and it is verified that the safety against load and the stability against strain are satisfied through the load transfer test specified in EAD160004 and KCI-PS101.

Influence of zirconia and titanium fixture materials on stress distribution in abutment screws: a three-dimensional finite element analysis (지르코니아 및 티타늄 고정체 소재가 지대주 나사의 응력 분포에 미치는 영향: 3차원 유한 요소 분석)

  • Kim, Eun Young;Hong, Min-Ho
    • Journal of Technologic Dentistry
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    • v.43 no.2
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    • pp.42-47
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    • 2021
  • Purpose: The purpose of this study was to evaluate the stability of abutment screws used with the zirconia fixture-based implant system and compare them with those used with the existing titanium fixture system via the finite element method. Methods: A single implant-supported restoration was designed for the finite element analysis. A universal analysis program was used to set 8 occlusal points along the direction to the long axis of the implant, and an occlusal load of 700 N was applied. Results: In all models (Zir and Ti-fixture model), the screw threads presented with the highest von Mises stress (VMS) values, whereas the head and end presented with the lowest VMS values. The VMS of the screw used in the zirconia-fixture model was 5.97% lower than that used in the titanium-fixture model (261.258 vs. 276.911 MPa, respectively) despite statistical significance. Furthermore, the zirconia fixture (352.912 MPa) had a higher stress value (8.42%) than the titanium fixture (332.331 MPa). In a completely tightened titanium fixture implant system, the stress was concentrated in the implant-abutment connection interface, the zirconia fixture presented with a stable stress distribution. Conclusion: Although the zirconia fixture demonstrated a high VMS value, owing to the stiffness and elasticity coefficients of the material, the stress generated in the abutment screws was similar in all models. In conclusion, the zirconia fixture-based implant system presented with a more stable stress distribution in the abutment screws than the titanium fixture-based implant system.

Rotational tolerances of a titanium abutment in the as-received condition and after screw tightening in a conical implant connection

  • Prisco, Rosario;Troiano, Giuseppe;Laino, Luigi;Zhurakivska, Khrystyna
    • The Journal of Advanced Prosthodontics
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    • v.13 no.6
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    • pp.343-350
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    • 2021
  • PURPOSE. The success of an implant-prosthetic rehabilitation is influenced by good implant health and an excellent implant-prosthetic coupling. The stability of implant-prosthetic connection is influenced by the rotational tolerance between anti-rotational features on the implant and those on the prosthetic component. The aim of this study is to investigate the rotational tolerance of a conical connection implant system and its titanium abutment counterpart, in various conditions. MATERIAL AND METHODS. 10 preparable titanium abutments, having zero-degree angulation (MegaGen, Daegu, Korea) with an internal 5-degree conical connection, and 10 implants (MegaGen, Daegu, Korea) were used. Rotational tolerance between the connection of implant and titanium abutments was measured through the use of a tridimensional optics measuring system (Quick Scope QS250Z, Mitutoyo, Kawasaki, Japan) in the as-received condition (Time 0), after securing with a titanium screw tightening at 35 Ncm (Time 1), after tightening 4 times at 35 Ncm (Time 2), after tightening one more time at 45 Ncm (Time 3), and after tightening another 4 times at 45 Ncm (Time 4). RESULTS. The group "Time 0" had the lowest values of rotational freedom (0.22 ± 0.76 degrees), followed by the group Time 1 (0.46 ± 0.83 degrees), the group Time 2 (1.01 ± 0.20 degrees), the group Time 3 (1.30 ± 0.85 degrees), and the group Time 4 (1.49 ± 0.17 degrees). CONCLUSION. The rotational tolerance of a conical connection is low in the "as received" condition but increases with repetitive tightening and with application of a torque greater than 35 Ncm.

COMPARATIVE STUDY OF STABILITY AND RELAPSE ACCORDING TO FIXATION METHOD AFTER BILATERAL SAGITTAL SPLIT RAMUS OSTEOTOMIES IN MANDIBULAR PROGNATHIC PATIENTS (하악전돌증 환자의 하악지시상분할골절단술 후 고정방법에 따른 안정성과 회귀율에 대한 분석)

  • Choi, Hee-Won;Kim, Kyoung-Won;Lee, Eun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.4
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    • pp.334-345
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    • 2005
  • The purpose of this study was to compare the postoperative stability and relapse according to 2 different fixation methods after bilateral sagittal split ramus osteotomies in mandibular prognathic patients. Tweenty one patients with Class III dental and skeletal malocclusion who were treated with bilateral sagittal split ramus osteotomy were selected for this retrospective study. We classfied the patients into two groups according to the fixation methods of bony segments after osteotomies. Group W (n = 10) had the bone segments fixed with nonrigid wire and Group S (n = 11) had bicortical screws inserted in the gonial area through a transcutaneous approach. Cephalometric radiographs were taken preoperatively, immediate postoperatively and more than six months postoperatively in each patient. After tracing the cephalometric radiographs, various parameters were measured. Before surgery, both groups were balanced with respect to linear and angular measurements of craniofacial morphology. Mean posterior sagittal setback amounts of the mandibular symphysis was 8.6 mm in the wire group and 6.79 mm in the rigid group, Six months postoperatively, the wire group had 33.1% relapse of the mandibular symphysis and 22.8% in the rigid group relapse. Both groups experienced changes in the orientation and configuration of the mandible. It is thought that Rigid screw fixation is a more stable method than nonrigid wire fixation for maintaining mandibular setback after sagittal split ramus osteotomy.

EVALUATION OF BONE RESPONSE BY RESONANCE FREQUENCY ANALYSIS OF ANODIZED IMPLANTS

  • Roh Hyun-Ki;Heo Seong-Joo;Rhyu In-Chul
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.6
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    • pp.745-750
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    • 2005
  • Statement of problem. Resonance frequency analysis has been increasingly served as a non-invasive and objective method for clinical monitoring of implant stability. Many clinical studies must be required for standardized data using RFA. Purpose. This study was performed to evaluate RFA value changes in two anodized implant groups. Material and method. Among a total of 24 implants, twelve screw shaped implants as a test group (H2-R8.5) were manufactured, which had a pitch-height of 0.4 mm, an outer diameter of 4.3 mm, a length of 8.5 mm, and external hexa-headed, were turned from 5 mm rods of commercially pure titanium (ASTM Grade IV, Warantec Co., Seoul, Korea), and another twelve implants as a control group were $Br{\aa}nemark$ Ti-Unite MK4 (diameter 4.0 mm, length 8.5 mm). Each group was installed in tibia of rabbit. Two implants were placed in each tibia (four implants per rabbit). Test two implants were inserted in right side and control two in left side. ISQ values were measured using $Osstell^{TM}$ (Integration Diagnostics Ltd. Sweden) during fixture installation, and 12 weeks later and evaluated the RFA changes. Results. Mean and SD of baseline ISQ values of test group were $75.0{\pm}3.4$ and $68.7{\pm}8.1$ for control group. Mean and SO of ISQ values 12 weeks after implant insertion were $73.2{\pm}4.7$ for test group and $72.6{\pm}3.9$ for control group. There were no statistically significant differences between groups in ISQ values after 3 months (P>0.05). From the data, RFA gains after 3 months were calculated, and there was statistically significant difference between groups (P<0.05). Conclusion. Although there were RFA changes between groups, implant stability after experimental period shows alike tendency and good bone responses.

Modification of Linear Polyphenylene Sulfide with Functional Elastomers and Its Properties (기능성 엘라스토머를 이용한 선형 폴리페닐렌 설파이드의 개질 및 그 특성)

  • Kim, Sungki;Hong, In-Kwon;Lee, Sangmook
    • Polymer(Korea)
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    • v.37 no.3
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    • pp.399-404
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    • 2013
  • In order to develop the blends with good long-term thermal stability and tensile elongation, the blends of polyphenylene sulfide (PPS) and 7 kinds of elastomer were tested. PPS/elastomer (90/10, 80/20, 70/30) blend samples were prepared by compression molding after twin screw extrusion or punching after sheet extrusion. Rheological, mechanical property and morphology of the blends were analyzed by capillary rheometer, UTM, impact tester, and SEM. For long-term thermal stability tests, the mechanical properties were measured again after the samples were stored in a convection oven for a week. The tensile strengths were almost same regardless of kinds of elastomer and the tensile elongation was the maximum for the PPS/m-EVA blend. As the content of elastomer increased, the elongation increased but delamination occurred at 30 wt% of elastomer content. The tensile strength increased but the elongation decreased seriously after thermal aging. Many problems related with PPS processing could be solved by adding a small amount of the elastomers partially compatibile with PPS and it would be applicable to develop various PPS grades.

Physical and Mechanical Properties of Panels Fabricated with Particle and Fiber by Composition Types (구성형태(構成形態)에 따른 파티클과 파이버로 제조(製造)한 패널의 물리적 및 기계적 성질)

  • Yoon, Hyoung-Un;Lee, Phil-Woo
    • Journal of the Korean Wood Science and Technology
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    • v.20 no.2
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    • pp.9-22
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    • 1992
  • The aim of this research was to investigate physical and mechanical properties of various composition panels, each fabricated with a ratio of fiber to particle of 2 to 10. Type A consisted of fiber-faces and particle-core in layered-mat system. Type B consisted of fiberboard-faces on particleboard-core. Type C consisted of fibers and particles in mixed-mat system. The results obtained from tests of bending strength, internal bond, screw holding strength and stability were as follows: 1. The bending strength and internal bonding of both the Type A panel and the Type B panel were higher than those of the Type C panel and three-layered particle board. 2. The mechanical properties of the Type C panel showed the lowest values of all composition methods. It seems that the different compression ratios of the particle and fiber interrupted the densification of the fibers when hot pressed. 3. The dimensional stability of layered-mat system panels consising of fiber-faces and particle-core was better the than control particleboard. 4. In composition methods of particle and fiber, layered-composition method was more resonable than mixed-composition. The Type B panel had the highest mechanical properties of all the composition types. 5. The Type A panel was considered the ideal composition method because of its resistance to delamination between the particle-layer and the fiber-layer and because of its lower adhesive content and more effective manufa cturing process.

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