• Archives of Plastic Surgery
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• 제35권6호
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• pp.751-754
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• 2008

Purpose: Delayed rupture of flexor pollicis longus as a sequelae of the plate inserted for distal radius fracture is a very rare. This is the first case reported and published in Korea. Methods: A 48 years old female patient visited hospital, complaining flexor disturbance of interphalangeal joint of left thumb, which suddenly occurred without any external wound. We found that she had received operation of fixing plate for fracture of left distal radius 10 years ago. As operational opinion, we have checked that flexor pollicis longus tendon has been ruptured with oblique ways being stimulated by extended plate to palmar side over long period. Results: Authors performed tenorrhaphy of flexor pollicis longus without tendon graft and presented a successful active flexion of the left thumb interphalangeal joint 1 year after the operation. Conclusion: If the extruded part of the end plate is observed during the operation or follow-up, it is considered to be necessary to get rid of the plate as early as possible after the fracture healing.

• Archives of Reconstructive Microsurgery
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• 제5권1호
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• pp.128-136
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• 1996

Radial nerve injury is caused by variety of etiologies, mainly traumatic. It is primarily a motor nerve and loss of it's function leads to a significant disability. Surgical treatments of radial nerve comprise of neurolysis(internal or external), neurorrhaphy(eineural, perineural or epi-perineural), nerve graft and tendon transfer. However, there is still controversies in treatment methods and time of operation. Authors experienced 23 cases of radial nerve injuries who were treated by operative methods and followed up over 1 year's duration. The male to female ratio was 18 to 5 and mean age was 30.7 years old. The causes were 13 cases in fractures, 5 cases in crushing injury, 3 cases in laceration, 1 case in CO poisoning and 1 case in unknown cause. The summary of the study were as follows ; 1. Excellent or good results were obtained in overall 16 cases among 23 cases; 5 of 9 cases in neurolysis, 3 of 3 cases in neurorrhaphy, 2 of 3 cases in nerve graft and 6 of 8 cases in tendon transfer. 2. In cases of neurorrhaphy and nerve graft, primary or delayed repair showed excellent or good results and neurolysis performed before 6 months leads to better results. But there was no correlations between the time of injury and operation in tendon transfer. 3. The radial nerve injury associated with extensive soft tissue defect or any conditions that leads to nerve ischemia results poor prognosis. 4. The patients aged under 40 years showed better prognosis in clinical results according to the age of surgical treatment. 5. If the surgeon decide the method and the time of operation through the exact evaluation of the factors which influencing the end result such as age of the patient, level and type of injury, extent of nerve lesion and the associated tissue injury, good result could be expected.

• Clinics in Shoulder and Elbow
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• 제20권1호
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• pp.30-36
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• 2017

Background: Isolated infraspinatus tear is very rare and clinical features are not as well known, therefore the purpose of this study was to evaluate clinical characteristics and outcomes of isolated infraspinatus tear that authors experienced. Methods: Authors reviewed 288 cases of full-thickness rotator cuff tear involving infraspinatus between 2010 and 2015, and retrospectively analyzed six cases of isolated infraspinatus tear. Perioperative clinical characteristics, postoperative functional outcomes of 6 months were investigated. Functional evaluation included visual analogue scale (VAS), range of motions, American Shoulder and Elbow Surgeons (ASES) score, and Constant score. Results: Calcific tendinitis was accompanied in 4 cases (66.7%). Three of them received steroid injection or aspiration or extracorporeal shockwave therapy. Mean preoperative pain VAS was 7.1 (range, 5-9), and mean postoperative pain VAS at 6 months later was 1.6 (range, 0-5). Preoperative muscle strength by isokinetic muscle performance test showed 52% deficit of abduction and 37.6% deficit of external rotation. All 6 patients had arthroscopic repair of the infraspinatus tendon. All the patients at the 6 months follow-up exhibited clinical improvement in the Constant score (67.8 [range, 45-77] to 89.3 [range, 81-100], p=0.029), and ASES score (52.3 [range, 30-77] to 90.0 [range, 80-100], p=0.002). There was no healing failure on imaging. Conclusions: Isolated infraspinatus tendon tear was frequently accompanied by calcific tendinitis, but pathophysiologic relationship should need more study. To rule out neurogenic etiology, magnetic resonance imaging and electromyography would be helpful. Arthroscopic infraspinatus tendon repair and supraspinatus debridement showed relatively good result in painful shoulder.

• 한국전산구조공학회논문집
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• 제21권3호
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• pp.287-294
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• 2008

이 연구에서는 교량 상부구조물의 보수 보강에 많이 사용되는 7연 강연선의 공용중 긴장력 관리를 위한 새로운 방법은 제안하였다. 제안된 스마트 강연선은 기존 강연선의 중앙 킹와이어를 강제튜브로 대체하고, 강제튜브의 내부에 FBG 광섬유센서를 설치하여 강연선의 변형률을 측정할 수 있도록 하였다. 내장된 센서를 통하여 이 스마트 강연선의 변형률을 쉽게 측정할 수 있으므로, 공용중 강연선의 긴장력을 모니터링할 수 있다. 본 연구에서 제안된 장력 모니터링 방법의 효용성을 증명하기 위하여 FBG센서 2개가 내장된 길이 7.0m인 스마트 강연선을 제작하고, 이를 길이 6.4m, 높이 0.6m인 RC T형 모형거더에 외장형 텐던으로 적용하였다. 그리고 이 시험거더에 대한 재하-제하시험을 실시하고 로드셀에서 계측된 긴장력과 스마트 강연선을 이용하여 예측한 긴장력을 비교하였다. 비교 결과, 제안된 스마트 강연선은 긴장력이 작용된 강연선의 장력을 정확하게 모니터링 하는데 유용함을 확인할 수 있었다.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2008년도 추계 학술발표회 제20권2호
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• pp.125-128
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• 2008

최근 국내교량구조물의 보수 보강에 있어 외부강선 보강공법이 널리 사용되고 있으며 그에 대한 연구가 활발히 진행되고 있다. 본 연구는 외부강선 보강공법중 시공성과 보강효율성이 뛰어난 개선된 인양홀 이용 정착장치를 개발하는 것을 목적으로 수행되었다. 본 연구에서는 선행연구에서 수행한 기 사용중인 인양홀 이용 정착장치의 거동에 관한 실험결과를 바탕으로 2가지 Type의 인양홀 이용 정착장치를 제안하였고, 총 6개의 실험체를 제작하여 실험을 수행하였다. 각 실험체의 보강효과를 분석하기 위해 처짐, 변형률 등을 측정하였고, 항복하중, 극한하중, 파괴양상 등을 비교 분석하였다.

• KCI Concrete Journal
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• 제12권2호
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• pp.45-54
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• 2000

Precast R.C. slabs are being used widely for the construction of bridge structures due to their simplicity in construction processes. However, one of the disadvantages in precast R.C. slabs is the existence of transverse joints between two precast slabs. The transverse joints are structurally fragile and the task of strengthening the joints is difficult one due to their structural discontinuity. The aim of this study was to improve the behavior of transverse joints between precast R.C. slabs by introducing prestress with external cables. Three steel-concrete composite bridge specimens, which were prestressed with the external cables anchored on steel girders, were fabricated in the laboratory. Both pretension and post-tension methods were applied to introduce prestressing on the concrete slab with a straight tendon arrangement. Static tests were conducted at service load and ultimate load test was performed to evaluate punching shear capacity of the transverse joint. In this paper, two prestressing methods were tested and their effects were evaluated with respect to the elastic behavior and ultimate loading capacity of the transverse joints.

• Structural Engineering and Mechanics
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• 제31권5호
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• pp.605-619
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• 2009

A comparative experimental study of prestressed continuous steel-concrete composite beams was carried out. Two continuous composite beams were tested, one of which was plain continuous steel-concrete composite beam, while the other was a composite beam prestressed with external tendons. Cracking behavior and the load carrying capacity of the beams were investigated experimentally. Full plasticity was developed in the mid-span section each beam, the maximum moments attained at the internal support sections however were governed by local buckling which was related to the slenderness of composite section. It was found that in hogging moment regions, the ultimate resistance of an externally prestressed composite beam would be governed by either distortional lateral buckling or local buckling, or interactive mode of these two buckling patterns. The results show that exerting prestressing on a continuous composite beam with external tendons will increase the extent of internal force and moment redistribution in the beam. The influences of local and distortional buckling on the behaviors of the composite continuous beams are discussed. The Moment redistribution and the load carrying capacity of the prestressed continuous composite beams are evaluated, and it is found that at the ultimate state, the moment redistribution in the prestrssed continuous composite beams is greater than that in non-prestressed composite beams.

• Structural Engineering and Mechanics
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• 제83권3호
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• pp.363-375
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• 2022

Flexural capacity prediction is a challenging problem for externally prestressed concrete beams (EPCBs) due to the unbonded phenomenon between the concrete beam and external tendons. Many prediction equations have been provided in previous research but typically ignored the differences in deformation mode between internal and external unbonded tendons. The availability of these equations for EPCBs is controversial due to the inconsistent deformation modes and ignored second-order effects. In this study, the deformation characteristics and collapse mechanism of EPCB are carefully considered, and the ultimate deflected shape curves are derived based on the simplified curvature distribution. With the compatible relation between external tendons and the concrete beam, the equations of tendon elongation and eccentricity loss at ultimate states are derived, and the geometric interpretation is clearly presented. Combined with the sectional equilibrium equations, a rational and simplified flexural capacity prediction method for EPCBs is proposed. The key parameter, plastic hinge length, is emphatically discussed and determined by the sensitivity analysis of 324 FE analysis results. With 94 collected laboratory-tested results, the effectiveness of the proposed method is confirmed, and comparisons with the previous formulas are made. The results show the better prediction accuracy of the proposed method for both stress increments and flexural capacity of EPCBs and the main reasons are discussed.

• 콘크리트학회논문집
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• 제25권5호
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• pp.555-564
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• 2013

이 연구에서는 연속 거더교의 외부강선 보강 효과를 극대화할 수 있는 효율적인 방법을 도출하였다. 등가하중개념을 적용하여 기존 방법 대비 제안된 보강 방법의 개선점을 명확히 분석하였다. 보강 효과의 검증을 위해 연속보의 외부강선 보강 실험을 실시하여 외부강선에 의한 내하력 향상 효과를 고찰하였다. 연속보 실험체는 콘크리트 거더 연속교의 일반적인 시공법과 동일하게 바닥판 슬래브 부분만을 연속화하여 제작하였다. 실험 결과 동일한 크기의 외력이 작용할 때 외부강선이 보강된 실험체는 보강되지 않은 실험체에 비해 처짐이나 변형률이 대폭 감소하는 경향을 보였으며, 부재의 강성도 또한 증가하였다. 특히 제안된 방법은 연속교 중간 지점부의 부모멘트에 의한 바닥판의 인장응력을 효과적으로 감소시킬 수 있음이 확인되었다.

• 대한관절경학회지
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• 제5권1호
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• pp.27-31
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• 2001

목적 : 고식적인 치료에 반응이 없는 14례의 환자에 대하여 관절경적 치료를 시행하여 이에 대한 치료결과를 평가하고자 한다. 대상 및 방법 : 1996년 3월부터 1998년 6월까지 회전근개의 석회화 건염의 진단하에 6개월이상 고식적 치료에 반응이 없어 관절경적 치료를 받은 14례 환자를 대상으로 하였다. 전례에서 극상근의 원위부에서 병변이 관찰되었으며 그 중 2례에서 극하근에, 1례에서 견갑하근에 병변이 동반되었다. 결과 평가는 UCLA 견관절 평가 지수와 Constant-Murley score를 이용하였다. 결과 : 동통 정도는 Constant-Murley score상 수술 전 평균 3.2점에서 수술 후 평균 8.3점으로 호전되었고 기능상으로는 UCLA점 수상 수술 전 평균 4.5점에서 수술 후 8..3점으로 호전되었다. 수술 전 평균 관절 운동 범위는 굴곡 110도, 외회전 45도, 내회전 제 3요추의 극돌기, 외전 90도로 제한되었으나 수술 후에는 굴곡 170도, 외회전 50도, 내회전 제 12흉추의 극돌기, 외전 140도로 호전되었다. 추시결과 판정은 우수 3례, 양호 9례, 보통 2례였다. 결론 : 보존적 치료에 호전이 없는 석회화 건염에 대하여 관절경적 치료는 효과적인 치료법으로 사료된다.