• Title/Summary/Keyword: Traction device

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Experience of Arthroscopy of Ankle Joint with Manual Traction (도수 견인을 이용한 족관절 관절경술의 경험)

  • Lee, Jeong-Gil;Kim, Gab-Lae;Lee, Jin-Young;Lee, Eui-Soo;Lee, Jae-Hee
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.4
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    • pp.288-293
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    • 2013
  • Purpose: Number of arthroscopic surgery is gradually increasing with development of its equipment and technique. Arthroscopic ankle surgery performed with the traction device has various complications and need more time for preparation. We investigated whether the complication rate increased when surgery was performed without the traction device, and compared the complication rate of arthroscopic surgery with the traction device. Materials and Methods: From January 2009 to June 2012, arthroscopic ankle surgery was performed without the traction device in four hundred eleven cases. There were two hundred sixty-one males and one hundred fifty females. The average age at operation was 35 years (range, 17-56), and the average follow up period was 28 months (range, 12-41). Postoperative symptoms and complications were checked. Results: There were difficulties performing arthroscopic surgery without the traction device in five cases with severe traumatic osteoarthritis. However, after burring and shaving, we had enough space to work on. Superficial peroneal nerve symptom was found in two cases, grooving of talus was found in 11, and saphenous vein injury was found in five. Since preparing for the traction device was unnecessary, we were able to save time with the mean duration of surgery of 50 minutes (range, 30-120). Conclusion: With only manual traction, we could explore the entire ankle joint without damage on cartilage. Yet, skilled arthroscopic technique will be necessary for arthroscopic surgery without the traction device.

The Short Term Effects of the Decompression (KNX $7000^{(R)}$) and Traction Device on Pain in Patients with Chronic Low Back Pain with or without Radicular Pain (만성 요통 및 하지방사통 환자에서 감압치료(KNX $7000^{(R)}$)와 견인치료의 단기 치료 효과)

  • Park, So-Hyun;Kim, Chul-Seoung;Lee, Dong-Gyu;Ahn, Sang-Ho
    • The Journal of Korean Physical Therapy
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    • v.23 no.5
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    • pp.29-34
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    • 2011
  • Purpose: The purpose of this study is to evaluate the short term effects of the traction and decompression device, which is a newly developed domestic medical device, on pain and functional activity in patients with chronic low back pain with or without radicular pain. Methods: Forty patients with chronic low back pain were included and allocated to decompression (n=20) and traction groups (n=20). They received decompression or traction therapy for 20 minutes a day, 3 days per week for two weeks. For evaluating pain and functional activity, a visual analogue scale (VAS) for low back pain and the Oswestry back pain disability index (ODI) were obtained on pre-treatment, and at 6, 12 and 15 days after treatment. Patients'satisfaction levels were measured 15 days after treatment. Results: VAS was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in both groups (p<0.05). ODI was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in the decompression group (p<0.05). However, there was no significant difference between the two groups in the VAS and ODI scales (p>0.05). Patients' satisfaction levels were significantly higher in the decompression group than in the traction group (p<0.05). Conclusion: These findings suggest that decompression therapy might be effective for increasing functional activity in patients with low back pain and could provide patients with higher satisfaction than traction therapy. This study provided validity data for the therapeutic effects of the decompression device in patients with low back pain and it will be useful for medical cost development and patient education of this device.

A Theoretical Study and Implementation of Spinal Traction System (척추견인 시스템의 인체 역학적 견인력에 대한 이론적 고찰 및 구현에 관한 연구)

  • Chang, Hojong;Lee, Song Jae
    • Journal of Biomedical Engineering Research
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    • v.35 no.2
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    • pp.19-25
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    • 2014
  • According to recent data more than 80% of people suffer from back pain, due to an aging and a poor posture, at least once in their life time, and 7~10% of them have chronic spine illness. Researchers over the years have studied on various spinal traction devices that utilize the force of traction, and have also reported clinical test results. However, most existing devices are too complicated and too expensive. In order to solve these problems, we have developed a new device in which the frame moves up and down and at the same time tilting angle of the frame is adjusted. We have analyzed the forces applied on the body as a function of tilting angle. And the result shows that the new device has achieved the force of traction, which is known to be effective for spinal rehabilitation.

A Case Report on the Treatment of A TMJ Osteoarthritis Patient with Anterior Open Bite Using An Intermaxillary Traction Device (전치부 개교합을 동반한 골관절염 환자에 대한 악간견인장치의 응용)

  • 류상수;김선희;기우천
    • Journal of Oral Medicine and Pain
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    • v.23 no.4
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    • pp.379-385
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    • 1998
  • A patient with TMJ osteoarthritis and anterior open bite was treated with an intermaxillary traction device. Pretreatment examination revelaed a pain in both TMJ during mouth opening, moderate tendernesso f left sternocleidomastoid and right trapezius muscles. Anterior open Bite was aobserved with interincisal distance of 2mm. Tomograms and MRI showed anterior disc displacement withouit reductoin of both temporomandibular joints, and the condyles were flattened and slightly eroded. A pair of full-coverage occlusal appliances was made on both maxillary and mandibular dentition, with pivoting fulcrum on the site of the second moalr. Traction force was gained by the intermaxillary orthodontic elastics which were hooked by orthodontic brackets on the labial surfaces of the upper and lower anterior and premolar teeth. After 8 weeks of traction treatment, the joint pain was subsided completely and the anterior open bite was closed to get an edge to edge relationship of anterior teeth.

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Simple Traction Device for Inverted Nipple Correction (묻힌젖꼭지 교정 후 사용 가능한 간단한 젖꼭지 견인장치)

  • Lee, Hye Mi;Na, Young Cheon
    • Archives of Plastic Surgery
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    • v.33 no.6
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    • pp.789-791
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    • 2006
  • Purpose: The inverted nipple presents many problems in both cosmetic and functional aspects. The histopathologic features of inverted nipple are that inverted nipple has less fibromuscular tissue than normal nipple, short lactiferous duct and dense fibrous tissue. Many papers have been reported for correction of the inverted nipple, however not many medical literatures has specifically described about traction method. Although traditional traction methods were using half of urine cup or lid of bottle, they were uncomfortable and incapable for wearing brassiere. Methods: We invented a simple and more natural method using a dome-shape plastic disposable lid of take-out cup. We applied new device for three patients after corrective surgery. Results: For long term follow up, all patients satisfied their postoperative status and they were comportable with the lids. Conclusion: This new method is very simple, comfortable, and effective method for traction. It also allows patients to wear the brassiere.

Ground fault protective relaying schemes for DC traction power supply system (비접지 DC 급전계통에서 전류형 지락보호계전 방법)

  • 정상기;정락교;이성혁;김연수;조홍식
    • Journal of the Korean Society for Railway
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    • v.7 no.4
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    • pp.412-417
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    • 2004
  • In urban rail transit systems, ground faults in the DC traction power supply system are currently detected by the potential relay, 64P. Though it detects the fault it cannot identify the faulted region and therefore the faulted region could not be isolated properly. Therefore it could cause a power loss of the trains running on the healthy regions and the safety of the passengers in the trains could be affected adversely. Two new ground fault protective relay schemes that can identify the faulted region are presented in this paper. A current limiting device, called Device X, is newly introduced in both system, which enables large amount of ground fault current flow upon the positive line to ground fault. One type of the relaying schemes is called directional and differential ground fault protective relay which uses the current differential scheme in detecting the fault and uses the permissive signal from neighboring substation to identify the faulted region correctly. The other is called ground over current protective relay. It is similar to the ordinary over current relay but it measures the ground current at the device X not at the power feeding line, and it compares the current variation value to the ground current in Device X to identify the correct faulted line. Though both type of the relays have pros and cons and can identify the faulted region correctly, the ground over current protective relaying scheme has more advantages than the other.

The Study about Development and Consideration of Urban Railroad Vehicle Propulsion Control Device (도시철도차량 추진제어시스템 고찰 및 개선에 대한 연구)

  • Lee, Mi-Jeong;Lee, Hyeong-Woo;Ha, Jong-Eun
    • Proceedings of the KSR Conference
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    • 2011.10a
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    • pp.2323-2328
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    • 2011
  • There have been many changes in Subway train types since SeoulMetro opened the Line No.1 in 1974. Propulsion control device has changed many times following the generations of control method from resistance control method which uses large resistor for the traction motor control to chopping control which uses power semiconductors and finally to inverter control. Railroad vehicle propulsion control device refers to devices such as converter/inverter which supply power for subway operation, power conversion equipment like small switching-mode power supply and traction motor. In this paper, we will analyze every part of railroad vehicle propulsion control device of SeoulMetro so we can find problems in the subway operation. And we will present propulsion control device model which makes minimized failures, efficient maintenance possible when replacing railroad vehicle later. By doing this, we hope to ensure stability and improve energy efficiency to the top.

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Application of a traction metal clip with a fishhook-like device in wound sutures after endoscopic resection

  • Wang Fangjun;Leng Xia;Gao Yi;Shen Xiuyun;Wang Wenping;Liu Huamin;Liu Pengfei
    • Clinical Endoscopy
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    • v.55 no.4
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    • pp.525-531
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    • 2022
  • Background/Aims: Endoscopic wound suturing is an important factor that affects the ability to remove large and full-thickness lesions during endoscopic resection. We aimed to evaluate the effect of a traction metal clip with a fishhook-like device on wound sutures after endoscopic resection. Methods: From July 2020 to April 2021, patients who met the enrollment criteria were treated with a fishhook-like device during the operation to suture the postoperative wound (group A). Patients with similar conditions and similar size wounds who were treated with a "purse-string suture" to suture the wounds were retrospectively analyzed as the control group (group B). Difference in the suture rate, adverse events, time required for suturing, and number of metal clips were compared between the two groups. Results: The time required for suturing was 7.72±0.51 minutes in group A and 11.50±0.91 minutes in group B. This difference was statistically significant (F=13.071, p=0.001). The number of metal clamps used in group A averaged 8.1 pieces/case, and the number of metal clamps used in group B averaged 7.3 pieces/case. This difference was not statistically significant (F=0.971, p=0.331). Conclusions: The traction metal clip with the fishhook-like device is ingeniously designed and easy to operate. It has a good suture effect on the wound after endoscopic submucosal dissection and effectively prevents postoperative adverse events.

An Evaluation of Selective Grounding Fault Protective Relaying Technique Performance on the Ungrounded DC Traction Power Supply System (도시철도 직류 비접지 급전계통에서의 선택 지락보호시스템의 성능평가)

  • Jung, Hosung;Kim, Joouk;Shin, Seongkuen;Kim, Hyungchul;An, Taepung;Yun, Junseok
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.61 no.12
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    • pp.1964-1969
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    • 2012
  • This paper presents to verify the selective grounding fault protective relaying technique for the ungrounded DC traction power supply system. This system selectively blocks fault section when grounding fault occurred. In order to perform this verification, field test facilities have been installed on Oesam substation and Worldcup-Stadium substation, and field test process has been suggested. Also, selective grounding fault protective relaying components and rail voltage reduction device have been tested with the various trial examinations. In order to compare and evaluate performance of the selective grounding fault protective relaying function, field test system was modeled and the system fault simulation results were compared and evaluated with the field test result. Performance of selective grounding fault protective relaying function was evaluated with the above-mentioned process, and the fact that the system recognizes fault section irrespective of insulation between rail and ground and fault resistance from grounding fault.

A Study on the PWM Strategy and Gear Changing Techniques of an Inverter for Variable Speed Drives on Traction Motors (견인전동기 가변속 운전을 위한 인버터의 PWM 방법 및 패턴 절환기법에 관한 연구)

  • Seo, Yeong-Min;Park, Yeong-Jin;Hong, Sun-Chan
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.48 no.11
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    • pp.646-654
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    • 1999
  • This paper deals with PWM patterns for harmonic reduction in inverter fed traction motors and the gear changing techniques for the variable speed drive of traction motor. GTOs are used as switching device of inverter because traction motor is a large load. To derive PWM rattern which can minimize the harmonics with the limited switching frequency, the output current and torque characteristic of SPWM and SHE PWM was analyzed. GTO inverter used for traction motor drive includes harmonics in the output current and torque by the limitation of switching frequency. However, the hybrid PWM method that adopt SPWM in the range of low frequency and SHE PWM in upper frequency range can achieve less harmonic characteristics in GTO inverters. If the traction motor is driven in variable speed by the proposed PWM pattern, 7 times of gear changing is needed. At the instant of the mode change, magnetic flux and torque may be altered and the large current flow. To reduce such an undesirable transient behavior, it is also presented the technique for the gear changing of inverter fed traction motor drive operated with the hybrid PWM. The results are verified by simulations and experiments.

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