• Journal of Korean Orthopaedic Sports Medicine
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• v.10 no.2
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• pp.47-53
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• 2011

Purpose: As the number of the anterior cruciate ligament (ACL) reconstruction has increased, the incidence of revision of ACL reconstruction due to reconstruction failure has been also increased. Therefore, authors analyzed the reason of the failure of ACL reconstruction and the clinical result of the ACL revision. Materials and methods: From February 1998 to July 2010, we selected 36 cases which was followed at least 12months after the ACL reconstruction failure. Duration from reconstruction to revision, the average duration was 60 months (5~334) and on first reconstruction, we used allograft on 23 cases (63.9%) and autograft on 13 cases (36.1%). For the main symptom of ACL reconstruction failure, instability was the most common symptom, and 35 cases (97.5%) were undergone only one reconstruction and 1case (2.5%) was undergone two reconstruction. Clinical results were evaluated by Lysholm knee joint score, pivot shift test, and Telos device. Results: Average follow-up duration of the patients was 21 months (12~40), and the reason for the ACL reconstruction failure, trauma was most common by 19 cases (52.8%), malposition of the femoral tunnel was 13 cases (36.1%), malposition of the tibia tunnel was 1case (2.8%), and failure of osteointegration was 3 cases (8.4%). On performing the ACL revision, we used allograft on 34 cases (94%) and autograft on 2 cases (6%), and 21 cases accompanied injury of the meniscus (medial meniscus 14 cases, lateral meniscus 7 cases). Lysholm knee joint score was improved from 66.5 points, preoperatively to 92 points on last follow-up (p<0.01). In most cases, patients were satisfied (92%) with the operation results. Tegner activity score was also improved from 2.0 points preoperatively to 6.2 points on the last follow-up. On Lachman and pivot sift test, 33 cases and 30 cases were improved to grade I respectively, and on stability test using Telos device, the bilateral difference was improved from mean 15.5 mm preoperatively to 4.5 mm on the last follow-up. Conclusion: After 1 year follow-up, Revision of ACL had a little anterior instability but it showed satisfactory result on clinical result and patient's subjective satisfaction.

• Bulletin of the Society of Naval Architects of Korea
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• v.38 no.3
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• pp.88-92
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• 2001

H. Kim, B.K. Lee and C.K. Rheem have been experimentally studied to clarified the mechanism of thrust force generated by sculling motion for the propulsion of Korean small boats. The experimental investigations have been conducted under the bollard condition by installing a scull at the end of a trimming tank of towing tank. The sculling motion produced by the skilful fisherman and the resultant venerated forces have been measured in respect to the Cartesian coordinate fitted to the pivot point of the scull. ("An Experimental Study on the Propulsive Characteristics of Sculls". J. of the Soc. of Naval Arch. of Korea, Vol. 26, No. 3, 1989, pp.13-24) Through these experiments the trajectory of the blade tip and the angular displacement of the blade section have been measured as shown in Fig. 1 and 2 of this paper. And at the same time the resultant hydrodynamic force components are expressed in Fig. 3 and 4. These three dimensional data of sculling motion and generated real time force components are the unique experimental information which could clarify the thrust force generating mechanism of sculling motion. The experimental results have been reanalyzed by focusing the relation between instantaneous attack angle of blade section and the resultants real time force components. Through these investigation it is found out that the conventional imagination that the 7cull motion should be effective in generating lift force must be reconsidered because the attack angle of scull blade are too great to free from stall phenomena during the sculling operation.

• Archives of Craniofacial Surgery
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• v.20 no.5
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• pp.319-323
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• 2019

Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Coverage of TPFF was achieved with a split-thickness skin graft using the scalp as the donor site, which led to a quick recovery after the operation and satisfactory results in terms of aesthetics. This case suggests that a TPFF might be used as a flexible flap with low donor site morbidity for reconstructing cases of cochlear implant extrusion accompanied by a large full-layer scalp defect.

• Journal of the Korean Arthroscopy Society
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• v.4 no.1
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• pp.25-31
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• 2000

Introduction : This study compared the clinical results with biceps rerouting fer the isolated posterolateral instability (PLI) and for the PLI combined with PCL injuries. Methods : 21 cases of isolated PLI (group I) and 25 cases of PLI combined with PCL rupture were included in the study. The PLI was reconstructed by modified biceps femoris rerouting technique with PCL reconstructions performed prior to the PLI correction in cases of combined injury The clinical results were reviewed and analyzed. Results : Pre-operatively positive reverse pivot shift test turned negative in 43 cases post-operatively. Increased preoperative external rotation thigh foot angle (ERTFA) showed significant differences between the two groups and all fell within normal limits post-operatively At a mean follow-up of 40.3 months, the average Lysholm knee score and. The Hospital for Special Surgery Knee Ligament Score for group I and group II revealed above 90 points without statistically significant difference between the groups. 3 cases of tenodesis failure developed and re-operation was performed. Discussion and Conclusion : The advantages of modified Clancy technique include reduced surgical damages to the iliotibial band and fixation of the biceps tendon at the isometric position. The modified biceps rerouting technique is recommended for the reconstruction of both isolated and combined PLI except in patients with severe damages at the attachment of biceps tendon.

• Journal of the Korean Arthroscopy Society
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• v.9 no.2
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• pp.148-153
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• 2005

Purpose: To analyze the clinical result of the arthroscopic reduction and fixation for the displaced tibial spine fractures in children and report the utility of the arthroscopic treatment with the review of the literature. Methods: Between December 2000 and July 2004, five patients (average age 9.1 years) received an arthroscopic reduction and fixation of displaced tibial spine fracture. A male-to-female ratio was 3:2 and mean follow-up was 38.2$(13{\sim}56)$ months. All five patients were classified type III by Movers and McKeever classification. The average period from injury to operation was 4.8 days $(3{\sim}8days)$, the avulsed fragment was reduced by operative arthroscopy and fixated by pull-out suture in 3 patients and by cannulated screw in 2 patients. Postoperatively long leg cast was applied for 2 weeks, and then gradual range-of-motion exercise was permitted. Full weight-bearing ambulation was permitted after 6 weeks. The clinical evaluation was performed by range of motion, Lachman and pivot shift test, KT-1000 arthrometer, Lysholm knee score and the modified Feagin score. Results: All five patients had no symptom and recovered full range of motion of the affected knees. Lachman test was positive finding of 1+ laxity in one patient, the others were negative, and all patients were negative findings for pivot shift test. The result of KT-1000 arthrometric assessment is mean maximum side-to-side differences 1.9 mm. Average Lysholm knee score was 99.4. All patients had excellent results in modified Feagin score. Conclusion: Arthroscopic reduction and fixation of displaced tibial spine fracture in children showed excellent result without complication. Both pull-out suture fixation and cannulated fixation provide an effective treatment option for fixation of the displaced anterior tibial spine fracture.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
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• v.14 no.5
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• pp.506-512
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• 2003

An output multiplexer of manifold type is widely used in a recent satellite transponder f3r its mass and volume reduction. For correct operation, the filter of such a multiplexer must be singly terminated. In this paper, a simple synthesis method of a 6-pole dual-mode singly terminated filter is described. From the transfer function of the filter, network parameters such as in/output terminations and coupling matrix are obtained with the aid of orthogonal projection and plane rotation. The rotation order, pivot, and rotation angle of the plane rotation process are given for easy filter synthesis. Two different-structure filters are taken into consideration and the network parameters of each filter have been obtained from the same transfer function. The method described in this paper can be applied to the other degree singly terminated filter.

• Tribology and Lubricants
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• v.39 no.6
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• pp.268-272
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• 2023

This study explores the characteristics of tilting pad journal bearings used in the high-speed rotating shaft systems of centrifugal compressors. A centrifugal compressor is a high-speed rotating machine that is widely used to compress gases or vapors employed in various industrial applications. It transfers the centrifugal force of a fast-spinning impeller to the fluid and compresses it under high pressure. Many high-speed rotating shaft systems, which require high stability, use tilting pad journal bearings. The characteristics of these bearings can vary depending on several properties, and identifying the appropriate characteristics is essential to optimize the design on a case-to-case basis. In this study, the authors perform a time-dependent analysis of the properties of tilting pad journal bearings and the rotordynamics of the rotating shaft system using COMSOL Multiphysics software. Specifically, the authors analyze the characteristics of the tilting pad journal bearings by performing a parametric sweep using parameters such as pad clearance, maximum tilting angle, preload, number of pads, and pad pivot offset. The authors then use the results of the bearing-characteristics analysis to evaluate the vibration of the rotating shaft and verify its operation within a desirable range. The understanding gained from this study will allow us to determine the optimal properties of these bearings and the limiting operational speed using COMSOL Multiphysics software.

• Journal of the Korean Society of Clothing and Textiles
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• v.21 no.4
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• pp.769-781
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• 1997

The purpose of this research is to show how to use the patternist's CAD system in order to make design patterns efficiantly. Using the PAD System Technologies company's PAD System Module, which is very officiant in designing patterns, the basic pattern or design pattern can be designed and applyed to the Sample Module, thus, then it could manufacture, retouch or choose a model, making it posible to go to the next level which is seam patterns for industrial use. By understanding the change of the design that is chosen through the design pattern making and Sample Module process', this study is presentated a plan on how to utilize the patternist's working adaption ability by the CAD system, and also considered the problems in using it. Ability of Design Confrontation of CAD System: 1) The result of an operation can be saved and retouched. On a saved list the patterns can be chosen and changed, thus, making it posible to complete a design very quickly. 2) When sewing every designed pattern in Sample Module, the model can be operated merely by selecting each sewing position, thus creating the same effect of a designer's muslin sample process in a much lesser time. Point at issue in the utilization CAD system: 1) When combining two darts into one place the amounts of darts that are already these have to be erasers, and then, the two darts points are moved that place, thus, containing them, which is very conplicated. 2) When making a gathering, because system can only be recognized in a opend line, the pattern should be separated in order to put a gathering inside a pattern. 3) In order to readjust the amounte of dart. The dart is erased first and then made new dart again. 4) When making tucks in a Sample Module, the form that gets narrow towards the pivot point can not be recognized so the sewing lines of the tucks is adjusted into parallel lines. 5) The Sample Module 3D operation can not attach the bodice to the shirts, instead they become fixed into each other. In the case of shoulder line tucks the amounts of pleats can not be expanded draperary naturally, thus, making it hard to showing the silhouette accurately. If these problems are solved, especially if the silhouette of a model can be created to have natural drapery in the 3D Module, models can be shown on the screen in possible to compare and examine even a change of a detail, by designing this 3D Module Production sample process will be more effective, thus, making the CAD system more useful in sewing design process.

• Journal of the Korean Arthroscopy Society
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• v.7 no.2
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• pp.206-214
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• 2003

Purpose : To analysis each clinical results after arthroscopic ACL reconstruction with using variable fixatives which are metallic and bioabsorbable interference screw, and RIGIDfix. Therefore, We reported the clinical reliability and safty of ACL reconstruction using RIGIDfix. Materials and Methods : We evaluated the results of arthroscopic ACL resconstruction with patellar tendon autograft among three groups, of which group 1 is used metal interference screw for 44 patients, group 2 used bioabsorbable interference screw for 47 patients, group 3 used RIGIDfix for 42 patients. We compared the clinical results by physical examination (anterior drawer test, Lachman test and pivot shift test), Lysholm score and KT-2000 arthrometer and compared the radiological results by measurement of tunnel and fixatives position and widening and by MRI findings. We analyzed the results by SAS 8.2 Ducan. Tukey and paired t-test Results : Physical instability was in 5 cases, which group 2 had 4 cases and group 3 had 1 case. Lysholm score improved from 59.8. 64.4, 61 to 90.1, 92.3. 92. KT-2000 arthrometer instability improved from 9.20, 10.2, 9.5 to 1.43. 1.62. 2.00 (p=0.478). Radiologically, all cases had excellent tunnel position and cyst change was observed the 8 cases in the group 2, but, all 20 cases 2nd MRI had signal change of peri-fixatives. But, no correlation of clinical results. Conclusion : No statistical difference of clinical instability was found among three groups. And femoral tunnel changes were much observed in group I, II than III. We considered the RIGIDfix has much advantages because the short operation time, better fixation position and much bone contact surface. But, further long term follow up study was needed.

• Journal of the Korean Arthroscopy Society
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• v.12 no.1
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• pp.32-39
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• 2008

Purpose: To evaluate the effectiveness of MRI after ACL reconstruction with femoral tunnel at 10 o'clock position. Materials and Methods: MRI findings of 29 patients after ACL reconstruction using hamstring tendon autograft were evaluated. The mean period from operation to MRI was 18.9 months($7{\sim}40$ months). Signal intensity, morphology and continuity of graft, femoral insertion, graft angle, roof impingement, cross pin breakage and position were evaluated. Those findings were compared with KT-2000, Lysholm knee score and pivot shift test. Results: There was no significant correlation between signal intensity of graft and the duration to MRI. Most common pattern of the morphology was straight, and the continuity was well-preserved. 13 cases of femoral tunnel insertion were zone 4 and 16 were zone 3. There were no roof impingement. 10 cases showed cross pin breakages, of which 5 were found at the outside of distal femoral posterior cortex. 9 showed cross pin directed posteriorly in axial view. There was no significant correlation between clinical results and cross pin breakage. Conclusion: MRI examinations after ACL reconstructions are useful to evaluate the graft status, position of the graft and cross pins. Since the direction of the cross pin is important especially in 10 o'clock femoral position, care should be taken to avoid cross pin breakage.