• Title/Summary/Keyword: Repair techniques

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Comparative Study of Clinical Outcome of Three Surgical Techniques in the Achilles Tendon Rupture: Open Repair, Percutaneous Repair, and Minimal Incision Repair by Achillon (아킬레스건 파열의 세 가지 수술적 치료법의 임상 결과에 대한 비교: 관혈적 봉합술, 경피적 봉합술, 아킬론을 이용한 최소절개 봉합술)

  • Park, Won Seok;Lee, Myoung Jin;Kang, Jung Mo;Lee, Seung Yup
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.2
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    • pp.68-73
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    • 2018
  • Purpose: This study compared the clinical outcomes of open repair, percutaneous repair, and minimal incision repair by Achillon in ruptured Achilles tendon. Materials and Methods: The outcomes of 12 patients with open repair (group 1), 8 patients with percutaneous repair (group 2), and 10 patients with minimal incision repair by Achillon (group 3) from February 2013 to March 2016 were analyzed retrospectively. The postoperative clinical evaluations were done by the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Arner-Linholm scale, mid-calf circumference difference, one-leg heel raise difference, visual analogue scale (VAS) for postoperative scarring, time to return to work, and complications. Results: No significant difference in the AOFAS ankle-hindfoot score, Arner-Linholm scale, and time to return to work was observed among three groups (p=0.968, 0.509, and 0.585). The mean differences in the mid-calf circumference in groups 1, 2, and 3 were 1.09, 0.73, and 0.58, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.002). In addition, the mean VAS scores for postoperative scarring in groups 1, 2, and 3 were 7.0, 9.1, and 9.1, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.001). The mean differences in one-leg heel raising in groups 1, 2, and 3 were 2.03, 1.91, and 1.33, respectively; group 3 was significantly higher than groups 1 and 2 (p=0.010). The complications encountered were one case of deep infection in group 1 and one case of sural nerve hypoesthesia in group 2. Conclusion: Minimal incision repair by Achillon is recommended as an effective surgical treatment for Achilles tendon rupture because it minimizes the risk of complications, leads to an improved tendon strength and healing, and achieves cosmetic satisfaction.

A Study on Field Application of Preventive Maintenance Method for Flexible Pavements (연성포장의 예방적 유지보수공법에 대한 현장 적용성 연구)

  • Kim, Nakseok;Jin, Jung-Hoon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.4D
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    • pp.565-569
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    • 2011
  • This paper presents minimum area repair method that is one of the preventive maintenance techniques in asphalt concrete pavements. In this method, a 70cm-width as an effective repair zone was suggested considering the conventional longitudinal damages (rutting and fatigue cracking) in early stages. In addition, the repair zone can be readjusted according to the pavement damage levels. A field test bed was constructed to verify the adaptness for the repair method. Test results revealed that the minimum area repair method can be adopted as a preventive maintenance technique in flexible pavements to recover an appropriate serviceability level. The preventive maintenance method may be one of the major maintenance methods of flexible pavements with an appropriate application. It is also noted that the method may be a long term maintenance cost effective and pavement life ensuring one.

Mini-Open Repair in Large and Massive Rotator Cuff Tears (소절개 봉합술을 이용한 대범위 이상 회전근 개 파열 환자의 치료 결과)

  • Chung, Soo-Tai;Kim, Hyung-Soo;Yoo, Jeong-Hyun;Park, Jae-Hyung;Kim, Joo-Hak;Jung, Kwang-Gyu;Lee, Joong-Hyo
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.176-180
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    • 2006
  • Purpose: Although surgical arthroscopic repair of rotator cuff has become much more common as surgeons have developed proficient techniques, it is still technically difficult. The purpose of this study was to evaluate the clinical results and the usefulness of mini-open repair in large and massive size tears. Materials & Methods: From January 2000 to December 2004, sixteen patients were treated with mini-open repair. There were 10 male and 6 female patients with the average age of 62.5 years. The size of tear was massive in 4 cases and large in 12 cases. All tears were repaired with metal anchor sutures. The mean duration of follow-up period was 23 months. Postoperative results were evaluated based on American Shoulder and Elbow Society scoring system. Results: Five patients showed excellent results, five good, and two fair in large tears while one patient showed excellent result, one good, and two fair in massive tears. Poor outcome was not seen during the follow-up period. There was no significant relationship between the patient's age and the size of tear, and postoperative results. However, the relationship between the duration of symptomatic period in preoperation and postoperative results showed significant correlation. Conclusion: Mini-open repair combined with the preservation of deltoid and early rehabilitation is clinically useful in large and massive size rotator cuff tear patients treatment.

A comparison of the shear bond strength between porcelain repair systems and fractured surface of porcelain-fused-to-metal restorations (도재파절 양상에 따른 수종의 도재 수복용 레진의 결합력에 관한 실험적 연구)

  • Choi, Jeung Won;Han, Dong Hoo;Jeong, Chang Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.28 no.2
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    • pp.147-163
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    • 1990
  • Although dental porcelain demonstrates lasting esthetic results, it suffers from inherent brittle fractures. Various techniques and materials for intraoral porcelain repair has been suggested. This study investigated the in vitro shear strength of three porcelain repair systems according to aspects of the porcelain fractures. The purpose of this study was to evaluate the shear bond strength of three porcelain repair systems(All-bond, Clearfil, Scotchprime) according to fractured surface of porcelain - fused - to - metal restorations. For this study specimens were divided into five groups : group 1 represented fracture occurred at body porcelain layer, group 2 represented fracture occurred at opaque porcelain layer, group 3 represented fracture including 1/3 of metal exposure, group 4 represented fracture including 2/3 of metal exposure, and group 5 represented all metal surface was exposed. Specimens were stored in double deionized water(24Hr, $37^{\circ}C$) and thermocycling was performed(24Hr, 1080cycles), and subjected to a shear force parallel to the repair resin and porcelain interface by use of an University Testing Machine. The results of this study were obtained as follows : 1. In group 1 and 2, bond strength was relatively high, and bond strength showing reducing tendency as exposure of metal was increased. 2. In group 1, bond strength was relatively high, and no significant differences in porcelain repair system. 3. In group 2, 3 and 4, All-bond and Clearfil provided significantly higher bond strength than scotchprime. 4. In group 5, bond strength was the lowest among all groups and especially in case if Scotchprime. 5. Cohesive failure was observed in group 1 and 2, adhesive failure was observed in group 5, and cohesive / adhesive failures were observed in group 3 and 4.

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Outcomes of Surgery for Total Anomalous Pulmonary Venous Return without Total Circulatory Arrest

  • Lee, Youngok;Cho, Joon Yong;Kwon, O Young;Jang, Woo Sung
    • Journal of Chest Surgery
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    • v.49 no.5
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    • pp.337-343
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    • 2016
  • Background: Recent developments in surgical techniques and hospital care have led to improved outcomes following total anomalous pulmonary venous return (TAPVR) repair. However, the surgical repair of TAPVR remains associated with a high risk of mortality and need for reoperation. We conducted this retrospective study to evaluate mid-term outcomes following in situ TAPVR repair without total circulatory arrest (TCA), and to identify the risk factors associated with surgical outcomes. Methods: We retrospectively reviewed 29 cases of surgical intervention for TAPVR conducted between April 2000 and July 2015. All patients were newborns or infants who underwent in situ TAPVR repair without TCA. Results: Four anatomic subtypes of TAPVR were included in this study: supracardiac (20 cases, 69.0%), cardiac (4 cases, 13.8%), infracardiac (4 cases, 13.8%), and mixed (1 case, 3.4%). The median follow-up period for all patients was 42.9 months. Two (6.9%) early mortalities occurred, as well as 2 (6.9%) cases of postoperative pulmonary venous obstruction (PVO). Preoperative ventilator care (p=0.027) and preoperative PVO (p=0.002) were found to be independent risk factors for mortality. Conclusion: In situ repair of TAPVR without TCA was associated with encouraging mid-term outcomes. Preoperative ventilator care and preoperative PVO were found to be independent risk factors for mortality associated with TAPVR repair.

Techniques and Characteristics of Indirect Restorations

  • Cho, Kyung-Mo
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.593-593
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    • 2001
  • Esthetic restoration techniques can be categorized into "Direct techniques" consist only of intraoral procedures and "Indirect techniques" include intraoral as well as extraoral laboratory steps. Those made extraorally exhibit generally enhanced esthetic potential and anatomy and better hardness and wear resistance, indirect esthetic restorations numerously applied in contemporary dentistry. Indirect restorative materials can be divided into two categories; composite resin-based materials and ceramic-based materials. These materials shows various were resistance, modulus of elasticity, repair postenital, chemical stability, and different laboratory procedures. In this session, benefit of indirect techinques, case selection of this kind of restorations, and material characteristics and fabrication produre of those materials will ber reviewed; Targis, Sculpture, Belleglass, and Post-curing of restorative composite resins in resin-based materials; Dicor, Empress, Cerec, Celay, and conventional firing porcelain in ceramic based materials.

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New V-shaped Technique in SLAP Repair (Comparison of Cinical Results Between New V-shaped Repair and Conventional Rapair Technique in Arthroscopic Type II SLAP Surgery) (SLAP 병변 수술에 사용 가능한 새로운 V자 봉합 (Type II SLAP 병변의 관절경적 수술에 있어 새로운 V자 형태의 봉합술기와 기존의 방법과의 임상결과 비교))

  • Hyun, Yoon-Suk;Shin, Sung-Il;Kang, Jung-Woo;Ahn, Joo-Hyun
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.14-19
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    • 2010
  • Purpose: The purpose of this study was to compare clinical outcomes between the new V-shaped repair method and conventional methods for the arthroscopic repair of Type II SLAP lesions. Materials and Methods: Our study population consisted of 23 people treated with the new V-shaped repair method or conventional methods in the arthroscopic repair of Type II SLAP lesions at our institution between May 2006 and October 2008. Eleven shoulders were treated using the new V-shaped repair method. Twelve shoulders were treated using conventional methods. The average follow up period was 15 months. For evaluation of clinical results, we used UCLA and VAS pain scores. Results: Comparing change scores (preoperative vs. postoperative states) there were no significant differences in UCLA score or VAS score between the two groups. Conclusion: The new V-shaped repair technique elicits similar clinical results with conventional arthroscopic repair techniques and thus can be considered a useful alternative when using an absorbable suture that is anchor linked with only one suture.

Torsional behaviour of reinforced concrete beams retrofitted with aramid fiber

  • Kandekar, Sachin B.;Talikoti, Rajashekhar S.
    • Advances in concrete construction
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    • v.9 no.1
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    • pp.1-7
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    • 2020
  • Retrofitting is an alteration of existing member or component of the structure. In civil engineering point of view, it is called strengthening of the old structure. Deterioration of structures may be due to aging, corrosion, failure of joints, earthquake forces, increase in service loads, etc. Such structures need urgent repair, retrofitting and strengthening to avoid collapse, cracking and loss in strength or deflection. Advanced techniques are required to be developed for the repair of structural components to replace conventional techniques. This paper focuses exclusively on torsional behaviour of Reinforced Concrete (RC) beams and retrofitted RC beams wrapped with aramid fiber. Beams were retrofitted with aramid fiber by full wrapping and in the form of 150 mm wide strips at a spacing of 100 mm, 150 mm, 200 mm respectively using epoxy resin and hardener. A total 15 numbers of RC beams of 150 mm×300 mm×1300 mm in size were cast, 3 beams are tested as control specimens, and 12 beams are tested for torsion up to the failure and then retrofitted with aramid fiber. Experimental results are validated with the help of data obtained by finite element analysis using ANSYS. The full wrapping configuration of aramid fiber regains 105% strength after retrofitting. With the increase in spacing of fabric material, torsional strength reduces to 82% with about 45% saving in material.

A Study on the Investigation Technique for Deterioration State of Window·Door and Tile of Apartment Houses (공동주택 창호 및 타일의 열화상태 조사기법에 관한 연구)

  • Lee, Jung-Hun;Bae, Kee-Sun;Lee, Seong-Bok;Oh, Sang-Keun;Choi, Soo-Kyung;Seo, Chi-Ho
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2011.05a
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    • pp.27-30
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    • 2011
  • Analysis data of basics which are used for LCC(Life Cycle Cost) analysis of buildings and maintenance plan, are demanded to secure according as replacement cycle of repairs of apartment houses has come. However, investigation techniques and systems for investigating condition of deterioration of apartment houses, have not been made yet in Korea. For this reason, this study was wanted to make investigation techniques and systems, so the process for maintenance of apartment houses was researched and the required quality and deterioration factors of interior/exterior materials were investigated. As a result Check-List for investigating condition of deterioration, was made. if this is used during a nonscheduled, a routine, a regular and a urgency check, the methodical investigation will be achieved. Furthermore, if this is used for maintenance of apartment houses, it will be helped to select the repair cycle and the long-term repair plan.

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Reconstruction of Esophagus by Free Jejunal Graft (유리공장피판을 이용한 식도재건술)

  • Yang, Kyung-Moo;Bae, Hyung-Woon
    • Archives of Reconstructive Microsurgery
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    • v.7 no.1
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    • pp.47-53
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    • 1998
  • Despite of technical advances in surgery & other therapeutic modalities five-year survival rates in patients with carcinoma of hypopharynx have remained low. Many techniques have been used to create a structure capable of allowing the passage of food and fluids in an attempt to maintain the anatomy and physiology of the upper digestive system. The development of microsurgical techniques and the concept of mucocutaneous unit has brought about important changes in the reconstruction of cervical esophagus following tumor resection. The one-stage procedure using microvascular anastomosis of free jejunal graft provides physiologic reconstruction of cervical esophagus and has a low morbidity rate as well as a short recuperation time. With free jejunal graft, there is marked improvement in the quality of life and numerous advantages over the previous methods of reconstruction. Reconstruction of esophageal defect after resection of carcinomas of the hypopharynx, and cervical esophagus has traditionally been carried out with deltopectoral, or musculocutaneous skin-lined flaps. A second approach is to reconstruct the defect with the colon or stomach. A more ideal mettled is to repair these defects with mucosa-lined flaps. The authors experienced 35 cases of reconstruction of cervical esophagus after resection of carcinoma of the hypopharynx with free jejunal autograft and one case of secondary repair with radial forearm free flap after failure of initial free Jejunal autograft. Postoperative results were satisfactory in most patients and two patients expired in 8 days postoperatively because of carotid blow out by chronic inflammation.

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