• Clinics in Shoulder and Elbow
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• v.13 no.2
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• pp.181-187
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• 2010

Purpose: To determine clinical results for arthroscopic repair of a full-thickness rotator cuff tear using a suture bridge technique. Materials and Methods: Between November, 2007 and October, 2008, we evaluated 90 cases of arthroscopic middle, large rotator tear cuff repair. The mean follow-up period was 15 months (range, 12-23 months). Forty-three cases had medium-sized tears; 47 cases had large-sized tears. At the preoperative stage and again at last follow-up, functional results were assessed by the KSS, ASES, UCLA and the PVAS (Pain visual analogue score). Results: Pain score improved from 2.56 preoperatively to 0.96 at final follow-up; movement scores improved from 6.94 to 1.70. At. final follow-up, the average UCLA score improved from 17.08 to 31.17 with 31 excellent (34%), 49 good (54%) and 10 poor results (12%). The final UCLA score was 31.47 in the group less than 60 years of age and 30.69 in the group over 61 years of age (p=0.344). The UCLA score was 31.23 in those with medium-sized tears and 31.11 in those with large-sized tears (p=0.924). The UCLA score was 31.10 in non-trauma patients and 31.23 in trauma patients (p=0.929). Conclusion: Arthroscopic repair of a full-thickness rotator cuff tear using a suture bridge technique can produce excellent clinical results. These outcomes are not affected by age or trauma history.

• Journal of the Korean Orthopaedic Association
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• v.56 no.1
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• pp.61-67
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• 2021

Purpose: To evaluate the prognostic factors affecting poor functional outcomes in patients with retear after rotator cuff repair. Materials and Methods: From January 2013 to December 2018, among 631 patients who underwent arthroscopic repair of a rotator cuff tear, 42 patients, who could be followed-up for more than one year and showed a retear of the repaired cuff on magnetic resonance imaging (MRI), were collected retrospectively. The preoperative demographic data, range of motion, American Shoulder and Elbow Surgeons (ASES) score, fatty degeneration, and tear progression on postoperative MRI, as well as other factors that could affect the clinical outcomes, were analyzed. Patients who scored <80 points on the ASES score were allocated to the poor function group. The risk factors for poor clinical outcomes were compared with the group with ASES scores of 80 or above. Results: The postoperative functional results in the group with retear (n=42) after arthroscopic rotator cuff repair showed significant improvement. Univariate analysis revealed the preoperative visual analogue scale (VAS) score and tear progression to have associations with a poor shoulder function. In addition, subscapularis repair was found to be associated with a good shoulder function. The preoperative VAS score and tear progression except for subscapularis repair were independent factors associated with poor clinical outcomes according to multivariate logistic regression analysis. Conclusion: In patients with retear after rotator cuff repair, the preoperative VAS and tear progression in postoperative MRI are factors predicting a poor functional outcome.

• Journal of the Korean Arthroscopy Society
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• v.16 no.1
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• pp.72-78
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• 2012

The rotator cuff is situated in a potential tight subacromial space and undergoes senescent structural changes commonly observed in other joints of the body. When the cuff fails, spontaneous healing of the torn tendon is not expected to occur, and multiple factors may be responsible. Its fibers are under tension and typically retract on tearing. The subacromial bursal inflammation and alterations in normal glenohumeral kinematics have been considered in the development of symptoms. Controversy continues to exist concerning the pathogenesis of rotator cuff disease. The heterogeneity of the disorder, as well as the notion that rotator cuff disease may not actually represent a continuum of the same process, but rather, is a compilation of independent disorders, may partly explain the differing viewpoints on its origin. Two contrasting pathogenetic mechanisms have been extensively described and include vascular, or intrinsic, causes and impingement, or extrinsic, factors. Other etiologies have also been reported that include trauma, congenital or developmental factors, and instability. For successful treatment of the rotator cuff diseases, it is essential to understand the structure and function of rotator cuff and to clarify the pathogenesis and natural history of its disorder.

• Geophysics and Geophysical Exploration
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• v.11 no.2
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• pp.137-147
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• 2008

Fault rupture directivity of the Odaesan earthquake, which was inferred to be the main cause of the high PGAvalue (> 0.1 g) unusually observed at the near-source region, was analyzed by using the data from the nearby (R < 100 km) dense seismic stations. The Boatwright's method (2007) was adopted for this purpose in which the azimuth and takeoff angle of the unilateral rupture directivity function could be estimated based on the relative peak ground-motions of seismic stations resulting from the nature of the rupture directivity. In this study, the approximate values of the relative peak ground-motions was derived from the difference between the log residuals of the point-source spectral model (Boore, 2003) for the main and secondary events based on the Random Vibration Theory. In this derivation, the spectral difference for a frequency range between the source corner frequencies of main and secondary events was considered to reflect only the effect of the fault directivity. The inversion result of the model parameters for the fault directivity function showed that the fault-plane of NWW-SEE direction dipping steeply to the North with high rupture velocity near upward in SE direction is responsible for the observed high level of ground-motion at the near-source region.

• Journal of the Korean Institute of Gas
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• v.3 no.3 s.8
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• pp.51-57
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• 1999

A study on the vented gas explosion characteristics were carried out with the liquified petroleum gas(LPG) which is used in domestics and industries fuel. To evaluate a damage by gas explosion and to predict a explosion hazards, a series of experiment have been performed in the regular hexahedron vessel of 270${\iota}$. A side of the vessel was made to setting a polyester diaphragm which was ruptured by explosion to simulate an accidental explosion which ruptured the window by explosion. Experimental parameters were LPG concentration, ignition position, venting area, a strength of diaphragm which was ruptured and distances from venting, Experimental results showed that vented gas explosion pressure was more affected by the diaphragm strength than the gas concentration, and the vented gas explosion pressure and blast wave pressure was increased with decreasing the venting area and increasing the strength of diaphragm. In this research we can find that a damage by vented explosion at the outside can be larger than the inside by blast wave pressure near the venting.

• Proceedings of the Korean Radioactive Waste Society Conference
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• 2012.05a
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• pp.287-288
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• 2012

• Investigative Magnetic Resonance Imaging
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• v.18 no.3
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• pp.193-199
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• 2014

Purpose : To evaluate the relationship between superior labral dimension of the glenohumeral joint on direct MRA and presence of SLAP lesion. Materials and Methods: IRB approval was obtained and informed consent was waived for this retrospective study. Direct MRA studies of the shoulder in 296 patients (300 shoulders) with arthroscopic surgery were analyzed by two radiologists blinded to the arthroscopic results, which were used as gold standard. One of the radiologists reviewed the images twice (session 1 and 2) for the evaluation of intra-observer variability. Transverse and longitudinal dimensions of superior labrum on coronal T1-weighted images were measured as base and height of the inverted triangular-shaped superior labrum and compared between patients with SLAP lesions vs. non-SLAP patients. Presence of meniscoid labrum was noted. Statistical analysis was done using unpaired t-test. Results: Among 279 patients (283 shoulders), 122 patients (43.1%) had SLAP lesions. The mean base/height of superior labrum in SLAP and non-SLAP patients measured on T1-weighted MR image were 8.8 mm / 5.2 mm, 8.5 mm / 4.9 mm for reader 1; 8.2 mm / 4.9 mm, 8.1 mm / 4.5 mm for session 1 of reader 2; 8.0 mm / 4.8 mm, 7.6 mm / 4.3 mm for session 2 of reader 2. In SLAP group, the mean labral height was larger than non-SLAP group with statistically significant difference (p<0.05). Fifteen patients (5.3%) had meniscoid labrum according to operation records. Conclusion: In patients with SLAP lesion, the height of the superior glenoid labrum on oblique coronal image of MRA was slightly larger than non-SLAP patients. A larger height of superior glenoid labrum may be associated with SLAP lesions.

• Journal of Korean Orthopaedic Sports Medicine
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• v.5 no.1
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• pp.50-57
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• 2006

Purpose: The purpose of this study was to evaluate the tendon healing of arthroscopic repair in full-thickness supraspinatus tears. We evaluate the effectiveness of the arthroscopic repair of full-thickness supraspinatus tears by assessing functional improvement. Materials and Methods: Thirty consecutive full-thickness supraspinatus tears were repaired arthroscopically in 19 patients with a one row of anchor and 11 patients with two rows of anchors. Patients ranged in age from 51 to 79 years (average 63 years). Average follow-up was 16 month (range, 12 to 28 months). To evaluate the effectiveness of the arthroscopic repair of full-thickness supraspinatus tears by assessing functional improvement, we calculate the Constant, ASES, UCLA scores. The 30 patients had either an MR Arthrogram (25 cases) or an MRI (5 cases), performed between 5 months and 20 months (mean 10 months) after surgery. Results: The cuff was healed in 21/30 cases (70%) and partially torn in 3 cases (10%) after the arthroscopic repair of full-thickness supraspinatus tear. Although the supraspinatus tendon was totally torn to the tuberosity in 6 cases(20%) after the arthroscopic repair, the size of the tear was smaller than the initial in 5 cases. The Constant score improved from an average of $55.7{\pm}7.1$ points preoperatively to $77.7{\pm}9.7$ points at the last follow-up (p<0.001), and the average ASES score improved from $39.2{\pm}7.4\;to\;72.4{\pm}12.6$ (p<0.001), and the average UCLA score improved from $17.9{\pm}2.2\;to\;26.8{\pm}5.0$ (p<0.001). Strength of elevation was significantly better $(7.1kgs{\pm}2.4)$ in the shoulders with a healed tendon that in those with an total or partial re-tear tendon $(4.5kgs{\pm}1.0)$ (p<0.05). Factors adversely affecting tendon healing were increasing age, Only 41.7% of the repairs completely healed in patients over 65 years (p<0.05). Conclusion: Arthroscopic repair of isolated full-thickness tear of the supraspinatus leads to completely healing in 70% of the cases. Total or partial re-tear of the repaired rotator cuff is associated with a decreased strength. Older patients had significantly lower healing rates.

• Proceedings of the KSME Conference
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• 2001.06a
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• pp.339-344
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• 2001

The transmission pipeline industry spends many millions of dollars annually performing inline inspections, excavating sites of possible corrosion, and repairing or replacing damaged sections of pipe. New criteria for evaluation the integrity of corroded pipe have been developed in recent years to help in controlling these costs. These new criteria vary widely in their estimates of integrity and the most appropriate criterion for a given pipeline is not always clear. This paper presents an overview, comparison and evaluation of acceptability criteria for corrosion defects in pipelines. By full scale burst tests, this paper have assessed the relative accuracy of each of theses criteria in predicting failure and remaining strength. Many of the criteria appear to be excessively conservative and indicate that defects must be repaired when none is needed, based upon burst test data.

• Nuclear Engineering and Technology
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• v.27 no.3
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• pp.439-446
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• 1995

원자력 발전소 안전성 향상을 위한 노력으로 현재 안전계통의 단순화및 피동화에 대한 연구가 활발히 지속적으로 수행되고 있다. 개량형 중수로에서는 특수 안전계통의 하나인 비상노심냉각계통의 피동화 및 단순화 방안을 다각적으로 검토한 결과, 비상노심냉각계통의 압력이 열수송계통(Heat Transport System) 압력보다 일정 크기 이상일 때만 파열되는 일방향파열판(One-way Rupture Disc)을 개발하여, 계통에 도입함으로써 전기적인 신호와 힘에 의해 작동되는 밸브 갯수를 크게 줄일 수 있게 되었고 이로 인해 계통의 피동성이 향상되었으며, 계통구성 측면이나 운전 측면에서도 단순화를 이루었다. 또한 물보다 비중이 작고 가스주입 차단 기능이 뛰어난 볼(Floating Ball)을 고압용 비상노심냉각 물탱크 내부에 설치하여 종래의 차단밸브 기능을 수행하게 함으로써 전동식 차단밸브를 제거할 수 있게 되었다.