• Title/Summary/Keyword: Repair Method

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Early Mobilization after Operative Treatment of a ruptured Achilles tendon (아킬레스건 파열에 대한 수술 후 조기 재활 치료)

  • Chung, Hyung-Jin;Park, Joon-Suk;Kim, Hyun-Ho;Park, Yong-Won
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.1
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    • pp.78-82
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    • 2003
  • Purpose: The purpose of the study is to evaluate the clinical outcomes of acute achilles tendon rupture patients treated by early mobilization after operative repair. Materials and Methods: In this retrospective study, 12 patients of acute Achilles tendon rupture were surgically treated from May 2001 to November 2002, with follow-up period of at least 6 months. There were 10 men and 2 women, and mean age was 35.9 year. The repair method was single Krackow suture technique. Two to three weeks after the operation, early ROM with removable ankle-foot orthosis(AFO) was started. We used Amer-Lindholm scale for the clinical evaluation and analyzed patient's satisfaction and subjective strength deficit. Results: We had 11 excellent results(92%), and 1 good results(8%). One-leg heel raising was possible in all patients. All the patients returned to the preinjury occupations and 7 patients(58%) reached the preoperative level of sports activities. There was no significant difference in ankle ROM and ankle plantar flexion isokinetic strength compared to contralateral side. There was, no reruptures. Conclusion: Early mobilization proved to be a well tolerated, safe, and effective means for the compliant patient.

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Comparison of Tranatrial-transpulmonary and Transventricular Repair of Tetralogy of Fallot (활로4징증의 완전한 교정술에 있어서 경심방-경폐동맥교정술과 경심교정술의 비교)

  • 김덕실
    • Journal of Chest Surgery
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    • v.27 no.3
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    • pp.202-208
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    • 1994
  • We reviewed 30 patients with tetralogy of Fallot who had underwent transannular patch reconstruction of the right ventricular outflow tract from January 1990 to May 1993. The patients were divided into two groups according to the approaching pattern for the corrective surgery: 12 patients[aged 11 months to 4 years; mean age, 2.3 years] in transatrial group who were repaired by transatrial-transpulmonary approach; 18 patients[aged 13 months to 6 years; mean age, 3.2 years] in transventricular group who were repaired by transventricular approach. The incidence of postoperative right bundle branch block was not statistically different between two groups. With follow up from 3 months to 32 months after operation, none in transatrial group revealed a remnant RVOT stenosis over 50mmHg or tricuspid regurgitation more than grade II with 2D-echocardiography, but two cases[7.7%] in transventricular group revealed these complications. Early postoperative death was 4 cases[13.3%] which all belonged to transventricular group. In conclusion successful repair of tetralogy of Fallot can be accomplished in most patients by transatrial-transpulmonary approach and we can anticipate better results by this approach in terms of postoperative right ventricular function and arrhythmia than conventional transventricular approach.

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Repair of Mold by Cold Spray Deposition and Mechanical Machining (저온 분사 적층과 절삭가공을 이용한 금형보수 사례연구)

  • Kang Hyuk-Jin;Jung Woo-Gyun;Chu Won-Sik;Ahn Sung-Hoon
    • Journal of the Korean Society for Precision Engineering
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    • v.23 no.7 s.184
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    • pp.101-107
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    • 2006
  • Cold gas dynamic spray or cold spray is a novel manufacturing method for coatings. Cold spray is a high rate and direct material deposition process that utilizes the kinetic energy of particles sprayed at high velocity (300-1,200m/s). In this research, a technique to repair the damaged mold by cold spray deposition and mechanical machining was proposed. An aluminum 6061 mold with three-dimensional surface was fabricated, intentionally damaged and material-added by cold spray, and its original geometry was re-obtained successfully by Computer Numerical Control (CNC) machining. To investigate deformation of material caused by cold spray, deposition was conducted on thin aluminum plates ($100mm{\times}100mm{\times}3mm$). The average deformation of the plates was $205{\sim}290{\mu}m$ by Coordinate Measurement Machine (CMM). In addition, the cross section of deposited layer was analyzed by scanning electron microscopy (SEM). To compare variation of hardness, Vickers hardness was measured by micro-hardness tester.

Management of Post-lobectomy Bronchopleural-cutaneous Fistula With a Rectus Abdominis Free Flap (폐절제술 후 발생한 기관지늑막 피부루에서 유리 복직근피판을 이용한 치료)

  • Heo, Chan Yeong;Min, Kyung Hee;Eun, Seok Chan;Baek, Rong Min;Cheon, Sang Hoon
    • Archives of Plastic Surgery
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    • v.36 no.6
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    • pp.795-798
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    • 2009
  • Purpose: The repair of complex chest wall defects presents a challenging problem for the reconstructive surgeon. In particular, a free flap is often required when the defect is large, in which case suitable recipient vessels must be found to insure revascularization. The authors report a case of persistent bronchopleural - cutaneous fistula developed after undergoing lobectomy for lung cancer. Methods: The defect area was repaired using a free vertical rectus abdominis muscle flap revascularized by microvascular anastomosis to the 6th intercostal pedicle. The flap obliterated the right chest cavity, closed the site of empyema drainage, and aided healing of a bronchopleural - cutaneous fistula. Results: The patient has remained healed for 14 months without any postoperative complications and recurrent infection or fistula. Conclusion: We suggest that a rectus abdominis musculocutaneus free flap and intercostal pedicle as a recipient could be a useful method for repair of chest defects.

A Case Report of Hypospadias Repaired by Radial Forearm Free Flap (요측전완유리피판을 이용한 요도하열의 교정 1례 보고)

  • Park, Sung Ho;Chung, Chul Hoon;Lee, Jong wook
    • Archives of Plastic Surgery
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    • v.36 no.2
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    • pp.225-228
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    • 2009
  • Purpose: Urethral reconstruction following failed hypospadias repair is difficult because of a severe shortage of the skin on ventral surface of the penis. We experienced a successful reconstruction of a failed hypospadias repair using the radial forearm free flap. So we present our case. Methods: A 16 - year - old boy had a proximal shaft hypospadias and had been taken a transverse preputial island flap but it completely broke down. There was no spare skin on the shaft of the penis. So we reconstructed a neo - urethra and the ventral skin of the penis with the radial forearm free flap. Results: Postoperatively he made relatively good process. The urethral catheter was maintained for 10 days and self - voiding was started. The suprapubic catheter was removed at the postoperative 30th day after control of cystitis. The postoperative appearance of the penis is acceptable and a straight erection is achieved. Conclusion: In the scarred penis with hypospadias, the radial forearm free flap transfer is a reliable reconstructive method for the neo - urethra and the ventral skin of the penis.

Modeling and prediction of buckling behavior of compression members with variability in material and/or section properties

  • Gadalla, M.A.;Abdalla, J.A.
    • Structural Engineering and Mechanics
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    • v.22 no.5
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    • pp.631-645
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    • 2006
  • Buckling capacity of compression members may change due to inadvertent changes in the member section dimensions or material properties. This may be the result of repair, modification of section properties or degradation of the material properties. In some occasions, enhancement of buckling capacity of compression members may be achieved through splicing of plates or utilization of composite materials. It is very important for a designer to predict the buckling resistance of the compression member and the important parameters that affect its buckling strength once changes in section and/or material properties took place. This paper presents an analytical approach for determining the buckling capacity of a compression member whose geometric and/or material properties has been altered resulting in a multi-step non-uniform section. This analytical solution accommodates the changes and modifications to the material and/or section properties of the compression member due to the factors mentioned. The analytical solution provides adequate information and a methodology that is useful during the design stage as well as the repair stage of compression members. Three case studies are presented to show that the proposed analytical solution is an efficient method for predicting the buckling strength of compression members that their section and/or material properties have been altered due to splicing, coping, notching, ducting and corrosion.

Study on the Improvement Plans of Condensation Defect Examples in Apartment Building (공동주택 결로 하자 사례를 통한 개선방안 도출)

  • Oh, Se Min;Park, Sun Hyo;Joung, Kwang Sub
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.29 no.2
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    • pp.82-88
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    • 2017
  • There are main issues of defect type that condensation, concrete crack and noise in apartment buildings. Especially, according to the Apartment Defect Dispute Mediation Committee in Korea (ADDMC) at Ministry of Land Infrastructure and Transport in Korea (MLIT), condensation defects are great importance (14 percent) on whole number of reported cases of faults from 2015 in Korea. Most condensation defects have many different causes that take a toll on the resident's life and space. So it is very important to early detection and repair. For preventing the condensation in apartment buildings, there are building codes in Korea such as 'Standard of Method and Judgment for Apartment defect of investigation, Repair cost Estimate'. This research aims to study on the improvement of preventing the condensation aforementioned korea standard. Types and characteristics (opaque wall, windows, doors) of cause of occurrence and existing state condensation defect is analyzed from evaluation of real application 100 case in 2015 ADDMC data.

Effect of stacking sequence of the bonded composite patch on repair performance

  • Beloufa, Hadja Imane;Ouinas, Djamel;Tarfaoui, Mostapha;Benderdouche, Noureddine
    • Structural Engineering and Mechanics
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    • v.57 no.2
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    • pp.295-313
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    • 2016
  • In this study, the three-dimensional finite element method is used to determine the stress intensity factor in Mode I and Mixed mode of a centered crack in an aluminum specimen repaired by a composite patch using contour integral. Various mesh densities were used to achieve convergence of the results. The effect of adhesive joint thickness, patch thickness, patch-specimen interface and layer sequence on the SIF was highlighted. The results obtained show that the patch-specimen contact surface is the best indicator of the deceleration of crack propagation, and hence of SIF reduction. Thus, the reduction in rigidity of the patch especially at adhesive layer-patch interface, allows the lowering of shear and normal stresses in the adhesive joint. The choice of the orientation of the adhesive layer-patch contact is important in the evolution of the shear and peel stresses. The patch will be more beneficial and effective while using the cross-layer on the contact surface.

Analysis and solution of memory failure phenomenon in Server systems (서버시스템에서의 메모리 불량현상 분석 및 해결방법)

  • Shin, Hyunsung;Yoo, Sungjoo
    • Journal of IKEEE
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    • v.21 no.4
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    • pp.353-357
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    • 2017
  • In order to maintain numerous server systems used in enterprise and data center environments, the most important thing is to prevent the occurrence of UE (Uncorrectable Error) of each server system. With the recent development of cloud services, more memory modules are being used than ever before, while the operating frequency of server systems has increased and the process of developing memory has continued to shrink, making it more likely to fail. In these environments, there is a way to repair memory defects directly in the server system, but there is no currently available guideline to use it effectively. In this paper, we propose a method to effectively prevent memory failure in a server system based on the observation and analysis of memory failure phenomenon in existing system.

A Study on Determination of Optimal Prevention Maintenance Interval for Gantry Crane in Container Terminal (선박작업 생산성 향상을 위한 갠트리 크레인의 고장분석 및 예방보전 주기 결정에 관한 연구)

  • Kim Hwan-Seong;Kim Young-Ho;Tran Ngoc Hoang Son
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2006.06b
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    • pp.339-344
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    • 2006
  • The productivity for container hand1ing in container ship is a important role in container terminal, and it is mainly depended on the productivity of gantry crane. From the failure of gantry crane, the crane will be stopped until the repair of the failure. During the repair, the loading and/or discharging for container ship is suspended, and the productivities of the container ship and the yard is just hold. Thus, the prevention maintenance is importance to make a keep the steady state condition for all equipments in container terminal. In this paper, we deal with a optimal determination method of prevention maintenance interval for gantry crane systems. For verification, we will make a productivity of gantry crane and adapt to total container handling in each ship by simulation.

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