• Title/Summary/Keyword: Procedure angle

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Bone Cement-Augmented Percutaneous Short Segment Fixation : An Effective Treatment for Kummell's Disease?

  • Park, Seon Joo;Kim, Hyeun Sung;Lee, Seok Ki;Kim, Seok Won
    • Journal of Korean Neurosurgical Society
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    • v.58 no.1
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    • pp.54-59
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    • 2015
  • Objective : The aim of this prospective study was to evaluate the efficacy of bone cement-augmented percutaneous short segment fixation for treating Kummell's disease accompanied by severe osteoporosis. Methods : From 2009 to 2013, ten patients with single-level Kummell's disease accompanied by severe osteoporosis were enrolled in this study. After postural reduction for 1-2 days, bone cement-augmented percutaneous short segment fixation was performed at one level above, one level below, and at the collapsed vertebra. Clinical results, radiological parameters, and related complications were assessed preoperatively and at 1 month and 12 months after surgery. Results : Prior to surgery, the mean pain score on the visual analogue scale was $8.5{\pm}1.5$. One month after the procedure, this score improved to $2.2{\pm}2.0$ and the improvement was maintained at 12 months after surgery. The mean preoperative vertebral height loss was $48.2{\pm}10.5%$, and the surgical procedure reduced this loss to $22.5{\pm}12.4%$. In spite of some recurrent height loss, significant improvement was achieved at 12 months after surgery compared to preoperative values. The kyphotic angle improved significantly from $22.4{\pm}4.9^{\circ}$ before the procedure to $10.1{\pm}3.8^{\circ}$ after surgery and the improved angle was maintained at 12 months after surgery despite a slight correction loss. No patient sustained adjacent fractures after bone cement-augmented percutaneous short segment fixation during the follow-up period. Asymptomatic cement leakage into the paravertebral area was observed in one patient, but no major complications were seen. Conclusion : Bone cement-augmented percutaneous short segment fixation can be an effective and safe procedure for Kummell's disease.

Treatment of Hallux Valgus with Modified McBride Procedure and Proximal Metatarsal Crescentic Osteotomy (McBride씨 변형 술식과 근위 중족골 반월형 절골술을 이용한 무지 외반증의 치료)

  • Lee, Ju-Hong;Park, Jong-Hyuk
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.1
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    • pp.81-86
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    • 2005
  • Propose: This study was retrospectively to review the surgical results for moderate to severe hallux valgus corrected with a modified McBride procedure and proximal metatarsal crescentic osteotomy. Materials and Methods: Between August 1997 and August 2001, 15 patients with 22 bunion underwent surgical correction and were followed for an average 29.3 months (range, 18 to 53 months). Clinical results were evaluated with AOFAS clinical rating system for hallux and radiological measurements were done preoperatively and at a minimum of 12 months postoperatively. Results: The average AOFAS clinical rating score improved from 47.5 to 86.0. Union of the osteotomy site occurred at 9.5 weeks except one delayed union. The hallux valgus angle improved an from $36.5^{\circ}$ to $15.7^{\circ}$ and the intermetatarsal angle improved from $17.4^{\circ}$ to $8.6^{\circ}$ on average. Dorsiflexion of the first metatarsal at the osteotomy site was present in three (13.6%) with average $4^{\circ}$. Complications were two recurred deformity, one hallux varus and one painful transfer lesion. There was a high level of satisfaction with clinical results in 11 patients (73.3%) with 17 feets and cosmesis in 18 feets (81.8%). Conclusion: Modified McBride procedure and proximal metatarsal crescentic osteotomy based on careful patient selection and meticulous technique showed satisfactory outcome for moderate to severe hallux valgus.

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Radiographic evaluation of infra-bony defects treated by bone graft procedures (골 이식술에 의해 치료된 골연하 결손부의 방사선학적 변화 양상의 관찰)

  • Ryu, Sang-Ho;Park, Jin-Woo;Suh, Jo-Young;Lee, Jae-Mok
    • Journal of Periodontal and Implant Science
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    • v.38 no.3
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    • pp.437-444
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    • 2008
  • Purpose: A number of techniques and materials have been used for periodontal regeneration and bone graft procedures with guided tissue regeneration(GTR) have been suggested as alternatives to osseous surgery in the management of local infra-bony defects. However, the long-term stability and treatment outcome following bone graft procedure of infra-bony defects is poorly documented. The purpose of this study was to assess radiographic change in infra-bony defects over 2 years after bone graft procedures with various graft materials. Material and Methods: Patients attending the department of periodontics of Kyungpook National University Hospital were studied. Patients showed clinical and radiographic evidence of infra-bony defect(s). 44 sites of 34 patients aged 31 to 69 (mean age 48.3) were treated by bone graft procedure with a bone graft material. Baseline and 2-year follow-up radiographs were collected and evaluated for this study. Radiographic assessment includes a bone fill, bone crest change, defect resolution, and % of defect resolution. Pre- and post-treatment differences between variables (maxilla and mandible, defect depth, defect angle, bone graft materials) using the paired t-test were examined. Result: We observed $1.15{\pm}1.95\;mm$ of bone fill, $0.40{\pm}1.19\;mm$ of crestal resorption, $1.55{\pm}1.77\;mm$ of defect resolution, and $40{\pm}44%$ of percentage of defect resolution. Deeper initial defect depth, narrower initial defect angle showed significantly greater bone fill, defect resolution, and % of defect resolution. But no significant difference was observed in graft sites and graft materials. Conclusion: If good oral hygiene maintenance and periodic recall check of patients is assured, bone graft procedure using various graft materials is one of the appropriate treatment modality for regenerative therapy of infra-bony defects.

A study on simplified procedure of enhanced designed implant drill (개선된 드릴 디자인을 적용한 간소화된 드릴링 과정에 관한 연구)

  • Yoon, Ji-Hoon;Jeon, Gye Rok;Yun, Mi-Jung;Huh, Jung-Bo;Jeong, Chang Mo
    • The Journal of the Korean dental association
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    • v.53 no.5
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    • pp.368-376
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    • 2015
  • Purpose : The objective of this research was to develop a more simplified drilling procedure with an enhanced implant drill. Materials and Methods : The drill enhanced design factors enabled implantation of Dia. 5.0mm fixture with only 2 times drilling which is more simplified drilling procedure. The enhanced drill was designed with 2 flutes, 2-phase or 3-phase formed drill tip and 25 degrees of helix angle. The proposed drilling procedure (2 times) was compared with a general drilling process (4 times) in terms of temperature changes, cutting time and ISQ value. Results : The simplified drilling procedure indicated less heat than a conventional drilling procedure (p<0.05). The enhanced drill showed significantly shorter drilling time than a conventional drill (p<0.05). On the other hand, higher insertion torque and ISQ value were observed on the the suggested drilling procedure than the conventional drilling procedure (p<0.05). Conclusion : A simplified drilling procedure with the newly designed drill could provide higher effectiveness and safety of dental implant operations under properly controlled external conditions, such as irrigation and RPM of drilling.

Lattice-spring-based synthetic rock mass model calibration using response surface methodology

  • Mariam, Al-E'Bayat;Taghi, Sherizadeh;Dogukan, Guner;Mostafa, Asadizadeh
    • Geomechanics and Engineering
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    • v.31 no.5
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    • pp.529-543
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    • 2022
  • The lattice-spring-based synthetic rock mass model (LS-SRM) technique has been extensively employed in large open-pit mining and underground projects in the last decade. Since the LS-SRM requires a complex and time-consuming calibration process, a robust approach was developed using the Response Surface Methodology (RSM) to optimize the calibration procedure. For this purpose, numerical models were designed using the Box-Behnken Design technique, and numerical simulations were performed under uniaxial and triaxial stress states. The model input parameters represented the models' micro-mechanical (lattice) properties and the macro-scale properties, including uniaxial compressive strength (UCS), elastic modulus, cohesion, and friction angle constitute the output parameters of the model. The results from RSM models indicate that the lattice UCS and lattice friction angle are the most influential parameters on the macro-scale UCS of the specimen. Moreover, lattice UCS and elastic modulus mainly control macro-scale cohesion. Lattice friction angle (flat joint fiction angle) and lattice elastic modulus affect the macro-scale friction angle. Model validation was performed using physical laboratory experiment results, ranging from weak to hard rock. The results indicated that the RSM model could be employed to calibrate LS-SRM numerical models without a trial-and-error process.

Prediction of seismic displacements in gravity retaining walls based on limit analysis approach

  • Mojallal, Mohammad;Ghanbari, Ali
    • Structural Engineering and Mechanics
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    • v.42 no.2
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    • pp.247-267
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    • 2012
  • Calculating the displacements of retaining walls under seismic loads is a crucial part in optimum design of these structures and unfortunately the techniques based on active seismic pressure are not sufficient alone for an appropriate design of the wall. Using limit analysis concepts, the seismic displacements of retaining walls are studied in present research. In this regard, applying limit analysis method and upper bound theorem, a new procedure is proposed for calculating the yield acceleration, critical angle of failure wedge, and permanent displacements of retaining walls in seismic conditions for two failure mechanisms, namely sliding and sliding-rotational modes. Also, the effect of internal friction angle of soil, the friction angle between wall and soil, maximum acceleration of the earthquake and height of the wall all in the magnitude of seismic displacements has been investigated by the suggested method. Two sets of ground acceleration records related to near-field and far-field domains are employed in analyses and eventually the results obtained from the suggested method are compared with those from other techniques.

DESIGN OF TRANSBUCCAL TROCAR TIP USED IN MANDIBULAR ANGLE FRACTURES (하악골 골절시 사용되는 TRANSBUCCAL TROCAR TIP의 새로운 고안)

  • Ahn, Byoung-Keun;Rhee, Gun-Ju;Han, Ho-Jin;Park, Hyoung-Tae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.87-92
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    • 1989
  • Transbuccal trocar has been an established method of fixation for the bone plate in the case of mandibular angle fracture. Other than extraoral approaches, this transbuccal approach has many advantages in the treatment of the fracture of mandibular angle. These advantages are as follows ; (1) Damage to the facial nerve branches is minimal. (2) Less postoperative scar is formed. (3) Good vision of occlusion can be easily obtained on the entire operation. (4) Shorter operation time is needed. But, in the clinical procedure of plate fixation, it is has a difficulty in manipulation of the plate and correction of position. To solve these problems, we designed and used a trocar tip which can be easily attached to the trocar, and could make an improvement in the clinical procedures.

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Case Reports of Angle's Class II, Division 1 malocclusions treated by Bioprogressive Therapy (Bioprogressive Therapy에 의한 Angle II급 1류 부정교합의 교정치험예)

  • Cheong, Kyu Rhim
    • The korean journal of orthodontics
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    • v.13 no.2
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    • pp.209-222
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    • 1983
  • Three patients who had Angle's Class II Division 1 malocclusion were treated by Bioprogressive therapy. In spite of their occlusions, the 3 patients did not have any skeletal problems. Their skeletal patterns were within normal range. So headgear or functional appliance therapy were not considered. During the treatment procedure, the most noteworthy results of Bioprogressive therapy were the effect of the Utility arch to intrude 4 mandibular anterior teeth, the effect of the Cuspid retractor in cuspid retraction and the effect of the Double delta retraction arch in the retraction of 4 anterior teeth. The whole treatment results in these cases which were achieved by Bioprogressive therapy were very favorable and the efficiency of this therapy was very excellent.

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A Study on Alignment Measurement and Compensation for Spacecraft Sensors (위성 탑재 센서의 정렬 측정 및 보정에 관한 연구)

  • Lee Byoung-Gi;Kim Young-Youn;Yoon Yong-Sik
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.537-540
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    • 2005
  • The attitude control, sensors and camera installed on the spacecraft should be located according to the system alignment requirement. The alignment measurement requirement accuracy for the sensors should be below $\pm$0.1. Therefore, Alignment Measurement System which is combined theodolite, Rotating table and digital inclinometer etc., should be used. As the measurement accuracy is required very precise, the appropriate measurement procedure and alignment angle measurement, calculation and shimming work should is accomplished. Consequently, this paper is accomplished the works to align the measurement requirement accuracy throughout alignment measurement and shimming work of installed module and sensor

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Analysis of 3-D Cutting Process with Single Point Tool

  • Lee, Young-Moon;Park, Won-Sik;Song, Tae-Seong
    • International Journal of Precision Engineering and Manufacturing
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    • v.1 no.1
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    • pp.15-21
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    • 2000
  • This study presents a procedure for analyzing chip-tool friction and shear processes in 3-D cutting with a single point tool. The edge of a single point tool including a circular nose is modified to an equivalent straight edge, thereby reducing the 3-D cutting with a single point tool to the equivalent of oblique cutting. Then, by transforming the conventional coordinate systems and using the measurements of three cutting force components, the force components on the rake face and shear plane of the equivalent oblique cutting system can be obtained. As a result, the chip-tool friction and shear characteristics of 3-D cutting with a single point tool can be assessed.

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