• Journal of Korean Foot and Ankle Society
• /
• v.27 no.4
• /
• pp.123-130
• /
• 2023

Purpose: "Hallux valgus" is a common disease encountered in clinical practice and is accompanied by foot deformities. Conservative treatment is commonly used in the early stages of hallux valgus. On the other hand, surgical treatment often becomes necessary as the deformity progresses. Surgical treatments involve various osteotomy methods or joint fusion procedures combined with soft tissue release, and outcomes from these surgical treatments are generally favorable. This study compared two soft tissue release techniques in the hallux region. Materials and Methods: This study conducted a retrospective cohort study on 48 participants who underwent surgical treatment for hallux valgus at a single institution from March 1, 2018, to March 31, 2023. A scarf osteotomy was performed in all cases, and the "Modified Mcbride procedure" or "Trans-articular approach" was done for soft tissue release. Hallux valgus angle (HVA), intermetatarsal angle (IMA), and the degree of subluxation of the lateral sesamoid were measured through simple foot radiographs taken before surgery and one year after surgery. Results: In the Modified Mcbride procedure group, HVA, IMA, and the sesamoid position grade decreased from 34.94° to 9.98°, 15.64° to 5.44°, and 2.47 to 0.44, respectively. In the trans-articular approach group, HVA, IMA, and the sesamoid position grade decreased from 33.42° to 7.34°, 15.06° to 6.03°, and 2.17 to 0.58, respectively. There was no significant difference in these changes between the preoperative and one-year postoperative measurements for both techniques (p-value>0.05). Conclusion: A radiological assessment of soft tissue release through the Modified Mcbride procedure and trans-articular approach in hallux valgus did not show significant differences. Therefore, both surgical techniques can be considered in the distal soft tissue release for a hallux valgus correction.

• Structural Engineering and Mechanics
• /
• v.16 no.6
• /
• pp.675-693
• /
• 2003

In order to consider the modified seismic response of framed structures in the presence of masonry infills, proper models have to be formulated. Because of the complexity of the problem, a careful definition of a diagonal pin-jointed strut, able to represent the horizontal force-interstorey displacement cyclic law of the actual infill, may be a solution. In this connection the present paper shows a generalized criterion for the determination of the ideal cross-section of the strut mentioned before. The procedure is based on the equivalence between the lateral stiffness of the actual infilled frame scheme during the conventional elastic stage of the response and the lateral stiffness of the same frame stiffened by a strut at the same stage. Unlike the usual empirical approaches available in the literature, the proposed technique involves the axial stiffness of the columns of the frame more than their flexural stiffness. Further, the influence of the bidimensional behaviour of the infill is stressed and, consequently, the dependence of the dimensions of the equivalent pin-jointed strut on the Poisson ratio of the material constituting the infill is also shown. The proposed approach is extended to the case of infills with openings, which is very common in practical applications.

• Structural Engineering and Mechanics
• /
• v.63 no.1
• /
• pp.23-35
• /
• 2017

A nonlinear static procedure considering work-energy principle and global failure mechanism to estimate base shears of reinforced concrete (RC) frame-type structures is presented. The relative energy equation comprising of elastic vibrational energy, plastic strain energy and seismic input energy is obtained. The input energy is modified with a factor depending on damping ratio and ductility, and the energy that contributes to damage is obtained. The plastic energy is decreased with a factor to consider the reduced hysteretic behavior of RC members. Given the pre-selected failure mechanism, the modified energy balance equality is written using various approximations for modification factors of input energy and plastic energy in scientific literature. External work done by the design lateral forces distributed to story levels in accordance with Turkish Seismic Design Code is calculated considering the target plastic drift. Equating the plastic energy obtained from energy balance to external work done by the equivalent inertia forces considering, a total of 16 energy-based base shears for each frame are derived considering different combinations of modification factors. Ductility related parameters of modification factors are determined from pushover analysis. Relative input energy of multi degree of freedom (MDOF) system is approximated by using the modal-energy-decomposition approach. Energy-based design base shears are compared with those obtained from nonlinear time history (NLTH) analysis using recorded accelerograms. It is found that some of the energy-based base shears are in reasonable agreement with the mean base shear obtained from NLTH analysis.

• Archives of Plastic Surgery
• /
• v.47 no.4
• /
• pp.347-353
• /
• 2020

Background This study evaluated the outcomes of a new modified Wies technique for patients with involutional lower eyelid entropion without horizontal eyelid laxity. Methods This case series retrospectively analyzed consecutive patients with entropion who underwent surgery between January 2014 and March 2019 by the same experienced surgeon. Horizontal eyelid laxity, lower eyelid retractor function, and orbicularis muscle overriding were recorded before and after surgery. The recurrence rate and complications were also evaluated. This technique consisted of modified everting sutures combined with reattachment of the lower eyelid retractors to the inferior tarsal plate. Results This new technique was performed on 28 eyes in 25 patients (mean age, 71.0±8.0 years; range, 56-87 years). Nine patients (36%) were women and 16 (64%) were men. Lower lid entropion was present in the right eye in 14 patients (56%), the left eye in eight patients (32%), and both eyes in three patients (12%). The mean follow-up period was 27.3±12.4 months (range, 6-60 months). No intraoperative complications were observed. All patients' symptoms were alleviated. One patient (3.6%) had recurrence after 2 years (success rate, 96.4%). The remaining 27 eyes maintained a satisfactory and comfortable eyelid position. No patients had problems with scarring. Conclusions The approach described herein proved to be safe and feasible in eyes with involutional lower eyelid entropion without horizontal eyelid laxity. These advantages of this procedure include the lack of a conjunctival scar, punctal eversion, and lateral canthal angle deformation. A low recurrence rate and a long interval to recurrence were also observed.

• Transactions of the Korean Society for Noise and Vibration Engineering
• /
• v.23 no.6
• /
• pp.537-545
• /
• 2013

In this paper, the vibration for actuators having lens module, confined to lateral and torsional directions of suspensions, is described by mathematically analyzing its suspension configuration and motion. In order to prove the accuracy of this result, it is compared to a finite element analysis. Also it is shown that modal frequencies can be modified by changing design parameters in mathematical motion expressions.

• Proceedings of the KSR Conference
• /
• 2010.06a
• /
• pp.1017-1025
• /
• 2010

The Purpose of this paper is to characteristics and analysis of ride comfort by using HRV. Although the riding comfort of trains has been managed by setting allowable accelerations of 3-axis motion in cabins, it is impossible for this approach to express the psychophysical relationship between various vibrational factors and riding comfort. in order to propose a function to evaluate the riding comfort of train on conventional railroad, an experiment was performed with the Korea Tilting Tran eXpress(TTX). As a result, by referring to some international standards on the method of evaluating ride comfort, a modified method was proposed to evaluate the lateral vibration in addition to the roll motion on carve transitions.

• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
• /
• 2012.10a
• /
• pp.792-798
• /
• 2012

This study shows the vibration characteristics of an actuator with six wire-suspensions, used in optical pickups of optical disc drives (ODDs). In this paper, the vibration characteristics of this beam structure is induced mathematically. To obtain vibration modes of focusing direction, the vibration analysis is achieved in lateral and longitudinal directions of the structure. The accuracy of induced vibration characteristics is proved by comparing mode frequencies with a finite element analysis. Finally, it is shown that mode shapes can be modified by changing design parameters in mathematical expressions.

• Transactions of the Korean Society for Noise and Vibration Engineering
• /
• v.22 no.11
• /
• pp.1128-1136
• /
• 2012

This paper analyzes the vibration characteristics of an optical pickup actuator, which has six wire-suspensions and is used in optical disc drives(ODDs). The vibration characteristics of the actuator is mathematically described by analyzing its beam configuration and motion condition confined to lateral and longitudinal directions of the beams. The accuracy of the vibration characteristics is proved by comparing mode frequencies with a finite element analysis. Finally, it is shown that mode frequencies and shapes can be modified by changing design parameters in mathematical expressions.

• Proceedings of the KSR Conference
• /
• 2009.05a
• /
• pp.1566-1573
• /
• 2009

Although the riding comfort of tilting trains has been managed by setting allowable limits of roll motion in Korea, it is impossible for this approach to express the psychophysical relationship between various vibrational factors and riding comfort. in order to propose a function to evaluate the riding comfort of tilting train on transition curves, an experiment was performed with the Korea Tilting Tran eXpress(TTX). As a result, by referring to some international standards on the method of evaluating ride comfort, a modified method was proposed to evaluate the lateral vibration in addition to the roll motion on carve transitions.

• Journal of Korean Neurosurgical Society
• /
• v.30 no.9
• /
• pp.1079-1085
• /
• 2001

Objective : We analysed various surgical approaches and surgical results of 28 middle cranial base tumors for the purpose of selecting optimal surgical approach to the middle cranial base tumor. Methods : In this retrospective review, 28 patients, including 16 meningioma, 6 trigeminal neurinoma, 2 pituitary adenoma, 2 craniopharyngioma, 1 facial neurinoma, and 1 metastatic tumor, underwent surgical treatment using skull base technique. Of theses, 16 tumors were mainly confined to middle cranial fossae, 5 tumors with extension into both anterior and middle fossa, and 7 tumors with extension into both middle and posterior fossa. Tumors that confined to the middle cranial fossa or extended into the anterior cranial fossa were operated with modified pterional, orbitozygomatic or Dolen'c approach, and tumors that extended into the posterior cranial fossa were operated with anterior, posterior or combined transpetrosal approach. Completeness of tumor resection, surgical outcome, postoperative complication, and follow up result were studied. Results : Total tumor removal was achieved in 9 tumors of 10 tumors that did not extended to the cavernous sinus, and was achieved in 7 tumors of 8 tumors that extended to the lateral wall of the cavernous sinus. Of 10 tumors that extended to the venous channel of the cavernous sinus, only 2 were removed totally. Surgical outcome was excellent in 14 patients, good in 10, fair in 2 and poor in 2. There were no death in this series. Dumbell type tumor which extended into both middle and posterior fossae showed tendency of poor prognosis as compared with tumors that confined middle cranial fossa and extended into both anterior and middle cranial fossa. Postoperative dysfunctions were trieminal hypesthesia in 3, oculomotor nerve palsy in 2, abducens nerve palsy in 2, hemiparesis in 2, cerebellar sign in 1, facial palsy in 1 and hearing impairment in 1. Conclusion : Based on our findings and a review of the literature, we conclude that, when selecting the surgical approach to the middle cranial fossa tumors, the most important factors to be considered were exact location of the tumor mass and existence of the cavernous sinus invasion by tumor mass. We recommend modified pterional or orbitozygomatic approach in cases with tumors located anterior and middle cranial base, without cavernous sinus invasion. In cases with tumors invading into cavernous sinus, we recommend Dolen'c or orbitozygomatic approach. And in lateral wall mass and the cavernous sinus, it is preferred to approach the tumor extradurally. For the tumor involing with middle fossa and posterior fossa(dumbell type) a combined petrosal approach is necessary. In cases with cavernous sinus invasion and internal carotid artery encasement, we recommend subtotal resection of the tumor and radiation therapy to prevent permanent postoperative sequele.