• 제목/요약/키워드: Delayed repair

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Delayed Lateral Row Anchor Failure in Suture Bridge Rotator Cuff Repair: A Report of 3 Cases

  • Jeong, Jae-Jung;Ji, Jong-Hun;Park, Seok-Jae
    • Clinics in Shoulder and Elbow
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    • v.21 no.4
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    • pp.246-251
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    • 2018
  • Compared to single row repair, use of lateral row anchors in suture bridge rotator cuff repair enhances repair strength and increases footprint contact area. If a lateral knotless anchor (push-in design) is inserted into osteoporotic bone, pull-out of the lateral row anchor can developed. However, failures of lateral row anchors have been reported at several months after surgery. In our cases, even though complete cuff healing occurred, delayed pull-out of the lateral row anchor in the suture bridge repair occurred. In comparison to a conventional medial anchor, further biomechanical evaluation of the pull-out force, design, and insertion angle of the lateral anchor is needed in future studies. We report three cases with delayed pull-out of lateral row anchor in suture bridge rotator cuff repair with a literature review.

AN EVALUATION OF THE EFFECT OF CALCIUM SULFATE, AMALGAM AND CALCIUM HYDROXIDE IN THE REPAIR OF FURCATION PERFORATIONS (황산칼슘, 아말감 및 수산화칼슘이 치근분지부 천공부위에 미치는 치유효과에 관한 비교 연구)

  • Kang, Chung-Kyu;Roh, Byoung-Duck;Lee, Seung-Jong
    • Restorative Dentistry and Endodontics
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    • v.22 no.1
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    • pp.93-109
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    • 1997
  • Finding a right repair material for furcation perforation is one of the major issues in clinical endodontics. In this experiment, three materials, calcium sulfate, amalgam, and calcium hydroxide were tested for perforated furcation repair. Sixty premolars and molars of five dogs were used. A #4 round bur was used to create the perforation. All experimental teeth were divided into two repair-time groups. One was immediate-repair group, where the perforation was repaired immediately, the other was delayed-repair group, where the perforation was left open for four weeks and then repaired with the same manner as in the immediate-repiar group. All chamber openings were sealed with amalgam and then radiographed. The animals were sacrificed at eighth week following the repair procedure. Radiographic evaluation for furcal bone destruction was done. Histologic evaluation was ranked as 0,1,2,3 according to the inflammation degrees. New bone formation was also recorded. The following conclusions were drawn within the limits of the experimental results: 1. In immediate-repair group, no significant differences existed between the materials. 2. In delayed-repair group, calcium sulfate showed significantly less furcal bone destruction and lower inflammation degree than amalgam.(p<0.05) 3. Overextruded specimens showed more severe inflammation than unextruded specimens. 4. Most of the specimens showed certain degrees of inflammatory reaction and incomplete hard tissue healing. 5. In delayed-repair group, treated group showed less inflammation than untreated control group.

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Early and Delayed Postoperative Rehabilitation after Arthroscopic Rotator Cuff Repair: A Comparative Study of Clinical Outcomes

  • Choi, Sungwook;Seo, Kyu Bum;Shim, Seungjae;Shin, Ju Yeon;Kang, Hyunseong
    • Clinics in Shoulder and Elbow
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    • v.22 no.4
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    • pp.190-194
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    • 2019
  • Background: The duration of immobilization after arthroscopic rotator cuff repair and the optimal time to commence rehabilitation are still the subject of ongoing debates. This study was undertaken to evaluate the functional outcome and rotator cuff healing status after arthroscopic rotator cuff repair by comparing early and delayed rehabilitation. Methods: Totally, 76 patients with small, medium, and large sized rotator cuff tears underwent arthroscopic repair using the suturebridge technique. In early rehabilitation group, 38 patients commenced passive range of motion at postoperative day 2 whereas 38 patients assigned to the delayed rehabilitation group commenced passive range of motion at postoperative week 3. At the end of the study period, clinical and functional evaluations (Constant score, the University of California, Los Angeles [UCLA] shoulder score) were carried out, subsequent to measuring the range of motion, visual analogue scale for pain, and isokinetic dynamometer test. Rotator cuff healing was confirmed by magnetic resonance imaging at least 6 months after surgery. Results: No significant difference was obtained in range of motion and visual analogue scale between both groups. Functional outcomes showed similar improvements in the Constant score (early: 67.0-88.0; delayed: 66.9-91.0; p<0.001) and the UCLA shoulder score (early: 20.3-32.3; delayed: 20.4-32.4; p<0.001). Furthermore, rotator cuff healing showed no significant differences between the groups (range, 6-15 months; average, 10.4 months). Conclusions: Delayed passive rehabilitation does not bring about superior outcomes. Therefore, early rehabilitation would be useful to help patients resume their daily lives.

Change of Surviving Fractions based on the Recovery of Potentially Lethal Damage in HFL-I Cell Line (HFL-I 세포의 잠재적 치사 손상 회복에 따른 세포 생존율 변화)

  • Choi, Eunae
    • Journal of the Korean Society of Radiology
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    • v.11 no.3
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    • pp.147-151
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    • 2017
  • Potentially lethal damage repair (PLDR) in HFL-I was investigated by delayed plating experiments. The surviving fraction data were fitted to the linear Quadratic equation ($LogSn=-n{\gamma}({\alpha}d+{\beta}d^2$) where ${\gamma}=1$ for immediate plating). And a repair factor ${\gamma}$ was developed to compare survival for immediate and delayed plating. When we only took into account the repair factor of PLDR ${\gamma}$ which was derived from the delay assay, the cell survival response th fractionated carbon ion irradiation was not fully matched. This gap suggested that consideration of another repair process is necessary. So this suggests that the various repair process plays an important role in the fractionated irradiations.

Effect of delayed time, surface treatment, and repair material on shear bond strength of repaired bis-acryl composite resin (수리된 비스 아크릴 복합 레진의 전단결합강도에 대한 지연시간, 표면처리, 수리 재료의 영향)

  • Park, Ji-su;Lee, Jae-In
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.2
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    • pp.89-96
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    • 2018
  • Purpose: The aim of this study was to evaluate the effect of delayed time, surface treatment, and repair materials on repair of bis-acryl composite resin through comparison of shear bond strength and to evaluate the utility of bis-acryl composite resin repair using polymethyl methacrylate resin. Materials and Methods: A total of 90 bis-acryl composite resin specimens were fabricated and classified into 9 test groups, each of 10 pieces according to delayed time, surface treatment and repair material. The shear bond strength of each specimen was measured using a universal testing machine immediately after fabrication and analyzed using a statistical analysis program (IBM SPSS statistics 20). After the shear bond strength measurement, the fracture surface of the specimen was observed. Results: The highest shear bond strength ($17.54{\pm}3.14MPa$) was observed in the experimental group bonded immediately with a light-curing flowable composite resin using a bonding agent. Conclusion: When repairing bis-acryl composite resin, it is necessary to consider whether to remake according to the delayed time. For effective repair, it is desirable to consider appropriate materials and surface treatment methods according to the site or purpose of use.

Repair work of Sasungjeon, one of the main building of Jangansa temple, and an attempt to transform the repair system of historic architecture in 1940s (금강산 장안사 사성전 보존 수리공사와 1940년대 수리체제 전환 시도)

  • Seo, Hyowon
    • Journal of architectural history
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    • v.29 no.4
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    • pp.7-16
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    • 2020
  • The purpose of this study is to reveal the development process of modern repair systems in the Korean peninsula. Sasungjeon, one of the main buildings of Jangansa temple located in Geumgangsan, was repaired from 1941 to 1944. It was the very last restoration work of historic wooden architecture performed during the Japanese colonial era. This work was delayed multiple times because of insufficient materials and human resources. The Bureau of Education(學務局), which was in charge of repair work, understood that the problems of the repair system and suggested reorganizing the system as a solution. This study examined the repair work of Sasungjeon as a background of the bureau's suggestion and considered this suggestion as an attempt to transform the repair system.

Delayed Sternal Closure After Heart Surgery in Neonate (신생아 개심술후 지연 흉골봉합)

  • 성시찬
    • Journal of Chest Surgery
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    • v.28 no.11
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    • pp.977-982
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    • 1995
  • Early repair of complex congenital heart malformation may lead to life-threatening respiratory and hemodynamic embarrassment on sternal closure. We performed delayed sternal closure in nine neonates to avoid a fatal outcome in these situations. Primary elective open sternum was used in 8 [66.7% and primary sternal closure in 4 [33.3% of the 12 patients studied. one patient with primary sternal closure underwent delayed sternal reopening in the intensive care unit. Of the 9 patients with open sternum, 2 patients died of low cardiac output and acute renal failure respectively before delayed sternal closure. 7 patients could undergo delayed sternal closures 3 days after initial operation. The mean age at open cardiac procedure was 14.3 days [range 3 to 30 and mean preoperative weight was 3.4kg [range 2.8 to 4.1 . The aortic cross-clamping time was longer in the group with open sternum than the group with closed sternum [p=0.042 . There was no morbidity and mortality related to delayed sternal closure. Given the low morbidity and potential benifits, this technique should be used in neonates after open heart procedures when postoperative mediastinal compression produces frank low cardiac output or respiratoy compromise during a trial of sternal closure.

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A Study on the Economic Repair Pattern of the Building Components in the Apartment Housing (공동주택 구성재의 경제적 수선형태 설정 연구)

  • Lee, Kang-Hee;Chae, Chang-U
    • Journal of the Korean housing association
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    • v.17 no.5
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    • pp.87-95
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    • 2006
  • Building components have been deteriorated by various factors such as location, a building type, a surrounding environment and so on. In addition, each component has a peculiar characteristics, compared with other components in properties of matter an used part. Building components would be required to maintain its function and performance to provide the resident with a decent living condition. It is important to decide the repair time, scope and a required cost in repair plan, considering the each component's characteristics. In this parer, it aimed at providing the economic repair pattern to analyze the relation of the time-elapse and the cumulative repair cost in the apartment housing using 3rd quadratic function. Results of the study are as follows: First, the shape of the function for the economic repair is classified into two type. One is the continuous increase type of the cumulative cost which properly means the iterative repair type after built. The other is that the function has the maximum state at a point which means one-repair after its repair would be delayed to a scheduled time. Second, the iterative repair pattern would include window, roof proof, lighting and water supply pipe. The other repair pattern would include the paintings, heating pipe and sign board.

Unrecognized intraorbital wooden foreign body

  • Kim, Young Ho;Kim, Hyonsurk;Yoon, Eul-Sik
    • Archives of Craniofacial Surgery
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    • v.19 no.4
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    • pp.300-303
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    • 2018
  • Intraorbital wooden foreign bodies may present difficulties in diagnosis due to their radiolucent nature. Delayed recognition and management can cause significant complications. We present a case report that demonstrates these problems and the sequela that can follow. A 56-year-old man presented with a 3-cm laceration in the right upper eyelid, sustained by a slipping accident. After computed tomography (CT) scanning and ophthalmology consultation, which revealed no fractures and suggested only pneumophthalmos, the wound was repaired by a plastic surgery resident. Ten days later, the patient's eyelid displayed signs of infection including pus discharge. Antibiotics and revisional repair failed to solve the infection. Nearly 2 months after the initial repair, a CT scan revealed a large wooden fragment in the superomedial orbit. Surgical exploration successfully removed the foreign body and inflamed pocket, and the patient healed uneventfully. However, the prolonged intraorbital infection had caused irreversible damage to the superior rectus muscle, with upgaze diplopia persisting 1 year after surgery and only minimal muscle function remaining. We report this case to warn clinicians of the difficulties in early diagnosis of intraorbital wooden foreign bodies and the grave prognosis of delayed management.