• 제목/요약/키워드: Edge-to-edge repair

검색결과 77건 처리시간 0.029초

The suture bridge transosseous equivalent technique for Bony Bankart lesion

  • 최창혁;김신근;백승훈;신동영
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2008년도 제16차 학술대회
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    • pp.178-178
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    • 2008
  • In order to improve static stability and healing of reattached labrum, we combined the advantages of suture bridge and transosseous technique. Using the conventional 3 portal for anterior instability, check stability of bony Bankart and preparation of glenoid bed in 3 way including removal, reshaping or mobilization of bony fragment. Two anchors were inserted to the superior and inferior portion and medial edge of bony Bankart lesion. It usually corresponded to the area of IGHL. Medial mattress sutures were applied around IGHL complex to get enough depth of glenoid coverage using suture hook. Make 3.5mm pushlock anchor hole to the articular edge of glenoid cartilage. Proximal suture bridge was applied at first and then distal suture bridge was inserted to mobilize the labrum in proximal direction. These construction can provide more stable labral repair with wide contact and compression in case of deficient bony stability. It not only avoids technical disadvantage of point contact with anchor fixation, but also decreasing gap formation through cross compression of labrum that couldn't gain even with the transosseous fixation which affords linear compression effect. Additional bony stability could be gained if the the bony fragment was mobilized to the glenoid margin with potential healing bed or reshaped for the good contact with reattached labrum.

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2D-3D FEM 해석에 의한 절단응력의 해석 및 정도 (Prediction of Cutting Stress by 2D and 3D-FEM Analysis and Its Accuracy)

  • 장경호;이상형;이진형
    • 한국전산구조공학회:학술대회논문집
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    • 한국전산구조공학회 2001년도 봄 학술발표회 논문집
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    • pp.95-101
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    • 2001
  • Steel bridges, which have been damaged by load and corrosion, need repair or strengthening. In general, before the repair welding procedure, cutting procedure carry out. Therefore, the investigating of the behavior of stress generated by cutting is so important for safety of structure. Residual stress produced by gas cutting was analyzed using 2D and 3D thermal elasto-plastic FEM. According to the results, the magnitude of temperature was analyzed by 2D-FEM is smaller than that was analyzed using the 3D-FEM program at the start and end edge of flange. And the magnitude and distribution of residual stress of perpendicular to the cutting line was analyzed by the 2D-FEM program was similar to that was analyzed by the 3B-FEM program. Therefore, it is possible to predict of cutting stress by 2D and 3D FEM.

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견갑하근 상 1/3 파열 (Partial Tear of Upper Portion of Subscapularis)

  • 김동휘;김국진;문영래
    • Clinics in Shoulder and Elbow
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    • 제8권1호
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    • pp.9-13
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    • 2005
  • An isolated tear of the subscapularis is uncommon, and there are a few literatures regarding the treatment of this problem. But, the incidence has increased with development of the arthroscopic techniques. An all-arthroscopic rotator cuff repair is a challenging procedure that can be effectively performed for treatment of subscapularis tendon tears. Often, tears of the subscapularis tendon do not involve entire tendon, and retraction of the torn edge is within to 2 cm of its attachment site. Occasionally, the entire tendon is torn and retracted medially to the glenoid. This article outlines the examination, preoperative planning and details the steps necessary to perform this procedure on upper third of subscapularis tears.

후설치 콘크리트 세트앵커의 인발파괴거동에 관한 실험적 연구 (An Experimental Study on the Pullout Failure Behavior of Post-installed Concrete Set Anchor)

  • 숫러타;유승운
    • 한국구조물진단유지관리공학회 논문집
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    • 제18권1호
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    • pp.40-47
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    • 2014
  • 최근 토목구조물의 보수 보강 및 리모델링시 구조부재를 부착시키거나 고정하는데 있어서 시공의 유연성 및 용이성으로 후설치 앵커의 사용량이 증가하고 있는 실정이지만 현재 우리나라에서는 설계자와 시공자가 신뢰할 수 있는 명확한 설계기준이 없는 상태로서 외국의 설계기준에 의존하고 있는 실정이다. 무근콘크리트에 매입된 앵커에 인발하중이 작용할 때 앵커의 다양한 파괴모드는 콘크리트 파괴, 쪼갬파괴, 강재파괴, 뽑힘파괴 및 측면파괴가 발생한다. 이것은 강재의 인장 강도, 콘크리트 강도, 매입 깊이, 앵커 간격, 연단거리와 인접 앵커의 존재에 따라 달라진다. 본 연구에서는 매입깊이, 앵커간격 및 연단거리를 변수로 한 후설치 콘크리트 세트앵커의 인발파괴실험을 통하여 무근콘크리트에 매입된 후설치 세트앵커의 인발거동에 미치는 영향을 규명하는 것을 그 목적으로 한다.

축류형 터빈 익형의 역설계 및 형상설계를 위한 설계변수에 관한 연구 (Study of Reverse Design for an Axial Turbine Blade Profile and Design Parameters for Designing Blade Geometry)

  • 조수용;오군섭;최범석
    • 한국유체기계학회 논문집
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    • 제3권2호
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    • pp.7-14
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    • 2000
  • For a given axial turbine blade, reverse design method is developed to improve blade efficiency, optimize blade profile, or repair parts etc. In this process, design parameters for designing axial turbine blade are induced. The induced design parameters are as follows; ellipse at leading edge, radios of trailing edge, axial chord, tangential chord, wedge angle at the inlet, and unguided turning angle. Suction and pressure surfaces of turbine blade are described by cubic polynomials. Two sample blades we chosen and their blade profiles are measured at the mean radius. Values of design parameters for sample blades are obtained by the reverse design method. Re-designed blade profiles using calculated design parameters are compared with the measured data, and they show good agreement. So, the developed design method could be applied to design general turbine blades. Various blade shapes are designed, and they show that designed blade profiles can be adjusted by controlling design parameters.

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복합재 패춰의 열잔류응력 해석 (Analysis of Thermal Residual Stress in Composite Patches)

  • 김위대;김난호
    • 한국복합재료학회:학술대회논문집
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    • 한국복합재료학회 2000년도 추계학술발표대회 논문집
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    • pp.63-66
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    • 2000
  • This research addresses study on thermal residual stress of a composite patch repair of the edge cracked aluminium panel of aging aircraft. Composite patch repair is an efficient and economical technique to improve the damage tolerance of cracked metallic structures. These are thermal residual stresses due to the mismatch of coefficient of thermal expansion, and these are affected by the curing cycle of patch specimen. In this study, three curing cycles were selected for F.E. analysis. This study features the effect on composite patch and aluminum by thermal residual stress during crack propagation in aluminum plate.

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Effect of the composite patch beveling on the reduction of stresses in 2024-T3 Aluminum structure damaged and repaired by composite, hybrid patch repair

  • Belhoucine, A.;Madani, K.
    • Structural Engineering and Mechanics
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    • 제82권1호
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    • pp.17-30
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    • 2022
  • The use of composite patches for the reduction of stresses at the level of the damaged zone in aeronautical structures has experienced rapid expansion given its advantages over conventional mechanical processes (riveting, bolting, etc.). Initially, The research axes in this field were aimed at choosing suitable mechanical properties for the composite and the adhesive, then to optimize the shape of the composite patch in order to ensure good load transfer and avoid having a debonding at the level of the edges essentially for the case of a repair by single side where the bending moment is present due to the non-symmetry of the structure. Our work falls within this context; the objective is to analyze by the finite element method the fracture behavior of a damaged plate repaired by composite patch. Stress reduction at the edge is accomplished by creating a variable angle chamfer on the composite patch. The effects of the crack length, the laminate sequence and the nature of the patch as well as the use of a hybrid patch were investigated. The results show clearly that a beveled patch reduces the stress concentrations in the damaged area and even at its edges. The hybrid patch also ensures good durability of the repair by optimizing its stacking sequence and the location of the different layers according to the fibers orientations.

A Study of the Mechanical Properties of Patch-Bonded and Riveted Repairs on Cracked Al 6061-T6 alloy Structures

  • Yoon, Young-Ki;Kim, Guk-Gi;Yoon, Hi-Seak
    • International Journal of Precision Engineering and Manufacturing
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    • 제1권2호
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    • pp.55-60
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    • 2000
  • A comparison of Riveted and bonded repairs, bearing and net tension failures, and Al 6061-T6 plates is presented. The results are then compared with previous papers about bonded repairs on different patch materials and shapes. Aluminum alloys, including Al 6061-T6, have a face-centered-cubic crystal structure. Under normal circumstances, these types of crystal structures do not exhibit cleavage fractures even at very low temperatures. In aluminum-base structures, the cracked plate structures are frequently repaired using mechanical fasteners-either rivets of bolts- even though patch-bonding techniques are applied to repair and reinforce the structure. Static test results indicate that the riveted repairs are affected by the position of the rivers. When using the same size of patch, the bonded repair technique is stronger; the rate of elongation is also increased. Form FEM analysis, it is revealed the origin of patch debonding in patch-bonded structures is the edge of the patch along to the tensile strength.

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Antegrade Suture Passer를 이용한 전하방 관절낭-관절와순 복합체의 복원술 - 수술 술기 - (Anteroinferior Capsulolabral Complex Repair Using Antegrade Suture Passer - Technical Note -)

  • 서혁준;조철현;이시욱
    • 대한관절경학회지
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    • 제17권1호
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    • pp.95-99
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    • 2013
  • 견관절 전방 불안정성을 야기하는 전하방 관절낭-관절와순 복합체 손상에 대해 antegrade suture passer를 이용하여 효과적으로 복원할 수 있는 관절경적 봉합술을 소개하고자 한다. 후방 삽입구를 통해 관절내 병변의 유무를 확인하고, 전상방 및 전하방 삽입구를 만든 뒤 방카트르 병변(Bankart lesion)의 확인 및 봉합 전 처치를 시행한다. 전하방 삽입구를 통하여 첫 번째 봉합 나사를 4시 반 방향에 고정한 다음 한가닥의 봉합사를 Scorpion$^{TM}$을 이용하여 5시 반 방향(우측 견관절 기준)에 있는 관절와와 분리 및 퇴축된 전하방 관절와-상완인대와 관절낭-관절와순 복합체를 약 10-15 mm 내측에서 통과시킨다. Scorpion$^{TM}$의 고리를 이용하여 통과시킨 봉합사를 삽입구로 빼낸 다음 SMC 매듭을 이용하여 봉합한다. 이후 3시 반, 2시 반 방향의 관절와에 각각 봉합 나사를 삽입하고 기존의 방법인 봉합 갈고리와 shuttle-relay technique을 이용하여 관절와순 봉합을 완성한다. 본 술기는 기존의 봉합 갈고리를 이용한 봉합술로는 어려웠던 5시 내지 5시 반 방향의 전하방 관절와-상완인대에 대한 해부학적 복원을 쉽게 얻을 수 있으며, 특히 초보자나 경험이 적은 술자에게 유용한 술식으로 사료된다.

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Chiari Type III : Experience of Outcome for 15 Cases

  • Gabr, Mohamed;Elmataeshy, Mahmoud;Abdullah, Ahmed A.
    • Journal of Korean Neurosurgical Society
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    • 제65권6호
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    • pp.841-845
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    • 2022
  • Objective : Chiari III malformations are extremely rare hindbrain malformations that are associated with a high early mortality rate, or severe neurologic deficits in the survivors. The treatment is early operative closure and cerebrospinal fluid diversion (CSF) shunting. Methods : We operated on 15 patients by repair and excision between July 2014 till June 2020 and retrospective data collection was done. Only one patient doesn't need ventriculoperitoneal (VP) shunt and the other 14 patients need a VP shunt. We described stepwise dissection and untethering of the cerebellum from the bony edge to regrowth and herniation of cerebellum again into this potential space and simple dural closure or repair with graft was done. Results : We started with VP in eight patients (53%) and the other seven patients (46.7%) started with excision and then six patients need VP shunt later on because four patients developed CSF leak and two patients developed increased high intracranial tension. Only four patients (26.7%) needed a blood transfusion. Conclusion : There are variations in the outcome and not all cases of Chiari malformation III will die and severe developmental delay is not a must. Proper management and repair carry a good prognosis.