• Journal of Korean Foot and Ankle Society
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• v.9 no.1
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• pp.59-63
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• 2005

Purpose: To present the procedure and results of dorsal wedge osteotomy fixated by bioabsorbable polyglycolide pins for the treatment of symptomatic Freiberg's disease. Materials and Methods: From January 1997 to December 2002, six patients with Freiberg's disease underwent dorsal wedge osteotomy of the metatarsal neck to bring the healthy plantar part of the metatarsal head into articulation. Bioabsorbable polyglycolide pins were used for the fixation and short-leg walking cast was applied for 4 weeks. Results: All patients returned to full daily activities without pain in three months after the operation. Radiographically, solid healing of the osteotomy was observed at average ten weeks. The active range of motion of the metatarsophalangeal joint increased by a mean gain of 30 degrees, and no complication such as displacement, osteolysis or sinus formation was observed. Conclusion: Dorsal wedge osteotomy fixated by bioabsorbable pins for patients with symptomatic Freiberg's disease is effective procedure that provides relatively early range of motion exercise and avoids second procedure for implant removal.

• Computers and Concrete
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• v.21 no.1
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• pp.67-74
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• 2018

A differential scheme based micromechanical framework is proposed to obtain the effective properties of the saturated concrete repaired by the electrochemical deposition method (EDM) considering the interfacial transition zone (ITZ) effects. The constituents of the repaired concrete are treated as different phases, consisting of (micro-)cracks, (micro-)voids and (micro-)pores (occupied by water), deposition products, intrinsic concrete made up by the three traditional solid phases (i.e., mortar, coarse aggregates and their interfaces) and the ITZs. By incorporating the composite sphere assemblage (CSA) model and the differential approach, a new multilevel homogenization scheme is utilized to quantitatively estimate the mechanical performance of the repaired concrete with the ITZs. The CSA model is modified to obtain the effective properties of the equivalent particle, which is a three-phase composite made up of the water, deposition products and the ITZs. The differential scheme is employed to reach the equivalent composite of the concrete repaired by EDM considering the ITZ effects. Moreover, modification procedures considering the ITZ effects are presented to attain the properties of the repaired concrete in the dry state. Results in this study are compared with those of the existing models and the experimental data. It is found that the predictions herein agree better with the experimental data than the previous models.

• Archives of Reconstructive Microsurgery
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• v.14 no.1
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• pp.37-41
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• 2005

Purpose: The purpose of this study was to evaluate the effectiveness of internal transport using Ilizarov apparatus with free flap surgery for infected tibial nonunion. Materials and Methods: We reviewed 8 patients of infected tibial nonunion treated with internal transport using Ilizarov apparatus and free flap surgery. Seven of eight patients were available for at least 1 year follow-up. All patients were male. The mean age at the time of the surgery was All fractures were Gustilo's type III B open fracture. The mean length of the bone defect was 8.5 cm. All used flaps for covering the soft tissue defect were free rectus abdominis muscle flap. We evaluated bone and functional results with use of the Paley and Catagni's classification. And we classified the complication with use of the Paley's classification. Results: Acceptable length and solid union of bone was achieved in all cases. The mean size of the bone length was 7.2 cm. The mean healing index was 69.5 days/cm. All but one case needed bone graft at docking site. All flaps were survived. There was no recurrence of infection. According to Paley and Catagni's classification, all cases showed excellent or good results. Complications were pin tract infection in 3 cases, persistent pain in 2 cases and limitation of joint motion in 2 cases. Conclusion: Simultaneous free-tissue transfer and Ilizarov distraction osteogenesis was thought to be an attractive treatment modality for infected nonunion of the tibia.

• Proceedings of the KWS Conference
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• 2010.05a
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• pp.22-22
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• 2010

Eutectic composition phase with low melting point which solidifies at the final stage affects the solidification cracking at the intercellular or interdendritic area of welds and castings. If sufficient amount of eutectic composition liquid does not exist between the solidifying phases, the discontinuities remain as cracks. However, abundant amount of liquid eutectic composition existing in the final stage can flow into the discontinuities easily and heal the cracks. By flowing of liquid eutectic and healing of discontinuities, the possibility of cracking can be reduced when the amount of eutectic liquid is sufficient. For the solidification of pure metals, liquid eutectic does not exist and the interlocking of growing solid phases can be realized without interruption of liquid film. Therefore there is little possibility of solidification cracking in the case of welds and castings of pure metal. In a practical sense, the effective way to reduce or prevent the solidification cracking is making the composition of molten pool or melts near to the eutectic composition.

• Journal of the Korean Society for Precision Engineering
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• v.24 no.4 s.193
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• pp.138-146
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• 2007

Some biodegradable polymers and other materials such as hydrogels have shown the promising potential for surgical applications. Post surgical adhesion caused by the natural consequence of surgical wound healing results in repeated surgery and harmful effects. Recently, scientists have developed absorbable anti-adhesion barriers that can protect a tissue from adhesion in case they are in use; however, they are dissolved when no longer needed. Although these approaches have been attempted to fulfill the criteria for adhesion prevention, none can perfectly prevent adhesions in all situations. Overall, we developed a new method to fabricate an anti-adhesion membrane using biodegradable polymer and hydrogel. It employed a highly accurate three-dimensional positioning system with pressure-controlled syringe to deposit biopolymer solution. The pressure-activated microsyringe was equipped with fine-bore nozzles of various inner-diameters. This process allowed that inner and outer shapes could be controlled arbitrarily when it was applied to a surgical region with arbitrary shapes. In order to fulfill the properties of the ideal barriers f3r preventing postoperative adhesion, we adopted the pre-mentioned method combined with surface modification with the hydrogel coating by which anti-adhesion property was improved.