• 제목/요약/키워드: Scarf Joint

검색결과 26건 처리시간 0.021초

류마티스 관절염에 의한 고도의 무지 외반증과 소족지 갈퀴족 변형에 대한 중족골 종축 감압 절골술을 이용한 관절 보존술의 결과 (Result of Joint Preserving Surgery Using Axial Shortening Metatarsal Osteotomy for the Treatment of Severe Hallux Valgus and Claw Toes Deformity in Advanced Rheumatoid Arthritis)

  • 남일현;안길영;문기혁;이영현;최성필;김호규;오동호
    • 대한족부족관절학회지
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    • 제16권1호
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    • pp.47-52
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    • 2012
  • Purpose: The purpose of this study is to evaluate the effect of axial shortening metatarsal osteotomy on the treatment of advanced rheumatoid arthritis patients with severe hallux valgus and claw toe deformity of lesser toes which is used for preserving the metatarsophalangeal joint. Materials and Methods: From January 2005 to June 2009, 18 cases of axial shortening metatarsal osteotomy in advanced rheumatoid arthritis were reviewed ; all of them followed up for more than 2 years after surgical procedures and the mean follow up period was 3.4 years. We performed axial shortening Scarf osteotomy and Akin osteotomy for hallux valgus and Weil osteotomy with soft tissue release for claw toe of lesser toes, respectively. We measured preoperative and postoperative hallux valgus angle, each metatarsal shortening length and the range of motion of the metatarsophalangeal joints through radiographic and clinical examination and compared them each other. Clinical results were evaluated by American Orthopedic Foot and Ankle Society (AOFAS) score and subjective satisfaction of the patients. Results: The hallux valgus angle was reduced from the preoperative mean value of 44.8 degree to 9.0 degree postoperatively and the range of motion of the metatarsophalangeal joint of great toe and lesser toes was increased from the mean of 21.7 degree and 11.0 degree preoperatively to 38.0 degree and 32.5 degree, respectively at postoperation. Also, the mean AOFAS score was improved from 26.5 points to 67.4 points. Conclusion: Axial shortening osteotomy is a useful method to correct the deformity and preserve the metatarsophalangeal joint for severe hallux valgus and claw toe deformity in advanced rheumatoid arthritis.

BSCCO(2223) 초전도 선재의 접합공정 연구 (A Study of Joining Method of BSCCO(2223) Tape)

  • 김정호;김중석;김태우;지붕기;주진호;나완수
    • 한국초전도ㆍ저온공학회논문지
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    • 제1권2호
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    • pp.1-7
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    • 1999
  • we evaluated the effects of joining process such as contact method. shape of joined area and pressure on the electrical and mechanical properties of Bi-2223 superconducting tape, Specifically. the current capacity of the jointed tape was measured as a function of uniaxial pressure. and the thermal shock, bonding strength and the thermal of the tape were evaluated and correlated to the microstructural evolution. It was observed that the current capacity was significanrly dependent on the uniaxial pressure The jointed tape, fabricated with a pressure of 1,000-1,600 Mpa. showed the highest value of current capacity results from improvements in core density, contacting area and grain alignment, ect. In addition, the strength of jointed tape was measured to be 86 Mpa, which is about 88% of the unjoined ape's strength. The irreversible strain($\varepsilon$irrev) for the jointed tape was measured to be 0.1%, smaller than that of unjoined tape ($\varepsilon$irrev= 0.3%). The decrease in the strength and irreversible strain for jointed tape is believed to be due to the irregular geometry/morphology of the transition area of the tape.

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Al/Steel 이종재료의 접착이음에 대한 혼합모드의 파괴기준 (Fracture criterion of mixed mode in adhesively bonded joints of Al/Steel dissimilar materials)

  • 정남용;장진모
    • 대한기계학회논문집A
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    • 제21권8호
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    • pp.1322-1331
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    • 1997
  • A method of strength evaluation applying fracture mechanics in the adhesively bonded joints of Al/Steel dissimilar materials was investigated in this paper. Various shapes of adhesively bonded Al/Steel scarf joints focussing on fracture criterion of mixed mode crack were prepared for the static tests. Also, stress intensity factors of the interface cracks in adhesively bonded joints of Al/Steel dissimilar materials were analyzed with 2-dimensional elastic program of boundary element method(BEM), and the experiment of fracture toughness were carried out under various mixed mode conditions. From the results, the fracture criterion and method of strength evaluation by the fracture toughness in adhesively bonded joints of Al/Steel dissimilar materials were proposed.

이종접합재의 계면균열에 대한 진전경로의 예측 (Prediction of Propagation Path for the Interface Crack in Bonded Dissimilar Materials)

  • 정남용;송춘호
    • 한국자동차공학회논문집
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    • 제4권3호
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    • pp.112-121
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    • 1996
  • Applications of bonded dissimilar materials such as metal/ceramics and resin/metal joints, are very increasing in various industry fields. It is required to find crack propagation direction and path applying to the fracture mechanics on the bonded joint of dissimilar meterials. In this paper, crack propagation direction and path were simulated numerically by using boundary element method. Crack propagation angle is able to easily determine based on the maximum stress concept. Fracture tests of Al/Epoxy dissimilar materials with an interface crack are carried out under various mixed mode conditions by using the specimens of bonded scarf joints. It is found that the experimental results are well coincide with the analysis results of boundary element method.

모듈방식 FRP 선체를 위한 Moulding-In 개념 기반의 접합 이음부 개발에 관한 연구 (On the Development of Bonded Joints for Modular FRP Hulls using Moulding-In Concept)

  • 정한구
    • 한국전산구조공학회논문집
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    • 제30권6호
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    • pp.531-539
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    • 2017
  • 전통적인 FRP 선체 제작에는 mould가 요구되며, mould의 높은 제작비용은 FRP 선박 제작자에게 비용부담을 주고 있다. 이를 극복하기 위한 방안으로 강선 건조에서 사용되는 블록 혹은 모듈 방식의 제작기법에 착안한 modular construction 방안이 제시되었다. 이 제작방안을 FRP 선체에 효율적으로 적용하기 위해서는 설계 및 제작 측면에서 간략하면서도 구조적 안정성을 갖는 접합 이음부 개발이 이루어져야 한다. 따라서, 본 논문에서는 모듈방식의 FRP 선체 제작을 위해 moulding-in 개념을 기반으로 한 경제적인 접합 이음부 개발에 관한 연구를 수행하였다. FRP 샌드위치 판을 대상으로 step, scarf-step 그리고 scarf 이음부 형상을 갖는 moulded-in을 수지주입식진공성형 공정에 도입하여 성공적으로 접합된 FRP 샌드위치 판을 제작하였다. 이에 대해 구조적 안정성 평가를 목적으로 인장 및 4점 굽힘 시험 그리고 유한요소해석을 수행하였다. 시험과 해석결과에 대한 비교 연구를 통해 본 연구에서 개발된 접합 이음 내용이 모듈방식의 FRP 선체 제작에 적용 가능함을 확인할 수 있었다.

무지외반증에서의 원위 연부 조직 유리술: 변형된 맥브라이드 술식과 경관절 접근법의 비교 (Distal Soft Tissue Procedure in Hallux Valgus Deformity: Comparison of Modified Mcbride Procedure and Trans-Articular Approach)

  • 이준엽;김광연;박세진
    • 대한족부족관절학회지
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    • 제27권4호
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    • pp.123-130
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    • 2023
  • Purpose: "Hallux valgus" is a common disease encountered in clinical practice and is accompanied by foot deformities. Conservative treatment is commonly used in the early stages of hallux valgus. On the other hand, surgical treatment often becomes necessary as the deformity progresses. Surgical treatments involve various osteotomy methods or joint fusion procedures combined with soft tissue release, and outcomes from these surgical treatments are generally favorable. This study compared two soft tissue release techniques in the hallux region. Materials and Methods: This study conducted a retrospective cohort study on 48 participants who underwent surgical treatment for hallux valgus at a single institution from March 1, 2018, to March 31, 2023. A scarf osteotomy was performed in all cases, and the "Modified Mcbride procedure" or "Trans-articular approach" was done for soft tissue release. Hallux valgus angle (HVA), intermetatarsal angle (IMA), and the degree of subluxation of the lateral sesamoid were measured through simple foot radiographs taken before surgery and one year after surgery. Results: In the Modified Mcbride procedure group, HVA, IMA, and the sesamoid position grade decreased from 34.94° to 9.98°, 15.64° to 5.44°, and 2.47 to 0.44, respectively. In the trans-articular approach group, HVA, IMA, and the sesamoid position grade decreased from 33.42° to 7.34°, 15.06° to 6.03°, and 2.17 to 0.58, respectively. There was no significant difference in these changes between the preoperative and one-year postoperative measurements for both techniques (p-value>0.05). Conclusion: A radiological assessment of soft tissue release through the Modified Mcbride procedure and trans-articular approach in hallux valgus did not show significant differences. Therefore, both surgical techniques can be considered in the distal soft tissue release for a hallux valgus correction.