• 대한족부족관절학회지
• /
• 제26권1호
• /
• pp.16-21
• /
• 2022

도수 또는 중력 외회전 부하 방사선 검사는 족관절 양과 유사 골절과 단독 외과 골절을 구별할 수 있는 기준이 된다. 부하 방사선 검사상 내측 관절 간격이 넓어지면 삼각인대 손상을 진단할 수 있고 비골 골절에 대한 수술적 처치가 권장된다. 비골 골절에 대하여 관혈적 정복술 후 Cotton test를 시행하여 경비원위인대가 벌어질 경우 이에 대한 고정을 시행한 후 삼각인대의 봉합술 시행 여부는 술자의 선호도 및 수술장 내 소견에 의하여 결정된다. 삼각인대 봉합술은 내과에 suture anchor를 삽입하고 심부와 천부 삼각인대에 대하여 중첩술 후 내과에 anchor를 통하여 고정함으로써 시행한다. 유일하게 무작위로 시행된 족관절 골절에서의 삼각인대 봉합술의 유용성 평가 연구에서는 삼각인대 봉합술의 유용성에 대하여 긍정적인 결론을 도출하지 못하였으나 연구 자체의 제한점이 많아 해석을 하는 데 있어 한계가 있었다. 추후 이에 대한 심도 있는 연구가 필요하리라 판단된다.

• Clinics in Shoulder and Elbow
• /
• 제18권4호
• /
• pp.197-205
• /
• 2015

Background: The purpose of this study was to evaluate the postoperative magnetic resonance imaging (MRI) results of minimal-tying (one medial-row tie among 4 medial-row sutures) on the medial-row in double-row suture-bridge configuration ($2{\times}2$ anchor with $4{\times}4$ suture stands). Methods: From 2011 March to 2012 July, 79 patients underwent arthroscopic rotator cuff repair using $2{\times}2$ anchor double-row configuration. The mean age was 61.3 years (range, 31-81 years). Two double-loaded suture anchors were used for medial-row. Four medial-row stitches were made with only one medial-row knot-tying (the most anterior suture). Lateral-row was secured using the conventional suture-bridge anchor technique; all 4 strands were used for each anchor. Repair integrity was evaluated with MRI at mean 6.2 months postoperatively. Retear and the pattern of retear, change of fatty infiltration, and muscle atrophy of supraspinatus were evaluated using pre- and postoperative MRI. Results: Repaired tendon integrity was 38 for type I, 30 for type II, 6 for type III, 4 for type IV, and 1 for type V, according to Sugaya classification. Considering type IV/V as retear, the rate was 6.3% (5 out of 79 patients). Medial cuff failure was observed in 4 patients. Fatty atrophy of supraspinatus was significantly improved postoperatively according to Goutallier grading (p=0.01). The level of muscle atrophy of supraspinatus was not changed significantly after surgery. Conclusions: Minimal tying technique with suture configuration of four-by-four strand double-row suture-bridge yielded a lower retear rate (6.3%) in medium to large rotator cuff tears.

• 조명전기설비학회논문지
• /
• 제23권12호
• /
• pp.115-126
• /
• 2009

연약지반상에 시공하는 수많은 전주가 태풍 등의 외부하중으로 전도파괴가 발생한다. 본 연구에서는 근가위치, 근가깊이, 근가개수, 전주근입깊이 등을 달리하며 연약지반에 실물크기의 전주에 인장실험을 실시하여 전주의 수평 변위분석을 실시하였다. 전주는 10개의 유형으로 나누어 실험한 결과 변위는 근가의 위치 및 수량, 전주기초의 근입깊이에 따라 뚜렷한 차이를 나타냈다. 초기하중 재하시 상부에서 굴절된 양상을 보이다 점증하중에 따라 전주의 중앙부로 굴절의 양상이 전이되었다. 근가위치는 G.L(-) 0.5[m]인 상태에서 전주기초 깊이 1.3[m]를 추가로 근입시 최대 수평변위는 약 1.6배의 감소를 보여 전주의 안정성이 증가하였다. 근가의 수는 근가 2개를 설치하는 것이 변위에 유리하나 큰 차이는 아니며 근가를 다수 설치하고 굴착면적이 커져 시공성이 떨어지는 단점이 있으므로 근가를 1개만 설치하여도 좋은 것으로 판단된다.

• International Journal of Railway
• /
• 제3권1호
• /
• pp.1-6
• /
• 2010

The steel plate-girder bridges with concrete gravity piers have possibilities of overturning by lateral inertial force which can be reproduced by sudden earthquake attack. This paper explores an overturning mechanism of existing concrete gravity pier onto the sandy soil in the event of lateral push-over load by in-situ experimental observation. The in-situ push-over experiment for pier with earth anchors between spread footing and rock beds exhibits a reasonable enhancement of ductility against overturning. In unanchored system, a flexural crack at cold joint of concrete pier is not developed because of the over-turning of the pier. This leads a global instability (rotation) of pier-footing system with relatively low stresses in pier itself. While a lateral load is persistently increased in anchored system, the successive flexural cracking failure at cold joint is observed even after the local shear failure of soil due to redistribution of stress equilibrium between soil and pier structure as long as a tensile action of anchor cable is active.

• Archives of Plastic Surgery
• /
• 제47권1호
• /
• pp.102-105
• /
• 2020

Malignant skin tumors and precancerous lesions have a predilection to be located in the nasal dorsum or sidewall. Although invasive reconstructions have been presented, no simple and suitable method has yet been reported for this area. The flap presented herein, named the lateral nasal advancement flap, is designed on the adjacent lateral region of the sidewall or nasal dorsum and advanced in the medial direction. Two Burow's triangles are removed in the upper and lower portions of the flap: the upper triangle along the nasofacial sulcus and the lower triangle along the nasofacial sulcus and/or the alar groove. Excellent results were obtained in the two clinical cases described in this report. Neither a trap door deformity nor dog-ears developed in either case. The postsurgical scars followed the aesthetic lines and became inconspicuous. A distinct angle was formed in the nasofacial sulcus without anchor sutures. This surgical procedure is technically simple and is performed under local anesthesia. Although the flap is a cheek-based advancement flap, postsurgical scars do not remain in the cheek; instead, they are located in the nasofacial sulcus and alar groove. The lateral nasal advancement flap is recommended for reconstruction of the nasal sidewall and dorsum.

• 한국지반공학회지:지반
• /
• 제14권3호
• /
• pp.5-24
• /
• 1998

사질토 지반에서 앵커로 지지된 토류벽의 거동을 연구하기 위하여 텍사스 에이엔엠 대학에 소재한 미국 국립 토질 시험장에 계측기가 장착된 실물 크기의 앵커 토류벽을 시공하였다. 기간 중의 단계별 계측과 시공후의 계측을 실시하여 사질토 지반에서의 앵커 토류벽의 현장 거동을 분석하였다. 시공 단계별 토류벽의 수평 변천, 토류벽의 휨 모멘트, 토류벽의 연직 하중, 배면토의 침하와 앵커 하중을 계측하여 앵커 토류벽의 현장 거동을 분석하여 제시하였다. 사질토 지반에서의 토류벽의 거동 특성을 실측결과와 비교하여 분석하였다.

• 한국전산구조공학회:학술대회논문집
• /
• 한국전산구조공학회 2002년도 봄 학술발표회 논문집
• /
• pp.83-90
• /
• 2002

Prying action caused by the eccentric loads within the equipment itself and the anchors can result in a lack of adequate stiffness and strength within the equipment and in additional moment loadings on the anchors. A typical case of prying action often found in power plants is the angle type anchorage system with expansion bolt. Experimental and analytical studies were performed to investigate the relationship between the amplification factors and various geometrical and material factors. It is revealed that the value of the factor is effected by the stiffness of bolt and angle, lateral stiffness of cabinet, and geometrical parameter of anchor system.

• 한국건축시공학회:학술대회논문집
• /
• 한국건축시공학회 2022년도 봄 학술논문 발표대회
• /
• pp.237-238
• /
• 2022

The seismic performance of existing reinforced concrete (RC) elements to which seismic design was not applied is questionable. To evaluate the behavior of existing RC columns, column specimens with widely spaced transverse reinforcement and 90-degree hoop anchor hooks as variables were designed. Experimental tests were performed by applying a fixed low axial load and increasing lateral cyclic loads to the specimens. As a result, the hoop spacing and anchor hook angle did not significantly affect the load-displacement relationship and the dissipated energy before failure.

• 한국지반공학회논문집
• /
• 제20권9호
• /
• pp.57-64
• /
• 2004

절개사면에 설치된 앵커지지 흙막이벽의 설계법을 확립하기 위해서는 흙막이벽체 및 배면지반의 변형거동을 규명할 필요가 있다 따라서, 본 연구에서는 아파트 신축부지 절개사면의 보강을 위해 앵커지지 흙막이벽과 억지말뚝이 설치된 사면을 대상으로 계측을 수행하였다. 굴착단계별 앵커설치시 흙막이벽의 수평변위는 감소하고 상대적으로 배면지반의 변형은 증가하는 경향이 있다. 앵커력 도입시 흙막이벽의 수평변위는 전반적으로 감소하며, 앵커의 인장력은 흙막이벽의 변형에는 큰 영향을 미치지만 배면지반의 변형에 미치는 영향은 크지 않았다. 흙막이벽의 최대수평 변위는 굴착깊이의 $1~4\%$사이에 발생하며, 암반굴착면을 갖는 배면수평면인 앵커지지 흙막이벽의 최대수평변위보다 $2\~8$배정도 크게 발생된다. 한편, SLOPILE(Ver 3.0)프로그램을 이용하여 앵커지지 흙막이벽의 사면안정효과를 검토하였으며, 사면안정해석시 앵커지지 흙막이말뚝에 작용하는 측방토압은 배면수평면인 앵커지지 흙막이벽에 적용하는 경험토압의 평균값이 적용가능하다.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제36권4호
• /
• pp.154-160
• /
• 2014

Purpose: The efficiency of an anchor plate placed during orthognathic surgery via minimal presurgical orthodontic treatment was evaluated by analyzing the mandibular relapse rate and dental changes. Methods: The subjects included nine patients with Class III malocclusion who had bilateral sagittal split osteotomy at the Division of Oral and Maxillofacial Surgery, Department of Dentistry in Ajou University Hospital, after minimal presurgical orthodontic treatment. During orthognathic surgery, anchor plates were placed at both maxillary buttresses. The anchor plates were used to move maxillary teeth backward and for maximum anchorage of Class III elastics to minimize mandibular relapse during the postoperative orthodontic treatment. The lateral cephalometric X-ray was taken preoperatively (T0), postoperatively (T1), and one year after the surgery (T2). Seven measurements (distance from Pogonion to line Nasion-Nasion perpendicular [Pog-N Per.], angle of line B point-Nasion and Nasion-Sella [SNB], angle of line maxilla 1 root-maxilla 1 crown and Nasion-Sella [U1 to SN], distance from maxilla 1 crown to line A point-Nasion [U1 to NA], overbite, overjet, and interincisal angle) were taken. Measurements at T0 to T1 and T1 to T2 were compared and differences tested by standard statistical methods. Results: The mean skeletal change was posterior movement by $13.87{\pm}4.95mm$ based on pogonion from T0 to T1, and anterior movement by $1.54{\pm}2.18mm$ from T1 to T2, showing relapse of about 10.2%. There were significant changes from T0 to T1 for both Pog-N Per. and SNB (P<0.05). However, there were no statistically significant changes from T1 to T2 for both Pog-N Per. and SNB. U1 to NA that represents the anterior-posterior changes of maxillary incisor did not differ from T0 to T1, yet there was a significant change from T1 to T2 (P<0.05). Conclusion: This study found that the anchor plate minimizes mandibular relapse and moves the maxillary teeth backward during the postoperative orthodontic treatment. Thus, we conclude that the anchor plate is clinically very useful.