• Title/Summary/Keyword: repair technique

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Review in Remplissage on Anterior Shoulder Instability with Huge Hill-Sachs Lesion (전방 견관절 불안정성의 Hill-Sachs 병변의 치료에서 Remplissage의 Review)

  • Ko, Sang-Hun;Lee, Chae-Chil;Park, Han-Chang
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.134-139
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    • 2011
  • Purpose: We wanted to review the arthroscopic Remplissage technique and introduce our experiences with it for treating recurrent shoulder instability with a large Hill-Sachs lesion. Materials and Methods: The arthroscopic Remplissage technique with Bankart repair is performed in patients with no osteoarthritis, no fracture around the shoulder, a history of recurrence more than 10 times, a large Hill-Sachs lesion more than 30 to 40% of the humeral articular surface and glenoid bone loss less than 20%. Results and Conclusion: For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique resulted in a good outcome for the shoulder stability, and good clinical and functional results.

Surgical Repair of Left Coronary Artery Pseudoaneurysm 10 Years after a Bentall's Procudure (Bentall 수술 10년 후 발생된 좌관상동맥 가성동맥류의 수술 치료)

  • Lee, Sak;Kang, Meyun-Shick;Lim, Sang-Hyun;Chang, Byung-Chul;Hong, You-Sun
    • Journal of Chest Surgery
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    • v.40 no.3 s.272
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    • pp.225-227
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    • 2007
  • The aortic inclusion technique is frequently used in the original Bentall's procedure for the control of excessive postoperative bleeding. Although this procedure has improved the outcome of patients with aortic root disease, there is a high incidence of both early and late complications, including coronary artery stenosis, kinking or pseudoaneurysm formation at the coronary suture lines. Pseudoaneurysm of the ascending aorta is a relatively rare, but fatal complication, which occurs after wrap-inclusion composite graft replacement. Herein, the case of a 45-year-old female, who developed a perigraft aortic pseudoaneurysm 10 years after a Bentall's procedure (wrap-inclusion technique), but was successfully managed using the Cabrol's method, is reported.

Analysis of Exit Site of Guide Pin Using Tansglenoid Suture Technique in Bankart and SLAP Lesion (Bankart 병변과 SLAP 병변에서 경견관절와 술식시 Guide Pin 출구의 분석)

  • Rhee Kwang-Jin;Shin Hyun-Dae;Byun Ki-Yong;Kim Young-Mo;Joo Yong-Bum;Kim Kyung-Cheon
    • Clinics in Shoulder and Elbow
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    • v.8 no.2
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    • pp.105-109
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    • 2005
  • Purpose: To Analyze the exit site of pin inserted at the anterior glenoid rim in the reconstruction of the Bankart lesion and SLAP lesion using transglenoid suture technique. Materials and Methods: In the twenty adult right cadeveric scapula, insertions of pin were performed using guide at the position of 1, 2, 3 O'clock of glenoid rim. We measured the exit site of dorsal surface of the scapula by medial distance from sagittal plane of lateral border of scapular spine and the vertical distance from posterior border of the scapular spine. Results: When the pin was inserted caudally within 10 degree, at the position of 1, 2, 3 O'clock, the medial distance from lateral border of the scapula is averaged 29.4, 19.2, 34.0 mm respectively and the vertical distance from posterior border of the scapular spine is averaged 15.0, 18.6, 17.2 mm respectively. When the pin was inserted caudally within 20-30 degree, the medial distance is averaged 14.6, 14.2, 15.8 mm respectively and the vertical distance is averaged 31.6, 31.9, 32.1 mm respectively. Conclusion: When the pin was inserted caudally within ten degrees using the guide, the pin exit appeared at the more medial side of the base of scapular spine and the more inferior of scapular spine. This can make the firm suture tied over scapular spine during repair SLAP and the Bankart lesion, and also prevent the injury of suprascapular nerve.

Effect of Gelatin Particles on Cell Proliferation in Polymer Scaffolds Made Using Particulate Leaching Technique. (Particulate Leaching 기법을 사용한 Polymer Scaffold 상의 세포증식에 있어서 젤라틴 입자의 효과)

  • 서수원;신지연;김진훈;김진국;길광현
    • Journal of Biomedical Engineering Research
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    • v.25 no.1
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    • pp.1-4
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    • 2004
  • On the background of general idea and technique of bioscience, medicine and engineering, tissue engineering aim at maintenance, improvement and repair of human body function through manufacturing and transplantation of artificial tissue and organ exchangeable human body. Basic material used in the area is scaffold that aid tissue and organ formation. Making scaffold, solvent-casting and particulate leaching technique is widely used in manufacturing of porous polymer scaffold. There are many types of particle including salt and gelatin. Salt is a most commonly used particulate because it is easily available and very easy to handle and gelatin particle is another candidate for this method because it is known as a material, which enhances cell attachment and proliferation. But there is no comparative study of two kinds of materials. In this study we compared the biocompatibility of the two scaffolds made from salt(salt scaffold) and gelatin particle (gelatin scaffold). These results demonstrated that gelatin scaffold showed better attachment of cells at the initial stage and better proliferation of cells. The better performance of gelatin scaffold is contributed to the better connection of pores in the same porosity.

Experimental assessment of post-earthquake retrofitted reinforced concrete frame partially infilled with fly-ash brick

  • Kumawat, Sanjay R.;Mondal, Goutam;Dash, Suresh R.
    • Earthquakes and Structures
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    • v.22 no.2
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    • pp.121-135
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    • 2022
  • Many public buildings such as schools, hospitals, etc., where partial infill walls are present in reinforced concrete (RC) structures, have undergone undesirable damage/failure attributed to captive column effect during a moderate to severe earthquake shaking. Often, the situation gets worsened when these RC frames are non-ductile in nature, thus reducing the deformable capability of the frame. Also, in many parts of the Indian subcontinent, it is mandatory to use fly-ash bricks for construction so as to reduce the burden on the disposal of fly-ash produced at thermal power plants. In some scenario, when the non-ductile RC frame, partially infilled by fly-ash bricks, suffers major structural damage, the challenge remains on how to retrofit and restore it. Thus, in this study, two full-scale one-bay, one-story non-ductile RC frame models, namely, bare frame and RC partially infilled frame with fly-ash bricks in 50% of its opening area are considered. In the previous experiments, these models were subjected to slow-cyclic displacement-controlled loading to replicate damage due to a moderate earthquake. Now, in this study these damaged frames were retrofitted and an experimental investigation was performed on the retrofitted specimens to examine the effectiveness of the proposed retrofitting scheme. A hybrid retrofitting technique combining epoxy injection grouting with an innovative and easy-to-implement steel jacketing technique was proposed. This proposed retrofitting method has ensured proper confinement of damaged concrete. The retrofitted models were subjected to the same slow cyclic displacement-controlled loading which was used to damage the frames. The experimental study concluded that the hybrid retrofitting technique was quite effective in enhancing and regaining various seismic performance parameters such as, lateral strength and lateral stiffness of partially fly-ash brick infilled RC frame. Thus, the steel jacketing retrofitting scheme along with the epoxy injection grouting can be relied on for possible repair of the structural members which are damaged due to the captive column effect during the seismic shaking.

Graphical display technology of internal impact in remote monitoring and simulation system (원격 모니터링 및 시뮬레이션 시스템의 내부 충격 그래픽 표시 기법)

  • Yoon, Ji-young;Lee, Hyo-jai;Woo, Deok-gun;Jang, Moon-su;Kim, Cheol-hwan
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.574-576
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    • 2022
  • In this paper, we developed a technique to graphically display impact effects for remote monitoring or simulation systems. A remote monitoring or simulation system is being used to find a repair time or to prevent accidents while inspecting equipment or facilities in an industrial site in real time. These systems provide visual information to users so that they can analyze problem situations. The technique proposed in this paper is a method of modeling equipment and facilities using 3D graphics, and displaying the location of impact and damage occurring in the equipment inside using volume rendering. This technique has the advantage that the problem can be identified more accurately by displaying the impact animation by volume rendering at the location of the impact and damage inside the equipment. And it is expected that the problem situation can be identified more quickly through more intense visual effects.

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Surgical Repair of Achilles Tendon Rupture by Minimal Incision Technique (최소 절개 기법에 의한 아킬레스건 파열의 수술적 봉합술)

  • Jung, Hong-Geun;Paik, Ho-Dong
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.2
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    • pp.173-178
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    • 2005
  • Propose: There have been many debates about the ideal surgical technique for acute Achilles tendon rupture. The purpose of this study is to review and analyze the clinical outcome of the acute Achilles tendon ruptures that had been repaired by indirect suture technique with minimal incision that utilized an instrument called Achillon (Newdeal, France). Materials and Methods: This study is based on the 14 cases (14 patients) of acute Achilles tendon total ruptures that have been repaired by minimal incision technique utilizing Achillon instrument from June 2003 to December 2004. Two cases were reruptured before 8 weeks and repaired again using Krackow suture which left 12 feet for postoperative functional evaluation with at least 6 months of follow-up. Ten cases were men and average age at time of injury was 34.4 (26-49) years. The time from injury to surgery was an average of 4.5 (1-9) days and the postoperative evaluations were done by an Arner-Lindholm scale and AOFAS score. The ability to return to original work and sports activities as well as patient satisfaction were also evaluated. Results: The follow-up period was averaged for 13.2 (6-24) months. Seventy-one percent of cases were ruptured during sports activities. The ruptured level was the average of 5.1 cm (3.2-8 cm) above calcaneal attachment and the skin incision was averaged for 2.7 cm (2.5-3.0 cm) long. At final follow-up, standing on tip-toe was possible in all cases while the heel-floor height on ruptured side was shorter by 0.7 cm (0-2 cm). By Arner-Lindholm evaluation scale, 9 cases were excellent, and 3 cases were good. Overall AOFAS score was an average of 96.1 (94-100), and all patients were satisfied with the result. Patients returned to work at an average of 1.3 months after the surgery and pre-injury sports activities were all possible from at 6 months after operation. Conclusion: Since we have treated acute Achilles tendon ruptures with minimal incision technique utilizing the Achillon and gained encouraging functional results with all patients returning to previous work with high patient satisfaction, this technique could be recommended as one of the ideal surgical options for the Achilles tendon ruptures.

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Transection of the posterior horn of the medial meniscus at the posterior tibial attachment - Clinical features and A new repair technique (Pullout suture) - (내측 반월상 연골 후각의 후방 경골 부착부위의 절단 파열 - 임상 양상 및 새로운 봉합 수기(pullout suture) -)

  • Ahn, Jin-Hwan;Ha, Chul-Won;Kim, Ho;Kim, Sung-Min
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.2
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    • pp.109-114
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    • 1999
  • Purpose : The importance of meniscal repair is well recognized. But transeciton of the posterior horn of the medial meniscus at the posterior tibial attachment is rarely documented and known irreparable. We experienced 9 cases of transection, and present clinical features and pull out suture technique. Methods and Materials : There were 9cases of transection of the posterior horn of medial meniscus from September 1998 to July 1999 in our hospital. Age was 59.3 years in average and ranged from 38 to 70years. Clinical features and MRI made diagnosis in all cases. We confirmed the diagnosis with arthroscopy and repaired the transection with pullout suture technique. Clinical features : Transection of the posterior horn of the medial meniscus at the posterior tibia attachment occurred frequently in middle aged people. They complained posterior knee pain, but they have no history of definitive trauma. Characteristically they had difficulty in full flexion of the knee and in having a squatting position. MRI is very important in diagnosis of transection, especially in coronal view, there is separation of the posterior horn of the meniscus from the posterior tibial attachment. Surgical technique : Pullout suture technique includes debridement of fibrous or scar tissue, exposure of the subchondral bone of the posterior tibial attachment site, suture the transected end of the meniscus with PDS suture, bone tunnel formation from the anteromedial aspect of the proximal tibia, insertion of wire loop through the tibia tunnel, pull the PDS suture through the tibia tunnel out of the joint and stabilize the PDS with post-tie technique to the proximal tibia. Conclusion : Transection of the posterior horn of the medial meniscus at the posterior tibial attachment is not common clinically and rarely documented. Clinical features and MRI are very important in diagnosis of this type tear. Arthroscopic pullout sutures is useful for treatment of this type tear of the meniscus.

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Repair and Restoration of Joseon Historical Document Box (조선왕조 실록함의 수리복원)

  • Yi, Yonghee;Park, Junghae;Park, Suzin
    • Conservation Science in Museum
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    • v.15
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    • pp.122-137
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    • 2014
  • The National Museum of Korea own a historical document box K976 that was once used to store Joseon Wangjo Sillok Annals of the Joseon Dynasty of the Joseon Dynasty. The rectangular box has a lid, and the entire surface is varnished with black lacquer. The wood of the box had become warped and the upper part of the wooden frame had been damaged. In some areas, the paint was flaking off, exposing the underlying wood, and an iron ring that connected the lid to the body of the box was missing. Thus, in 2013, Conservation Science Department in National Museum of Korea began to repair and restore the Joseon document box. Before the treatment, analyses were conducted to examine the box's structure, damaged parts, species of wood, and lacquering techniques. The wood was found to be that of a linden tree. As for the lacquering technique, the surface of the box was first coated with a layer of lacquer and bone ash, and then covered with Korean traditional paper. Next, the box was painted with a layer of mud and ashes, followed by a layer of black pigment mixed with soot, and then varnished again with lacquer.

Biventricular Repair of Double Outlet Right Ventricle with Non-Committed Ventricular Septal Defect by Arterial Switch -Report of 1 case - (비상관성 심실중격결손증을 동반한 양대혈관우심실기시증 환자에서의 동맥전환술을 이용한 양심실성 교정 - 1예 보고 -)

  • Kim, Jae-Hyun;Kim, Woong-Han;Chang, Yun-Hee;Na, Chan-Young;Oh, Sam-Se;Baek, Man-Jong;Whang, Sung-Wook;Lee, Cheol;Kang, Chang-Hyun;Jo, Won-Min;Seo, Hong-Ju;Kim, Chong-Whan
    • Journal of Chest Surgery
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    • v.36 no.9
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    • pp.687-690
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    • 2003
  • Although surgical options for double outlet right ventricle (DORV) with non-committed ventricular septal defect (VSD) are vary in accordance to the morphological characteristics, it is very difficult to use biventricular repair technique when there is tricuspid chordae originating from conal septum or when the distance between the tricuspid valve and the pulmonic valve is too short. We report our clinical experience of biventricular repair of DORV with non-committed VSD by VSD rerouting to the pulmonary artery and arterial switch in case of a presence of conal tricuspid chordae and short distance between the tricuspid valve and the pulmonic valve.