• Title/Summary/Keyword: repair technique

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Arthroscopic remplissage: history, indications, and clinical outcomes

  • Mohamad Y. Fares;Mohammad Daher;Peter Boufadel;Emil R. Haikal;Jonathan Koa;Jaspal Singh;Joseph A. Abboud
    • Clinics in Shoulder and Elbow
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    • v.27 no.2
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    • pp.254-262
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    • 2024
  • Several surgical procedures have been proposed to address anterior glenohumeral instability, which is one of the most common complaints in the general population. The remplissage, first described in early 2000s, is a procedure performed simultaneously with the arthroscopic Bankart repair to correct large, engaging Hill-Sachs lesions (HSLs). This procedure stabilizes the joint by tenodesing the infraspinatus tendon into the HSL to fill and disengage the defect. This procedure gained popularity because it has relatively low risk and is able to improve shoulder stability while being less invasive than other bone-blocking procedures. The remplissage has become a valuable add-on technique that can substantially improve outcomes in unstable patients undergoing arthroscopic Bankart repair. Nevertheless, several studies in the literature have raised concerns regarding its efficacy in critically unstable patients and the potential range of motion limitations that can arise postoperatively. Additional comparative studies and trials should be conducted to appropriately establish the role of remplissage in treating anterior instability, especially in patients with critical bone loss.

Interrupted Single-layer Suture Technique in Esophageal Anastomosis Using Monofilament Polypropylene Suture (Monofilament Polypropylene사를 이용한 단속단층 식도문합술)

  • 성시찬;편승환
    • Journal of Chest Surgery
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    • v.31 no.7
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    • pp.711-717
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    • 1998
  • Background: Although various anastomotic techniques and suture materials have been used in esophageal anastomosis, anastomotic leakage and stenosis are still somewhat frequent and serious complications when compared to other intestinal anastomoses. We have used interrupted single-layer suture technique using monofilament polypropylene suture in various esophageal anastomoses, including repair of the esophageal atresia, since 1990. Methods and method: We retrospectively evaluated the efficacy of this technique on postoperative leakage and stenosis in several esophageal reconstructions. The esophageal reconstructions using this technique were performed in 90 patients at Dong-A University Hospital from April 1990 through December 1996. Results: Anastomotic leakage occurred in 5 patients(5.6%) with one operative death. Stenosis at the anastomotic site occurred in 15 patients(n=86, 17.4%), which was most common in esophagogastrostomy(22%) and least common in esophagocolostomy (5%). This result was comparable to other methods including the autosuture technique. Conclusions: We concluded that this suture technique in esophageal anastomosis can be used with reasonable results in various esophageal reconstructions including correction of the esophageal atresia.

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Arthroscopic Full-Thickness Rotator Cuff Repair in Elderly Patients (고령 환자의 관절경적 회전근 개 봉합술의 결과)

  • Cheon, Sang Jin;Lee, Dong Ho;Park, Yong Geon;Son, Seung Min
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.38-45
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    • 2020
  • Purpose: To examine the clinical and structural outcomes of an at least two-year follow-up of arthroscopic full-thickness rotator cuff repairs with a single-row or suture-bridge technique in patients more than 65 years of age. Materials and Methods: Patients diagnosed with a full-thickness rotator cuff tear who were more than 65 years of age, underwent arthroscopic rotator cuff repair after at least six months of conservative treatment, agreed to take a follow-up magnetic resonance imaging (MRI) six months postoperatively, and visited outpatient for at least two years were enrolled in this study. Clinical evaluations were done using The University of California Los Angeles score, Constant Shoulder Score, and visual analogue scale evaluated two years after the surgery. The structural integrity was analyzed using follow-up MRI. During surgery, a suture-bridge technique was used if the rotator cuff tendon could cover half of the footprint under constant tension. Otherwise, single-row repair was performed. Results: The samples were 158 cases, consisting of 93 single-repairs and 65 suture-bridge repairs. A preoperative comparison of the age distribution, fatty degeneration of supraspinatus and infraspinatus muscle, medial retraction of torn cuff tendon, and tear size between the two groups were not significant. The clinical scores were improved significantly in all cases. The distribution of the structural integrity by Sugaya classification were 49 cases in type 1 (31.0%), 62 cases in type 2 (39.2%), 30 cases in type 3 (19.0%), 11 cases in type 4 (7.0%), and six cases in type 5 (3.8%). The re-tear rate of the single-row group was 9.7% (nine out of 93 cases) and 12.3% (eight out of 65 cases) for the suture-bridge group. Conclusion: Satisfactory clinical and radiological outcomes were achieved after arthroscopic full-thickness rotator cuff repair in patients more than 65 years of age. Both single-row and suture-bridge techniques would be beneficial for the elderly.

The suture bridge transosseous equivalent technique for Bony Bankart lesion

  • Choe, Chang-Hyeok;Kim, Sin-Geun;Baek, Seung-Hun;Sin, Dong-Yeong
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.178-178
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    • 2008
  • In order to improve static stability and healing of reattached labrum, we combined the advantages of suture bridge and transosseous technique. Using the conventional 3 portal for anterior instability, check stability of bony Bankart and preparation of glenoid bed in 3 way including removal, reshaping or mobilization of bony fragment. Two anchors were inserted to the superior and inferior portion and medial edge of bony Bankart lesion. It usually corresponded to the area of IGHL. Medial mattress sutures were applied around IGHL complex to get enough depth of glenoid coverage using suture hook. Make 3.5mm pushlock anchor hole to the articular edge of glenoid cartilage. Proximal suture bridge was applied at first and then distal suture bridge was inserted to mobilize the labrum in proximal direction. These construction can provide more stable labral repair with wide contact and compression in case of deficient bony stability. It not only avoids technical disadvantage of point contact with anchor fixation, but also decreasing gap formation through cross compression of labrum that couldn't gain even with the transosseous fixation which affords linear compression effect. Additional bony stability could be gained if the the bony fragment was mobilized to the glenoid margin with potential healing bed or reshaped for the good contact with reattached labrum.

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Implementation of Broadband LED Lighting System Using ZDMX Modules Based DMX512 Protocol (DMX512 프로토콜 기반의 ZDMX 모듈을 이용한 광대역 LED 조명 시스템 구현)

  • Kim, Jae-In;Hwang, Bu-Hyun
    • The Journal of the Korea Contents Association
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    • v.10 no.11
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    • pp.38-47
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    • 2010
  • DMX512 protocol controls a lighting system for outdoor lightings and stage lightings. But lighting systems using DMX512 protocol based wired needs expensive cost in installation, maintain, repair. And it has restrictions about control channel numbers and its ranges. Also, it needs additional equipments for the control of lighting systems which installed on wide area. In this paper, we propose wireless control technique and a ZDMX module for lighting systems on wide area based on DMX512 protocol. Our technique solves problems of DMX512 protocol, and it can control lighting systems on wide area effectively. We developments the LED lighting system using ZDMX modules and we have confirmed the suitability of our technique for real environment.

Development of non-destructive method of detecting steel bars corrosion in bridge decks

  • Sadeghi, Javad;Rezvani, Farshad Hashemi
    • Structural Engineering and Mechanics
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    • v.46 no.5
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    • pp.615-627
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    • 2013
  • One of the most common defects in reinforced concrete bridge decks is corrosion of steel reinforcing bars. This invisible defect reduces the deck stiffness and affects the bridge's serviceability. Regular monitoring of the bridge is required to detect and control this type of damage and in turn, minimize repair costs. Because the corrosion is hidden within the deck, this type of damage cannot be easily detected by visual inspection and therefore, an alternative damage detection technique is required. This research develops a non-destructive method for detecting reinforcing bar corrosion. Experimental modal analysis, as a non-destructive testing technique, and finite element (FE) model updating are used in this method. The location and size of corrosion in the reinforcing bars is predicted by creating a finite element model of bridge deck and updating the model characteristics to match the experimental results. The practicality and applicability of the proposed method were evaluated by applying the new technique to a two spans bridge for monitoring steel bar corrosion. It was shown that the proposed method can predict the location and size of reinforcing bars corrosion with reasonable accuracy.

Clinical and biological analysis in graftless maxillary sinus lift

  • Parra, Marcelo;Olate, Sergio;Cantin, Mario
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.4
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    • pp.214-220
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    • 2017
  • Maxillary sinus lift for dental implant installation is a well-known and versatile technique; new techniques are presented based on the physiology of intrasinus bone repair. The aim of this review was to determine the status of graftless maxillary sinus lift and analyze its foundations and results. A search was conducted of the literature between 1995 and 2015 in the Medline, ScienceDirect, and SciELO databases using the keywords "maxillary sinus lift," "blood clot," "graftless maxillary sinus augmentation," and "dental implant placement." Ten articles were selected for our analysis of this technique and its results. Despite the limited information, cases that were followed for at least six months and up to four years had a 90% success rate. Published techniques included a lateral window, elevation of the sinus membrane, drilling and dental implant installation, descent of the membrane with variations in the installation of the lateral wall access and suturing. The physiology behind this new bone formation response and the results of the present research were also discussed. We concluded that this is a promising and viable technique under certain inclusion criteria.

Evaluation of Mechanical Characteristic and Investigation on Optimum Condition in Friction Stir Processing for 5456-H116 Al Alloy (알루미늄 5456-H116 합금에 대하여 최적 마찰교반 프로세싱 조건 규명 및 기계적 특성 평가)

  • Park, Jae-Cheul;Kim, Seong-Jong
    • Journal of Surface Science and Engineering
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    • v.42 no.1
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    • pp.13-20
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    • 2009
  • Friction stir welding(FSW) was developed as a new solid state welding technique by The Welding Institute (TWI). On the basis of FSW, a new processing technique, friction stir processing (FSP), has recently been developed. FSP has been applied to cast aluminum alloy to modify the microstructure to enhance mechanical characteristic. FSP is a new solid state processing technique for microstructural modification in metallic materials. FSP has been applied to aluminum alloy to modify the microstructure to enhance mechanical characteristic. In this study, we investigated optimum condition friction stir processing with the evaluation of mechanical characteristic for 5456-H116 Al alloy. The mechanical characteristics of base metal similar with in 15 mm/min, 250 RPM with full screw probe. This condition is concluded that optimum friction stir processing condition. The result of this investigation will be able to application for repair of welding part for aluminum ship.

Convergence Technique Study through CAE due to the Shape of Lift for Car (차량용 리프트의 형상에 따른 CAE를 통한 융합 기술 연구)

  • Lee, Jung-Ho;Cho, Jae-Ung
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.49-54
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    • 2015
  • Nowadays, one lift among the fundamental equipments at auto-repair must withstand the heavy weight of car. Therefore, the strong lift which is easy to make repairs on cars is the indispensible equipment. In this study, three kinds of lifts are modelled and the simulation analysis is carried out with the finite element analysis program of ANSYS. The durability of lifts due to each configuration can be estimated on the background of this study result and the data to be contributed to the development of new lift for car with safety and durability can be accumulated ultimately. And it is possible to be grafted onto the convergence technique at design and show the esthetic sense.

NMR study of the interaction of T4 Endonuclease V with DNA

  • Lee, Bong-Jin;Im, Hoo-Kang;Hyungmi Lihm;Yu, Jun-Suk
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1995.04a
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    • pp.80-80
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    • 1995
  • T4 Endonuclease V (Mw 16,000) acts as a repair enzyme for UV induced pyrimidine dimers in DNA. Many researchers have studied the biochemical characteristics of the enzyme. However the precise action mechanism of T4 endo V has not fully elucidated yet. In our laboratory NMR spectroscopy technique is being used for the structural study of T4 endo V. Because of its low temperature stability and high content of ${\alpha}$-helix, the conventional $^1$H NMR technique was inapplicable. Therefore we utilized stable isotope labeling technique and so far prepared about 10 amino acid specific labeled proteins. The HSQC spectra of amino acid specific labeled proteins will help us to interpret the triple resonance 3D, 4D data which are under processing, We also studied the behaviors of specific amino acid residues whose roles might be critical. When the enzyme labeled by $\^$15/N-Thr was mixed with the substrate oligonucleotide (semispecific -TT- sequence), one crosspeak in its HSQC spectrum was completely desappeared, which means that one of seven Thr residues is in the binding site of the enzyme with DNA, This result is well consistent with previous report that implicated the Thr 2 residue in the activity of the enzyme. Similar studies were carried on the behaviors of Arg and Tyr residues.

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