• 대한치과보철학회지
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• 제43권2호
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• pp.258-263
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• 2005

Statement of problem. Implant screw loosening has been remained a problem in implant prosthodontics. The time needed to insert screw driver into abutment screw head should be shortened for the purpose of decreasing the chair time. Purpose. The purpose of this study was to investigate the effects of the design of abutment screw driver on the amount of time for insertion of screw driver into abutment screw head. Material and methods. Hexagonal and rectangular types of abutment screw drivers were used. The original abutment screw drivers were modified by grinding acute angle of the screw driver tip (modified drivers). Group 1 : hexagonal type abutment screw and original driver Group 2 : hexagonal type abutment screw and modified driver Group 3 : rectangular type abutment screw and original driver Group 4 : rectangular type abutment screw and modified driver UCLA lab analogues were located in acrylic resin block. The angulations of them were 0 and 20 degrees. The times needed for insertion were measured. Group 1 and 3 were used as controls. Results. 1. Group 2 showed shorter insertion time than group 1, regardless of implant angulations (p<.05). 2. Group 4 showed shorter insertion time than group 3, regardless of implant angulations (p<.05). Conclusion. Modified abutment screw drivers required less amount of time to insert screw driver into abutment screw head. Modification of abutment screw driver was beneficial.

• Asian Spine Journal
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• 제12권6호
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• pp.1053-1059
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• 2018

Study Design: Retrospective review. Purpose: To detect the effect of cannulated (poly-axial head) and solid (mono-axial head) screws on the local kyphotic angle, vertebral body height, and superior and inferior angles between the screw and the rod in the surgical management of thoracolumbar fractures. Overview of Literature: Biomechanics studies showed that the ultimate load, yield strength, and cycles to failure were significantly lower with cannulated (poly-axial head) pedicle comparing to solid core (mono-axial head). Methods: The medical charts of patients with thoracolumbar fractures who underwent pedicle screw fixation with cannulated or solid pedicle screws were retrospectively reviewed; the subjects were followed up from January 2011 to December 2015. Results: Total 178 patients (average age, $36.1{\pm}12.4years$; men, 142 [84.3%]; women, 28 [15.7%]) with thoracolumbar fractures who underwent surgery and were followed up at Hamad Medical Corporation were classified, based on the screw type as those with cannulated screws and those with solid screws. The most commonly affected level was L1, followed by L2 and D12. Surgical correction of the local kyphotic angle was significantly different in the groups; however, there was no significant difference in the loss of correction of the local kyphotic angle of the groups. Surgical correction of the reduction in the vertebral body height showed statistical significance, while the average loss of correction in the reduction of the vertebral body height was not significantly different. The measurement of the angles made by the screws on the rods was not significantly different between the cannulated (poly-axial head) and solid (mono-axial head) screw groups. Conclusions: Solid screws were superior in terms of providing increased correction of the kyphotic angle and height of the fractured vertebra than the cannulated screws; however, no difference was noted between the screws in the maintenance of the superior and inferior angles of the screw with the rod.

• Clinics in Shoulder and Elbow
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• 제20권4호
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• pp.236-239
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• 2017

After dual plating with a locking compression plate for comminuted intraarticular fractures of the distal humerus, the incidence of ulnar nerve injury after surgery has been reported to be up to 38%. This can be reduced by an anterior transposition of the ulnar nerve but some surgeons believe that extensive handling of the nerve with transposition can increase the risk of an ulnar nerve dysfunction. This paper reports ulnar nerve injuries caused by the incomplete insertion of a screw head in dual plating without an anterior ulnar nerve transposition for AO/OTA type C2 distal humerus fractures. When an anatomical locking plate is applied to a distal humeral fracture, locking screws around the ulnar nerve should be inserted fully without protrusion of the screw because an incompletely inserted screw can cause irritation or injury to the ulnar nerve because the screw head in the locking system usually has a slightly sharp edge because screw head has threads. If the change in insertion angle and resulting protruded head of the screw are unavoidable for firm fixation of fracture, the anterior transposition of the ulnar nerve is recommended over a soft tissue shield.

• 한국유체기계학회 논문집
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• 제1권1호
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• pp.81-89
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• 1998

In this study, the effects of the impeller shapes on the pump performances of the non-clogging and the screw-type centrifugal pumps are experimentally studied. The characteristics of total head, efficiency and power of the non-clogging pump increase as the number of vanes increases. The screw-type centrifugal pump with the linear-shape vane shows a little better performance than that of the screw-type centrifugal pump with the curved-shape vane. The differences in the characteristics of total head, efficiency and power are, however, insignificant. Therefore, it is advisable that, considering the convenience of pump manufacturing, the screw-type centrifugal pump with the linear-shape vane should be used. This study also compares the pump characteristics of the non-clogging pump and screw-type centrifugal pump. The characteristics of total head and efficiency of the non-clogging pump are better than those of the screw-type centrifugal pump. The screw-type centrifugal pump requires more shaft power than the non-clogging pump.

• 항공우주기술
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• 제9권2호
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• pp.129-137
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• 2010

본 논문은 위성용으로 주로 사용되는 소켓헤드 캡 스크류에 대한 국산화 개발 절차를 소개하는 내용이다. 국산화 개발을 위한 소켓헤드 캡 스크류의 제조공정은 MIL-B-7838, ECSS-Q-70-46A, KS W 8168과 같은 항공우주 관련 규격 요구조건을 만족하기 위해서 헤드 포밍 공정, 열처리공정, 전조 공정 및 후처리 공정으로 구성하였다. 그리고 국산화 스크루에 대한 품질 검증을 위하여 여러 가지 종류의 품질검증시험을 성공적으로 완료하였다. 또한, 비국산화 해외 도입 스크류와의 비교 품질시험을 통하여, 국산화 소켓 헤드 캡 스크류 품질이 항공우주용으로 적용 가능한 우수한 품질 성능을 확인 하였다.

• 대한치과보철학회지
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• 제40권2호
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• pp.193-200
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• 2002

For the purpose of decreasing the chair time in implant cases, the time needed to loosening and fastening the screw must be shortened. Nowadays, the two typical designs of screw head are slot and hexa form. This study aimed at the shortening of loosening and fastening time by modifying the slot and hexa form. Total of twelve dentists participate in these experiments, four of them were experienced and eight of them were novice dentists. 1. There were many differences in the speeds of screw loosening and fastening between personal experiences. Experienced dentists are faster than novice dentists. 2. There were many differences in the speeds by angulation of the implant, by the conditions of the muscle tonicity. 3. Revised slot and hexa Heads show the slightly shortened time for acrew looseing and fastening.

• 한국정밀공학회지
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• 제32권6호
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• pp.509-515
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• 2015

Recent trends to reduce the size of mobile electronics products have driven miniaturization of various components, including screw parts for assembling components. Considering that the size reduction of screws may degenerate their joining capabilities, the size reduction should not be limited to the thread region but should be extended to its head region. The screw head is usually manufactured by forging in which a profiled punch presses a billet so that plastic deformation occurs to form the desired shape. In this study, finite element (FE) analysis was performed to simulate the forging process of a subminiature screw; a screw head of 1.7 mm diameter is formed out of a 0.82 mm diameter billet. The FE analysis result indicates that this severe forging condition leads to a generation of folding defects. FE analyses were further performed to find appropriate punch design parameters that minimize the amount of folding defects.

• 대한치과보철학회지
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• 제40권4호
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• pp.374-385
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• 2002

A total of 605 implant fixture prosthesis delivered by 3 clinics and 2 laboratories were examined in this study, The object of this study was to determine the proper length of screw head. The depth of access hole were measured and compared to the type of fixture, abutment, gold screw and prosthesis. The results were as follows : 1 The average number of fixtures per patient were 2.97. 2. The number of fixture installed in the upper posterior area are 327(55.56 %), the upper posterior area 171 (28.25%). 3. The depth of access hole is 4.23 mm in shallow area, and 5.46 mm in deep area and the differences were 1.23 mm. 4. The average depth of the aceess hole of the UCLA abutment were 5.02 mm. 5. The number of 4-5 mm access hole depth were 60(22.39%) in abutment screw level and the number of 4-5 mm depth in fixture level were 101 (29.19%). 6. In the shape of screw head, hexed type were 576(95.21%), slotted type were 29(4.79%).

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권5호
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• pp.442-446
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• 2001

Purpose : This study evaluated clinical and radiographic results after open reduction and lag-screw fixation of mandibular condyle fractures. Patients and Methods : 26 patients had been treated by lag-screw fixation for madibular condyle fracures via submandibular approach and follow up for over 6 months. The lag-screw used in this study was designed by Eckelt. Results : Radiographically, resorption of the condyle head found in 4 cases (15%) and minimal displacement of the condyle head was found in 3 cases (12%). Post-operative infection were not found in all cases. Clinically, All patiens had a stable occlusion and normal mouth opening (over 40mm). TMD problems with crepitus or some discomfort encountered in 4 patients but tolerable to the patients. Conclusion : Lag screw fixation can be a good option especially high level condylar fractures, however this procedure must be used in cautiously because of slipping of the fragments and possible to resorption of the fragments.

• Journal of Korean Neurosurgical Society
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• 제61권5호
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• pp.568-573
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• 2018

Objective : Thoracic pedicles have special and specific properties. In particular, upper thoracic pedicles are positioned in craniocaudal plane. Therefore, manipulation of thoracic pedicle screws on the left side is difficult for right-handed surgeons. We recommend a new position to insert thoracic pedicle screw that will be much comfortable for spine surgeons. Methods : We retrospectively reviewed 33 patients who underwent upper thoracic pedicle screw instrumentation. In 15 patients, a total of 110 thoracic pedicle screws were inserted to the upper thoracic spine (T1-6) with classical position (anesthesiologist and monitor were placed near to patient's head. Surgeons were standing classically near to patient's body while patients were lying in prone position). In 18 patients, a total of 88 thoracic pedicle screws were inserted to the upper thoracic spine with the new standing position-surgeons stand by the head of the patient and the anesthesia monitor laterally and under patient's belt level. All the operations performed by the same senior spine surgeons with the help of C-arm. Postoperative computed tomography scans were obtained to assess the screw placement. The screw malposition and pedicle wall violations were divided and evaluated separately. Cortical penetration were measured and graded at either : 1-2 mm penetration, 2-4 mm penetration and >4 mm penetration. Results : Total 198 screws were inserted with two different standing positions. Of 198 screws 110 were in the classical positioning group and 88 were in the new positioning group. Incorrect screw placement was found in 33 screws (16.6%). The difference between total screw malposition by both standing positions were found to be statistically significant (p=0.011). The difference between total pedicle wall violations by both standing positions were found to be statistically significant (p=0.003). Conclusion : Right-handedness is a problem during the upper thoracic pedicle screw placement on the left side. Changing the surgeon's position standing near to patient's head could provide a much comfortable position to orient the craniocaudal plane of the thoracic pedicles.