• 제목/요약/키워드: repair technique

검색결과 683건 처리시간 0.028초

Biomechanical Test for Repair Technique of Full-thickness Rotator Cuff Tear

  • Lim, Chae-Ouk;Park, Kyoung-Jin
    • Clinics in Shoulder and Elbow
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    • 제19권1호
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    • pp.51-58
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    • 2016
  • The arthroscopic rotator cuff repair is now considered a mainstream technique with highly satisfactory clinical results. However, concerns remain regarding healing failures for large and massive tears and high revision rate. In recent decades, various repair strategies and construct configurations have been developed for rotator cuff repair with the understanding that many factors contribute to the structural integrity of the repaired construct. The focus of biomechanical test in arthroscopic repair has been on increasing fixation strength and restoration of the footprint contact characteristics to provide early rehabilitation and improve healing. These include repaired rotator cuff tendon-footprint motion, increased tendon-footprint contact area and pressure, and tissue quality of tendon and bone. Recent studies have shown that a transosseous tunnel technique provides improved contact area and pressure between rotator cuff tendon and insertion footprint, and the technique of using double rows of suture anchors to recreate the native footprint attachment has been recently described. The transosseous equivalent suture bridge technique has the highest contact pressure and fixation force. In this review, the biomechanical tests about repair techniques of rotator cuff tear will be reviewed and discussed.

Self-healing Technique을 적용한 폴리머 복합재의 손상 보수 연구 (Study on Damage Repair of Polymer Composites Using Self-Healing Technique)

  • 윤성호;윤영기
    • 한국복합재료학회:학술대회논문집
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    • 한국복합재료학회 2001년도 춘계학술발표대회 논문집
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    • pp.93-96
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    • 2001
  • Structural polymer composites are susceptible to damage in the form of cracks, which form deep within the structure where detection is difficult and repair is almost impossible. A recent methodology for the damage repair of polymer composites using the self-healing technique is reported. The polymerization of the healing agent is triggered by contact with an embedded catalyst, being necessary to damage repair of polymer composites. For this purpose, the self-healing concept is introduced and the manufacturing process of microcapsule with the healing agent is briefly described. The polymerization between the healing agent and the catalyst is verified by the use of ESEM and IR spectroscopy. Finally the efficiency of the self-healing technique is investigated by measuring the critical load of TDCB specimen.

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Effectiveness of some conventional seismic retrofitting techniques for bare and infilled R/C frames

  • Kakaletsis, D.J.;David, K.N.;Karayannis, C.G.
    • Structural Engineering and Mechanics
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    • 제39권4호
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    • pp.499-520
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    • 2011
  • The effectiveness of a technique for the repair of reinforced concrete members in combination with a technique for the repair of masonry walls of infilled frames, damaged due to cyclic loading, is experimentally investigated. Three single - story, one - bay, 1/3 - scale frame specimens are tested under cyclic horizontal loading, up to a drift level of 4%. One bare frame and two infilled frames with weak and strong infills, respectively, have been tasted. Specimens have spirals as shear reinforcement. The applied repair technique is mainly based on the use of thin epoxy resin infused under pressure into the crack system of the damaged RC joint bodies, the use of a polymer modified cement mortar with or without a fiberglass reinforcing mesh for the damaged infill masonry walls and the use of CFRP plates to the surfaces of the damaged structural RC members, as external reinforcement. Specimens after repair, were retested in the same way. Conclusions concerning the effectiveness of the applied repair technique, based on maximum cycles load, loading stiffness, and hysteretic energy absorption capabilities of the tested specimens, are drawn and commented upon.

관절경적 회전근 개 봉합술: 이열 봉합술 및 교량형 봉합술식 (Arthroscopic Rotator Cuff Repair: Double Rows & Suture Bridge Technique)

  • 신상진
    • Clinics in Shoulder and Elbow
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    • 제11권2호
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    • pp.82-89
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    • 2008
  • 이상적인 회전근 개 봉합술은 봉합 초기 높은 고정 강도로 봉합 부위 건-골간 간격 형성을 최소화시키며, 재활 과정 중 발생하는 반복적인 부하에도 견디는 기계적 강도를 나타내어 궁극적으로 건-골 조직의 생물학적 치유를 얻을 수 있는 방법이다. 현재 사용되는 회전근 개 봉합술 중 교량형 봉합술식은 회전근 개 부착 부위를 해부학적으로 복원할 수 있으며, 건-골간 압력 접촉 면적을 증가시키고, 방사형의 봉합 형태를 통하여 회전근 개 전체에 균등하게 압력을 분포함으로 부하를 분산시키며 생물학적 치유를 향상시킨다. 또한 건-골간 간격 형성을 최소화하며 전단 및 회전 응력에 저항력을 주어 정상과 동일한 해부학적 복원력으로 빠른 재활 운동을 가능하게 한다. 그러나 비록 교량형 봉합술식이 다른 술식에 비해 우수한 생역학적 특성을 나타내도 임상적으로 더 좋은 결과를 초래한다는 증거는 없으며, 이열 봉합술과는 비슷한 재파열율이 보고되고 있다. 회전근 개봉합술의 선택은 회전근 개 파열 크기, 파열 양상 및 건의 상태 등을 고려하여 적절하게 선택하여야 할 것으로 사료된다.

항공기 기체에 적용된 샌드위치 복합재 구조의 손상 후 수리 방안 연구 (A Study on Repair Technique after Damage of Aircraft Sandwich Composite Structure)

  • 박현범;공창덕
    • 항공우주시스템공학회지
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    • 제7권1호
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    • pp.39-43
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    • 2013
  • In this study, damage assesment and repair technique of aircraft adopted on Sandwich composite structure were performed. The sandwich composite structure were damaged by drop weight type impact test machine. The damaged sandwich composite structure was repaired using external patch repair method after removing damaged area. This study presents comparison results of the experimental investigation between the impact damaged and the repaired specimen.

Vascularisation of Urethral Repairs with the Gracilis Muscle Flap

  • Kua, Ee Hsiang Jonah;Leo, Kah Woon;Ong, Yee Siang;Cheng, Christopher;Tan, Bien-Keem
    • Archives of Plastic Surgery
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    • 제40권5호
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    • pp.584-588
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    • 2013
  • Background The ability to achieve a long-term, stricture-free urethral repair is one of the ongoing challenges of reconstructive urologic surgery. A successful initial repair is critical, as repeat procedures are difficult, owing to distortion, scarring, and short urethral stumps. Methods We describe a technique in which the gracilis muscle flap is laid on or wrapped around the urethral repair site to provide a well-vascularised soft tissue reinforcement for urethral repair. This technique promotes vascular induction, whereby a new blood supply is introduced to the repair site to improve the outcome of urethral repair or anastomotic urethroplasty. The surface contact between the muscle flap and the repair site is enhanced by the use of fibrin glue to improve adherence and promote inosculation and healing. We employed this technique in 4 patients with different urethral defects. Results After a follow-up period of 32 to 108 months, all of the urethral repairs were successful without complications. Conclusions Our results suggest that the use of a gracilis muscle flap to vascularise urethral repairs can improve the outcome of challenging urethral repairs.

탄산화에 노출된 철근콘크리트 구조물의 로그 및 정규 수명분포를 고려한 보수비용 해석 (Repair Cost Analysis for RC Structure Exposed to Carbonation Considering Log and Normal Distributions of Life Time)

  • 우상인;권성준
    • 한국건설순환자원학회논문집
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    • 제6권3호
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    • pp.153-159
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    • 2018
  • 지하구조물에 주로 발생하는 탄산화는 콘크리트 내부의 공극수의 pH감소에 따라 부식을 유발할 수 있으므로 많은 연구가 진행되고 있다. 그러나 이산화탄소로부터 표면을 보호하는 간단한 표면 보수방법을 통하여 구조물의 내구수명의 연장이 가능하다. 기존의 결정론적 유지관리 기법과는 다르게, 확률론적 유지관리 기법에서는 내구수명의 변동성이 고려될 수 있으나 정규분포만 다루고 있다. 본 연구에서는 정규분포 이외에 로그분포를 고려할 수 있는 수명-확률분포를 유도하였으며, 이를 기초로 다양한 수명-확률분포 함수를 고려한 보수비 산정기법을 제안하였다. 제안된 기법은 초기의 내구수명 분포 또는 보수재를 통하여 연장된 내구수명 분포가 정규 또는 로그분포를 가질 경우 목표내구수명의 연장에 따라 확률론적 기법을 통하여 보수비를 평가할 수 있다. 보수를 통한 내구수명이 로그분포를 가질 경우 효과적으로 보수비를 감소시킬 수 있으며, 장기 실험 또는 실태조사를 통하여 내구수명 분포가 정의될 수 있다면 더욱 합리적인 유지관리 계획을 수립할 수 있을 것으로 판단된다.

Unilateral cleft lip repair: a comparison of treatment outcome with two surgical techniques using quantitative (anthropometry) assessment

  • Adetayo, Adekunle M.;James, Olutayo;Adeyemo, Wasiu L.;Ogunlewe, Mobolanle O.;Butali, Azeez
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제44권1호
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    • pp.3-11
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    • 2018
  • Objectives: The unilateral cleft lip (UCL) repair technique has evolved extensively over the past century into its modern form and has been identified as an important determinant of treatment outcome. The aim of this study was to evaluate and compare treatment outcomes following repair of UCL using either the Tennison-Randall (triangular) technique or the Millard rotation-advancement technique. Materials and Methods: This was a prospective randomized controlled study conducted at the Lagos University Teaching Hospital between January 2013 and July 2014. A total of 48 subjects with UCL presenting for primary surgery and who satisfied the inclusion criteria were recruited for the study. The subjects were randomly allocated into two surgical groups through balloting. Group A underwent cleft repair with the Tennison-Randall technique, while group B underwent cleft repair with the Millard rotation-advancement technique. Surgical outcome was assessed quantitatively according to anthropometric measurements, using a method described by Cutting and Dayan (2003). Results: Our 48 enrolled subjects were evenly divided into the two surgery groups (n=24 for both group A and group B). Twenty-seven subjects were male (56.3%) and 21 were female (43.8%), making a sex ratio of 1.3:1. The Millard group showed a greater increase in postoperative horizontal length and vertical lip height and a greater reduction in nasal width and total nasal width. Meanwhile, the Tennison-Randall group showed better reduction of Cupid's-bow width and better philtral height. Conclusion: We did not find any significant differences in the surgical outcomes from the two techniques. The expertise of the surgeon and individual patient preferences are the main factors to consider when selecting the technique for unilateral cleft repair.

Reconstruction of a Traumatic Cleft Earlobe Using a Combination of the Inverted V-Shaped Excision Technique and Vertical Mattress Suture Method

  • Park, June Kyu;Kim, Kyung Sik;Kim, Seung Hong;Choi, Jun;Yang, Jeong Yeol
    • 대한두개안면성형외과학회지
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    • 제18권4호
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    • pp.277-281
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    • 2017
  • Traumatic cleft earlobes are a common problem encountered by plastic and reconstructive surgeons. Various techniques have been reported for the repair of traumatic cleft earlobes. Usually, the techniques of split earlobe repair are divided into two categories, namely straight- and broken-line repairs. Straight-line repair is simple and easy, but scar contracture frequently results in notching of the inferior border of the lobule. It can be avoided by the broken-line repair such as Z-plasty, L-plasty, or a V-shaped flap. Between April 2016 and February 2017, six patients who presented with traumatic cleft earlobe underwent surgical correction using a combination of the inverted V-shaped excision technique and vertical mattress suture method. All the patients were female and had a unilateral complete cleft earlobe. No postoperative notching of the inferior border the lobule occurred during 6-16 months of follow-up. Without the use of a broken-line repair, both the patients and the operators attained aesthetically satisfactory results. Therefore, the combination of the inverted V-shaped excision technique and vertical mattress suture method is considered useful in the treatment of traumatic cleft earlobes.