• Title/Summary/Keyword: Interference screw

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Pretibial Ganglion Cyst after Arthroscopic Anterior Cruciate Ligament Reconstruction - A Case Report - (전방 십자 인대 재건술 후 발생한 전경골 결절종 - 1례 보고 -)

  • Jeon, Ho-Seung;Jeon, Seung-Ju;Kim, Jong-Min;Seo, Young-Ray
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.124-127
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    • 2010
  • Pretibial ganglion cyst after arthroscopic anterior cruciate ligament reconstruction is a very rare complication, and a few are reported in and outside the country. Some authors report that it may break out with a variety of causes at any time. We experienced a case of pretibial ganglion cyst after arthroscopic anterior cruciate ligament reconstruction using Achilles tendon allograft and bioabsorbable interference screw in 34-year-old male. So we report this case including the cause and the treatment with a review of the literature.

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Initial Lengthening Behavior of Cadaveric Achilles Tendon Graft After Posterior Cruciate Ligament Reconstruction (후방십자인대 재건술 후 사체 아킬레스 이식건의 초기연신거동)

  • Kim, Cheol-Woong;Bae, Ji-Hoon;Lee, Ho-Sang;Wang, Joon-Ho;Park, Jong-Woong;Oh, Dong-Joon
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1461-1466
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    • 2008
  • In the case of Posterior Cruciate Ligament (PCL), the most frequent mechanism is the dashboard injury, which is directly pressurized to the anterior of the proximal tibia in the state of the knee hyperflexion. The PCL associated ligament damage happens when the posterior injury, the varus, the valgus, the hyperextension and the severe vagus torque are out of the critical value of PCL. After the successful operation cases of Anterior Cruciate Ligament (ACL) reconstruction using the allograft were informed from 1986, a number of results kept over the maximum 10 years were reported. Unfortunately, PCL reconstruction are crowded the surgery techniques such as the graft, the tibia fixing method, the fixation device, the location of the femoral tunnel, the number of the graft bundles and PCL reconstruction to access to the stability of the normal joint is being developed. Therefore, this study is the basic research of these above facts. The current transtibial tunnel surgery using the cadaveric Achilles tendon grafts is chosen for the various PCL reconstruction. The initial extension of the Achilles tendon by the fixing device and its location under the cyclic loading, were observed.

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Slippage Behavior Due to the Calcaneus Fixation and Achilles Tendon Soft Tissue in Posterior Cruciate Ligament (PCL) Reconstruction (PCL 재건술용 아킬레스 이식건의 종골편 고정법과 연부조직 고정법에 따른 활주거동)

  • Kim, Cheol-Woong;Lee, Ho-Sang;Bae, Ji-Hoon;Wang, Joon-Ho;Park, Jong-Woong;Oh, Dong-Joon
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1527-1532
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    • 2008
  • 45% of the sports accidents is the knee damage and the representative case is the damage of an Anterior Cruciate Ligament (ACL) and the Posterior Cruciate Ligament(PCL). Although the past different views of ACL reconstruction comes to an agreement, the disputes of PCL is remained yet. The most important engineering approach for these various surgery techniques is accurately to understand and to evaluate the fatigue behavior depending on the stress flow and the stress distribution under the allotted load and the cyclic load, which are caused by the graft fixing device, the proximal tibia of the PCL reconstructing structure. Therefore, this study is the basic research of these above facts. The current transtibial tunnel surgery using the cadaveric Achilles tendon grafts is chosen for the various PCL reconstruction. The relationships between the slippage, the extension ratio, and the slippage ratio by the heel bone fixing method and the soft tissue fixing method of the Achilles tendon were also defined. This research will be the essential data to help the resonable operating techniques for the next PCL reconstruction.

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Separation and Determination of Cadmium in Blood Serum by Solvent Extraction and Atomic Absorption Spectrophotometry (용매추출과 원자흡수분광법에 의한 혈청시료중 카드뮴의 분리 및 정량)

  • Lee, Seok Ki;Joung, Chang Ung
    • Journal of the Korean Chemical Society
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    • v.43 no.4
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    • pp.401-406
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    • 1999
  • Trace amount of cadmium was quantitatively extracted with 1% Aliquat 336-MIBK from 0.2M KSCN and 0.01M-HCl. Test tubes with a screw cap stopper were used for extraction in place of conventional separating funnels and organic solvents used were less dense than water. In this analysis, 22 times concentration effect was achieved with higher selectivity without interference. The detection limit of cadmium was 0.7ppb, therefore trace cadmium was easily analyzed by this method. The proposed method was applied to the determination of cadmium in blood serum and extraction mechanism was elucidated.

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Fabrication of a Mach-Zehnder interferometer for education using a rotating glass plate and a 3D printer (회전 유리판과 3D 프린터를 이용한 교육용 마흐젠더 간섭계 제작)

  • Jang, Seong-Hun;Ju, Young-G
    • Korean Journal of Optics and Photonics
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    • v.28 no.5
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    • pp.213-220
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    • 2017
  • This paper proposes how to fabricate an educational Mach-Zehnder interferometer that is easy to align and inexpensive, using 3D printers and semiconductor lasers. The interferometer consists of a body $165mm{\times}120mm{\times}57mm$ in size, mirror mounts, a laser holder, beam splitters, and so on. The laser path is adjusted by 4 mirror mounts, each comprised of rubber bands, small metal wires, and a screw. The interference fringe is enlarged by the lens at the final stage. The refractive index of a slide glass was measured by counting the number of moving interference fringes while the slide glass, inserted into one of the two interferometer arms, is rotating. The formula for the refractive index as a function of the optical-path difference and rotation angle was obtained, and used to calculate the refractive index of glass from the interferometer experiment. The use of a rotating glass in one arm of the interferometer nullifies the need for a precision stage, which despite its high cost is often required to observe the moving interference fringe in the classroom. Therefore, the 3D-printed Mach-Zehnder interferometer proposed in this paper can be very useful for education, because of its affordability and performance. It enables students to perform both qualitative and quantitative studies using a 3D-printed interferometer, such as measuring the refractive index of a glass sample, and the wavelength of light.

Comparison of Anterior Cruciate Ligament Reconstructions Using Hamstring Tendon Autograft and Tibialis Tendon Allograft (자가 슬괵건 및 동종 경골건을 이용한 전방 십자 인대 재건술의 결과 비교)

  • Song, Eun-Kyoo;Seon, Jong-Keun;Bae, Bong-Hyun;Park, Sang-Jin;Kim, Jong-Seon;Lee, Dam-Seon
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.141-147
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    • 2006
  • Purpose: To compare the clinical and radiological results of anterior cruciate ligament(ACL) reconstruction using hamstring autograft and tibialis tendon allograft. Materials and Methods: Twenty four ACL reconstructions using hamstring autograft and 30 using tibialis anterior tendon altograft were followed up at least 1 year. We performed femoral tunnel fixation with Ligament Anchor(LA) screw and tibial tunnel fixation with biodegradable interference screw. Evaluations included Lysholm knee(LK) score, Tegner activity scale, Lachman test, Pivot-Shift test, Quardriceps atrophy, incision site numbness, anterior knee pain and instrumented anterior laxity with $Telos^{(R)}$ device. Results: Preoperativ mean LK score was $60.3(18{\sim}82)$ in autograft group and 61.2(25-80) in allograft group. Mean LK score improved to $91.6(68{\sim}100)\;and\;92.6(77{\sim}100)$ respectively. Activity level, using Tegner activity scale, slightly decreased compared with that of Preinjury state in both groups. Lachman test, pivot-shift test, Quadriceps atrophy, anterior knee pain, incision site numbness, and anterior drawer test using $Telos^{(R)}$ device showed no significant difference between two groups (p>0.05). Conclusion: In performing the ACL reconstruction, there was no statistically significant difference between hamstring autograft group and tibilis anterior allograft group in clinical or in radiological results.

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Elbow Arthrodesis with bone Autograft for the Management of Gunshot Fracture in a Dog (총상 골절 개에서 자가골 이식과 주관절 고정술)

  • Lee Jong Il;Alam Md. Rafiqul;Kim Nam soo
    • Journal of Veterinary Clinics
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    • v.22 no.1
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    • pp.60-64
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    • 2005
  • A 6year-old intact male hound cross dog, weighing 23 kg, was presented to the Teaching Animal Hospital, Chonbuk National University with the history of gunshot wound at the left elbow joint. Survey radiographs of the affected elbow revealed the presence of a metallic bullet caudal to the olecranon processes and comminuted fracture of the proximal radius and ulna. The first treatment strategy included removal of the bullet and fixation of the radius and ulna using separate bone plates, bone screw, K-wire and surgical wire, was failed. The second treatment strategy included olecranon osteotomy and rigid immobilization of the elbow joint with a bone plate applied to the caudal aspect of the humerus and ulna along with autogenous bone grafts collected from the 13th rib. The optimal angle of the joint following arthrodesis of this case appeared to be 130°. This resulted in improving the case but after 60 weeks the plate was bent and there was exudation from the wound. The third treatment strategy was the same with the second except for that the bone autografts were collected from the proximal metaphyses of the ipsilateral humerus. This resulted in a successful arthrodesis 6 weeks after the surgery. Elbow arthrodesis with bone autograft resulted in acceptable function, but abnormal gait remained in the dog due to mechanical interference with the movement of the joint.

Usefulness of Anteromedial Portal for Femoral Tunneling in Anterior Cruciate Ligament Reconstruction (전방십자인대 재건술시 대퇴골 터널에 있어 전내측 삽입구의 유용성)

  • Kang, Min-Soo;Kim, In-Bo;Kim, Kyung-Taek
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.2
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    • pp.118-124
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    • 2008
  • Purpose: Recent development and advances in the arthroscopic surgical techniques for anterior cruciate ligament(ACL) reconstruction have led to the ideal location for more oblique anatomic point of the femur from 10 to 10:30 o'clock(in the right knee) and from 2 to 1:30 o'clock(in the left knee) in the frontal plane. This study was performed to compare the operative methods and the radiologic results of the femoral tunnels made through the tibial tunnel(trans-tibial approach) and the anteromedial portal. Materials and Methods: From January 2003 to May 2004, on hundred reconstructions of ACL were performed. Group I(the femoral tunnel made through the tibial tunnel) consisted of 50 cases and group I(the femoral tunnel made through the anteromedial portal) consisted of 50 cases. The operative methods and the radiographic results of the femoral tunnels were compared. Results: Femoral tunnel was made more easily at more oblique anatomic point in group II than in group I. In group II, better visual field was achieved at the angle of 100? flexion of the knee joint, the risks of the posterior cortical breakage and the tunnel-graft mismatching were reduced more, and the divergence of femoral interference screw from the radiograph decreased more than in group I(p<0.05). The angle between the femoral tunnel and the longitudinal axis of ACL increased in group II. Conclusion: Anteromedial portal technique was useful for femoral tunneling toward 10 to 10:30 o'clock(in the right knee) and 2 to 1:30 o'clock(in the left knee) in ACL reconstruction. Level of Evidence:Level III, case-control study.

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Temperature Control of Injection Molding Machine using PI Controller with Input Restriction (PI 제어기의 입력제한을 이용한 사출 성형기 온도제어)

  • Jang, Yu-Jin
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.3
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    • pp.604-610
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    • 2007
  • Injection molding is the most common method of shaping plastic resins for manufacturing a variety of parts. This injection molding is accomplished by injection molding machines (IMM) which consists of a hewer, a reciprocating screw, barrel assembly, and an injection nozzle. The plastic resin is fed to the machine through the hopper and it should be heated to the target melting temperature, which depends on material properties, as closely as possible with very small temperature overshoot in the barrel. Since the barrel, which has temperature dependent specific heat and thermal conductivity in the operating temperature range, is heated by the several electric heater bands, it is not an easy task to control the temperature of the barrel owing to the interference of neighboring heaters and its material properties. Though PID controller with auto-tuning capability is widely adopted in the nm, the auto-tuning process should be carried out whenever the operating temperature is changed significantly. Recently, though the predictive controller is developed and shows good performance, it has drawbacks: 1. Since the heat transfer modeling process is very complicated and should be carried out again when the barrel is changed, it is somewhat inappropriate in the field. 2. The controller performance is not validated in whole operating temperature range. In this paper, cascade type simple PI controller with input restriction is proposed to find the possibility of controlling the barrel temperature in the whole operating temperature range. It is shown by experiment that the proposed controller shows good performance. This result can be applied to design of PI controller with auto-tuning capability.

Development of an ACL Anchor: Effects of the Design Parameters on the Performance of a New Anterior Cruciate Ligament Fixation Device

  • Kim, Jong-Dae;Oh, Chae-Youn;Kim, Cheol-Sang
    • Journal of Biomedical Engineering Research
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    • v.29 no.2
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    • pp.132-138
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    • 2008
  • We investigated the biomechanical properties of a newly designed self-expansion type anterior cruciate ligament (ACL) anchor. The ACL anchor consists of the ring section giving the elastic force, the wedge for maintaining in contact with the femur tunnel wall and the link suspending hamstring graft or artificial ligament. The main design parameters that determine the performance of this device were the expansion angle (${\theta}$) and the thickness ($t_R$). The Ti6Al4V anchors were heated after inserting in a jig for 1 hour at $800^{\circ}C$ in a protective argon gas atmosphere and allowed to cool to room temperature in the furnace. In order to investigate the influence of the expansion angle and the thickness of the ring on the biomechanical properties of the anchor, the maximum pull-out load, stiffness and slippage of the ACL anchor were measured using the pull-out tester, and statistical analyses were also executed. The present results showed that the design parameters gave a significant effect on the performance of the self- expansion type of anchor. The pull-out load of the ACL anchors significantly increased as the thickness of the ring section was increased, having a similar trend for both expansion angles. The ACL anchor showed about 2.5 times higher values of the pull-out load than that of the minimum load (500N)required for the "accelerated rehabilitation". The optimum ${\theta}$ and $t_R$ values of this ACL anchor were suggested to have sufficient resistance against the pull-out force, high stiffness and relatively low slippage after ACL reconstruction.