• Title/Summary/Keyword: Microfracture

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Treatment of Articular Cartilage Defects of The Knee with Microfracture (미세 천공술을 이용한 슬관절 관절 연골 손상의 치료)

  • Shin, Sung-Il;Song, Kyoung-Won;Lee, Jin-Young;Lee, Seung-Yong;Kim, Gab-Lae;Hyun, Yoon-Suk;Seo, Eun-Ho
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.3
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    • pp.205-210
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    • 2008
  • Purpose: To evaluate the clinical results after microfracture surgery for full-thickness chondral lesion of the knee. Materials and Methods: Thrity-seven patients, who had underwent microfracture surgery for full-thickness chondral lesion of the knee between January 1999 and December 2005, were reviewed. Their mean age at the time of operation was 31 years (range, 21~38 years) and mean follow up period was 2.7 years. All patients were reviewd every 6 months after operation. Clinical outcomes were evaluated by activity of daily living (ADL), Tegner activity scale, International Knee Documentation Committee (IKDC) knee examination form, Lysholm score and satisfaction of treatment. Results: ADL and Tegner activity score improved in 83% of patients during first 18 months, but decreased during next 6months. IKDC score improved from 58 points at operation time to 86 points after 12 months, but decreased to 79 points and 68 points at 18 and 24 months after operation, respectively. Also, Lysholm score improved from 61 points at operation time to 89 points after 12 months, to 92 points after 18 months, but 73 points after 24 months. At the last follow-up, 22 patients were excellent or good in satisfaction of treatment, whereas 12 patients were fair, 3 patients were poor. Conclusion: Microfracture surgery for full-thickness chondral lesion of the knee has a good functional improvement for first 12 months after operation, but its effectiveness has decreased over time.

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Arthroscopic Osteochondroplasty of Osteochondral Lesion of the Talus (거골 골연골 병변에 대한 관절경적 골연골성형술)

  • Lee, Myung Jin;Kim, Sung Soo;Wang, Lih;Lee, Chul Won;You, Sung Gon;Hwang, Jin Soo
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.2
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    • pp.134-139
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    • 2012
  • Purpose: To report the treatment results of arthroscopic osteochondroplasty in osteochondral lesion of the talus. Materials and Methods: This study included 32 patients who had osteochondral lesion of the talus treated with arthroscopic osteochondroplasty and were able to be followed up over 3 years from 1999 to 2007. The mean follow up period was 48 (38-108) months, and 22 male patients and 10 female patients with a mean age of 34 (20-56) years were included. Locations of lesion were evaluated with simple X-ray and magnetic resonance imaging (MRI), and severities of lesions were classified by Berndt and Harty classification. All cases were treated by arthroscopic debridement or microfracture. The treatment results were assessed by American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale and subjective and functional score of Kailkkonen. The group treated by arthroscopic microfracture was compared with the group treated by arthroscopic debridement. Results: The mean AOFAS ankle-hindfoot scale was significantly improved 53 (${\pm}7$) points preoperatively to 84 (${\pm}8$) points postoperatively (P<0.001). The mean subjective and functional score was also improved 55 (${\pm}8$) points preoperatively to 88 (${\pm}8$) points postoperatively with statistical significant (P<0.001). There were no relations between the severity of lesions and the postoperative functional score of ankle (P>0.05). There were no significant differences in the clinical results between the group treated with arthroscopic microfracture and the group treated with arthroscopic debridement (P>0.05). Conclusion: Arthroscopic osteochondroplasty of osteochondral lesion of the talus shows excellent result in terms of patients' satisfaction. There were no significant differences in the clinical results between arthroscopic microfracture group and debridement group.

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Variations of Physico-Mechanical Properties of the Cretaceous Mudstone in Haman, Gyeongnam due to Freeze-Thaw Weathering (경남 함안군 백악기 이암의 동결-융해에 따른 물성변화 및 미세균열 발현특성)

  • Um, Jeong-Gi;Shin, Mi-Kyoung
    • Tunnel and Underground Space
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    • v.19 no.2
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    • pp.146-157
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    • 2009
  • An experimental study of accelerated weathering on mudstone sample specimens from Haman, Gyeongnam was performed to investigate the variations of physico-mechanical properties of deteriorated rocks due to freeze-thaw weathering. Each complete cycle of freeze and thaw lasted 24 hours, comprising 2 hours of saturating in vacuum chamber, 8 hours of freezing at $-16{\pm}1^{\circ}C$ and 14 hours of thawing at room temperature. Total of 55 cycles of freeze-thaw were completed with measuring the index properties as well as geometries of microfractures. The measured specific gravity and P-wave velocity found to decrease with increasing freeze-thaw cycles. On the other hand, absorption ratio and effective porosity were continuously increased with increasing freeze-thaw cycles. It was found that the index properties of deteriorated sample specimen depend on its initial properties and flaws in rock. The size and density of the traces of the microfracture on slab specimen exhibited abrupt changes after 30 cycles of freeze-thaw weathering. The results obtained in this study show that the box fractal dimension($D_B$) given in this paper has the strong capability of quantifying the size and density of the microfracture.

연골 결손의 치료

  • Lee, Beom-Gu;Sim, Jae-Ang
    • 대한관절경학회:학술대회논문집
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    • 2009.10a
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    • pp.165-169
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    • 2009
  • 연골 결손은 자체 치유 능력이 적어 그 크기가 1 cm 이상인 경우 골관절염이 발생할 수 있다. 최근에는 3-tesla MRI 등의 발전으로 인해 수술 전에 미리 연골 손상을 정확히 진단할 수 있어 연골 손상의 치료를 더욱 적극적으로 할 수 있다. 이제까지 연골 손상에 대한 수술적 치료는 세척술(lavage) 및 변연 절제술(debridement), 미세 천공술(microfracture), 자가 골연골 이식술(autologous osteochondral graft), 자가 연골 세포 이식술(autologous chondrocyte implantation, ACI), 동종 골연골 이식술(osteochondral allograft)이 있다.

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In-situ Observation on the Microfracture Behavior of Gavannealed Steel Sheet (합금화용융아연도금강판의 미세파괴거동에 대한 In-situ 관찰)

  • Mun Hyun-Su;Bu Hyun-Duck;Chu Yong-Ho;Ahn Byung-Kuk;Kim Young-Geun;Ahn Haeng-Keun
    • Korean Journal of Materials Research
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    • v.14 no.9
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    • pp.676-681
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    • 2004
  • In-situ observation in SBM on the microfracture behavior of coating layer was performed for GA steel sheets that have various Fe contents and thickness of coating layer. In case of cross sectional side of coating layer that was in a tensile stress state during bending, fine perpendicular crack pre-induced during galvannealing grew and propagated rapidly toward the coating surface with the increase of strain. And then it grew and propagated along the ${\Gamma}/Fe$ matrix interface, and combined with the nearest another perpendicular crack. Consequently, flaking occurred. The more Fe content and thickness of coating layer increased, the more average crack interval and flaking resistivity increased. Exfoliation was little observed at coating surface in a tensile stress state.

A Study on the Stress Corrosion Cracking Propagation Behaviors of high Strength Steel by Means of Emission Test (음향방출시험에 의한 고장력강의 응력부식 균열전파 거동에 관한 연구)

  • Yu, Hyo-Seon;Jeong, Se-Hui
    • Korean Journal of Materials Research
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    • v.3 no.4
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    • pp.361-371
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    • 1993
  • Among the various test methods for stress corrusiun cracking(SCC) susceptibility evaluatiun, the slow stram rate test(SSHT) method is a rapid and effective nwthod to evaluate the SCC susceptibility of metal in relatively short time. But it is very difficult to analyze the microfracture behaviors in SCC process by using the test(SSRT) method only. Up to now, it has been well known that the acoustic emission(AE) test is the effective technique to monitor the microcrack initiation and propagation in material fracture pmcess. Therefore. in this paper, we analyzed the correlation between the see process and the characteristics of AE signal by using the SSHT and the AE test. According to the test results. the AE signals produced from the material microfracture were clearly depended on the test environment. The AE signal characteristics generated during see process in synthetic sea water were comparatively greater than those. in air. In addition, the SCC behaviors could be definitely evaluated by the amplitude parameter of AE signals.

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Image Analysis Using Grid Suppression Software to Remove Moire Artifact from Micro Lesions of Sprague Dawley Rat (Sprague Dawley Rat의 미세병변에서 Moire Artifact를 제거하기 위한 Grid suppression software 사용 후 영상분석)

  • Lee, Sang-Ho
    • Journal of radiological science and technology
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    • v.40 no.4
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    • pp.575-580
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    • 2017
  • Because moire artifacts overlap with fine lesions and frequency bands, image processing software that removes moire artifacts can lead to loss of micro lesions. In this study, microscopic lesions such as microcalcification and microfracture were randomly formed on SD (Sprague Dawley) rats and image and optimized grid images were compared and analyzed using reference image and grid suppression software. The images were read by two consecutive radiologists using a McNemar's test. Among the 73 microcalcifications, in the 13 cases after grid suppression, the image of the optimized grid shows the loss of image in 3 cases, and the image after grid suppression shows statistically significant image loss (p=0.021). In all 53 fracture lines, there were 19 cases of image loss after the grid suppression, and only one case of the optimized grid showed no image loss. Therefore, the use of grid suppression software to remove moire artifacts should be carefully considered in the diagnosis of micro lesions.

Analysis of Factors for Cartilage Regeneration in Patients Who Underwent High Tibial Osteotomy Combined with Microfracture (근위 경골 절골술과 미세 골절술을 함께 시행 받은 환자 군에서 연골 재생에 영향을 미치는 요인에 대한 분석)

  • Lee, Young Min;Song, Eun-Kyoo;Oh, Ho-Seok;Kim, Yu-Seok;Seon, Jong-Keun
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.404-412
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    • 2021
  • Purpose: This study examined the degree of cartilage regeneration by performing second-look arthroscopy in a group of patients who underwent high tibial osteotomy and microfractures for unicompartmental osteoarthritis of the medial knee joint and to determine the factors affecting cartilage regeneration. In addition, this study analyzed whether there is a relationship between the degree of cartilage regeneration and functional results. Materials and Methods: From 2007 to 2015, this study evaluated 81 cases who underwent second-look arthroscopy at the time of plate removal after a microfracture and high tibial osteotomy with a minimum two-year follow-up. The degree of femoral cartilage injury before surgery was classified by ICRS (International Cartilage Research Society), and all were grade III and IV. After second-look arthroscopy, cartilage regeneration was classified into a well-regenerated group (grade I, II) and a poorly regenerated group (grade III, IV). The independent factors influencing cartilage regeneration were identified through multivariate logistic regression analysis. In addition, the functional results were compared before and after surgery between the two groups using the Knee Society score (KSS) and the Western Ontario and McMaster Universities Osteoarthritis Index score (WOMAC). Results: Age, sex, body mass index, postoperative radiologic factors, and preoperative joint condition did not affect the degree of cartilage regeneration significantly. The large cartilage defect (≥2.0 cm2) (p=0.011) and the presence of kissing lesions (p=0.027) were associated with poor cartilage regeneration. No significant difference in the KSS and WOMAC scores was observed between the group with good and poor cartilage regeneration. Conclusion: The presence of a large cartilage defect and kissing lesions is associated with poor cartilage regeneration after high tibial osteotomy and microfracture. On the other hand, the degree of the regenerated cartilage did not show any correlation with the functional outcome.

Effect of matrix on fatigue strength of carbon fiber composite materials (탄소섬유강화 복합재료의 피로강도에 미치는 모재의 영향)

  • 유승원
    • Journal of Ocean Engineering and Technology
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    • v.6 no.1
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    • pp.113-121
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    • 1992
  • In this study, the variation of fatigue strength in CF/PEEK and CF/EPOXY, the matrix and interfacial strength of which differ from each other, has been studied from the viewpoint of microfracture behavior. The results obtained are as follows; According as the fatigue strength moves from the lower cycle range to the higher cycle range, that of CF/PEEK shows higher curve than that of CF/EPOXY does. In the early stage of fatigue life, the characteristic of fatigue crack in CF/PEEK is mainly the fracture of longitudinal fiber, while that in CF/EPOXY is the fracture of transverse fiber. The difference of fatigue strength in these materials can be explained by the fracture criteria of transverse fiber and longitudinal fiber.

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A study on abrasive wear characteristics of side plate of FRP ship (FRP 선박 외판재의 연삭마모 특성에 관한 연구)

  • Kim, Byung-Tak;Koh, Sung-Wi
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.44 no.3
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    • pp.250-256
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    • 2008
  • Generally the side plate materials of FRP ship are composed of glass fiber and unsaturated polyester resin composites(GFRP composites). In this study, the effect of applied load and sliding speed on friction and wear characteristics of these materials were investigated at ambient temperature by pin-on-disc friction test. The cumulative wear volume, friction coefficient and wear rate of these materials for SiC abrasive paper were determined experimentally. The cumulative wear volume showed a tendency to increase nonlinearly with increase of sliding distance and was dependent on applied load and sliding speed for these composites. The friction coefficient of GFRP composites was increased as applied load increased at same sliding speed in wear test. It was verified by SEM photograph of worn surface that major failure mechanisms were microfracture, deformation of resin, cutting and cracking.