• Title/Summary/Keyword: 굴곡 구축

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The Impingement of The Posterior Elbow in The Heavy Workers (중노동자에서 발생된 주관절 후방부의 충돌 병변)

  • Moon, Young-Lae;Lee, Chul-Gap;Kim, Dong-Hui;Lee, Young-Kwan
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.1
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    • pp.60-64
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    • 2005
  • Purpose: To describe the impingement of the osteophyte between the olecranon process and olecranon fossa and to understand the effect of removing the lesion on the elbow extension in heavy workers. Materials and Methods: Arthroscopy was performed to elbow of heavy industrial workers who complained painful limitation of elbow extension.6 patients(Teases) with average age of 43 year were selected. The average ROM showed flexion contracture of $17^{\circ}$ and further flexion of $87^{\circ}$. Results: In all cases, after the operation two months follow up, mean flexion contracture improved from $17^{\circ}\;to\;2^{\circ}$ with further flexion from$87^{\circ}\;to\;122^{\circ}$. After the operation 1 year follow up, the mean flexion contracture was $3^{\circ}$ and further flexion was $113^{\circ}$. Pain relief within acquired range of motion was achieved in all cases and there was no complication in this series. Conclusion: Selective removal of the impingement bony spur for treatment of flexion contracture in the patient with chronic cumulative trauma disorder patients appear to be effective method to control pain, recover joint movement and at] ow early rehabilitation.

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The Open Surgical Treatment for Stiff Elbow (주관절 구축의 관혈적 치료)

  • Lee, Ji-Ho;Ra, In-Hoo;Jeon, In-Ho
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.293-298
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    • 2010
  • Purpose: Since an injured elbow joint can disturb the activity of daily life by limiting motion, especially if the motion is restricted over 40 degree of flexion contracture and under 105 degree of further flexion, it is imperative to select the best method and the timing of treatment of the elbow stiffness. Therefore this review will discuss open surgical techniques for stiff elbows based on the literature. Materials and Methods: It is important to take sufficient clinical examination of the patient, including history taking. And, a surgeon should select appropriate procedure after accurately understanding about the status and cause of the stiff elbow with radiographic methods. Surgical methods include arthroscopic release open release, distraction arthroplasty, total elbow replacement and there are four approachs in the open release - anterior approach, medial "over the top" approach, limited lateral approach: column procedure, posterior extensile approach-. Results and Conclusion: Although at present the arthroscopic technique is emphasized for the treatment of elbow stiffness, a surgeon should know conventional open techniques.

Arthroscopic Treatment for Degenerative Elbow Contractures (주관절 퇴행성 강직의 관절경적 처치)

  • Moon, Young-Lae;You, Jae-Won;Kim, Dong-Whee
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.116-119
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    • 2001
  • Purpose : To describe long-term clinical results and serial changes in the postoperative range of motion(ROM) after arthroscopic treatment for a limitation of motion(LOM) of the elbow. Materials and Methods : The subjects who visited chosun university hospital from December, 1996 to January 2000 were twenty-one patients ranging from 37 to 54 years of age, and the average age was 43.2 years. The chief complaints were painful limitation of motion of the elbow and average ROM showed that flexion contracture were 17 degrees and further flexion were 87 degrees. Results : The total ROM was $70^{\circ}$ preoperatively. 2 months after postoperatively the mean flexion contracute improved from $17^{\circ}\;to\;3^{\circ}$ with further flexion from $87^{\circ}\;to\;122^{\circ}$ degrees. One year after postoperatively the mean flexion contracture were $5^{\circ}$ and further flexion were $113^{\circ}$. All patients reported a decresement in pain level as well as improvement in motion. There was no complication in this series. Conclusion : Arthroscopic surgery appear to be satisfactory management modality for degenerative elbow contractures.

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Healthcare System for Elbow Flexion and Extension (팔꿈치의 굽힘과 폄을 위한 헬스케어 시스템)

  • Shin, Seong-Yoon;Lee, Min-Hye;Shin, Kwang-Seong;Lee, Hyun-chang
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.10a
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    • pp.176-177
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    • 2018
  • In this paper, we discuss the abnormalities of flexion and extension in elbow disease in general. Flexion and extension represent arm flexion and extension while being set to 90 degrees. In this case, the angle of the arm is remarkably small, or the pain is accompanied by an abnormality in the elbow. We tested 100 elbow flexions and extensions at the age of 50 and calculated the number of people in each case. After that, patients with abnormalities in flexion and extension were classified and their treatment methods were presented. In this paper, we have developed a system for treating musculoskeletal disorders.

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Crimp Angle Dependence of Effective Properties for 3-D Weave Composite (굴곡각에 따른 3차원 평직 복합재료의 등가 물성치 예측)

  • Choi, Yun-Sun;Woo, Kyeongsik
    • Composites Research
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    • v.29 no.1
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    • pp.33-39
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    • 2016
  • In this study, geometric modeling and finite element analysis of 3-dimensional plain weave composite unit cell consisting of 3 interlaced fiber tows and resin pocket were performed to predict effective properties. First, tow properties were obtained from micro-mechanics finite element unit cell analysis, which were then used in the meso-mechanics analysis. The effective properties were obtained from a series of unit cell analyses simulating uniaxial tensile and shear tests. Analysis results were compared to the analysis and experimental results in the literature. Various crimp angles were considered and the effect on the effective properties was investigated. Initial failure strengths and failure sequence were also examined.

Relationship of Trochlear Medial Facet Osteophyte to Elbow Flexion in Elbow Joint without Trauma History (외상력이 없는 주관절에서 활차 내측 골극과 주관절 굴곡 제한과의 관계)

  • Kim, Byung Sung;Park, SungYong;Park, Kang Hee;Song, Hyun Seok;Kim, Hyung Tae;Yoon, Hong Kee;Nho, Jae Hwi
    • Clinics in Shoulder and Elbow
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    • v.16 no.2
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    • pp.100-106
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    • 2013
  • Purpose: The purpose of this study is to evaluate the relationship between trochlear medial facet osteophyte (TMFO) and elbow flexion in the elbow joints without trauma history. Materials and Methods: Twenty five patients, who underwent computed tomography without elbow trauma history, were reviewed. Patients were checked for osteophyte or loose bodies in the coronoid and olecranon sides. The height and length of TMFO were measured. Results: The average elbow flexion contracture was $18.6^{\circ}$, and further flexion was $112.1^{\circ}$. The TMFO height and length was 2.2 mm and 4.7 mm, respectively. The average elbow further flexion was $105.1^{\circ}$ in the coronoid block group (n=14) and $119.1^{\circ}$ (p=0.011) in the coronoid free group (n=11). The relationship between further elbow flexion and TMFO was significant with a partial correlation coefficient of 0.687(p<0.000) in the TMFO length. Conclusion: Elbow joints with longer TMFO length decrease further flexion.

A study on Waviness of Large Discontinuity using 3D Laser Scanner (3D Laser Scanner를 이용한 대규모 불연속면의 굴곡도 측정 연구)

  • Kim, Yong;Lee, Su-Gon;Kim, Chee-Hwan
    • The Journal of Engineering Geology
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    • v.27 no.2
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    • pp.119-124
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    • 2017
  • The waviness of Large Discontinuity rock is the one of important elements that judges the stability of rock slope. When the waviness of large discontinuity is measured in the field, there are many limitations Therefore this research was carried out to measure waviness of large rock discontinuities using 3D laser scanner to supplement this problem. This research established one 3D model that actual X, Y and Z coordinates through the integrated data gained from one that calculates waviness of base lock using CAD program was compared and analyzed to that of disc-clinometer. As its results, the high reliability of results could be recognized as it belongs to mechanical tolerance $1{\sim}2^{\circ}$ and the results belong to the measured values of Mean DIP and Mean are all within $1^{\circ}$. So, the investigation method of waviness of large discontinuity rock face using 3D laser scanner was verified as more prompt, effective and reliable method than conventional direct site measuring method.

Effects of Knee Position during the Graft Fixation of the Arthroscopic Anterior Cruciate Ligament Reconstruction with Autogenous Hamstring Graft (이식 건 고정 시 슬관절 위치가 자가 슬괵건을 이용한 관절경적 전방 십자 인대 재건술 후 결과에 미치는 영향)

  • Lee, Churl-Woo;Yoo, Jae-Doo;Roh, Kwon-Jae;Park, Seong-Pil
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.143-147
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    • 2005
  • Purpose: In case of anterior cruciate ligament (ACL) reconstruction, graft tendon is generally fixed in tibial tunnel with knee extended. When reconstructing ACL using hamstring tendon, the authors aim to find out the effect of knee joint position during graft fixation on postoperative knee joint stability and range of motion. Materials and Methods: Prospective study was done on patients who have undergone ACL reconstruction using hamstring tendon from May 2002 to January 2003 We used Rigifix system (Mitek Product, Johnson and Johnson, USA) and Intrafix system for fixation. Thirty nine patients received ACL reconstruction during this period. Excluding 2 patients lost in the follow-up, 37 patients were analyzed. The mean follow-up period was 14 months $(13{\sim}25months)$. Knee position was decided alternatively without any bias. Clinical evaluation was based on Lachman test, pivot shift test, Lysholm score, IKDC(international knee documentation committee) assessment and side to side KT-1000 maximal manual arthrometer difference. Results: After the last follow-up, average postoperative Lysholm score was 93.1 poins(65-98points). According to IKDC score, 26 cases were normal, 10 cases were nearly normal, 1 case was abnormal and we had no case of severe abnormality. The mean difference from the normal side was 2.5 mm under maximal manual loading KT-1000 arthrometer. According to postoperative Lachman test, 32 cases were normal,2 cases were grade I and 1 case was grade II. There were 34 cases of normal, 2 cases of grade I and 1 case of grade II. When using maximal manual KT-1000 arthrometer side to side difference, the difference from the normal side while fixing the tibia at 20'knee flexion was 2.3 mm and at full extention the difference was 2.7 mm. The range of motion at postoperative 1 year showed 5 degree flexion contracture in 1 case at 20 degrees knee flexion and 10 degrees of flexion limitation was observed in 2 cases at full extension. Conclusion: When ACL reconstruction using autogenous hamstring tendon, anterior laxity showed no difference in its stability between two groups. Tibial side fixation at full extension may be helpful in preventing flexion contracture due to overconstrained graft tendon.

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Biomechanical Evaluation of Total Disc Replacement in Spine (척추 인공디스크 수술의 생체역학적 평가)

  • Choi, Dae Kyung;Park, Won Man;Kim, Yoon Hyuk
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.267-268
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    • 2011
  • 본 연구에서는 유한요소 해석 방법을 이용하여 경추 유한요소 모델을 개발하고, 척추 인공디스크 수술 후 경추 분절의 생체역학적 특성을 평가하였다. 반구속 및 비구속 개념의 인공디스크가 삽입된 경추 유한요소 모델의 제 7 경추체를 완전히 고정시키고 추적 경로 방향의 50 N의 압축력을 가한 상태에서 1 Nm의 굴곡과 신전, 측면 굴곡, 비틀림 모멘트를 가하였다. 모든 방향의 하중 조건에서 인공디스크가 삽입된 경추 모델들의 회전량이 정상 경추 모델의 회전량에 비하여 크게 나타났다. 또한 인공디스크를 삽입한 운동 분절에서 정상에 비하여 후관절의 접촉력과 여섯 가지 주요 인대에 걸리는 응력이 높게 나타났다. 본 연구의 결과는 척추 인공디스크 수술 시 수술 방법의 선택뿐만 아니라 새로운 경추 수술용 임플란트 개발을 위한 인체정보 콘텐츠를 구축하는데 유용하게 활용될 수 있을 것으로 기대된다.

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