• Clinics in Shoulder and Elbow
• /
• v.19 no.1
• /
• pp.51-58
• /
• 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.

• Proceedings of the Korean Society For Composite Materials Conference
• /
• 2001.05a
• /
• pp.93-96
• /
• 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.

• Structural Engineering and Mechanics
• /
• v.39 no.4
• /
• pp.499-520
• /
• 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.

• Clinics in Shoulder and Elbow
• /
• v.11 no.2
• /
• pp.82-89
• /
• 2008

Ideal rotator cuff repair is to maintain high fixation strength and minimize gap formation for optimizing the environment of biologic healing of tendon to bone. Among the current repair techniques, the suture bridge technique is superior to single- or double-row repair in ultimate load to failure, gap formation, restoring anatomical footprint and achieving pressurized contact area. The suture bridge technique also minimizes gap formation and has rotational and torsional resistances allowing early rehabilitation. However, despite superior biomechanical characteristics of the suture bridge technique, there is no evidence that these mechanical advantages result in better clinical outcomes. Furthermore, there is no difference in failure rates between the double-row repair and suture bridge techniques. An appropriate repair technique should be determined based on tear size and pattern and tendon quality.

• Journal of Aerospace System Engineering
• /
• v.7 no.1
• /
• pp.39-43
• /
• 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.

• Archives of Plastic Surgery
• /
• v.40 no.5
• /
• pp.584-588
• /
• 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.

• The Academic Congress of Korean Shoulder and Elbow Society
• /
• 2006.03a
• /
• pp.36-36
• /
• 2006

• Journal of the Korean Recycled Construction Resources Institute
• /
• v.6 no.3
• /
• pp.153-159
• /
• 2018

Many researches have been carried out on carbonation, a representative deterioration in underground structure. The carbonation of RC (Reinforced Concrete) structure can cause steel corrosion through pH drop in concrete pore water. However extension of service life in RC structures can be obtained through simple surface protection. Unlike the conventional deterministic maintenance technique, probabilistic technique can consider a variation of service life but it deals with only normal distributions. In the work, life time-probability distributions considering not only normal but also log distributions are induced, and repair cost estimation technique is proposed based on the induced model. The proposed technique can evaluate the repair cost through probabilistic manner regardless of normal or log distribution from initial service life and extended service life with repair. When the extended service life through repair has log distribution, repair cost is effectively reduced. The more reasonable maintenance strategy can be set up though actual determination of life-probability distribution based on long term tests and field investigations.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.44 no.1
• /
• pp.3-11
• /
• 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.

• Archives of Craniofacial Surgery
• /
• v.18 no.4
• /
• pp.277-281
• /
• 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.