• Title/Summary/Keyword: Pivot

Search Result 362, Processing Time 0.036 seconds

Two to Four Year Follow-Up Results after Anterior Cruciate Ligament Reconstruction Using Transtibial Femoral Tunnel at 10 or 2 O'clock Position (10시 혹은 2시 방향의 경경골 대퇴 터널을 이용한 전방 십자 인대 재건술 후 2~4년 추시 결과)

  • Cho, Sung-Do;Youm, Yoon-Seok;Jeong, Ji-Young;Park, Han-Chang
    • Journal of the Korean Arthroscopy Society
    • /
    • v.13 no.1
    • /
    • pp.1-7
    • /
    • 2009
  • Purpose: To evaluate the 2 to 4-year follow-up results after arthroscopic anterior cruciate ligament (ACL) reconstruction using transtibial femoral tunnel at 10 or 2 O'clock position. Materials and Methods: Eighty-six ACL reconstructions could be evaluated. Evaluations included 2000 International Knee Documentation Committee (IKDC) subjective knee score, Lachman test, Pivot-shift test, KT-1000 arthrometer measurement, 2000 IKDC knee examination and second-look arthroscopy. Results: Seventy-five patients (87.2%) had over 80 in 2000 IKDC subjective knee score. Eighty-three patients (96.5%) had 1+firm end or negative Lachmann test. Seventy-eight patients (90.7%) had a negative Pivot-shift test. Eighty-three patients (96.5%) had less than 5 mm difference by KT-1000 arthrometer. Eighty patients (93.0%) were normal or nearly normal by 2000 IKDC knee examination. Second-look arthroscopy was done in fifteen cases. Nine cases showed good synovialization, four cases showed partial synovialization, two cases showed poor synovialization and graft failure was noted in one case. Conclusion: ACL reconstruction using transtibial femoral tunnel at 10 or 2 O'clock position resulted in a good outcome in terms of rotatory stability as well as antero-posterior stability.

  • PDF

Arthroscopic ACL Reconstruction Using Quadrupled Hamstring Tendon with Tibial Remnant-preserving Technique (슬괵건을 이용하여 경골부 잔류 조직을 보존한 관절경적 전방십자인대 재건술)

  • Kyung, Hee-Soo;Oh, Chang-Wug;Kim, Poong-Taek;Lee, Byung-Woo
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.6 no.2
    • /
    • pp.92-98
    • /
    • 2007
  • Purpose: We evaluated the clinical results of arthroscopic ACL reconstruction using quadrupled hamstring tendon with tibial remnant-preserving technique. Materials and Methods: Thirty-five cases were evaluated from Feb, 2003 to May, 2006. The average interval from injury to surgery was $2.6{\pm}1.6$ months. The cause of injury was mostly sports-related trauma. The average follow-up period was 17 months. Tibial remnant was preserved as much as possible and caution was taken not to damage the remnant during ACL reconstruction. Postoperative rehabilitation was the same as the usual rehabilitation method after ACL reconstruction, except for delaying motion for 2 weeks with an extension locking brace. Clinical evaluation was performed using ROM; Lachman test; pivot-shift test; anterior displacement measurement using KT-2000 arthrometer; Lysholm score and proprioception measured by single limb standing test. Results: There was no limitation of knee motion without contracture. The Lachman test and pivot-shift test were both negative. The side-to-side difference of anterior displacement measured using KT-2000 arthrometer was improved from 6.7 mm to 2.2 mm. The average Lysholm score improved from 81 to 96. The single limb standing test for proprioceptive evaluation showed no significant difference from a normal leg. Conclusion: ACL reconstruction with tibial remnant-preserving technique can preserve mechanoreceptors with prorioception and expect good functional recovery.

  • PDF

Anterior Cruciate Ligament Reconstruction with a Four-Strand Single Semitendinosus Tendon Autograft (반건양건 단일 4가닥을 이용한 전방십자인대 재건술)

  • Kyung, Hee-Soo;Kim, Tae-Gong;Oh, Chang-Wug;Yoon, Sang-Hyup
    • Journal of the Korean Arthroscopy Society
    • /
    • v.13 no.2
    • /
    • pp.138-142
    • /
    • 2009
  • Purpose: The purpose of this study was to evaluate the result of anterior cruciate ligament (ACL) reconstruction using a fourstrand single semitendinous tendon to decrease the donor site morbidity due to harvest both semitendinosus and gracilis tendon. Materials and Methods: Thirty seven consecutive patients who had underwent ACL reconstruction using four-strand single semitendinosus tendon were evaluated. Mean age was 28.6 years old. Male was 34, female 3 patients. Time from injury to surgery was 5.4 months. Combined injuries were 10 meniscus injuries, 3 medial collateral ligament injuries and 1 osteochondral injury. Mean follow-up period was 16 months(12~18 months). Clinical evaluation was done using range of motion, Lachman test, pivot-shift test, Lysholm score & KT-2000 arthrometer. Results: All patients showed the normal range of motion of mean 150..at follow-up. Lachman test and pivot-shift test was negative in 35 cases. Lysholm score was improve from 84 to 92. Two cases had residual laxity due to poor compliance. Mean anterior translation compared to contralateral side by KT-2000 arthrometer improved from 6.7 mm preoperatively to 2.1 mm at follow-up. Conclusion: Reconstruction of the anterior cruciate ligament with use of a four-strand single semitendinosus tendon autograft showed good clinical results.

  • PDF

Finite Element Modal Analysis of a Spinning Flexible Disk-Spindle System Considering the Flexibility of Supporting Structures and an Head-Suspension-Actuator in a HDD (지지구조와 헤드-서스펜션-액츄에이터의 유연성을 고려한 HDD 유연 회전 디스크-스핀들 시스템의 유한 요소 고유 진동 해석)

  • Seo, Chan-Hee;Lee, Ho-Sung;Sang, Gun-Hee
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
    • /
    • 2006.11a
    • /
    • pp.128-135
    • /
    • 2006
  • This paper presents a finite element method to analyze the free vibration of a flexible HDD composed of the spinning disk-spindle system with fluid dynamic bearings(FDBs), the head-suspension-actuator with pivot bearings, and the base plate with complicated geometry. Experimental modal testing shows that the proposed method well predicts tue vibration characteristics of a HDD. This research also shows that even the vibration motion of the spinning disk corresponding to half-speed whirl and the pure disk mode are transferred to a head-suspension-actuator and base plate through the air bearing and the pivot bearing consecutively. The proposed method can be effectively extended to investigate the forced vibration of a HDD and to design a robust HDD against shock.

  • PDF

A Study on the Distinctive Features of "Hwangjenaegyeongtaeso(黃帝內經太素)" by Yang Sangseon and his Medical Theory ("황제내경태소(黃帝內經太素)"의 특징(特徵) 및 양상선(楊上善)의 의학이론(醫學理論)에 대한 연구(硏究))

  • Lee, Sang-Hyup;Kim, Joong-Han
    • Journal of Korean Medical classics
    • /
    • v.22 no.2
    • /
    • pp.35-69
    • /
    • 2009
  • Yang Shangseon(楊上善)'s "Hwangjenaegyeongtaeso(黃帝內經太素)" was the first commentary book of "Hwangjenaegyeong(黃帝內經)", its importance often mentioned in level with Wang Bing (王冰)'s "Somun(素問)" "Yeongchu(靈樞)". The distinctive feature of Yang Sangseon(楊上善)'s commentary is that it is easy to comprehend in accordance with an organized classification, and that the explanations are simple and clear. Despite strict application of the Eumyang(陰陽, Yinyang) theory and Five phases[五行] theory throughout the text, should there be sentences which fall out of consistency with the basic theories, he added his own substantial commentary. His medical theory gives attention to the Meridian system[經絡], lays emphasis on developing the soul[神], and has a unique opinion about the Opening closing and pivot[開闔樞] theory along with the Myeongmun(命門). To explain the methods for preserving health[養生], he adopted the Nojang philosophy(老莊思想); to enrich the vitality he adopted the Buddhist philosophy(佛敎思想); and to analyze physiologic and pathogenic factors, he adopted the Confucian philosophy(儒家思想).

  • PDF