• Title/Summary/Keyword: Single-strand tendon

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Single -portal Subscapualrs tendon repair

  • Choe, Chang-Hyeok;Kim, Sin-Geun;Jang, Ho-Jin;Chae, Seong-Beom
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.179-179
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    • 2008
  • For a partial tear of the subscapularis tendon, the presenting technique requires only the anterior portal for preparing the footprint and suture management, as well as the subclavian portal for placing the suture anchor and suture hook without inserting a cannula. It provides both a good angle for anchor placement and sufficient space for managing the upper portion of a subscapularis tendon tear. A spinal needle was inserted through the subclavian portal in order to identify the appropriate angle for placing the suture anchor. A 3-mm incision was made for the subclavian portal and a biosuture anchor was placed on the footprint portion of the subscapularis tendon. In order to avoid crowding, each limb of both strands of the biosuture anchor were passed through the tendon- posteromedial side first, and anterolateral side second, using a switching technique with suture hook embedded with no.1 PDS. A suture tie was applied in a reverse sequence (the lateral strand first and the medial strand second) through the anterior cannula using a sliding technique.

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An Experimental Study on the Performance of One-Way Slab Using Unbonded Post-Tensioned Anchorage for Single Tendon (비부착식 단일 강연선용 원형 정착구의 일방향 슬래브 적용에 관한 실험적 연구)

  • Kim, Min Sook;Ro, Kyong Min;Lee, Young Hak
    • Journal of Korean Association for Spatial Structures
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    • v.19 no.1
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    • pp.45-51
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    • 2019
  • In this study, the static load test and the load transfer test were carried out to evaluate the structural performance of the circular anchorage proposed by the previous study. Specimens were fabricated according to KCI-PS101 and ETAG 013. As a result of the static load test, it was verified that the displacement of the wedge and the strand was kept constant when the tensile force of 80% of the nominal strength of the strand was applied. In the load transfer test, it was confirmed that all the specimens satisfied the stabilization formula of KCI-PS101 and ETAG 013. Post-tensioned one-way slab with circular anchorage were fabricated to evaluate the flexural behavior. All specimens exhibited the same flexural behavior and maximum load. However, the specimen with circular anchorage were advantageous than the rectangular anchorage one in terms of crack control of the anchorage zone.

Anterior Cruciate Ligament Reconstruction with a Four-Strand Single Semitendinosus Tendon Autograft (반건양건 단일 4가닥을 이용한 전방십자인대 재건술)

  • Kyung, Hee-Soo;Kim, Tae-Gong;Oh, Chang-Wug;Yoon, Sang-Hyup
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.138-142
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    • 2009
  • Purpose: The purpose of this study was to evaluate the result of anterior cruciate ligament (ACL) reconstruction using a fourstrand single semitendinous tendon to decrease the donor site morbidity due to harvest both semitendinosus and gracilis tendon. Materials and Methods: Thirty seven consecutive patients who had underwent ACL reconstruction using four-strand single semitendinosus tendon were evaluated. Mean age was 28.6 years old. Male was 34, female 3 patients. Time from injury to surgery was 5.4 months. Combined injuries were 10 meniscus injuries, 3 medial collateral ligament injuries and 1 osteochondral injury. Mean follow-up period was 16 months(12~18 months). Clinical evaluation was done using range of motion, Lachman test, pivot-shift test, Lysholm score & KT-2000 arthrometer. Results: All patients showed the normal range of motion of mean 150..at follow-up. Lachman test and pivot-shift test was negative in 35 cases. Lysholm score was improve from 84 to 92. Two cases had residual laxity due to poor compliance. Mean anterior translation compared to contralateral side by KT-2000 arthrometer improved from 6.7 mm preoperatively to 2.1 mm at follow-up. Conclusion: Reconstruction of the anterior cruciate ligament with use of a four-strand single semitendinosus tendon autograft showed good clinical results.

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Numerical study of mono-strand anchorage mechanism under service load

  • Marceau, D.;Fafard, M.;Bastien, J.
    • Structural Engineering and Mechanics
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    • v.18 no.4
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    • pp.475-491
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    • 2004
  • Anchorage devices play an important role in post-tensioned bridge structures since they must sustain heavy loads in order to permit the transfer of the prestressing force to the structure. In external prestressing, the situation is even more critical since the anchorage mechanisms, with the deviators, are the only links between the structure and the tendons throughout the service life of the structure. The behaviour of anchorage devise may be studied by using the finite element method. To do so, each component of the anchorage must be adequately represented in order to approximate the anchor mechanism as accurately as possible. In particular, the modelling of the jaw/tendon device may be carried out using the real geometry of these two components with an appropriate constitutive contact law or by replacing these components by a single equivalent. This paper presents the numerical study of a mono-strand anchorage device. The results of a comparison between two different representations of the jaw/tendon device, either as two distinct components or as a single equivalent, will be examined. In the double-component setup, the influence of the wedge configuration composing the jaw, and the influence of lubrication of the anchor, will be assessed.

Anterior Cruciate Ligament Double Bundle Reconstruction with Hamstring Tendon Autografts - Technical Notes (자가 슬괵건을 이용한 전방 십자 인대 이준 다발 재건술 - 수술 술기 -)

  • Ahn, Jin-Hwan;Lee, Sang-Hak;Ahn, Hyung-Kwon;Kang, Hong-Jae
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.222-231
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    • 2005
  • Purpose: This article describes a double-bundle ACL reconstruction technique using a five-strand hamstring tendon autograft with conventional anteromedial bundle reconstruction and additional posterolateral bundle reconstruction. Operative technique: For the tibial tunnel, the conventional single tunnel technique is performed and for the femoral tunnel, the double tunnel technique is performed with the anteromedial and posterolateral bundle. After minimal notchplasty, the anteromedial femoral tunnel is prepared with leaving one milimeter of posterior femoral cortex within the over-the-top, which if positioned at the 11-o'clock orientation for the right knee or at the 1-o'clock position for the left knee. The posterolateral femoral tunnel that is located 5 to 7 mm superior to the inner margin of the lateral meniscus anterior horn at $90^{\circ}$ of flexion is prepared with tile outside-in technique using a 4.5 cannulated reamer. The graft material for the double bundle reconstruction is made of the conventional four-strand hamstring autograft in the anteromedial bundle and of a single-strand semitendinosus tendon in the posterolateral bundle. The anteromedial bundle is fixed with using a rigid fix system on the femoral side and the posterolateral bundle is fixed to tie with the miniplate from the outside femur. Then, with the knee in $10^{\circ}\;to\;20^{\circ}$ of flexion, a bioabsorbable screw is simultaneously applied to achieve tibial fixation with tensioning of both bundles. Conclusion: A double bundle reconstruction with five-strand hamstring autograft, which is designed with a favorable conventional anteromedial bundle and an additional posterolateral bundle to restore rotation stability, seems to be a very effective method for the treatment for ACL instabilities.

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