• Title/Summary/Keyword: Joint stability

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Ligamentoplasty with interposition of the proximal interphalangeal joint in the treatment of unicondylar osteochondral defects: a cadaveric feasibility study

  • Hery, Jean-Charles;Picart, Baptiste;Malherbe, Melanie;Hulet, Christophe;Lombard, Aude
    • Archives of Plastic Surgery
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    • v.48 no.6
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    • pp.635-640
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    • 2021
  • Background Injuries to the proximal interphalangeal (PIP) joint are common and complex. However, the treatment of osteochondral defects of the head of the proximal phalanx has rarely been described. Herein, we propose a new technique for the management of unicondylar defects of the proximal phalanx that can restore joint amplitudes and provide PIP stability. Methods In this cadaveric feasibility study, unicondylar defects were generated using striking wedges and chisels. First, a transverse tunnel measuring 2 mm in diameter passing through the head of the proximal phalanx was made. A second tunnel at the base of the middle phalanx with the same diameter was then created. The hemitendon of the flexor carpi radialis graft was passed through each of these tunnels. The proximal end of the graft was interposed in the area with a loss of bone substance. The ligamentoplasty was then tensed and fixed by two anchors on the proximal phalanx. Joint amplitudes and frontal stability were measured preoperatively and postoperatively. Results There was no significant change in the joint's range of motion: preoperatively, the mean mobility arcs were -2° to 113.80°, and they were -2° to 110° after the procedure (P=0.999). There was no significant difference in joint stability (P>0.05). Conclusions Ligamentoplasty with PIP interposition appears to be a possible solution for the management of unicondylar defects of the proximal phalanx. An evaluation of clinical results is planned in order to definitively confirm the validity of this procedure.

Case of slope stability in weathered metamorphic rock (풍화된 변성암 사면의 안정대책 사례)

  • Kim, Jae-Hong;Park, Chal-Sook;Jeon, Je-Sung;Hong, Won-Pho
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.03a
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    • pp.1400-1405
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    • 2008
  • Execute surface of the earth geological survey for stability analysis of stealing cutting sides and investigated wide area nature of soil structure. Inflected DIPS that measure discontinuity's direction that develop to slope and is slope stability a wide use program for Stereographic Projection Method analysis that utilize geometrical correlation of stealing four sides and discontinuity surface. It is principle that angle of internal friction that is basis element of stability estimation applies direct shear test result on joint side, Examination is impossible by case execution, suppose by 30 angles that apply more conservatively in base rock slope sides usually and achieved analysis. When analyze, consider discontinuity's various adult that develop in research slope, after conduct first each discontinuity different assay falling into fault, joint, executed stability estimation which synthesize whole discontinuity data. When ailment element is recognized as analysis result, wished to present stability countermeasure way of most suitable to take into account of execution, stability, economic performance.

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A Study for the Optimum Joint Set Orientations and Its Application to Slope Analysis (사면해석을 위한 최적의 절리군 대표방향성 도출 및 활용기법 연구)

  • Cho, Taechin
    • Tunnel and Underground Space
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    • v.28 no.4
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    • pp.343-357
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    • 2018
  • Algorithm which can analyze the slope failure behavior utilizing the comprehensive information of the dense point of joint poles and the joint set orientations, both of which are obtained statistically, and the defect pattern of pole distribution has been developed. This method overcomes the potential incorrectness of the hemispheric projection method utilizing the joint set orientations only and also enhances the reliability of slope failure analysis. To this end a method capable of calculating the joint dispersion index directly from the joint pole distribution, instead of contour map, has been devised. The representative orientations for the slope failure analysis has been determined by considering the number and orientations of cone angle-dependent joint sets as well as the joint dispersion index. By engaging these representative orientations to the hemispheric projection analysis more reliable slope failure examination has been carried out. Sensitivity analysis for the potentially unstable slope of plane failure mode has been performed. Significance of joint strength index and the external seismic loading on the slope stability has been fully analyzed.

Influence of the implant-abutment connection design and diameter on the screw joint stability

  • Shin, Hyon-Mo;Huh, Jung-Bo;Yun, Mi-Jeong;Jeon, Young-Chan;Chang, Brian Myung;Jeong, Chang-Mo
    • The Journal of Advanced Prosthodontics
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    • v.6 no.2
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    • pp.126-132
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    • 2014
  • PURPOSE. This study was conducted to evaluate the influence of the implant-abutment connection design and diameter on the screw joint stability. MATERIALS AND METHODS. Regular and wide-diameter implant systems with three different joint connection designs: an external butt joint, a one-stage internal cone, and a two-stage internal cone were divided into seven groups (n=5, in each group). The initial removal torque values of the abutment screw were measured with a digital torque gauge. The postload removal torque values were measured after 100,000 cycles of a 150 N and a 10 Hz cyclic load had been applied. Subsequently, the rates of the initial and postload removal torque losses were calculated to evaluate the effect of the joint connection design and diameter on the screw joint stability. Each group was compared using Kruskal-Wallis test and Mann-Whitney U test as post-hoc test (${\alpha}$=0.05). RESULTS. The postload removal torque value was high in the following order with regard to magnitude: two-stage internal cone, one-stage internal cone, and external butt joint systems. In the regular-diameter group, the external butt joint and one-stage internal cone systems showed lower postload removal torque loss rates than the two-stage internal cone system. In the wide-diameter group, the external butt joint system showed a lower loss rate than the one-stage internal cone and two-stage internal cone systems. In the two-stage internal cone system, the wide-diameter group showed a significantly lower loss rate than the regular-diameter group (P<.05). CONCLUSION. The results of this study showed that the external butt joint was more advantageous than the internal cone in terms of the postload removal torque loss. For the difference in the implant diameter, a wide diameter was more advantageous in terms of the torque loss rate.

The Stress Analysis of the Bellows Joint by the Finite Element Method (유한 요소법을 이용한 Bellows Joint의 응력해석)

  • 이완익;김태완
    • Journal of the korean Society of Automotive Engineers
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    • v.9 no.4
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    • pp.61-68
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    • 1987
  • The Bellows Joint which was used as a absorber or safety equipment to prevent the deformation or fracture of a structure, have been analyzed by the F.E.M using axi-symmetric conical frustum element. Using the F.E.M the general behavior of Bellows Joint corrugation can be investigated easily, and the stability of the analysis be guaranteed. In annular type corrugation, the F.E.M results were agreed with those of other theoretical analyses, but in the U type corrugation, the F.E.M results were more acceptable than those of others.

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Effects of Kinesiology tape in ankle joint of quadriceps and hamstring muscles activation during squat exercise (스쿼트 운동 시 발목 관절에 키네시오 테이프의 적용이 넙다리 네갈래근과 뒤넙다리근의 활성에 미치는 영향)

  • Park, Jae-heung;Lee, Seung-hee;Kim, So-jung;Cho, Seung-ju;Park, Hyun-hee;Lee, Yu-jin;Sim, Hye-ji;Choi, Bo-ram
    • Journal of Korean Physical Therapy Science
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    • v.28 no.2
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    • pp.57-64
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    • 2021
  • Background: During squat exercises, Ankle joint stability during squat movement transfers forces produced by unstable supports or various loads to the leg joints and trunk, reducing the risk of injury; therefore, a reference is needed for correct ankle joint posture during squat exercises. The purpose of this study was to examine the effect of ankle joint stability on quadriceps femoris and hamstring activation during squat exercises. Design: Quasi-experiment one group pretest-posttest design. Methods: The participants in this study were 20 volunteers who performed squat exercises with and without kinesiology tape. We measured quadriceps femoris and hamstring activation using surface electromyography. The ankle joint was stabilized with kinesiology tape using the ankle balance taping (ABT) method. A paired t-test was performed to compare differences between taping conditions. Results: Vastus medialis and vastus lateralis activation were greater following squat exercises with kinesiology tape than without; however, the difference was not significant. Medial and lateral hamstring activation was not significantly different between taping conditions. Conclusion: Although it is difficult to maintain stability using kinesiology tape alone, ankle joint stability is believed to affect quadriceps femoris muscle activity, which increases the effectiveness of the squat exercise.

Stability Analysis of a Jointed Rock Slope with the Barton-Bandis Joint Constitute Model Using UDEC (Barton-Bandis joint model을 이용한 절리 암반 사면의 안정성 해석)

  • 최성웅;정소걸
    • Tunnel and Underground Space
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    • v.9 no.2
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    • pp.141-148
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    • 1999
  • Distinct element simulation in jointed rock masses is largely dependent upon the joint constitutive equation used. This paper describes the differences between the Barton-Bandits (BB) and the Mohr-Coulomb (MC) joint constitutive models for the stability analysis of the jointed rock slopes. The BB model, which allows the modelling of the dilation accompanying shear, predicts results very similar to the present condition of slopes. Consequently the 10 cm thick shotcrete was proposed for the reinforcement of those slopes. The MC model, however, in which the dilation angle is constant, is relatively insensitive to the behaviors of joints.

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The Effect of Postural Stability on Genu Varum in Young Adults

  • Chae, Yun-Won;Park, Ji-Won;Park, Seol
    • The Journal of Korean Physical Therapy
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    • v.24 no.6
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    • pp.419-422
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    • 2012
  • Purpose: Malalignment of the lower limbs may increases the difficulty of maintaining equilibrium. The purpose of this study was to study the effects of genu varum and poor posture in the sagittal plane on postural stability. Methods: We had 27 subjects with varus and 27 normal subjects participate in this study. Subjects for whom the distance between the medial epicondyles in the knee joint was more than 3 cm were classified as varus group, and subjects for whom the distance was less than 3 cm were classified as normal group. The measurements of static and dynamic stability were used overall stability index (OSI), anterioposterior stability index (APSI), and mediolateral stability index (MLSI) using a Biodex balance system. Results: When measuring the static stability index, there were significant differences in the mediolateral stability index between the varus and control groups. When measuring the dynamic stability index, there were significant differences in the overall, anteriorposterior, and mediolateral stability index between the varus and control groups. These results demonstrated that genu varum affects mediolateral movement in static stability, and overall, anterioposterior and mediolateral movements in dynamic stability. Conclusion: As genu varum affects static and dynamic stability in young adults, it increases the risk of injuries or falls. Exercise and surgery are required for realigning the genu varum. Future studies about postural stability in young children and elderly people who have a risk of falls due to lower postural control ability, are needed, as well as in young adults.

Development of Patient Transfer Techniques based on Postural-stability Principles for the Care Helpers in Nursing Homes and Evaluation of Effectiveness (자세안정성 원리에 기반한 환자이동기술 개발 및 효과검정)

  • Ma, Ryewon;Jung, Dukyoo
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.39-49
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    • 2016
  • Purpose: This study was done to develop a postural-stability patient transfer technique for care helpers in nursing homes and to evaluate its effectiveness. Methods: Four types of patient transfer techniques (Lifting towards the head board of the bed, turning to the lateral position, sitting upright on the bed, transferring from wheel chair to bed) were practiced in accordance with the following three methods; Care helpers habitually used transfer methods (Method 1), patient transfer methods according to care helper standard textbooks (Method 2), and a method developed by the author ensuring postural-stability (Method 3). The care helpers' muscle activity and four joint angles were measured. The collected data were analyzed using the program SPSS Statistic 21.0. To differentiate the muscle activity and joint angle, the Friedman test was executed and the post-hoc analysis was conducted using the Wilcoxon Signed Rank test. Results: Muscle activity was significantly lower during Method 3 compared to Methods 1 and 2. In addition, the joint angle was significantly lower for the knee and shoulder joint angle while performing Method 3 compared to Methods 1 and 2. Discussion: Findings indicate that using postural-stability patient transfer techniques can contribute to the prevention of musculoskeletal disease which care helpers suffer from due to physically demanding patient care in nursing homes.