• Clinics in Shoulder and Elbow
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• v.10 no.2
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• pp.155-159
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• 2007

Arthroscopic single-row rotator cuff repair is a well established surgical technique for the treatment of rotator cuff tears. However, the problem of postoperative retear remains a concern. Various avenues are being explored to address this problem. Some studies have suggested that restoring the anatomical footprint may improve the healing and initial strength of the repaired rotator cuff tendon. The double-row technique was introduced as a method of reconstructing the anatomical footprint. According to biomechanical studies on cadavers, this technique improved mechanical strength and reduced gap formation. However, the biological properties of reattached tendon such as tension, and vascularity have not been proved yet. Furthermore, the apparent mechanical superiority of the double-row over the single-row construction has not resulted in better functional outcomes. Therefore, the less complicated and less costly single-row technique is still the recommended treatment for rotator cuff repairs.

• Clinics in Shoulder and Elbow
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• v.9 no.1
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• pp.89-95
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• 2006

Purpose: Arthroscopic repair of rotator cuff tears are many techniques that have been developed to improve the initial postoperative strength of the repair. There was a doubt that current arthroscopic cuff repairs using a single row of suture anchors reproduce insufficient area of the anatomic cuff insertion, and concerns about failure of fixation often lead surgeons to limit early motion. Newer technique of double-row repair in arthroscopic treatment may provide initial stronger fixation and more contact with bone at the repair site than single-row repair did. We studied the comparison between clinical outcomes of arthroscopic single- and double-row repair in cuff tears at 1year postoperatively. Materials and methods: We retrospectively analyzed 40 shoulders with single-row repair and 38 shoulders with double-row repair of full-thickness rotator cuff tears between May 2002 and October 2004. Out of total 78 shoulders, 42 (54%) were male patients and 36 (46%) were female patients and the mean age at surgery was 56 years. All patients were diagnosed by physical examination and MRI. At 1year' follow-up after operation, we evaluated with the ASES and the Constant scoring system, and measured muscle power of abduction, internal and external rotation of the affected shoulder then compared with each other. Results: Mean ASES scores and Constant scores in double-row repair group improved more than single-row repair group significantly at 1year postoperatively. Muscle power of abduction and internal rotation, especially abduction power, improved more significantly in double-row repair group than in single-row repair. Conclusion: Arthroscopic double-row repair for the full thickness rotator cuff tear may be a superior technique, which showed better clinical outcomes and restoration of muscle power compared with single-row repair at relatively short period of postoperative follow-up. Restoration of footprint close to normal anatomy by double-row repair seems to play an important role in the recovery of muscle strength.

• Clinics in Shoulder and Elbow
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• v.11 no.2
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• pp.77-81
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• 2008

The goal of rotator cuff repairs is to achieve high initial fixation strength, minimize gap formation, maintain mechanical stability under cyclic loading and optimize the biology of the tendon-bone interface until the cuff heals biologically to the bone. Single row repairs are least successful in restoring the footprint of the rotator cuff and are most susceptible to gap formation. Double row repairs have an improved load to failure and minimal gap formation. Transosseous equivalent repairs (suture bridge technique) have the highest ultimate load and resistance to shear and rotational forces and the lowest gap formation. Even though the superior advantages of double row and transosseous equivalent repairs, those techniques take longer surgical time and are more expensive than single row repairs. Therefore single row repairs can be useful in bursal side partial thickness or small size full thickess rotator cuff tear.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2009.03a
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• pp.81-81
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• 2009

• Transactions of the Korean Society of Mechanical Engineers B
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• v.21 no.7
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• pp.911-918
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• 1997

The turbulent viscous wake flows behind a single airfoil, two-dimensional stationary blade row and three-dimensional rotating blade row were calculated, and the numerical results were compared with experimental ones. The numerical technique was based on the SIMPLE algorithm using three turbulent closure models, standard k-.epsilon. model(WFM), low Reynolds number k-.epsilon. model(LRN) and Reynolds stress model (RSM). In the case of a single airfoil, WFM, LRN and RSM presented fairly good velocity distributions in the wake compared with experimental data. In the case of the stationary blade row, LRN and RSM presented better results than WFM for wake velocity distribution, and especially LRN showed best results among these three turbulent models. In the case of the rotating blade row, WFM and LRN showed fairly good agreement with experimental data of the three-dimensional velocity component distributions in the range from hub to mid span region. LRN was also superior to WFM in accuracy of prediction for the wake velocity distribution as same with the cases of a airfoil and the stationary blade row.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2006.03a
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• pp.35-35
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• 2006

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2006.03a
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• pp.37-37
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• 2006

• Clinics in Shoulder and Elbow
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• v.11 no.2
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• pp.82-89
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• 2008

Ideal rotator cuff repair is to maintain high fixation strength and minimize gap formation for optimizing the environment of biologic healing of tendon to bone. Among the current repair techniques, the suture bridge technique is superior to single- or double-row repair in ultimate load to failure, gap formation, restoring anatomical footprint and achieving pressurized contact area. The suture bridge technique also minimizes gap formation and has rotational and torsional resistances allowing early rehabilitation. However, despite superior biomechanical characteristics of the suture bridge technique, there is no evidence that these mechanical advantages result in better clinical outcomes. Furthermore, there is no difference in failure rates between the double-row repair and suture bridge techniques. An appropriate repair technique should be determined based on tear size and pattern and tendon quality.

• Journal of Mechanical Science and Technology
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• v.17 no.11
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• pp.1801-1811
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• 2003

An experimental study was conducted to investigate the effects of air-side fouling and cleaning on the performances of various condenser coils used in unitary air-conditioning systems. A total of six condenser coils with different fin geometry and row number were tested. Performance tests were performed at three different conditions: clean-as-received, after fouling, and after cleaning. In all cases, it was observed that the fouling was mostly confined to the frontal face of the heat exchanger as reported in the previous investigations. The amount of deposited dust was more dependent on fin geometry for the single-row heat exchangers than for the double-row heat exchangers. The predominant effect of fouling was to cause a more significant increase in air-side pressure drop than a degradation in heat transfer performance. For the single-row heat exchangers, the pressure drop increased by 28 to 31%, while the heat transfer performance decreased by 7 to 12% at the standard air face velocity of 1.53 m/s depending on fin shape. For the double-row heat exchangers, the pressure drop increased by 22 to 37%, and heat transfer performance decreased by only 4-5% at the same air face velocity. Once the contaminated coils were cleaned according to the given cleaning procedure the original performance of the heat exchangers could almost be recovered completely. The pressure drop could be restored within 1 to 7% and the heat transfer performance could be recovered to within 1 to 5% of the originally clean heat exchangers. Therefore, it is concluded that a periodic application of the specified cleaning technique will be effective in maintaining the thermal performance of the condenser coils.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2008.03a
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• pp.125-126
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• 2008