• Title/Summary/Keyword: Repair strength

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Isolated Ruptures of the Infraspinatus: Clinical Characteristics and Outcomes

  • Lee, Kwang Yeol;Kim, Sae Hoon;Oh, Joo Han
    • Clinics in Shoulder and Elbow
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    • v.20 no.1
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    • pp.30-36
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    • 2017
  • Background: Isolated infraspinatus tear is very rare and clinical features are not as well known, therefore the purpose of this study was to evaluate clinical characteristics and outcomes of isolated infraspinatus tear that authors experienced. Methods: Authors reviewed 288 cases of full-thickness rotator cuff tear involving infraspinatus between 2010 and 2015, and retrospectively analyzed six cases of isolated infraspinatus tear. Perioperative clinical characteristics, postoperative functional outcomes of 6 months were investigated. Functional evaluation included visual analogue scale (VAS), range of motions, American Shoulder and Elbow Surgeons (ASES) score, and Constant score. Results: Calcific tendinitis was accompanied in 4 cases (66.7%). Three of them received steroid injection or aspiration or extracorporeal shockwave therapy. Mean preoperative pain VAS was 7.1 (range, 5-9), and mean postoperative pain VAS at 6 months later was 1.6 (range, 0-5). Preoperative muscle strength by isokinetic muscle performance test showed 52% deficit of abduction and 37.6% deficit of external rotation. All 6 patients had arthroscopic repair of the infraspinatus tendon. All the patients at the 6 months follow-up exhibited clinical improvement in the Constant score (67.8 [range, 45-77] to 89.3 [range, 81-100], p=0.029), and ASES score (52.3 [range, 30-77] to 90.0 [range, 80-100], p=0.002). There was no healing failure on imaging. Conclusions: Isolated infraspinatus tendon tear was frequently accompanied by calcific tendinitis, but pathophysiologic relationship should need more study. To rule out neurogenic etiology, magnetic resonance imaging and electromyography would be helpful. Arthroscopic infraspinatus tendon repair and supraspinatus debridement showed relatively good result in painful shoulder.

A Experimental Study on the Compressive Capacity of Circular Section Wood using Synthetic Resins (합성수지를 이용한 원형단면 목재의 압축보강 성능에 관한 실험적 연구)

  • Park, Sung-Moo;Park, Kwang-Seob;Kang, Pyeong-Doo;Ha, Jong-Han
    • Journal of Korean Association for Spatial Structures
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    • v.9 no.3
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    • pp.93-100
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    • 2009
  • As interest in latest cultural heritance is increased, an importance about conservation of dilapidated cultural building asset is risen. Most of cultural building asset used wood by main material and conservation repair about corrosion and damage by deterioration of these cultural building asset considers cultural value of member and the basis principle is the archetype maintenance. Accordingly, conservation processing method that use synthetic is embossed. This paper experimented with reinforcement sectional area ratio, direction of section, length, strength of synthetic resins as variable and manufactures total 14 specimens as experimental study about compression reinforcement performance of circular section wood that strengthen by synthetic resins. The result of this paper has shown that adequate strengthen is more efficient than new member and the most important authenticity in strengthen and repair of cultural heritance can be ensured.

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A Study on Human Injury Characteristics and Vehicle Body Deformation with Car to Car Crash Test for Crash Compatability (${\cdot}$${\cdot}$대형 중고 승용차량에 대한 차 대 차 충돌시험을 통한 차체변형 및 인체상해 특성에 관한 연구)

  • Lim, Jong-Hun;Park, In-Song;Heo, Seung-Jin
    • Transactions of the Korean Society of Automotive Engineers
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    • v.13 no.6
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    • pp.135-141
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    • 2005
  • Currently many safety assessment tests are conducted by crashing a vehicle against a rigid or deformable barrier. It is quite rational to evaluate crash performance of a vehicle in a barrier test in terms of vehicle stiffness and strength. However, there has been a lot of debate on whether barrier testing is a duplicate of real world crash collisions. One of the issues is car to car compatability. There are two essential subjects in compatability. One is partner-protection when crashing into another vehicle and the other is self-protection when struck by another vehicle. When considering a car to car frontal crash between a mini car and a large heavy car, it is necessary to evaluate human body stiffness of each vehicle. In this study, in order to evaluate the compatability of cars in car-to-car crashes, four tests were conducted. Test speed of each car is 48.3km/h, and the overlap of the mini and large car is $40\%$, and the overlap of the small cars is $100\%$. In all tests, only a drive dummy is used. The test results of the car to car crash test show that vehicle safety standard of mini car is not satisfied compared with large heavy car and HIC value of mini car is higher than large car. In this case observed that the relatively lower stiffness and weight of the mini car resulted in absorbing a large share of the total input energy of the system when crashed into the large heavy car.

Seismic Performance Evaluation of RC Bridge Piers Using Time-dependent Element (시간종속 요소를 이용한 철근콘크리트교량 교각의 내진 성능 평가)

  • Lee, Do Hyung;Jeon, Jeong-Moon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.1A
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    • pp.237-246
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    • 2006
  • In order to evaluate the seismic performance of damaged reinforced concrete members, particularly bridge piers, an inelastic time-dependent element is proposed. The proposed element enables increased characteristics due to structural intervention(i.e., repair or retrofitting) to be accurately reflected to the degraded strength and stiffness of the members. The inelastic time-dependent element having both birth and death time can freely be activated within the user-defined time intervals during static and dynamic time-history analysis. Comparative studies are carried out for reinforced concrete bridge piers that are repaired and retrofitted. Analytical predictions using the developed element show reasonable correlation with experimental results. Also conducted is a nonlinear time-history analysis of a reinforced concrete bridge under multiple earthquakes. The comparative analytical results prove the validation of current development. In all, it is concluded that the present element is capable of providing salient features for the healthy evaluation of seismic performance and hence seismic stability assessment of RC bridge piers being repaired and retrofitted.

Does physiotherapy after rotator cuff repair require supervision by a physical therapist?: a meta-analysis

  • Masaki Karasuyama;Masafumi Gotoh;Takuya Oike;Kenichi Nishie;Manaka Shibuya;Hidehiro Nakamura;Hiroki Ohzono;Junichi Kawakami
    • Clinics in Shoulder and Elbow
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    • v.26 no.3
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    • pp.296-301
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    • 2023
  • Background: A supervised physiotherapy program (SPP) is a standard regimen after surgical rotator cuff repair (RCR); however, the effect of a home-based exercise program (HEP), as an alternative, on postoperative functional recovery remains unclear. Therefore, the purpose of this meta-analysis was to compare the functional effects of SPP and HEP after RCR. Methods: We searched electronic databases including Central, Medline, and Embase in April 2022. The primary outcomes included the Constant score, American Shoulder and Elbow Surgeons score, University of California Los Angeles shoulder score, and pain score. Secondary outcomes included range of motion, muscle strength, retear rate, and patient satisfaction rate. A meta-analysis using random-effects models was performed on the pooled results to determine the significance. Results: The initial database search yielded 848 records, five of which met our criteria. Variables at 3 months after surgery were successfully analyzed, including the Constant score (mean difference, -8.51 points; 95% confidence interval [CI], -32.72 to 15.69; P=0.49) and pain score (mean difference, 0.02 cm; 95% CI, -2.29 to 2.33; P=0.99). There were no significant differences between the SPP and HEP. Other variables were not analyzed owing to the lack of data. Conclusions: Our data showed no significant differences between SSP and HEP with regard to the Constant and pain scores at 3 months after RCR. These results suggest that HEP may be an alternative regimen after RCR. Level of evidence: I.

The Results of Arthroscopic Double-Row Rotator Cuff Repairs with Combined Knot-tying and Knotless Suture Anchors (매듭 결속과 비매듭 봉합나사를 이용한 관절경적 이열 회전근개 봉합술의 결과)

  • Ku, Jung-Hoei;Lee, Choon-Key;Cho, Hyung-Lae;Choi, Seung-Hyun
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.3
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    • pp.172-179
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    • 2008
  • Purpose: To evaluate the functional and structural results of arthroscopic double-row repair using combined knot-tying and knotless suture anchors in rotator cuff tears. Materials and Methods: From March 2006 to June 2007, twenty-one patients (15 males, 6 females; mean age 55.6 years; range 48 to 67) were included who underwent arthroscopic double-row repair for full-thickness tears of the rotator cuff following conservative treatment for a mean of 6.5 months (range 3 to 11). The tear size was carefully inspected arthroscopically and we found 2 small, 13 medium and 6 large-sized rotator cuff tears, with a mean tear size of 2.5cm(range 1.8 to 3.2). The repair constructs were consisted of horizontal mattress sutures using conventional knot-tying suture anchors medially and simple suture at the same level of medial row stitch with Bioknotless RC anchors (DePuy Mitek, Norwood, MA) as lateral row. Clinical and functional evaluations were made according to the range of motion, the ASES, UCLA scale and the isokinetic strength testing. Postoperative cuff integrity was determined through magnetic resonance imaging. The mean follow-up was 15 months (range 13 to 24). Results: The average clinical outcome scores and strength were all improved significantly at the time of the final follow-up (p < 0.01). Nineteen patients (90%) were satisfied with the result of the treatment. In 17 of 21 patients (81%) were judged to reveal healed tendon on magnetic resonance imaging at a mean of 7 months postoperatively. There were no significant functional differences according to the preoperative tear size (p<0.01), but large-sized tear shows less favorable structural results in 3 out of 6 cases(50%). Conclusion: Our results document the usefulness and variability of arthroscopic double-row rotator cuff repairs comparable to the results of the other types of double-row repairs.

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Effect of Filter and Shrinkage Reducing Agent Influencing on Setting Shrinkage and Strength Properties of MMA-Modified Polymer Paste (충전재와 수축저감제가 MMA개질 폴리머 페이스트의 경화수축 및 강도특성에 미치는 영향)

  • Yeon, Kyu-Seok;Beck, Jong-Man;Jin, Xing-Qi;Lee, Chi-Won
    • Journal of the Korea Concrete Institute
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    • v.18 no.2 s.92
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    • pp.227-232
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    • 2006
  • This article presents the results of experimental study that investigates the effect of filler and shrinkage reducing agent influencing on the strength properties of MMA-modified polymer paste that was produced to develop the surface-repair and coating materials of the concrete structures. Results show that the flexural and compressive strengths of the polymer paste increased 29 and 27%, respectively, when the aluminum hydroxide completely replaced the calcium carbonate as the filler Furthermore, when the shrinkage reducing agent was used 30%, both strengths decreased about 29% comparing to when the agent was not used. As in the cases of flexural and compressive strengths, the adhesive strength increased as the content of aluminum hydroxide as the filler increased, and it decreased as the content of shrinkage reducing agent increased. The adhesive strength with a dry concrete substrate turned out to be $30{\sim}40%$ higher than that with a wet concrete substrate.

Effects of Various Acid Etching Methods on the Shear Bond Strength between Iithium Disilicate Ceramic and Composite Resin (다양한 산처리 방법이 lithium Disilicate 도재와 복합레진간의 전단결합강도에 미치는 영향)

  • Kang, Dae-Hyun;Bok, Won-Mi;Song, Jin-Won;Song, Kwang-Yeob;Ahn, Seung-Ggeun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.2
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    • pp.149-159
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    • 2006
  • Statement of problem. Porcelain repair mainly involves replacement with composite resin, but the bond strength between composite resin and all-ceramic coping materials has not been studies extensively. Purpose. The objective of this study was to investigate the influence of composite resin and ceramic etching pattern on shear bond strength of Empress2 ceramic and observe the change of microstructure of ceramic according to etching methods. Material and methods. Eighty-five cylinder shape ceramic specimens (diameter 5mm, IPS Empress 2 core materials) embeded by acrylic resin were used for this study. The ceramic were specimens divided into sixteen experimental groups with 5 specimens in each group and were etched with phosphoric acid(37%, 65%) & hydrofluoric acid (4%, 9%) according to different etching times(30s, 60s, 120s 180s). All etched ceramic surfaces were examined morphologically using SEM(scanning electron microscopy). Etched surfaces of ceramic specimens were coated with silane (Monobond-S) & adhesive(Heliobond) and built up composite resin using Teflon mold. Accomplished specimens were tested under shear loading until fracture on universal testing machine at a crosshead speed 1mm/min; the maximum load at fracture(kg) was recorded. Shear bond strength data were analyzed with one way ANOVA and Duncan tests.(P<.05) Results. Maximum shear bond strength was $30.07{\pm}2.41(kg)$ when the ceramic was etched with 4% hydrofluoric acid at 120s. No significant difference was found between phosphoric etchant group and control group with respect to shear bond strength. Conclusion. Empress 2 ceramic surface was not etched by phosphoric acid, but etched by hydrofluoric acid.

Bond Behavior between Parent Concrete and Carbon Fiber Mesh (탄소섬유메쉬와 콘크리트의 부착거동)

  • Yun, Hyun-Do;Sung, Soo-Yong;Oh, Jae-Hyuk;Seo, Soo-Yeon;Kim, Tae-Yong
    • Journal of the Korea Concrete Institute
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    • v.15 no.6
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    • pp.769-777
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    • 2003
  • The strengthening of concrete structures in situ with externally bonded carbon fiber is increasingly being used for repair and rehabilitation of existing structures. Because carbon fiber is attractive for this application due to its good tensile strength, resistances to corrosion, and low weight. Generally bond strength and behavior between concrete and carbon fiber mesh(CFM) is very important, because of enhancing bond of CFM. Therefore if bond strength is sufficient, it will be expect to enhance reinforcement effect. Unless sufficient, expect not to enhance reinforcement effect, because of occuring bond failure between concrete and CFM. In this study, the bond strength and load-displacement response of CFM to the concrete by the direct pull-out test(the tensile-shear test method) were investigated using the experiment and the finite element method analysis with ABAQUS. The key variables of the experiment are the location of clip, number of clips and thickness of cover mortar. The general results indicate that the clip anchorage technique for increasing bond strength with CFM appear to be effective to maintain the good post-failure behavior.

EFFECT OF PORCELAIN SURFACE TREATMENTS ON THE SHEAR BOND STRENGTH BETWEEN FORCELAIN AND COMPOSITE RESIN (도재 표면처리가 도재와 도재 수리용 복합레진간 전단결합강도에 미치는 영향)

  • Koh, Eun-Sook;Lee, Sun-Hyung;Chung, Heon-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.1
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    • pp.23-36
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    • 1994
  • Most investigators recommended that porcelain surface should be roughened with abrasives and/or be etched with acid in repairing the fractured porcelain with composite resin. This study was designed to evaluate the effect of porcelain surface treatments on the bond strength between porcelain and composite resin by measuring the shear bond strength and observing the porcelain surface with SEM. 48 porcelain disc were fabricated with Vintage porcelain and embedded in epoxy resin with the test surface exposed. The specimens were divided four groups at random and the test surfaces of the four groups were prepared as follows : Group 1 : Porcelain surface was roughened with a fine diamond and treated with 32% phosphoric acid gel for 10 seconds. Group 2 : Porcelain surface was roughened with a fine diamond and etched with 8% hydrofluoric acid gel for 5 minutes. Group 3 : Porcelain surface was roughened with a coarse diamond and treated with 32% phosphoric acid gel for 10 seconds. Group 4 : Porcelain surface was roughened with a coarse diamond and etched with 8% hydrofluoric acid gel for 5 minutes. All specimens were washed for 30 seconds. A representative specimen of each group was selected and the porcelain surface was observed with SEM at 1000 magnification. Remaining specimens were silanated, bonded with composite resin, thermocycled, and shear-tested on specially designed zig connected to Instron machine. The results were as follows : 1. The shear bond strength of the group etched with hydrofluoric acid was significantly higher than that of group treated with phosphoric acid(p<0.01). 2. The shear bond strength of the group roughened with a fine diamond was not significantly different from that of the group roughened with a coarse diamond(p>0.01). 3. SEM examination of prepared porcelain surfaces revealed that the surface etched with hydrofluoric acid showed numerous microporosities, undercut, and rougher surface than the surface treated with phosphoric acid. 4. All specimens etched with hydrofluoric acid showed cohesive failure within porcelain, but specimens treated with phosphoric acid mainly showed adhesive failure between porcelain and composite resin.

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