• 대한족부족관절학회지
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• 제23권4호
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• pp.216-219
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• 2019

In clinical practice, recurrent Achilles ruptures have been noted to occurr at the original ruptured site. However, reports of new developed fresh rupture of the Achilles tendon in other sites are is extremely rare. Our report is about one uncommon case of a traumatic calcaneal tuberosity avulsion fracture following augmented repair, which was performed using the Krackow locking loop technique. We performed open reduction and intra-osseous fixation using a suture anchor. This procedure was done through the primary longitudinal incision for the calcaneal avulsion fracture fragment. After 6 months of follow-up, our patient has achieved a complete functional recovery and he can normally perform daily and work-related tasks without pain.

• Journal of the Korean Wood Science and Technology
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• 제46권1호
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• pp.93-99
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• 2018

국내산 낙엽송 소경각재의 휨 강도 성능을 예측하기 위하여 비파괴적인 지표의 검토가 필요하다. 본 연구에서는 낙엽송 소경각재(단면 $89{\times}120mm$)를 초음파법, 종진동법, 소하중법의 비파괴 방법으로 탄성계수를 측정하였다. 실측 탄성계수와 유의성이 높은 비파괴 측정 방법을 결정 후 휨 파괴계수 예측 지표로 적용하였다. 종진동법으로 측정된 탄성계수가 실측 탄성계수와 가장 높은 유의성을 나타냈다. 휨 파괴계수와 실측 탄성계수의 유의성도 매우 밀접하게 측정되었으므로 종진동법에 의한 비파괴 탄성계수로 소경각재의 휨 파괴계수를 예측하였다.

• 대한족부족관절학회지
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• 제23권3호
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• pp.100-104
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• 2019

Purpose: This study examined the clinical outcomes and assessed the average time to return to play following a peroneal tendon repair in Korean athletes. Materials and Methods: Between March 2004 and February 2017, a total of 30 athletes underwent peroneal tendon repair for a peroneal tendon tear. The indications of surgical treatment were chronic pain or intractable symptoms after a previous ankle sprain affecting sports activity refractory to conservative treatment for at least six months. The patient underwent tubulization for a longitudinal tendon rupture. Peroneus longus to peroneus brevis tenodesis was performed when tendon repair was impossible due to total rupture or multiple longitudinal rupture. Results: Twenty patients not included in this study were as follows: insufficient follow-up, previous surgery, and additional bone surgery. All 10 patients had a previous ankle sprain history, tenderness and swelling on the retromalleolar area. In the 10 patient population, there were five peroneus brevis tendon tears, three peroneus longus tendon tears, one peroneus longus and brevis tendon tear, and one peroneus brevis and superior peroneal retinaculum tear. In the 10 patients, six cases of peroneal brevis tendon repair and four cases of peroneal longus to brevis tenodesis were performed. The preoperative American Orthopaedic Foot and Ankle Society score was improved from a mean of 60.6 (standard deviation [SD], 8.64) to a mean of 90.2, postoperatively (SD, 4.4; p<0.012). The preoperative visual analogue scale was improved from a mean of 5.43 (SD, 1.2) to 0.5 (SD, 0.16), postoperatively (p<0.023). The mean length of time to return to play was 12.2 weeks (range, 8~16 weeks). Conclusion: Peroneal tendon tear can occur due to sports injuries. If there is tenderness at the retromalleolar area, the surgeon should consider a peroneal tendon lesion. Surgical repair of the peroneal tendon can be an effective treatment to help athletes to return to play.

• Journal of Chest Surgery
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• 제38권10호
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• pp.717-720
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• 2005

심실중격파열 및 좌심실자유벽파열은 급성 심근경색의 주요 합병증들 중의 하나이나 이 치명적인 합병증 둘이 모두 동일 환지에서 발생한 소위 심실이중파열에 대한 외과적 치험예는 거의 보고되고 있지 않고 있다. 저자들은 급성심근경색의 합병증으로 발생한 심실중격파열에 이어 좌심실자유벽이 파열된 환자에서 시행된 외과 치험 1예를 보고하고자 한다. 58세 남자가 급성심근경색으로 전원되었다. 심초음파로 후심실중격파열을 진단 후 대동맥내풍선점프를 넣고 응급수술을 계획하였다. 마취 유도 중 갑자기 환자는 순환허탈에 빠져 심장마사지를 하며 개흉하여 혈심낭에 의한 급성 심장압전과 좌심실 후벽 중간 부위에서 혈액을 분출하고 있는 약 2cm 길이의 세로 방향의 파열을 관찰할 수 있었다. 심폐바이패스를 설치, 혈역학을 안정시킨 후 좌심실 재건술을 시행하였다. 환자의 수술 후 경과는 술 전 심장마비로부터 비롯된 것으로 생각되는 뇌손상으로 지연되었다.

• 한국안전학회지
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• 제13권4호
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• pp.113-120
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• 1998

Fatigue crack growth rates(i.e. crack initiation and crack growth of short and long crack) are investigated using commercial plates of high strength Al alloy 7075-T651 for the transverse-longitudinal(T-L) direction in air, water and sea water. Also, the evaluation direct current potential drop(D.C.P.D) method and the fractographical analysis by SEM are carried out. Near threshold region, short crack growth rates were much faster than those of comparable long cracks, and these short crack growth rates actually decrease with increasing crack growth and eventually merge with long crack data. Fatigue crack propagation rates in aggressive media(i.e. sea water) increase noticeably over three times those in air. One of the most significant characters in this phenomenon as a corrosion-fatigue causes an acceleration in crack growth rates. Sea water environment, particularly Cl$^{[-10]}$ solution brings the most detrimental effects to aluminum alloy. The result of fractographical morphology in air, water and sea water by SEM shows obvious dimpled rupture and typical striation in air, but transgranular fracture surface in water and sea water.

• The Korean Journal of Pain
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• 제7권2호
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• pp.270-272
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• 1994

A 43 year old male patient injured in a traffic accident was admitted to the department of general surgery for the treatment of spleen rupture and multiple rib fractures. After subphrenic abscess occurred after splenectomy was treated. After 50 days of admission, left facial palsy occurred with sensory neural hearing loss, and tinnitus by longitudinal fracture of left temporal bone. The patients was consulted to pain clinic for further evaluation and treatment. The patient was treated with stellate ganglion block with 1% lidocaine 6ml one time daily. On 19th day, stellate ganglion block was given as usual, and the patient complained of pain in the neck and headache the next day. Two days later, mild fever elevation and hematoma in the neck were found. Hematoma was drained with hemovac. Ruptured muscular branch of vertebral artery was ligated surgically but the ligation was released in the next day and the hematoma was removed and the artery religated. Five units of packed RBC were transfused during the period and the patient was discharged without any sequelae.

• 한국기계연구소 소보
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• 통권20호
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• pp.57-63
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• 1990

The morphologies of MC carbides (M stands for metal) and creep-rupture properties in directionally solidified Rene 80 having standard and Hf-modified chemistries were studied. It was found that Hf depressed the melting point, $\gamma$- $\gamma$’ eutectic temperature and $\gamma$’ solvus of nickel-base superalloy Rene 80, but did not depress MC carbide forming temperature. The morphologies of MC carbides depended upon solidification sequence, which led to blocky type in the early stage and script type in the late stage of solidification. Creep failure occurs through the crack initiation at the transverse components of longitudinal grain boundaries or interdendritic carbides in directionally solidified superalloys. It could be concluded MC carbide morphologies played an important role in creep properties of DS superalloys, that is, Hf additions increased the creep ductilities and lives of Rene 80.

• Journal of Korean Neurosurgical Society
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• 제39권4호
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• pp.314-316
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• 2006

Intradural lumbar disc herniation[ILDH] is a rare pathology. The pathogenesis of ILDH is not known with certainty. Adhesions between the ventral wall of the dura and the posterior longitudinal ligament[PLL] could act as a preconditioning factor. Diagnosis of ILDH is difficult and seldom suspected preoperatively. Prompt surgery is necessary because the neurologic prognosis appears to be closely related to preoperative duration of neurologic symptoms. Despite preoperatively significant neurological deficits, the prognosis following surgery is relatively good. We report on case of ILDH at L3/4 with differential diagnoses, and the possible pathogenic factors are discussed.

• Journal of the Korean Wood Science and Technology
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• 제49권2호
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• pp.107-121
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• 2021

본 연구에서는 층재 수종과 길이방향의 합판 접합방식과 접합부의 접착제 도포 여부에 따른 휨 성능 및 파괴 양상 분석을 통하여 합판을 코어로 사용한 CLT에 적합한 합판의 접합 방식을 최적화 하고자 하였다. 더글라스 퍼 층재의 경우 길이방향 접합에 의해 휨탄성계수 약 11.5% 감소, 휨강도는 접착제 도포 및 접합방식에 따라 증가 또는 감소하였다. 접착제 미도포 butt joint, 접착제 도포 half lap joint, butt joint 조건이 최적조건으로 도출 되었다. 낙엽송 층재의 경우 길이방향 접합에 의해 휨강도는 약 15%, 휨탄성계수는 약 40% 감소하였으며 접합방식에 따른 차이를 나타내지 않았다. half lab joint와 tongue & groove joint 사용 시 합판 층의 접합부에서 휨에 파괴를 1차적으로 방지해줌으로써 중층의 층재로 전달되는 하중을 감소시켜 주는 것으로 판단된다. 본 연구 결과를 통해 Ply-lam CLT 제조과정에서 낙엽송 층재를 사용하는 경우 접합방법에 따른 차이를 나타내지 않았으며 더글라스퍼 층재를 사용할 경우 butt joint와 half lap 접합 방식이 적합할 것으로 판단된다.

• 한국구조물진단유지관리공학회 논문집
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• 제12권6호
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• pp.89-96
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• 2008

본 연구에서는 탄소섬유판이 표면 매입된 철근 콘크리트 보의 휨 거동 효과를 고찰하였다. 이를 위하여, 탄소섬유판이 표면 매입된 T 형 철근 콘크리트 보를 제작하여 실험을 수행하였다. 본 연구 결과, 표면매입(NSM) 탄소섬유판으로 보강된 철근콘크리트 부재의 휨 강성 및 극한강도는 섬유판으로 보강되지 않은 보에 비하여 크게 증진되며, 그 최대 증가율은 보강되지 않은 부재의 경우보다 약 247%로 나타났다. 위 철근콘크리트 부재의 파괴는 부재 길이 방향으로 섬유 소선이 풀리는 표면매입 탄소 섬유판의 파괴로 시작되며, 탄소섬유판의 파단이 이어지는 2차 파괴가 발생하였다. 표면매입 탄소섬유판은 콘크리트와의 완정한 합성거동을 유도하여 따라서 탄소섬유판을 표면에 매입하는 방식은 노후 구조물 보강방식으로 매우 효과적인 것으로 판단된다.