• Journal of the Korean Arthroscopy Society
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• v.13 no.3
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• pp.254-258
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• 2009

Tibial eminence fracture is caused by distortion, excessive flexion and extension, varus and valgus injury of the knee joint in the form of avulsion fracture. A failure over the exact anatomical reduction of fragment can lead to instability and limitation of joint motion. Recently, a variety of arthroscopic assisted reduction and fixation technique have been used. In the tibial eminence fracture, we created an arthroscopic pull-out wire fixation technique using a cannulated screw that is easy and more convenient than in the conventional technique. So we report this technique with a review of current literatures.

• Journal of Korean Orthopaedic Sports Medicine
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• v.1 no.1
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• pp.61-64
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• 2002

The authors report one case of isolated avulsion fracture of the tibial attachment of the posterior cruciate ligament. A 13 years old boy was admitted for right knee pain and swelling after the soccer injury on his knee. Hemarthrosis and posterior instability were present. Simple roentgenographic examination showed an isolated avulsion fracture of the tibial attachment of the posterior cruciate ligament. Open approach through the popliteal fossa was used and bony fragment was fixed into its bed using pull-out sutures. Postoperatively, a long leg cast was applied for 4 weeks. The patient was followed for 6 months. He returned to his previous activity levels. There was no residual laxity. Isolated avulsion of the posterior cruciate ligament from the tibia before the epiphyseal fusion is very rare in children. We reported one case of our experience and its result.

• Archives of Plastic Surgery
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• v.33 no.6
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• pp.780-783
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• 2006

Purpose: Rupture of a collateral ligament of the metacarpophalangeal joint is rare except in the thumb. The injured digit became flexed and deviated toward ulna side by the hypothenar intrinsic musculature. Incomplete rupture of a collateral ligament of the metacarpophalangeal joint can be often managed by splinting the affected digit in flexion position, however, in the case of complete tears that distraction of the ends of the ruptured collateral ligament is too great to allow repositioning by splinting. Primary repair of the ruptured collateral ligament or reattachment to bone by a pull-out wire, or tendon graft technique appears to be adequate. Methods: We report a case of instability of fifth metacarpophalangeal joint due to complete rupture of radial collateral ligament. This 18-year-old male presented pain in his right outstretched hand after trauma. The diagnosis was obtained by physical examination and simple radiography. Because of persistent instability after the initial conservative treatment, open reduction and repair surgical treatment was required. Results: The fifth metacarpophalangeal joint became free of pain and stable under forced lateral deviation. Postoperative results showed good metacarpophalangeal joint function and stability during 8 months follow-up period. Conclusion: Because of the interposition of the sagittal band between the ruptured ends of radial collateral ligament such as Stener-like lesion of the thumb, surgical repair of metacarpophalangeal joint collateral ligament of the finger was justified in case of complete laxity in full flexion.

• Journal of the Korean Arthroscopy Society
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• v.1 no.1
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• pp.112-115
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• 1997

While the cruciate ligament has a profuse vascular response following injury, spontaneous repair does not occur. This may result from the fact that synovial fluid dilution of the hematoma following injury prevents the formation of a fibrin clot and thus the initiation of the healing mechanism. Another theory suggests that the dynamic nature of the fascicles of the anterior cruciate ligament(ACL) through even small ranges of motion prohibits spontaneous union to these fibers. But we experienced two cases of spontaneous healing of partially injured ACL. Initially they showed more than grade II anterior instability. 6 mm difference by stress roentgenographs(pull view) and difference of 8 mm by KT 1000TM arthrometer between the ACL injured knee and normal side knee. Lax, nearly complete tear of ACL and synovial bleeding were noted during arthroscopic examination but the continuity of synovial membrane was seemed to be intact. These cases were treated by conservative management rather than reconstructive procedure. Postoperatively they showed excellent clinical results, no anterior instability and unlimited athletic activity. Based on our clinical experience. we think that cruciate ligament has the spontaneous healing potential in acute stage and middle aged patient. We consider the microfracture technique and initial immobilization for accelleration of healing response of the ACL.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.10 no.11
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• pp.5271-5289
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• 2016

On large-scale data analysis platforms deployed on cloud infrastructures over the Internet, the instability of the data transfer time and the dynamics of the processing rate require a more sophisticated data distribution scheme which maximizes parallel efficiency by achieving the balanced load among participated computing elements and by eliminating the idle time of each computing element. In particular, under the constraints that have the real-time and limited data buffer (in-memory storage) are given, it needs more controllable mechanism to prevent both the overflow and the underflow of the finite buffer. In this paper, we propose an auto regulated data provisioning model based on receiver-driven data pull model. On this model, we provide a synchronized data replenishment mechanism that implicitly avoids the data buffer overflow as well as explicitly regulates the data buffer underflow by adequately adjusting the buffer resilience. To estimate the optimal size of buffer resilience, we exploits an adaptive buffer resilience control scheme that minimizes both data buffer space and idle time of the processing elements based on directly measured sample path analysis. The simulation results show that the proposed scheme provides allowable approximation compared to the numerical results. Also, it is suitably efficient to apply for such a dynamic environment that cannot postulate the stochastic characteristic for the data transfer time, the data processing rate, or even an environment where the fluctuation of the both is presented.

• Tunnel and Underground Space
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• v.20 no.2
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• pp.105-111
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• 2010

This study is to consider applicability of spiral bolt strain gauge as an instrument measuring behavior of soft ground foundation and rock slope. When the instrument was installed on the ground, it can be useful to identify the state of ground behavior because it has the characteristics of flexibility, as well as to apply the ground reinforcement because it has higher pull-out resistance to the ground. From the measurement of behavior to soft ground foundation, the strain shows a stable state in the beginning, then was observed significant change in the upper and the middle of spiral bolt strain gauge after 400 days. This is analyzed that ground loosening, which is due to occurred frequent earthquake of magnitude 1~2 with increased rainfall, lead to the instability of the ground. From the measurement of behavior to rock slope, the strain shows a stable state with very little change in a period of 0~50 days and the biggest strain at 4.2 m (P6) in a period of 50~100 days, then other places except P6 was maintained at a stable state in a period of 100~160 days. The reason is analyzed because that blasting for excavated limestone surrounding was affected to the largest at P6. However, based on the size of strain change by behavior of the soft ground foundation and rock slope, it is considered that the present condition are not effected on stability of retaining structure and rock slope. In conclusion, the proposed spiral bolt strain gauge can be useful to measure behavior of soft ground foundation and rock slope, and also to be measured behavior as well as reinforcement of the target ground.