• Journal of the Korean Wood Science and Technology
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• 제24권3호
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• pp.65-71
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• 1996

In the design of wood structures, the consideration of the dynamic load effect has been increased. Generally, damping ratio is presented as the method of considering dynamic load effect. So, the relationship between joint type and damping ratio was investigated. It has been known that the joint extremely damp the dynamic load in wood structures. Static test was performed to determine the effects of nail size and friction area on joint strength and stiffness. Joint strength and stiffness were increased with nail size. However, the static properties of joint was not affected by friction area. Cyclic test was performed to determine the effects of nail size, friction area and load magnitude on damping ratio, Damping ratio was affected by all factors. Increasing the width of the bottom plate was suggested as the most adequate method to increase the damping ratio without the reduction of the static properties of the structures.

• Structural Engineering and Mechanics
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• 제28권2호
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• pp.239-257
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• 2008

Double-sided punched metal plate timber fasteners present projections on both sides, which offer improved joint fire resistance and better joint aesthetics. In this paper, 3-D nonlinear finite element models were developed to simulate double-sided nail plate fastener timber joints. The models, incorporating orthotropic elasticity, Hill's yield criterion and elasto-plasticity and contact algorithms, are capable of simulating complex contact between the tooth and the timber and between the base plate and the timber in a fastener. Using validated models, parametric studies of the double-sided nail plate joints was undertaken to cover the tooth length and the tooth width. Optimal configuration was assumed to have been attained when increase in nail plate tooth width did not result in a raise in joint capacity, in conjunction with the optimum tooth length. This paper presents the first attempt to model and optimise tooth profile of double-sided nail plate fastener timber joints, which offers rational designs of such fasteners.

• 대한골관절종양학회지
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• 제1권2호
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• pp.244-248
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• 1995

사구종 환자 8례중 단순 절제만으로 전례에서 동통 소실과 함께 종괴 제거 후 세심한 조상 봉합을 함으로써 손톱의 변형을 최소화 할 수 있었고, 수술시 손톱을 완전히 제거하지 않고 다시 제 위치에 고정함으로써 수술후 창상치료가 간편하였으며, 환자가 조기에 손가락을 사용하는데 불편함을 최소화 할 수 있었다.

• Clinics in Shoulder and Elbow
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• 제18권1호
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• pp.47-51
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• 2015

Iatrogenic damage of the rotator cuff followed by postoperative shoulder function loss is a potential complication after antegrade intramedullary nailing (AIN) for a humeral fracture. The authors present a case of arthroscopic rotator cuff repair and subacromial decompression of a non-healed rotator cuff tendon (mainly supraspinatus) and secondary impingement syndrome caused either by the tear or a proud nail after AIN for a mid-shaft humeral fracture. At presentation, the patient complained of right shoulder pain and 'snapping', especially during forward elevation and abduction of the shoulder, of 4 years duration. Right shoulder pain started sometime after pain due to the humeral shaft fracture, operation had subsided, and persisted after nail removal. Arthroscopic findings showed a longitudinal rotator cuff tear at the nail entry point that had not healed and severe fibrous hypertrophy on the acromion underspace, which is a unique finding since most longitudinal splits of tendon fibers are more likely to heal than conventional rotator cuff tears detached from bone. The torn rotator cuff was repaired after debridement and placing side-to-side sutures. At his 34-month follow-up after rotator cuff repair, the patient showed complete recovery and had excellent clinical scores.

• 대한족부족관절학회지
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• 제12권1호
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• pp.86-92
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• 2008

Purpose: To evaluate the safety and prognostic factors of intramedullary nailing of distal tibia fractures in terms of function and symptoms of the ankle joint. Materials and Methods: We retrospectively analyzed 22 distal tibial fractures with intramedullary nailing. The mean duration of follow-up was 43 months. We reviewed medical records to describe each case. We measured radiographic parameters such as fracture configuration, arthritic change of the ankle joint and status of reduction. We also assessed clinical results by AOFAS ankle hind foot scoring system, degree of pain by VAS and range of motion to find out prognostic factors for functional result of the ankle joint. Results: Bone healing was obtained in all cases without any wound complications. Mean AOFAS ankle score was 94. There were 4 cases with mild (VAS<3/10) ankle pain and 2 cases with mild limitation of ankle motion. The comminution of fracture had a significant relationship with delayed angular deformity of ankle joint (p=0.032). There was no other significant parameter affecting ankle joint function except the location of nail-end. Conclusion: Intramedullary nailing in distal tibia fracture is a safe and effective procedure. But further study may need to evaluate the relationship between the position of nail-end and the function of ankle joint.

• 대한족부족관절학회지
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• 제19권4호
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• pp.171-175
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• 2015

Purpose: Tibiotalocalcaneal arthrodesis has been used as a treatment option for severe deformity including Charcot arthropathy, avascular necrosis of the talus, and severe osteoarthritis of the ankle and subtalar joint. The purpose of this study was to evaluate the result of the surgical outcome of tibiotalocalcaneal arthrodesis using a retrograde intramedullary nail. Materials and Methods: Tibiotalocalcaneal arthrodesis using a retrograde intramedullary nail was performed by one surgeon in 36 cases. Clinical and radiological finding was evaluated using assessment of fusion time, 5th metatarsal-tibial angle, possibility of postoperative complication, visual analogue scale for pain and American Orthopaedic Foot and Ankle Society (AOFAS) score. Results: Union was achieved in 33 cases at an average of 23 weeks (11~29 weeks). There were 3 cases of nonunion and 1 case of reoperation. Nail-tibial angle tended to be larger in nonunion cases. AOFAS score showed significantly poor outcome at malalignment (${\geq}5^{\circ}$), negative value of 5th metatarsal-tibial angle. Conclusion: Tibiotalocalcaneal arthrodesis using a retrograde intramedullary nail is considered a useful treatment option for severe destruction and deformity involving ankle and subtalar joint.

• 대한골관절종양학회지
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• 제18권2호
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• pp.83-88
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• 2012

조갑하 외골종으로 nail bed의 파괴와 손톱의 변형이 동반된 2명의 환자를 대상으로 수술 후 발생하는 발톱 변형에 초점을 두고 수술적 치료를 시행하였다. 조갑상을 손상시킨 병변에 대해 직접 절개를 통해 병변을 제거하였고 제거 후 조갑상의 결손 부위가 넓어 얇은 부분층 조갑상 이식을 시행하였고 만족할 만한 결과를 얻었다. 부위가 넓어 얇은 부분층 조갑상 이식을 통한 조갑상 결손부위의 치료는 공여부를 비교적 잘 보전하면서 표면이 매끄럽고 접촉성이 좋으며 비교적 정상에 가까운 형태의 발톱을 다시 얻는 데 효과적인 방법이다. 따라서 병변의 크기가 큰 조갑하 외골종의 절제 후 발생한 조갑상 결손의 치료에 좋은 치료방법으로 사료된다.

• Clinics in Shoulder and Elbow
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• 제17권3호
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• pp.120-126
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• 2014

Background: To compare the treatment of the proximal humerus fracture using a Polarus nail or Philos plate, we aimed to analyze the functional recovery and the factors affecting the selection between the two types of surgery. Methods: The study included 107 patients with proximal humerus fracture who underwent surgery at our institution. Of these patients, 67 underwent surgery with Polarus nails (G1) and 40 with Philos plates (G2). In G1, the cases of two- and three-part fractures were 60 and 7 cases, in G2, the cases of two-, three-, and four-part fractures were 28, 10, and 2 cases, respectively. The average age was 61 years old, and the average follow-up period was 32.5 months. We compared radiological results, the functional recovery retrospectively. Results: The radiological union time was 6.8 weeks and 8.7 weeks on average in G1 and G2 (p < 0.05). At the one-year follow-up period, these were visual analogue scale (VAS) 1.355, forward flexion (FF) 130.968, external rotation (ER) 50.161, internal rotation (IR) L2 in G1, and VAS 0.781, FF 135.806 ER 51.25, IR L1 in G2, respectively, showing no significant differences between the two groups (p > 0.05). Similar observations were made at the final follow-up. In terms of functional recovery, no significant differences were seen at the one-year or at the final follow-up period (p > 0.05). Conclusions: For the surgical treatment of proximal humeral fracture, the selection of the type of surgery is affected by the fracture pattern. However, both methods give satisfactory outcomes and do not show significant differences in the functional outcome after the surgery.

• Journal of the Korean Wood Science and Technology
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• 제41권3호
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• pp.211-220
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• 2013

경골목조건축에서 못 접합부는 수평하중을 지지하고 전달하도록 설계되지만, 바람으로 인한 상향력처럼 인발하중에 직면하기도 한다. 본 연구에서는 경골목조건축에서 일반적으로 사용되는 구조재와 덮개로 구성된 못 접합부에 대하여 인발성능과 2면 전단시험을 통해 인발 및 측방하중에 대한 내력성능을 시험하고 설계기준에 부합되는 가를 평가하였다. 인발하중에 대한 내력성능은 부재의 비중에 의해 크게 좌우되었으며 I형장선의 경우 낮은 밀도에도 불구하고 높은 인발성능을 나타내었다. 최대 인발하중은 기준허용 최대 인발하중보다 매우 높게 나타났다. 전단성능도 비중이 큰 낙엽송과 오에스비로 구성된 접합부가 비중이 작은 SPF와 오에스비로 구성된 접합부보다 높은 성능을 나타내었으며 모두 기준설계치보다 높은 성능을 나타내었다. 접합부의 변형은 주로 못의 휨 변형에 의한 것으로 나타났으며 SPF와 오에스비로 구성된 접합부에서의 못의 휨 변형이 현저하게 나타났다.

• Journal of the Korean Wood Science and Technology
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• 제37권6호
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• pp.524-530
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• 2009

기둥-보 구조와 경골목구조가 혼합된 공법은 경골목구조가 심벽 또는 평벽 요소로써 구조내력성능의 대부분을 차지하고 있다. 경골목구조의 수평전단내력성능은 면재에 대한 못접합부의 전단성능으로부터 예측할 수 있으며, 못접합부는 못의 휨내력성능을 이용하여 예측할 수 있다. 못접합에 의한 내력벽의 항복내력과 벽체 강성을 예측하기 위한 기초 연구로써 못의 휨내력성능을 이용한 못접합부의 항복내력 및 접합계수(초기강성)를 검토하였다. 못접합부 내력성능 예측에는 각각의 주부재에 대해 일반 지압내력 및 지압강성을 이용하고, 파스너인 나선형 철선못의 휨시험에 의한 휨항복내력성능을 이용하였다. 홈가공부의 지름에 의한 항복내력은 예측 정밀성이 우수하였으나, 접합계수는 낮게 예측되었다. 그 원인으로 주부재에서는 비중의 영향, 측면부재에서는 못머리지름에 의한 인발, 접합부에서는 못머리부의 지압 및 모멘트저항 등이 영향을 끼침을 알 수 있었으며, 이에 대한 차후 검토가 요구된다.