• 제목/요약/키워드: Joint of Branch

검색결과 110건 처리시간 0.043초

요부 내측지 고주파 신경절리술 시행 시 유도침 경로를 따라 발생한 화상 -증례보고- (Burn Wound along the Guide Needle Trajectory as a Complication of Radiofrequency Neurotomy of the Lumbar Medial Branch -A case report-)

  • 윤홍준;심재철
    • The Korean Journal of Pain
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    • 제19권2호
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    • pp.257-260
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    • 2006
  • Radiofrequency neurotomy of the lumbar medial branch, via a caudal approach, is a representative interventional procedure for lumbar zygapophysial joint pain, which can be performed more accurately and easily using a guide needle technique. We experienced a case of burn wound formation along the guide needle trajectory, where heat conduction through the guide needle was suggested to have resulted in the burn wound.

박근의 원위혈관경을 이용한 도서형 근피판술 (Musculocutaneus Island Flap Based on the Distal Vascular Pedicle of Gracilis Muscle)

  • 정덕환;이용욱;조창현
    • Archives of Reconstructive Microsurgery
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    • 제6권1호
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    • pp.96-102
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    • 1997
  • The gracilis that is frequently used as a donor of free muscle trasfer is appropriate in the muscular shape and vascular position. This muscle is belonged to the second type of muscle group by the classification of the pattern of muscular nutrient vessel. The adductor branch or first perforating branch of deep femoral artery which supplies the proximal 1/3 of this muscle is a dominant one and this is used for the microscopic anastomosis of muscle or musculocutaneous flap. The minor vascular pedicles which enter the distal 1/3 of this of this muscle are branches of the superficial femoral artery and it is 0.5mm in diameter, 2cm in length with two venae comitantes. These minor pedicles supplies distal half of the gracilis muscle. This island musculocutaneous flap using distal vascular pedicle can be used to cover the defect of soft tissue around the distal femoral supra-condylar area, knee joint and proximal tibial condyle area which cause limitation of motion of knee joint, or in the cases that usual skin graft is impossible. The important operative procedure is as follows; The dissection is carried proximally and distally and the entire gracilis muscle including proximal and distal pedicle is completely dissected. After temporary blocking of the proximal vascular pedicle, the adequate muscle perfusion by the distal pedicle is identified and it is rotated to the recipient site around knee joint. The advantages of this procedure are simple, no need of microscopic vascular anastomoses and no significant functional loss of donor site. Especially in the cases of poor condition of the recipient vessel, this procedure can be used effectively. From 1991 to 1996, we performed 4 cases; complete survival of flap in 3 cases and partial survival of flap with partial necrosis in 1 case. This procedure is though to be useful in the small sized soft tissue defect of distal femoral supra-condylar area, knee joint and proximal tibial condylar area, especially in the defect of anterior aspect which expected to cause limitation of motion of knee joint due to scar contracture. But the problems of this procedure are the diameter of distal vascular pedicle is small and the location of distal vascular pedicle is not constant. To reduce the failure rate, identify the muscular perfusion of distal vascular pedicle after blocking the proximal pedicle, or strategic delay will be helpful.

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각형강관 T형 접합부의 면내 휨모멘트 평가 (Evaluation on the In-plane Bending Moment for T-joints with Square Hollow Structural Sections)

  • 박금성;이상섭;최영환;배규웅
    • 한국강구조학회 논문집
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    • 제21권5호
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    • pp.451-459
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    • 2009
  • 본 논문은 냉간성형 각형강관 T형 접합부의 면내 휨모멘트를 평가하는데 목적이 있다. 이전 연구로부터, 주관 폭에 대한 지관 폭의 비가 0.71이하인 T형 접합부는 뚜렷한 최대 휨강도를 나타내지 못하는 접합부의 파괴모드는 주관 플랜지의 휨파괴이다. Zhao에 의해 수행된 실험을 포함한 결과로부터 주관 폭두께비는 ${16.7{\leq}2{\gamma}(=B/T){\leq}33}$이고, 주관 폭에 대한 지관 폭의 비인 폭비는 ${0.34{\leq}{\beta}(=b_{1}/B){\leq}0.71}$의 범위인 냉간성형 각형강관 T형 접합부에 대한 최대 휨강도 정의를 위한 변형제한치는 주관폭(B)의 1% 변형이며, 최대 휨강도는 1.5M1%B로 정의할 수 있다. 기본형에 대한 항복선 모델과 기존 연구자들에 의해 수정 제안된 항복선 모델식을 검토하여 실험결과와 비교한 결과, Zhao의 제안식이 가장 좋은 대응도와 분포도를 보였다. 따라서, 각형강관 T형 접합부에 대한 면내 설계 휨강도식으로 Zhao가 수정 제안한 항복선 모델식을 적용하는 것이 가장 합리적인 것으로 생각된다.

유니버셜 관절을 이용한 2차원 레이저 영상 구현 (An Implementation of Laser image drawing with the uiversal joint)

  • 김종걸;김태강;이건영
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2000년도 하계학술대회 논문집 D
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    • pp.2705-2707
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    • 2000
  • The branch of the laser imaging has implemented 3D graphics, color graphics and video images after it drew a simple image by development the salvo's X-Y scanner in 1960 year. Now it is used as the multimedia show of an event and an advertisement. The latest issue of laserist is the ability to generate laser images with the same ease and speed associated with traditional computer graphics. All laser projector used in the interior of a countris was imported from other country. The most important component of the laser projector is the speed and the accuracy of a actuator and the software which actuates the controller on computer. In this paper we developed the controller with a universal joint and the PC based user interface software in order to implement the laser image of two dimension, and will prepare the base of beginning the home laser projector

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복강경 수술로봇을 위한 실시간 운영체제 기반 제어 시스템의 개발 (Development of a Real-time OS Based Control System for Laparoscopic Surgery Robot)

  • 송승준;박준우;신정욱;김윤호;이덕희;조영호;최재순;선경
    • 대한의용생체공학회:의공학회지
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    • 제29권1호
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    • pp.32-39
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    • 2008
  • This paper reports on a realtime OS based master-slave configuration robot control system for laparoscopic surgery robot which enables telesurgery and overcomes shortcomings with conventional laparoscopic surgery. Surgery robot system requires control system that can process large volume information such as medical image data and video signal from endoscope in real-time manner, as well as precisely control the robot with high reliability. To meet the complex requirements, the use of high-level real-time OS (Operating System) in surgery robot controller is a must, which is as common as in many of modem robot controllers that adopt real-time OS as a base system software on which specific functional modules are implemened for more reliable and stable system. The control system consists of joint controllers, host controllers, and user interface units. The robot features a compact slave robot with 5 DOF (Degree-Of-Freedom) expanding the workspace of each tool and increasing the number of tools operating simultaneously. Each master, slave and Gill (Graphical User Interface) host runs a dedicated RTOS (Real-time OS), RTLinux-Pro (FSMLabs Inc., U.S.A.) on which functional modules such as motion control, communication, video signal integration and etc, are implemented, and all the hosts are in a gigabit Ethernet network for inter-host communication. Each master and slave controller set has a dedicated CAN (Controller Area Network) channel for control and monitoring signal communication with the joint controllers. Total 4 pairs of the master/slave manipulators as current are controlled by one host controller. The system showed satisfactory performance in both position control precision and master-slave motion synchronization in both bench test and animal experiment, and is now under further development for better safety and control fidelity for clinically applicable prototype.

수치 모델을 사용한 콘크리트-FRP 부착면의 거동 특성 (Charateristics of Adhesive Joint between Concrete and FRP Using Numerical Method)

  • 조정래;조근희;박영환;김병석
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2003년도 가을 학술발표회 논문집
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    • pp.219-222
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    • 2003
  • Substantial experimental and theoretical work exists on the bond characteristics of FRP-concrete adhesive joints. Experimental studies show that the bond strength cannot always increase with an increase in the bond length, and that the ultimate strength is strongly influenced by the concrete strength. To solve this feature, analytic solutions based on fracture mechanics are widely used, and the local shear stress-slip curve with a softening branch is known as more rational model. The analytic solution, however, cannot describe various shapes of model curve. In this study, numerical method using interface element is introduced to express various shapes of model curve. Characteristics of adhesive joint is investigated for the shapes of the model curve and their parameters. And the numerical solutions are compared with the test results of CFRP sheet adhesive joints.

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FRP-콘크리트 계면의 부착모델 II : 부착특성 (Bond-Slip Model for FRP-Concrete Interface II: Characteristics of Adhesive Joint)

  • 조정래;조근희;박영환;박종섭;유영준;정우태
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2003년도 봄 학술발표회 논문집
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    • pp.902-907
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    • 2003
  • Substantial experimental and theoretical work exists on the bond characteristics of FRP-concrete adhesive joints. Analytic solutions based on fracture mechanics are most commonly accepted for theoretical work on joint. The solutions may be derived for the simple form of the shear strees-slip curve. And it is difficult to determine the model parameters consisting the curve. In this study, the bilinear curve with softening branch is introduced. The model parameters are determined by the method described by the companion paper with comparison of test results. There are many uncertainties in the test results of CFRP sheet adhesive joints, so that test results used for the construction of the regression problem should be reasonably selected.

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초음파 유도하에서의 요추부 후관절 내측지 차단술을 위한 주요 척추 구조물의 거리 측정 (Ultrasound-guided Distance Measurements of Vertebral Structures for Lumbar Medial Branch Block)

  • 문진천;심재광;조광연;윤경봉;김원옥;윤덕미
    • The Korean Journal of Pain
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    • 제20권2호
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    • pp.111-115
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    • 2007
  • Background: Selective diagnostic blocks of the medial branches of the dorsal primary ramus are usually performed under the guidance of fluoroscopic or computed tomography. Recently, however, ultrasound guidance has been suggested as an altemative method. In this study, the distances between the vertebral structures were measured and compared with the values measured using magnetic resonance imaging (MRI) to assess the clinical feasibility of using ultrasound-guided block in Korean patients. Methods: Five male and 15 female patients were enrolled in this study. The target point of the medial branch block in our study was the groove at the base of the superior articular process, We measured the depth from the skin to the target point at the transverse process (d-TP) and to the most superficial point of the superior articular process (d-AP). Results: The d-TP and d-AP values measured under ultrasound guidance were concordant with the values measured using MRI. Conclusions: The images of the bony landmarks obtained under ultrasound examination could be useful for ultrasound-guided lumbar medial branch block.

경추성 두통 환자에서 제3 후두신경의 양극탐침을 이용한 박동 성 고주파 신경차단술 - 증례보고 - (Bipolar Pulsed Radiofrequency Denervation of Third Occipital Nerve in Patient with Cervicogenic Headache - A case report -)

  • 이숙영;심우석;이상민;장인영
    • The Korean Journal of Pain
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    • 제21권2호
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    • pp.150-154
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    • 2008
  • Pulsed or conventional radiofrequency (RF) denervation of the third occipital nerve (TON) is considered to be a safe and effective alternative for the treatment of pain originating from the cervical 2-3 facet joint, including cervicogenic headache. However, proper positioning of the RF probe in the TON can be difficult and time consuming due to the possible involvement of various lesions along the target nerve. We found that bipolar RF is easier to perform and more convenient than unipolar RF when administering a lumbar medial branch block. Here, we report the successful treatment of a patient with a cervicogenic headache by pulsed RF (PRF) denervation of the TON, using a bipolar probe. We believe that bipolar PRF denervation of the TON is an effective alternative to unipolar RF or PRF for the treatment of pain originating from the cervical 2-3 facet joint.

The effect of non-persistent joints on sliding direction of rock slopes

  • Sarfarazi, Vahab;Haeri, Hadi;Khaloo, Alireza
    • Computers and Concrete
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    • 제17권6호
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    • pp.723-737
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    • 2016
  • In this paper an approach was described for determination of direction of sliding block in rock slopes containing planar non-persistent open joints. For this study, several gypsum blocks containing planar non-persistent open joints with dimensions of $15{\times}15{\times}15cm$ were build. The rock bridges occupy 45, 90 and $135cm^2$ of total shear surface ($225cm^2$), and their configuration in shear plane were different. From each model, two similar blocks were prepared and were subjected to shearing under normal stresses of 3.33 and $7.77kg/cm^{-2}$. Based on the change in the configuration of rock-bridges, a factor called the Effective Joint Coefficient (EJC) was formulated, that is the ratio of the effective joint surface that is in front of the rock-bridge and the total shear surface. In general, the failure pattern is influenced by the EJC while shear strength is closely related to the failure pattern. It is observed that the propagation of wing tensile cracks or shear cracks depends on the EJC and the coalescence of wing cracks or shear cracks dominates the eventual failure pattern and determines the peak shear load of the rock specimens. So the EJC is a key factor to determine the sliding direction in rock slopes containing planar non-persistent open joints.