• Clinics in Shoulder and Elbow
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• 제18권3호
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• pp.120-127
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• 2015

Background: We prospectively compared the response to blind and ultrasound-guided glenohumeral injection of corticosteroids for treatment of shoulder stiffness. Methods: A total of 77 patients with shoulder stiffness between April 2008 and March 2012 were recruited. Patients were randomized to receive either a blind (group 1, n=39) or ultrasound-guided (group 2, n=38) glenohumeral injection of 40 mg triamcinolone. The clinical outcomes and shoulder range of motion (ROM) before injection, at 3, 6, and 12 months after injection and at the last follow-up were assessed. The same rehabilitation program was applied in both groups during the follow-up period. Results: There was no significant difference in demographic data on age, sex, ROM, and symptom duration before injection between groups (p>0.05). There were no significant differences in ROM including forward flexion, external rotation at the side, external rotation at $90^{\circ}$ abduction, and internal rotation, visual analogue scale for pain and functional outcomes including American Shoulder and Elbow Surgeons score, Simple Shoulder test between the two groups at any time point (p>0.05). Conclusions: Based on the current data, the result of ultrasound-guided glenohumeral injection was not superior to that of blind injection in the treatment of shoulder stiffness. We suggest that ultrasound-guided glenohumeral injection could be performed according to the patient's compliance and the surgeon's preference. Once familiar with the non-imaging-guided glenohumeral injection, it is an efficient and reliable method for the experienced surgeon. Ultrasound could be performed according to the surgeon's preference.

• 비파괴검사학회지
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• 제23권1호
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• pp.21-29
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• 2003

실시간 로봇 위치 제어를 위해 비젼시스템을 사용할 때 이 모델에 포함된 매개변수를 추정하는데 있어 계산시간을 줄이는 것은 매우 중요하다. 불행히도 흔히 사용되고 있는 일괄 처리 기법은 반복적으로 계산이 수행되기 때문에 많은 계산 시간을 필요로 하여 실시간 로봇 위치 제어를 어렵게 한다. 반면에 본 연구에서 사용하고자 하는 화장 칼만 필터링은 사용하기 편리하고, 또한 순환적 방법으로 계산되기 때문에 비젼시스템의 매개변수를 계산하는데 있어 시간을 줄이는 커다란 장점을 가지고 있다. 따라서 본 연구에서는 실시간 로봇 위치 제어를 위해 사용하는 비젼 제어 기법에 확장 칼만 필터링을 적용되었다 여기서 사용된 비젼시스템 모델은 카메라 내부 매개변수(방향, 초점거리 등) 및 외부 매개변수(카메라와 로봇 사이의 상대적 위치)를 설명하기 위해 6개 매개변수를 포함하고 있다. 이러한 매개변수를 추정하기 위해 확장 칼만 필터링 기법이 적용되었다. 또한 이렇게 추정된 6개 매개변수를 사용하여 로봇을 구동시키기 위해 필요한 로봇 회전각 추정에도 화장 칼만 필터링 기법이 적용되었다. 최종적으로 확장 칼만 필터링을 사용하여 개발된 비젼 제어 기법의 타당성을 로봇 위치 제어 실험을 수행하여 확인하였다.

• 대한골관절종양학회지
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• 제8권3호
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• pp.76-82
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• 2002

목적: 거골 체부에 발생하는 양성 종양은 매우 드물어 치료 방법에 따른 결과를 비교하기 어렵다. 이 연구에서는 거골 체부에 발생한 양성 종양 8예를 후방 도달법과 후 돌기를 통한 소파술로 치료한 결과를 보고하고자 한다. 대상 및 방법: 1986년 2월부터 2001년 8월 사이에 저자들이 경험한 거골 체부에 발생한 양성 골종양 환자 8명을 연구 대상으로 하였다. 종양의 발견 당시 평균 연령은 22.1세(10세~41세)이었고, 남자 4명, 여자 4명이었다. 종양의 종류는 거대세포종 2례, 유골 골종 2례, 연골모세포종 1례, 골내 모세혈관종 1례, 단순 골 낭종 1례, 골연골종 1례이었다. 모두 후방도달 법으로 접근하였고, 2례의 유골 골종과 1례의 골연골종 환자는 절제술을, 나머지 5례는 후 돌기를 통한 소파술을 시행하였다. 평균 추시 기간은 7.5년(1년~16년)이었다. 결과: 추시 기간 중에 재발한 환자는 없었고, 1례에서 감염증이 발생했다. 이 경우를 제외한 모든 경우에서 체중 부하시 통증은 없었고, 관절 운동 범위의 제한이 발생한 경우도 없었다. 결론: 거골 체부에 발생한 양성 종양은 후방 도달법으로 주위 조직의 손상 없이 안전하게 접근할 수 있으며, 거골의 후 돌기를 통한 피질골 창으로 만족할 만한 소파술이 가능함을 알 수 있었다.

• 대한족부족관절학회지
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• 제7권2호
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• pp.238-249
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• 2003

Purpose: To report the clinical result of the intraarticular calcaneus fracture after open reduction and internal fixation with plate by lateral approach. Materials and Methods: Thirty-six calcaneal fractures of 33 patients(29 men and 4 women) were treated by open reduction and internal fixation using an lateral approach from March, 1997 to May, 2002 and were followed more than one year. The autogenous iliac bone graft was done in 2 cases but the others didn't. Radiographically B?hler angle and Gissane angle on simple lateral radiograph were measured and in the 15 cases, the step-off(gap) of posterior facet joint on post-operative CT images were followed. The Salama method was used for evaluation of clinical results. Results: According to Sanders classification, 19 cases of the 36 cases were classified as type II. Type III fracture were found in 12 cases and type IV in 5 cases. The following results were obtained: twenty-two cases(61.1%) out of 36 cases were estimated as good or excellent. The good results or more were obtained in 15 cases(78.9%) in type II and 7 cases(58.3%) in type ill, but no case in type IV. B?hler angles were improved from preoperative average 1.6?to postoperative average 23.4?, Gissane angle was improved from preoperative 107.2?to postoperative 122.8?, respectively. Among 36 cases, Computed tomography was carried out in 15 cases. The postoperative step-off (gap) of posterior facet joint on computed tomography was filled with cancellous bone. Satifactory results was obtained in 7 cases with 2mm gap or less and in 6 cases of 2-5mm. There were no satifactory results in 2 cases with 5mm gap or more. Conclusion: Open reduction and internal fixation for intra-articular fracture of calcaneus was thought to be a good treatment modality. It is thought that the lateral approach is one of the good one for surgical treatment, and that accurate reduction of the posterior facet, acceptable recovery of B?hler angle are more important to obtain best results.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권5호
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• pp.373-381
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• 2021

Objectives: In the present study, the effects of sagittal split ramus osteotomy (SSRO) combined with intraoral vertical ramus osteotomy (IVRO) for the treatment of asymmetric mandible in class III malocclusion patients were assessed and the postoperative stability of the mandibular condyle and the symptoms of temporomandibular joint disorder (TMD) evaluated. Materials and Methods: A total of 82 patients who underwent orthognathic surgery for the treatment of facial asymmetry or mandibular asymmetry at the Department of Oral and Maxillofacial Surgery, Dong-A University Hospital, from 2016 to 2021 were selected. The patients that underwent SSRO with IVRO were assigned to Group I (n=8) and patients that received bilateral SSRO (BSSRO) to Group II (n=10, simple random sampling). Preoperative and postoperative three-dimensional computed tomography (CT) axial images obtained for each group were superimposed. The condylar position changes and degree of rotation on the superimposed images were measured, and the changes in condyle based on the amount of chin movement for each surgical method were statistically analyzed. Results: Group I showed a greater amount of postoperative chin movement. For the amount of mediolateral condylar displacement on the deviated side, Groups I and II showed an average lateral displacement of 0.07 mm and 1.62 mm, respectively, and statistically significantly correlated with the amount of chin movement (P=0.004). Most of the TMD symptoms in Group I patients who underwent SSRO with IVRO showed improvement. Conclusion: When a large amount of mandibular rotation is required to match the menton to the midline of the face, IVRO on the deviated side is considered a technique to prevent condylar torque. In the present study, worsening of TMD symptoms did not occur after orthognathic surgery in any of the 18 patients.

• 한국가구학회지
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• 제21권1호
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• pp.26-39
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• 2010

This is a leading study to replace the structural analysis methodology on the specific traditional joint by a numerical analysis. Tests were carried out to test the compressive methodologies with the numerical results. The Japanese larch was used as a sample. The Orthotropic property of wood was specifically considered for the finite element numerical analysis. Linear numerical analysis and non-linear numerical analysis for the BEAM element and the two SOLID elements of ANSYS were used to analyze the compressive performance. In addition, more finely divided elements were used to raise the accuracy of the numerical result. Finally, the statistically significant differences were tested between that of the analytical and numerical results. It could be concluded that the SOLID 64 element shows the most optimum result when the non-linear analysis with the more finely divided element was used. However, finely dividing of the element is a considerable time consuming process, and it is quite difficult to raise the accuracy of the non-linear numerical analysis. Therefore, if considering the vertical displacement to be of the only interest, the BEAM element is more efficient than the SOLID element because the BEAM element is reflected as a simple line, which is less time consuming and difficult in dividing the elements. But, the BEAM element cannot accurately model the knot as a strength defect factor which is an important property in the orthotropic property of wood. Therefore, the SOLID element should be used to model the strength defect factor, knot, as it can be efficiently applied on the structural size flexure member which could be more strongly effected by the knot. In addition, it is useful at times when the failure types of members are to be more closely investigated, as the SOLID element is able to examine the local stress distribution of the member. The conclusion drawn by this study is of the good concordance between analytical results and numerical results of compressive wood members, but how orthotropic properties should only be considered. The numerical analysis on the specific Korean traditional joints will be based on the current study results.

• 대한족부족관절학회지
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• 제5권2호
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• pp.156-159
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• 2001

Unicameral bone cysts are benign solitary lesions that occur in the first two decades of life and with a greater frequency in the humerus and femur. The cyst is usually asymptomatic unless a fracture or impending fracture is present. The traditional method of treating unicameral cysts has been curettage with bone graft or steroid injection. Also, pathologic fractures in the calcaneus, unlike in other bones, are reported especially in the children to be nonexistent. In general, closed treatment was recommended for most of the calcaneal fractures in children, but suggested open reduction when joint displacement was severe. We report a case of displaced intraarticular fracture of the calcaneus with unicameral bone cyst in a child treated by classic curettage, allograft and open reduction with screw fixation.

• 한국강구조학회 논문집
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• 제18권3호
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• pp.385-393
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• 2006

목구조의 효율적인 이용은 건설산업에 있어 자재생산에 따른 에너지의 대량소비 및 폐기물유발을 감소할 수 있어 친환경적인대응방안으로 주목받고 있다. 이러한 친환경적인 목재의 수요를 증대시키기 위해서는 중 대형 목구조를 필요로 하는데 기존의 단일부재 및 접합부로써 중 대형 목구조를 실현하는 데는 한계가 있다. 그러므로 중 대형 목구조의 가능성을 높이기 위해서는 구조용집성재의 사용 및 다른 재료를 병합한 효율적인 접합방법이 필요로 하게 된다. 본 연구는 중 대형 목구조용 2방향 라멘접합부 개발을 목표로 하여 H형강과 구조용집성재를 사용한 플랜지의 두께(None, 6mm, 9mm, 12mm)이며, 접합부의 휨 실험을 통해 강성, 강도, 구조용집성재의 응력분포, H형강 플랜지의 변형도 및 파괴형상을 파악하였다. 실험결과, H 형강의 플랜지 두께가 9mm, 12mmm인 실험체는 높은 강도와 우수한 변형능력을 발휘하였다. 또한 H 형강의 플랜지 두께가 9mm, 12mm인 실험체의 이력거동은 매우 크고 매우 높은 에너지 흡수능력을 가지고 있었다.

• Steel and Composite Structures
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• 제28권3호
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• pp.363-380
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• 2018

This paper presented an integral design procedure for demountable bolted composite frames with semi-rigid joints. Moment-rotation relationships of beam-to-column joints were predicted with analytical models aiming to provide accurate and reliable analytical solutions. Among this, initial stiffness of beam-to-column joints was derived on the basis of Timoshenko's plate theory, and moment capacity was derived in accordance with Eurocodes. The predictions were validated with relevant test results prior to further applications. Frame analysis was conducted by using Abaqus software with material and geometrical nonlinearity considered. Variable lateral loads incorporating wind actions and earthquake actions in accordance with Australian Standards were adopted to evaluate the flexural behaviour of the composite frames. Strength and serviceability limit state criteria were utilized to verify configurations of designed models. A wide range of frames with the varied number of storeys and bays were thereafter programmed to ascertain bending moment envelopes under various load combinations. The analytical results suggest that the proposed approach is capable of predicting the moment-rotation performance of the semi-rigid joints reasonably well. Outcomes of the frame analysis indicate that the load combination with dead loads and live loads only leads to maximum sagging and hogging moment magnitudes in beams. As for lateral loads, wind actions are more crucial to dominate the design of the demountable composite frames than earthquake actions. No hogging moment reversal is expected in the composite beams given that the frames are designed properly. The proposed analysis procedure is demonstrated to be a simple and efficient method, which can be applied into engineering practice.

• Archives of Plastic Surgery
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• 제34권3호
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• pp.409-412
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• 2007

Purpose: Percutaneous Kirschner wire fixation is common method for hand fracture. It is simple but has risk of ascending infection through the pin and bony injury by multiple drilling. Ascending infection through pin tract is mostly superficial and can be treated with antibiotics and aseptic dressing. This is a case review of subacute osteomyelitis on phalangeal bones after Kirschner wire fixation with literature review. Methods: A 40-years-old man with distal phalangeal fracture on right second finger is presented. He went to a local clinic and had percutaneous Kirschner wire fixation under local anesthesia. He was transferred to our hospital for ulcerative wound on DIP joint at 4 weeks after operation. Radiography showed osteolytic change around medulla of middle and distal phalanges, leading to diagnosis of a subacute osteomyelitis. We treated it with amputation at the level of shaft of middle phalanx. Results: The postoperative course was uneventful. We thought several possible reasons for osteomyelitis in our case. First, it could resulted from ascending infection through the wire. Second, it could be resulted from a bony burn by repeated drilling. And bony necrosis could be a consequence of arterial insufficiency caused by 2 pin insertion. Conclusion: We suggest that a precise pinning based on accurate anatomical understanding is required for a percutaneous Kirschner wire fixation. The frequency of drilling should be minimized. Careful observation and patient education for pin site care are essential.