• Clinics in Shoulder and Elbow
• /
• v.21 no.4
• /
• pp.246-251
• /
• 2018

Compared to single row repair, use of lateral row anchors in suture bridge rotator cuff repair enhances repair strength and increases footprint contact area. If a lateral knotless anchor (push-in design) is inserted into osteoporotic bone, pull-out of the lateral row anchor can developed. However, failures of lateral row anchors have been reported at several months after surgery. In our cases, even though complete cuff healing occurred, delayed pull-out of the lateral row anchor in the suture bridge repair occurred. In comparison to a conventional medial anchor, further biomechanical evaluation of the pull-out force, design, and insertion angle of the lateral anchor is needed in future studies. We report three cases with delayed pull-out of lateral row anchor in suture bridge rotator cuff repair with a literature review.

• Clinics in Shoulder and Elbow
• /
• v.25 no.1
• /
• pp.15-21
• /
• 2022

Background: This study was performed to identify the incidence of screw in-type lateral anchor pull-out in patients older than 60 years who underwent rotator cuff repair for large to massive rotator cuff tear (RCT). Methods: We reviewed 25 patients over 60 who were diagnosed with large to massive RCT and underwent arthroscopic rotator cuff repair in our hospital from March 2017 to February 2021. Preoperative tear size (anterior to posterior, medial to lateral) was measured via preoperative magnetic resonance imaging (MRI). All 25 patients underwent MRI scanning on postoperative day 1 and at 3 months after surgery. The change of anchor position was measured in axial views on MRI images postoperative day 1 and 3 months after surgery. And it was statistically compared according to bone mineral density (BMD), sex, and number of lateral anchors. Results: Two MRIs (postoperative day 1 and 3 months) in 25 patients were compared. Anchor pull-out occurred in six patients during 3 months (6.7%), and the mean pull-out length difference was 1.56 mm (range, 0.16-2.58 mm). There was no significant difference in the number of pull-out anchors, degree of pull-out difference by comparing BMD (A, BMD≤-2.5; B, BMD>-2.5), sex, or number of anchors used in each surgery (C, two anchors; D, three anchors) (p>0.05). Conclusions: Pull-out of screw in-type anchors was rarely observed and the mean pull-out length difference was negligibly small in our study. The screw in-type lateral anchor seems to be a decent option without concern of anchor pull-out even in elderly patients.

• Journal of the Korean Arthroscopy Society
• /
• v.9 no.1
• /
• pp.40-45
• /
• 2005

Purpose: This study is to evaluate the clinical findings of media] meniscus root tear, pull-out repair technique and it's short term results. Materials and Methods: From September 2003 to August 2004, 23 cases of total 27 medial meniscus root tears were treated by pull-out repair technique. Mean age was 60.2 years old. The pull-out technique was divided into 2 groups In group 1(14/23 cases), anterolateral portal was used and in group 2(9/23 cases), anterolateral and posteromedial portals were used for bed preparation. Concomitant cartilage lesions were documented as ICRS mapping system. The clinical outcomes were evaluated according to Lysholm Knee Score. Results: The postoperative Lysholm Knee Score was 77.1(range; $58{\sim}97$) in group 1 and 81.4(range; $72{\sim}94$) (p>0.05). The failure rate was 3 of 14 cases(21.4%) in group 1 and 1 of 9 cases(11.1%) in group 2. Twenty of 22 cases(90.9%) showed cartilage lesions in weight bearing portion of medial femoral condyle which were 8 grade III and 5 grade IV according to the Outerbridge classification. Conclusion: Pull-out repair seems to be a useful treatment of the medial meniscus root tear for preservation of circumferential hoop tension of meniscus.

• Proceedings of the Korea Concrete Institute Conference
• /
• 2001.05a
• /
• pp.353-358
• /
• 2001

The cement concrete pavements are designed twenty years of performance life in Korea. At the present time, some expressways have been elapsed seventy percent of performance life which are detecting local failures. The most repair methods using to repair failures are partial depth repair and full section repair. These methods are most important bonding strength between rapid curing materials and substrate concrete pavements. This study was performed to evaluate bonding strength of the composites section made of rapid curing material and substrate concrete pavements. The pull-out tester was used to test bonding strength for the composites section made of each materials. In the results of the test, the bonding strength values of the epoxy mortar and acrylic mortar are higher than those of the other materials. The performance life of repaired section is affected by various factor. The bonding strength of bonded composites section may be affect the performance life, significantly.

• The Academic Congress of Korean Shoulder and Elbow Society
• /
• 2009.03a
• /
• pp.159-159
• /
• 2009

Repeated pulling-out of a suture anchor in the lateral row despite repeated attempts at insertion during a rotator cuff repair is not uncommon with the suture-bridge technique, especially in patients with osteoporosis. We describe a simple procedure for dealing with the pull-out of a PushLock anchor in the lateral row using a suture anchor with a suture eyelet during rotator cuff repair applying the suture-bridge technique.

• Journal of Chest Surgery
• /
• v.54 no.3
• /
• pp.186-190
• /
• 2021

Background: Pre-lifting of the sternum marked a major turning point in pectus excavatum repair. The author developed the crane technique in 2002 and successfully applied it to more than 2,000 cases using sternal wire stitching. However, blind sternal suturing limited the use of the wire-stitch crane. We propose a novel screw for sternal lifting as a new tool for the crane technique. Methods: We developed a screw system strong enough to withstand the pressure needed for sternum lifting. The screw was designed to have a broader thread to hold the bony tissue securely. The screw's sustaining power was tested using the torsion, driving torque, and axial pull-out tests in a polyurethane block and ex-vivo porcine sternum. Results: The screws were easily driven into the sternum, and the head of the screw was connectable to the table-mounted retractor. In the torsion test, the 2° offset torsional yield was 4.53 N·m (reference value, 1 N·m). In the polyurethane block driving torque test, the maximum torque was 0.98 N·m (reference value, 0.70 N·m). The axial pull-out test was 446 N (reference value, 100 N). The maximum pull-out resistance in the ex-vivo porcine sternum model was 1,516 N. Conclusion: The screw crane was strong enough to sustain the chest wall weight to be lifted. Thus, the screws could effectively replace the sternal wire stitching in crane pre-lifting of the sternum. We expect that application of the screw-crane will be easy and that it will improve the safety and success rate of pectus repair surgery.

• Journal of the Korea Institute of Building Construction
• /
• v.14 no.3
• /
• pp.216-222
• /
• 2014

Chloride attack to reinforced concrete structures located in seaside can cause a serious problem of durability and maintenance during the service life. Corrosion of reinforced steel bars in concrete decreases the bond strength and finally causes the detachment of concrete cover. Polymer cement mortar is usually adopted to repair the deteriorated RC structures because of its strong bonding property. The recovered load-carrying capacity after the repair was simulated by non-linear FEM analysis. The properties of concrete, repairing materials, bonding materials and reinforced bar were used as input data. Four types of redispersible polymer powders were used as components of polymer cement mortar. Pull-off tests were carried out to examine the bond properties such as rigidity and strength. Effects of a corrosion inhibitor and the loss of reinforced bars due to the corrosion were also considered in this study. FEM modeling and analysis were conducted to propose the universal model. Physical bonding in the relationship between repair materials and steel reinforced bar is more dominant than chemical bonding.

• Journal of the Korean Society of Safety
• /
• v.17 no.2
• /
• pp.85-91
• /
• 2002

A research on the performance of retrofit anchors was conducted using adhesives for rehabilitation. From the pull-out tests of the chemical anchors, the effect of the hole diameter, spacer, temperature, moisture, embedment depth, and aging time were investigated. The spacer did not directly increased the pull-out load hilt increased post-yielding resistance therefore the ductility of the retrofit anchors. When the hole was cleaned and dried after the immersion, the pull-out load was greatly increased compared to the wet hole. A design equation was unposed depending on the embedment depth of the anchor bolt.

• Journal of Industrial Technology
• /
• v.23 no.A
• /
• pp.149-156
• /
• 2003

The development and maintenance of a sound bond are essential requirements of concrete repair and replacement. The bond property of a overlay to its substrate concrete during the lifetime is one of the most important performance requirements which should be quantified. A standard or a verified bond strength measurement method is required at field for screening, selecting materials and quality control for overlay or repair materials, but no test method has been adopted as a standard. In this study, a concrete pull off bond strength measurement method for field application is proposed and evaluated. This study compares the splitting tensile test, slant shear test, nipple pipe direct tensile test, flexural adhesion test, briquette tensile test, jumbo nail pull-out test and core pull-off test with their test procedures. From these comparison and investigation, core pull-off test is selected as a main topic of this study because of it's suitability for in situ testing, simplicities in field application and clearness at interface boundary condition. Thus, the proposed core pull off test is evaluated to be the most appropriate method for field application in a simple manner. The fracture surface and fracture mode could be easily determined by visual observation of failure surface of the field specimen. The core pull off test was found to be sensitive to surface condition and latex contents at latex modified concrete.

• Explosives and Blasting
• /
• v.17 no.4
• /
• pp.8-17
• /
• 1999

Unfortunately leaks occur in heat exchangers periodically, usually at the tube to tubeplate joint. The usual method of repair is to plug off the defective area and isolate the tubes of concern from the circuit. If the leaks continua the thermal capacity of the units is progressively reduced and for this reason the alternative of using an internal bridging sleeve has been examined. This paper discusses the overall development activities that has been found necessary to bring this repair procedure to a successful conclusion for use on the nuclear steam generator. In this work we have investigated optimum explosives and explosive quality, explosive sleeving's thickness, the design of sheath stress relieving heat treatment pull-out load, hydraulic leakage, stress corrosion cracking properties. The results obtain are as follows : (1) The optimum explosives and explosive qualities are PETN and about 15~40 gr/ft of explosive sleeving in nuclear steam generator. (2) Explosive sleeving's thickness is 1.1~l.4mm, If groove of 0.35mm formed in sleeve outside existed, For the hydraulic leakage is go up, explosive sleeving of formed groove are applicate tube and turnplate. (3) If the stress relieving heat treatment are experiment in $750^\circ{C}$, $850^\circ{C}$, 15 minutes Pull-out strength of sleeving 1,500~2,300kg, hydraulic leakage is $250kg/cm^2$.