• Title/Summary/Keyword: Weight-bearing

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Dual Mobility Cup for Revision of Dislocation of a Hip Prosthesis in a Dog with Chronic Hip Dislocation

  • Jaemin Jeong;Haebeom Lee
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.390-394
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    • 2022
  • A 6-year-old, 36.5 kg castrated male Golden Retriever presented for revision surgery for left total hip replacement. The patient underwent removal of the cup and head implants due to unmanageable prosthetic hip dislocation, despite revision surgery. On physical examination, the dog showed persistent weight-bearing lameness after exercise of the left hindlimb with mild muscle atrophy. Radiographic examination revealed dorsolateral displacement of the femur with a remnant stem and bony proliferation around the cranial and caudal acetabulum rims. The surgical plan was to apply the dual mobility cup to increase the range of motion and jump distance to correct soft tissue elongation and laxity caused by a prolonged period of craniodorsal dislocation of the femur. The preparation of the acetabulum for cup fixation was performed with a 29-mm reamer, and the 29.5-mm outer shell was fixed with five 2.4-mm cortical screws. The head and medium neck of the dual-mobility system were placed on the cup, and the hip joint was reduced between the neck and stem. The dog exhibited slight weight bearing on a controlled leash walk the day after surgery. The patient was discharged 2 weeks postoperatively without any complications. Six months postoperatively, osseointegration and a well-positioned cup implant were observed, and the dog showed excellent limb function without hip dislocation until 18 months of phone call follow-up.

Reconstruction of Triceps Tendon Avulsion Using Mesh Graft and Krackow Suture in a Border Collie

  • Hyeon-Jong Choi;Jong-Hoon Kim;Eunchae Yoon;Tae-Sung Hwang;Hee-Chun Lee;Dongbin Lee;Jae-Hoon Lee
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.378-383
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    • 2022
  • A 3-year-old, 24-kg intact female Border Collie was referred for a toe-touch weight-bearing stance, intermittent weight-bearing lameness, and moderate pain reaction of the right forelimb on physical examination and right humerus olecranon avulsion fracture on diagnostic imaging examination. Surgical repair was performed using tension band wiring to re-attach the triceps tendon and distal olecranon. Migration of the distal olecranon fragment was observed due to comminuted fracture of the fragment 5-days after surgery, and revision surgery was performed. The tension-relieving sutures were passed through the pre-drilled hole in the olecranon, and the polyester mesh was augmented to the suture region, covering the triceps tendon and olecranon drilling hole using the Krackow suture pattern. The elbow joint was immobilized using a type IA transarticular external fixator, which was removed 8 weeks after surgery. Fourteen weeks after surgery, no lameness was observed on gait evaluation. At follow-up after 7 months, the distal olecranon fragment had stabilized, and no lameness was observed.

Optimal Design for Seismically Isolated Bridges with Frictional Bearings (마찰받침이 있는 지진격리교량의 최적설계)

  • Lee, Gye-Hee;You, Sang-Bae;Ha, Dong-Ho
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.5A
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    • pp.399-406
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    • 2010
  • In this paper, the optimization of frictional bearings that applied to improve the seismic performance of conventional bridges were conducted. The nonlinear dynamic analysis of steel bridges and concrete bridges are carried out with the El Centro and artificial earthquake motions, and the reponses of the bridges were optimized by genetic algorithm. The object functions were considered with two parameters, such as shear forces and displacements at bearing, and the optimum object functions were searched by varying the weighting factors of the two parameters. As results, in case of the steel bridges, the optimum results were obtained when larger weight factor was imposed to the shear force. However, in case of concrete bridges, larger weight factor was need to the displacement for optimum results.

The Effects of Varying Foot Placement on Sit-to-stand in Patients with Hemiplegia (발의 위치가 편마비 환자의 의자에서 일어서기에 미치는 영향)

  • Kim, Jong-Man;Roh, Jung-Suk
    • Physical Therapy Korea
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    • v.4 no.1
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    • pp.30-38
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    • 1997
  • The patients with hemiplegia show different body weight distribution as compared to normal subjects. These patients load their body weight more on sound leg than affected leg. The purpose of this study was to examine the effect of foot placement under three conditions: forward, intermediate, and backward placement, on body weight distribution and time needed to rise while assuming sit-to-stand. Fourteen patients with hemiplegia participated in the study. Their body weight distributions during sit-to-stand under the three different conditions were measured by a limb loader and time needed to rise was measured by a stopwatch. The data were analysed by the repeated measure of one-way ANOVA. Statistical Analysis demonstrated that body weight distribution was less asymmetric in backward foot placement. The difference of body weight bearing rate between sound leg and affected leg was significantly decreased as foot placement moved from forward to backward. These results show that backward foot placement during sit-to-stand make patient with henuplegia distribute their body weight more evenly on the lower extremity.

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Clinical Results after Closed Reduction and Internal Fixation for Unstable Subtle Injuries of Lisfranc Joint (초기 진단에 어려움이 있는 불안정성 족근 중족 관절 미세 손상에 대한 도수 정복 및 내고정술 후 임상적 결과)

  • Yu, Sun-O;Park, Yong-Wook;Kim, Joo-Sung;Lee, Gi-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.1
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    • pp.71-75
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    • 2004
  • Purpose: The purpose of this study was to evaluate retrospectively the clinical results of closed reduction and percutaneous screw fixation for unstable injuries on stress radiographs in subtle injuries of Lisfranc joint. Materials and Methods: From June 1997 to March 2003, 6 cases of unstable injuries on stress radiograph in subtle injuries of Lisfranc joint were treated by percutaneous cannulated screw fixation after closed reduction. All cases were injuried by indirect force (twisting injury). The average diastasis between the 1st and 2nd metatarsal base was 3 mm (2-4 mm) on initial nonweight bearing AP radiograph. The average follow-up period was 20 months. Clinical evaluation was assessed according to the American Orthopedic Foot and Ankle Society (AOFAS) midfoot score. Results: The AOFAS midfoot score was average 86 (80-90) points. The average diastasis between 1st and 2nd metatarsal base was 2 mm (1-3 mm) on weight bearing AP radiograph in final follow up. The final diastasis was increased slightly than diastasis in initial postoperative radiographs. But the clinical results were good. There was no correlation between the degree of diastasis and the clinical results. On weight bearing lateral radiograph, the average difference with normal foot in the distance between plantar aspect of 5th metatarsus and medial cuneiform was 2 mm (0-3 mm). One case had mild arthritic change on the radiographs. Conclusion: When the Lisfranc injuries, especially in the subtle injuries were suspicious, the stress views are helpful to assess stability of the Lisfranc injuries and planning of treatment. For unstable injuries on stress radiographs in subtle injuries of Lisfranc joint, closed reduction and percutaneous screw fixation is useful method to expect good clinical results.

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Effects of the Slopes of the Rotational Axis and Bearing Preloads on the Natural Frequencies and Onset Speed of the Instability of a Rotor Supported on Gas Foil Bearings (가스 포일 베어링으로 지지된 고속 회전체의 경사각과 베어링의 기계적 예압이 고유 진동수와 불안정성 발생 속도에 미치는 영향)

  • Park, Moon Sung;Lee, Jong Sung;Kim, Tae Ho
    • Tribology and Lubricants
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    • v.30 no.3
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    • pp.131-138
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    • 2014
  • This study investigates the effects of the slopes of the rotational axis and bearing preloads on the natural frequencies and onset speeds of the instability of a rotor supported on gas foil bearings (GFBs). The predictive model for the rotating system consists of a rigid rotor supported on two gas foil journal bearings (GFJBs) and a pair of gas foil thrust bearings (GFTBs). Each GFJB supports approximately half the rotor weight. As the slope of the rotational axis increases from $0^{\circ}$(horizontal rotor operation) to $90^{\circ}$(vertical rotor operation), the applied load on the GFJB owing to the rotor weight decreases. The predictions show that the natural frequency and onset speed of instability decrease significantly with an increase in the slope of the rotational axis. In a parametric study, the nominal radial clearance and preload for the GFJB were changed. In general, a decrease in the nominal radial clearance lead to an increase in the natural frequency and onset speed of instability. For constant assembly clearance, the decrease in the preload changed the natural frequency and onset speed of instability with insignificant improvements in the rotordynamic stability. The present predictions can be used as design guidelines for GFBs for oil-free high-speed rotating machinery with improved rotordynamic performance.

Clinical Outcomes of Combinations of Locking Compression Plate Fixation through Minimally Invasive Precutaneous Plate Osteosynthesis and Interfragmentary Screw Fixation in Distal Tibia Fracture (경골 원위부 골절에서 최소 침습적 잠김 압박 금속판 고정술과 함께 최소 절개를 통한 골절편간 지연 나사 고정술을 시행한 경우의 치료 결과)

  • Chung, Hyung-Jin;Choo, Ji Woong
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.2
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    • pp.136-142
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    • 2013
  • Purpose: To analyze the outcome of distal tibia fracture treated with the Distal Tibia LCP with combination of interfragmentary screw. Materials and Methods: Between January 2008 and March 2012, data of 34 patients with fracture of distal tibia treated with the Distal Tibia LCP with or without combination of interfragmentary screws were reviewed. There were 17 males and 17 females with an average age of 51.8 years (range, 18~77 years). Radiographic union time and time from surgery until ability to full weight bearing were measured and compared. Callus index was measured as quotient of callus thickness and diameter of corticalis both in AP and sagittal direction. Results: 12 fractures were treated with interfragmentary screws and 22 fractures were treated with bridging plate alone. In interfragmentary fixation group, time to full weight bearing was 14 weeks versus 15.75 weeks without screw. Callus index at bearing was not significantly lesser in patients with screw compated with those without, but callus index difference at posterative 4weeks was sigficant. Radiologic union time was 11.3 weeks in interfragmentary fixation group and 12.58 weeks without screw. Conclusion: The osteosynthesis with the Distal tibia LCP with combination of interfragmentary screw seems to be more stable in postoperative 4weeks than Distal tibia LCP alone, expecting to earlier ROM exercise and rehabilitation.

Antineoplastic Activity of Crude Saponin Mixture from the Roots of Luffa tuberosa (Roxb.) in Ehrlich Ascites Carcinoma Bearing Mice

  • Yeligar Veerendra C.;K. Murugesh;Dash Deepak;Nayak Siva S.;Maiti Bhim C.;Maity Tapan K.
    • Natural Product Sciences
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    • v.12 no.4
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    • pp.247-253
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    • 2006
  • The antitumor activity of crude saponin mixture obtained from Luffa tuberosa (Roxb.) (Fam; Cucurbitaceae) hairy roots (CSLT) in mice transplanted with Ehrlich ascites carcinoma (EAC) was investigated. The EAC-bearing mice receiving 150 and $300{\mu}g/kg$ body weight, (i.p) of CSLT have shown a dose dependent elevation in tumor-tree survival and a highest number of survivors were observed after administration of CSLT $(300{\mu}g/kg)$, which was considered as an optimum dose for its antineoplastic action. The mean survival time (MST) for this dose was approximately $47.1{\pm}0.74d$, when compared with $19.0{\pm}0.36d$ of untreated control. Administration of $300{\mu}g/kg$ CSLT resulted in 130% long-term increased survival time. The measurement of body weight, tumor volume, packed cell volume, viable and non-viable count indicated the efficacy of CSLT in tumor-bearing mice, there was a significant recovery in hematological profiles, and there was depletion in lipid peroxidation levels, and the antioxidant enzyme activities such as GSH, SOD and CAT were restored to near the normal levels. The CSLT was found to be devoid of conspicuous short-term toxicity in the mice when animals were intraperitoneally injected with 250, 500, 750 and $1000{\mu}g/kg$ bodyweight. The treated mice showed conspicuous toxic symptoms only at a dose of $1500{\mu}g/kg$. Mortality of the animals was monitored up to 14 d post drug treatment, $1/7^{th}$ of the $LD_{50}$ dose has been considered for the optimal antineoplastic activity.

Effects of Extracts from Acanthopanax sessiliflorus SEEM Following Gamma-ray Irradiation on Solid Tumor and Immune Cells in Mice (방사선이 조사된 오갈피 나무의 추출물이 생쥐의 복강암 및 면역세포에 미치는 영향)

  • Kim, Hyung-Woo;Cho, Su-In;Kim, Gye-Yeop;Jeon, Byung-Gwan;Cho, Young-Lim;Jeong, Hyun-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.3
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    • pp.736-740
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    • 2007
  • Acanthopanax sessiliflorus SEEM extracts(AS) have been used to treat patient with diseases including cancer in Oriental countries. Recently, AS was known to have anti-cancer and immuno-stimulating activites. For these reasons, we investigated the effects of AS following gamma-ray irradiation on cytotoxicity for solid tumor cell line (S-180) and immune-potentiating ability such as proliferation of thymocytes and splenocytes. Finally we also investigated tumor weight and survival rate in tumor bearing mice. In our results, Treatment with AS suppressed proliferation of solid tumor cells (S-180) effectively. Treatment with AS accelerated thymocyte and splenocyte proliferation in tumor bearing mice. In addition, Treatment with AS reduced tumor weight and prolonged life of tumor bearing mice. In conclusion, we demonstrate that AS following gamma-ray irradiation is useful to treat patients with cancer, and also demonstrate that AS have both direct cytotoxic ability for cancer cells and indirect immune-stimulating action for thymocytes and splenocytes.

Freezing and Bearing Capacity Characteristics of Road Foundations under Temperature Condition (온도조건에 의한 도로하부 지반의 동결 및 지지력 특성)

  • Shin, Eun-Chul;Kim, Sung-Hwan;Park, Jeong-Jun
    • Journal of the Korean Geotechnical Society
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    • v.28 no.3
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    • pp.5-14
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    • 2012
  • In the current design codes for anti-freezing layer, the thickness of anti-freezing layer is calculated by freezing depth against the temperature condition. Therefore, they have a tendency of over-design and uniform thickness without the considerations of thermal stability, bearing capacity and frost susceptibility of materials. So, it is essential for studying the appropriateness and bearing capacity of road foundation materials as well as their seasonal and mechanical properties to take an appropriate and reasonable design of the road structure system. In this paper, the freezing and bearing capacity characteristics of typical road foundation materials were evaluated in the large scale laboratory test. LFWD (light falling weight deflectometer) was used to determine the change of elastic modulus ($E_{LFWD}$) caused by to the frost heave and thaw. Furthermore, the influence of crushed natural aggregate on the freezing of the subgrade soil was studied to verify the function and effectiveness of the anti-freezing layer.