• Journal of Korean Neurosurgical Society
• /
• v.56 no.1
• /
• pp.5-10
• /
• 2014

Objective : When the pedicle screw insertion technique is failed or not applicable, C7 intralaminar screw insertion method has been used as an alternative or salvage fixation method recently. However, profound understanding of anatomy is required for safe application of the bilaterally crossing laminar screw at C7 in clinic. In this cadaveric study, we evaluated the anatomic feasibility of the bilateral crossing intralaminar screw insertion and especially focused on determination of proper screw entry point. Methods : The C7 vertebrae from 18 adult specimens were studied. Morphometric measurements of the mid-laminar height, the minimum laminar thickness, the maximal screw length, and spino-laminar angle were performed and cross-sectioned vertically at the screw entry point (spino-laminar junction). The sectioned surface was equally divided into 3 parts and maximal thickness and surface area of the parts were measured. All measurements were obtained bilaterally. Results : The mean mid-laminar height was 13.7 mm, mean minimal laminar thickness was 6.6 mm, mean maximal screw length was 24.6 mm, and mean spinolaminar angle was $50.8{\pm}4.7^{\circ}$. Based on the measured laminar thickness, the feasibility of 3.5 mm diameter intralaminar screw application was 83.3% (30 sides laminae out of total 36) when assuming a tolerance of 1 mm on each side. Cross-sectional measurement results showed that the mean maximal thickness of upper, middle, and lower thirds was 5.0 mm, 7.5 mm, and 7.3 mm, respectively, and mean surface area for each part was $21.2mm^2$, $46.8mm^2$, and $34.7mm^2$, respectively. Fourteen (38.9%) sides of laminae would be feasible for 3.5 mm intralaminar screw insertion when upper thirds of C7 spino-laminar junction is the screw entry point. In case of middle and lower thirds of C7 spino-laminar junction, 32 (88.9%) and 28 (77.8%) sides of laminae were feasible for 3.5 mm screw insertion, respectively. Conclusion : The vertical cross-sectioned area of middle thirds at C7 spinolaminar junction was the largest area and 3.5 mm screw can be accommodated with 77.8 % of feasibility when lower thirds were the screw entry point. Thus, selection of middle and lower thirds for each side of screw entry point in spino-laminar junction would be the safest way to place bilateral crossing laminar screw within the entire lamina. This anatomic study result will help surgeons to place the screw safely and accurately.

• Journal of the Korean Society of Manufacturing Technology Engineers
• /
• v.19 no.5
• /
• pp.698-704
• /
• 2010

The machine vision system has been widely applied at automatic inspection field of the industries. Especially, the machine vision system shows good performance at difficult inspection field by contact method. In this paper, the automatic system of a slant method to inspect screw/bolt shape using machine vision is developed. The inspection system uses pattern matching method that search similar degree of the lucidity, the average lucidity, length and angle of inspection set up area using a circular scan and a line scan method. Also the feeding method for inspection product is the slant method, and feed rate is controlled by the ramp angle adjustment. This inspection system is composed of a feeding device, a transfer device, vision systems, a lighting device and computer, and is composed the sorting discharge system of the inferior product. The performance test carried out the feeding speed, the shape correct degree and the sorting discharge speed according to the type of screw/bolt. This sorting inspection system showed a satisfied test results in whole inspection items. Presently, this sorting inspection system is being used in the manufacturing process of screw/bolt usefully.

• Restorative Dentistry and Endodontics
• /
• v.31 no.6
• /
• pp.477-484
• /
• 2006

The purposes of this study were to compare the apical terminus width of simulated curved root canal prepared with three NiTi file systems used by undergraduates for evaluation the effects of flute angle and pitch or radial land on reducing screw-in effect and to determine more safe NiTi file system for inexperienced operators. Fifty inexperienced undergraduate students prepared 150 simulated curved root canals in resin blocks with three NiTi file systems ; ProFile$^{(R)}$, Hero Shaper$^{(R)}$, K3$^{TM}$. The electric motor set at a speed of 300 rpm and torque of 30 in a 16 : 1 reduction handpiece was used. The simulated root canal was prepared to ISO #25 sizes with each file system. The scanned images of pre- and post-instrumented canal of resin block were superimposed. To evaluate the screw-in effect of three NiTi file systems, apical terminus width of root canal was measured from superimposed images and statistical analysis was performed. There were significant differences in three NiTi flle systems. ProFile$^{(R)}$ had significantly smaller width than Hero Shaper$^{(R)}$ and K3$^{TM}$"" (P < 0.05), but no significant difference was observed between K3$^{TM}$ and Hero Shaper$^{(R)}$. Under the condition of this study, active file system (Hero SHaper$^{(R)}$, K3$^{TM}$) with variable pitch and helical angle had more screw-in effect than passive file system (ProFile$^{(R)}$) with constant pitch and helical angle. It seems that the radial lands play more important role in reducing screw-in effect.

• Tunnel and Underground Space
• /
• v.29 no.6
• /
• pp.379-393
• /
• 2019

For the economical construction of a tunnel by TBM, the selection of TBM optimized with the various project conditions is important, and also necessary to predict the performances of selected TBM in advance. This study was conducted to comprehensively evaluate the performance of the EPB shield TBM screw conveyor by the discrete element method. The sticky particles were used for the excavated material models, and screw conveyor with 11 different inclined angles were simulated to evaluate the performance depending on the different inclined angles. The four different rotational speed conditions of the screw were used, and torque, required power, extra energy for muck discharge, and the muck discharge rate were selected as four performance indicators. As a result, the optimized inclined angle was selected, and selected angle accords with the fact that EPB shield TBM screw conveyor is generally installed and adjusted at the inclined angle between 20.0° and 30.0° in the field.

• Journal of Korean Foot and Ankle Society
• /
• v.10 no.1
• /
• pp.71-75
• /
• 2006

Purpose: To evaluate the results of treatments by percutaneous Acutrak screw fixation for intra-articular tongue type fracture of calcaneus, especially in elderly patient or patients with underlying disease including diabetes mellitus. Materials and Methods: Seven cases with intra-articular tongue type fracture of calcaneus, from November 2003 to February 2005, were reviewed. There were 6 males and 1 female with 65 years old mean age (range: $61{\sim}71$ years old). The average follow-up period was 16 months (range: $10{\sim}25$ months). Two Steinmann pins were used for closed reduction. After closed reduction was done like Essex-Lopresti's method, two Acutrak screws were inserted. The third Acutrak screw was inserted at the sustentaculum tali away from sinus tarsi to fix the primary fracture line. The patients were evaluated with Salama scale, the extent of recovery of Bohler angle, state of subtalar joint. Results: Clinical results according Salama scale were excellent in 5 cases, and good in 2 cases. Average preoperative Bohler angle was $13^{\circ}$ (range: $12{\sim}15^{\circ}$). Average postoperative Bohler angle was 31o (range: $23^{\circ}-40^{\circ}$). There were no soft tissue complications. There were two mild subtalar arthritis. Conclusions: We think that percutaneous Acutrak screw fixation is a good option for tongue type fracture of calcaneus in elderly patient or patients with underlying disease including diabetes mellitus.

• Journal of the Korean Society for Precision Engineering
• /
• v.33 no.11
• /
• pp.943-950
• /
• 2016

The purpose of this study was to evaluate and compare by finite element analysis the biomechanical performance, in terms of cervical stand-alone cage screw insert angle (Type 3 - 5: 2 Screws) and screw arrangement (Type 6 and 7: 3 Screws / Type 8 and 9: 4 Screws), and the range of motion (ROM) of traditional anterior cervical discectomy of a fusion device (Type 1: Cage / Type 2: Cage + ACP). Our study suggests that the biomechanical behavior of a postoperative cervical spine could indeed be influenced by design features, such as screw angle and number of screws. In particular, ROM and the risk of subsidence were more sensitive during extension about type 5 (Insert Angle $20^{\circ}$). Our study also suggested that the number of screw asymmetries between up and down for type 6 and 7 could result in differences in the risk of screw fracture manifesting in different clinical aspects.

• Journal of Korean Neurosurgical Society
• /
• v.58 no.6
• /
• pp.578-581
• /
• 2015

A rigid spino-pelvic fixation to anchor long constructs is crucial to maintain the stability of long fusion in spinal deformity surgery. Besides obtaining immediate stability and proper biomechanical strength of constructs, the S2 alar-iliac (S2AI) screws have some more advantages. Four Korean fresh-frozen human cadavers were procured. Free hand S2AI screw placement is performed using anatomic landmarks. The starting point of the S2AI screw is located at the midpoint between the S1 and S2 foramen and 2 mm medial to the lateral sacral crest. Gearshift was advanced from the desired starting point toward the sacro-iliac joint directing approximately $20^{\circ}$ angulation caudally in sagittal plane and $30^{\circ}$ angulation horizontally in the coronal plane connecting the posterior superior iliac spine (PSIS). We made a S2AI screw trajectory through the cancellous channel using the gearshift. We measured caudal angle in the sagittal plane and horizontal angle in the coronal plane. A total of eight S2AI screws were inserted in four cadavers. All screws inserted into the iliac crest were evaluated by C-arm and naked eye examination by two spine surgeons. Among 8 S2AI screws, all screws were accurately placed (100%). The average caudal angle in the sagittal plane was $17.3{\pm}5.4^{\circ}$. The average horizontal angle in the coronal plane connecting the PSIS was $32.0{\pm}1.8^{\circ}$. The placement of S2AI screws using the free hand technique without any radiographic guidance appears to an acceptable method of insertion without more radiation or time consuming.

• Journal of Trauma and Injury
• /
• v.23 no.1
• /
• pp.1-5
• /
• 2010

Purpose: To investigate the results of treatment of reverse oblique trochanteric fractures with compression hip screw. Methods: We reviewed the results of 12 cases of reverse oblique trochanteric fracture treated with compression hip screw from January 2000 to December 2006 which could be followed up for more than 1 year. The mean follow up period was 26 months (15~40). The mean age was 48 years old. Injury mechanism was composed of 6 cases of traffic accident and 6 cases of fall down. 8 persons were man. We investigated the union time, degree of neck-shaft angle change, amount of sliding of compression hip screw, complications, functional and clinical results. Results: 10 cases were united and the mean union time were 5 months (3~8). The mean neck-shaft angle change was 3.5 degrees (0~12). The amount of sliding of compression hip screw was 8.9 mm (2~24). There were six coxa vara, six leg due to coxa vara shortening, two nonunion, and one superficial infection. Unsatisfactory results of Jensen's social function score and Parker and Palmer's mobility score were studied. Conclusion: The results of treatment of reverse oblique trochanteric fractures with compression hip screw were relatively unsatisfied.

• Proceedings of the Korean Society of Machine Tool Engineers Conference
• /
• 2001.10a
• /
• pp.286-291
• /
• 2001

This study is an introduction of ADS in which we have written out programs which can design three-dimensional machine parts and reduce the required time for design them comparing with other CADs. Among the machine parts, screws are commonly used in joining one part to another because of easy handing but welding and rivet are used to join permanently them even thought hard operation. Consequently, we have developed the screw fer permanent fixing using stairs type screw threads, which is considered as the main machine parts in joining. For that, we designed permanent fastened screws according to the different rotation angle using VisualLISP and transferred it to ANSYS, structural solution program, to find out allowance load, maximum equivalent stress and where it occur.

• Proceedings of the KSME Conference
• /
• 2001.11a
• /
• pp.827-833
• /
• 2001

This study is an introduction of ADS in which we have written out programs which can design three-dimensional machine parts and reduce the required time for design them comparing with other CADs. Among the machine parts, screws are commonly used in joining one part to another because of easy handing but welding and rivet are used to join permanently them even thought hard operation. Consequently, we have developed the screw for permanent fixing using stairs type screw threads, which is considered as the main machine parts in joining. For that, we designed permanent fastened screws according to the different rotation angle using VisualLISP and transferred it to ANSYS, structural solution program, to find out allowance load, maximum equivalent stress and where it occur.