• Title/Summary/Keyword: 전방 시야

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Tunnel Position for Anatomical Reconstruction of the Anterior Cruciate Ligament (해부학적 전방십자인대 재건술을 위한 터널의 위치)

  • Lee, Jin Kyu;Yang, Jae-Hyuk
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.4
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    • pp.305-310
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    • 2020
  • The review provides updated concepts regard to the anatomy of the anterior cruciate ligament (ACL) footprints. The concept of anatomical ACL reconstruction, in which the graft is placed in the native ACL insertion area, has been introduced. However, there is still no consensus on the anatomical positioning of the femoral and tibial tunnel. In this study, authors review and update the literature regarding the tunnel position for anatomical ACL reconstruction.

Two to Four Year Follow-Up Results after Anterior Cruciate Ligament Reconstruction Using Transtibial Femoral Tunnel at 10 or 2 O'clock Position (10시 혹은 2시 방향의 경경골 대퇴 터널을 이용한 전방 십자 인대 재건술 후 2~4년 추시 결과)

  • Cho, Sung-Do;Youm, Yoon-Seok;Jeong, Ji-Young;Park, Han-Chang
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.1
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    • pp.1-7
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    • 2009
  • Purpose: To evaluate the 2 to 4-year follow-up results after arthroscopic anterior cruciate ligament (ACL) reconstruction using transtibial femoral tunnel at 10 or 2 O'clock position. Materials and Methods: Eighty-six ACL reconstructions could be evaluated. Evaluations included 2000 International Knee Documentation Committee (IKDC) subjective knee score, Lachman test, Pivot-shift test, KT-1000 arthrometer measurement, 2000 IKDC knee examination and second-look arthroscopy. Results: Seventy-five patients (87.2%) had over 80 in 2000 IKDC subjective knee score. Eighty-three patients (96.5%) had 1+firm end or negative Lachmann test. Seventy-eight patients (90.7%) had a negative Pivot-shift test. Eighty-three patients (96.5%) had less than 5 mm difference by KT-1000 arthrometer. Eighty patients (93.0%) were normal or nearly normal by 2000 IKDC knee examination. Second-look arthroscopy was done in fifteen cases. Nine cases showed good synovialization, four cases showed partial synovialization, two cases showed poor synovialization and graft failure was noted in one case. Conclusion: ACL reconstruction using transtibial femoral tunnel at 10 or 2 O'clock position resulted in a good outcome in terms of rotatory stability as well as antero-posterior stability.

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Parameter Estimation for Range Finding Algorithm of Equidistance Stereo Catadioptric Mirrors (등거리 스테레오 전방위 렌즈의 위치 측정 알고리듬을 위한 파라미터 측정에 관한 연구)

  • Choi, Young-Ho;Kang, Min-Goo;Zo, Moon-Shin
    • Journal of Internet Computing and Services
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    • v.8 no.5
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    • pp.117-123
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    • 2007
  • Catadioptric mirrors are widely used in automatic surveillance system. The major drawback of catadioptric mirror is its unequal image resolution. Equidistance catadioptric mirrir can be the solution to this problem. The exact axial alignment and the exact mount of mirror are the sources that can be avoided but the focal length variation is inevitable. In this paper, the effects of focal length variation on the computation of depth and height of object' point are explained and the effective and simple focal length finding algorithm is presented. First two object's points are selected, and the counterparts on the other stereo image are to be found using MSE criterion. Using four pixel distance from the image center, the assumed focal length is calculated. If the obtained focal length is different from the exact focal length, 24mm, the focal length value is modified by the proposed method. The method is very simple and gives the comparable results with the earlier sophisticated method.

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Comparison the Preoperative MRI Findings with Postoperative Arthroscopic Findings on Meniscus Injury with Anterior Cruciate Ligament Rupture (전방십자인대 파열에 동반된 반월상 연골판 손상의 관절경 수술 소견과 수술 전 자기공명영상 검사와의 비교)

  • Sohn, Hong Moon;Lee, Gwang Chul;Kim, Dong Hwi;Park, Sang Soo
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.2
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    • pp.147-152
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    • 2012
  • Purpose: The purpose of this study was to compare the preoperative magnetic resonance image (MRI) findings with postoperative arthroscopic findings on meniscus injury with anterior cruciate ligament (ACL) rupture. Materials and Methods: We reviewed MRI images and arthroscopic findings of 225 patients treated by ACL reconstruction due to rupture, from February 2001 to November 2010. There were 154 cases of meniscus tear in arthroscopic findings. We examined the sensitivity for detecting meniscal tears varied with the presence of a rupture of the ACL, with the location of the tear within the meniscus, and among configurations of meniscal tears. Results: In the presence of a rupture of the ACL, the sensitivity of MRI was 0.88 for medial meniscal tears and 0.69 for lateral meniscal tears. And sensitivity of MRI was lowest in posterior horn and peripheral portion tears in lateral meniscus injury accompanying ACL rupture, sensitivity was low in anterior horn and flap shape tears in medial meniscus injury accompanying ACL rupture. Conclusion: In Meniscus injury with ACL rupture, a special attention shoulder given to the posterior horn and peripheral portion injury in lateral meniscus during arthroscopic surgery due to difficulty in detecting on MRI.

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Arthroscopic Anterior Cruciate Ligament Reconstruction with Remnant Bundle Preservation (남아있는 다발을 보존한 전방십자인대 재건술)

  • Ahn, Jin-Hwan;Lee, S.H.
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.87-96
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    • 2009
  • 최근 전방십자인대 손상의 치료에 남아있는 인대 다발이 이식건의 생물학적 치유를 도우며 고유 수용감각(proprioception) 기능을 유지할 뿐만 아니라 슬관절의 전방 전위 억제의 생역학적 기능을 가지는 것으로 연구되고 있다. 이러한 이론을 바탕으로 남아있는 전방십자인대를 보존하는 노력들은 다양하게 시도되고 있다. 전방십자인대 손상의 자연 경과는 아직도 논란이 되고 있으나 선택적인 환자에 있어서 보존적 치료는 비교적 좋은 결과를 얻을 수 있으므로 불필요한 재건술을 줄일 수 있다. 최근 시도되고 있는 선택적 다발 재건술 및 남아있는 다발을 보존하는 전방십자인대 재건 수술 수기들은 다양한 방법으로 시도되고 있으며 남아있는 다발을 보존하는 장점이 있으나 협소한 적응증을 가진다. 저자들의 남아있는 다발을 보존하는 전방십자인대 재건술은 자가 슬괵건을 이용한 단일다발 재건술을 시행하면서 잔존하는 이완된 다발에 봉합사를 통과시킨 후 봉합사를 추가적인 터널 없이 bioabsorbable cross pin (RIGIDfix system, Mitek, Johnson & Johnson, USA) 구멍을 통하여 당기고 고정하는 방법이다. 전방십자인대 재건술시 남아있는 다발을 보존하는 방법은 이식건의 생물학적 치유을 촉진하고 또한 경골 부착부에 남아있는 기계수용체를 보존하므로 기능적 회복에 도움이 될 것으로 기대된다. 저자들의 방법은 비교적 광범위한 적응증을 가지며 적은 합병증으로 남아있는 다발을 효과적으로 보존할 수 있는 술식으로 전방십자인대 수술시 좋은 치료 선택의 하나로 사료된다.

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The Delayed Inflammatory Reaction after Anterior Cruciate Lligament Reconstruction with a Bioabsorbable Interference Screw Fixation - A Case Report - (생분해성 간섭나사를 이용한 전방십자인대 재건술 후 발생한 지연성 염증반응 - 증례 보고 -)

  • Lim, Hong-Chul;Noh, Kyoung-Sun;Yang, Jae-Hyuk
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.87-90
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    • 2006
  • The complication caused by a bioabsorbable interference screw is rare after anterior cruciate ligament reconstruction. We report a case of delayed inflammatory reaction at the tibial tunnel and femoral tunnel where the graft tendon had been fixed with a bioabsorbable interference screw ($Bioscrew^{(R)}$) for anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft.

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An Analysis on the Prevention Effects of Forward and Chain Collision based on Vehicle-to-Vehicle Communication (차량 간 통신 기반 전방추돌 및 연쇄추돌 방지 효과 분석)

  • Jung, Sung-Dae;Kim, Tae-Oh;Lee, Sang-Sun
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.10 no.4
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    • pp.36-43
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    • 2011
  • The forward collision of vehicles in high speed can cause a chain collisions and high fatality rate. Most of the forward collisions are caused by insufficient braking distance due to detection time of driver and safe distance. Also, accumulated detection time of driver is cause of chain collisions after the forward collision. The FVCWS prevents the forward collision by maintaining the safety distance inter-vehicle and reducing detection time of driver. However the FVCWS can cause chain collisions because the system that interacts only forward vehicle has accumulated detection time of driver. In this paper, we analyze forward and chain collisions of normal vehicles and FVCWS vehicles on static traveling scenario. And then, we analyze and compare V2V based FVCWS with them after explaining the system. The V2V FVCWS reduces detection time of driver alike FVCWS as well as remove accumulated detection time of driver by broadcasting emergence message to backward vehicles at the same time. Therefore, the system decrease possibility of forward and chain collisions. All backward normal vehicles and 3~4 backward FVCWS vehicles have possibility of forward and chain collisions in result of analysis. However V2V FVCWS vehicles almost do not chain collisions in the result.

ACL Reconstruction with Remnant Preserving Technique - Technical Note - (잔류조직 보존 술기를 이용한 전방 십자 인대 재건술 - 수술 술기 -)

  • Cho, Sung-Do;Youm, Yoon-Seok;Jeong, Ji-Young;Jeon, Hyung-Min
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.1
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    • pp.82-85
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    • 2009
  • Purpose: In anterior cruciate ligament (ACL) reconstruction, preservation of the remnant original tissue might promote graft healing and be helpful in proprioception. But this procedure is difficult and causes the notch impingement. So we introduce a surgical technique that makes a transtibial femoral tunnel at 10 or 2 o'clock position with preservation of remnant tissue. Surgical approach: We tried to preserve the remnant tissue and synovium as much as possible, especially those of tibial attachment and extending to the posterior cruciate ligament (PCL), so as to have some tension and to prevent notch impingement. We set the tibial drill guide at 40~45 degrees and the intra-articular guide tip was 1 mm anterior and medial to the conventional site. The starting point of tibial guide pin was proximal to the pes anserinus and anterior to the medial collateral ligament. When the reamer approached the cortical bone of the tibial articular surface, the reamer must be advanced very carefully to minimize injury to the remnant tissue. The tibial and femoral tunnel at 10 or 2 o'clock position were made with the reamer, the diameter of which was same with that of the graft. Conclusion: We report a remnant preserving technique in ACL reconstruction that makes a transtibial femoral tunnel at 10 or 2 o'clock position

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Range finding algorithm of equidistance stereo catadioptric mirror (등거리 스테레오 전방위 렌즈 영상에 대한 위치 측정 알고리즘)

  • Choi, Young-Ho
    • Journal of Internet Computing and Services
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    • v.6 no.6
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    • pp.149-161
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    • 2005
  • Catadioptric mirrors are widely used in automatic surveillance system. The major drawback of catadioptric mirror is its unequal image resolution. Equidistance catadioptric mirror can be the solution to this problem. Even double panoramic structure can generate stereo images with single camera system. So two images obtained from double panoramic equidistance catadioptric mirror can be used in finding the depth and height values of object's points. But compared to the single catadioptric mirror. the image size of double panoramic system is relatively small. This leads to the severe accuracy problem in estimation. The exact axial alignment and the exact mount of mirror are the sources that can be avoided but the focal length variation is inevitable. In this paper, the effects of focal length variation on the computation of depth and height of object' point are explained and the effective focal length finding algorithm, using the assumption that the object's viewing angles are almost same in stereo images, is presented.

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Prediction of Rock Mass Strength Ahead of Tunnel Face Using Hydraulic Drilling Data (천공데이터를 이용한 터널 굴진면 전방 암반강도 예측)

  • Kim, Kwang-Yeom;Kim, Sung-Kwon;Kim, Chang-Yong;Kim, Kwang-Sik
    • Tunnel and Underground Space
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    • v.19 no.6
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    • pp.479-489
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    • 2009
  • Appropriate investigation of ground condition near excavation face in tunnelling is an inevitable process for safe and economical construction. In this study mechanical parameters from drilling process for blasting were investigated for the purpose of predicting the ground condition, especially rock mass strength, ahead of tunnel face. Rock mass strength is one of the most important factors for classification of rock mass and making a decision of support type in underground construction. Several rock specimens which are considered homogeneous and having different strength values respectively were tested by hydraulic drill machines generally used. As a result, penetration rate is fairly related with rock mass strength among drilling parameters. It is also found that penetration rate increases along with the higher impact pressure even under same rock strength condition. It is finally suggested that new prediction method for rock mass strength using percussive pressure and penetration rate during drilling work can be utilized well in construction site.