• Clinics in Shoulder and Elbow
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• v.7 no.1
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• pp.41-45
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• 2004

In adhesive capsulitis of the shoulder of no response to nonoperative treatment, an arthroscopic capsular release and manipulation improves range of motion and pain relief. We performed an arthroscopic examination in the stiff shoulder, of which she had no response to nonoperative treatment, after the conservative treatment of a clavicular shaft fracture by motorcycle-driver traffic accident. We found the intra-articular 'rotator interval bridging scar adhesion' between subscapularis tendon and antero-superior glenoid fossa under the rotator interval which was no adhesion and contracture itself. We performed the scar adhesion removal and synovectomy, maintaining the rotator interval. We recommended nonsteroidal anti-inflammatory drug for postoperative pain relief and continuous active and passive range of motion (ROM) exercise to gain motions. Preoperatively, active and passive range of motion were 70° for forward elevation, 60° for abduction and especially 0° for external rotation. After postoperative 2 months, active ROM were 150° for forward elevation, 130° for abduction and 80° for external rotation. After postoperative 6 months, passive and active ROM were full. UCLA score improved from preoperative 9 points to postoperative 29 points.

• Archives of Plastic Surgery
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• v.39 no.2
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• pp.130-136
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• 2012

Background : Complex elbow injuries with associated nerve, muscle, or joint injury commonly develop post-inury stiffness. In order to preserve function, joint congruency, elbow stability and durable wound coverage must be achieved in a timely manner. Methods : A retrospective review of patients who underwent orthopaedic fixation followed by free anterolateral thigh (ALT) flap soft tissue coverage was performed. Five patients were identified and included in this study. Results : We present a series of 5 cases managed with this principle. Soft tissue defects ranged in size from $4{\times}9cm$ ($36cm^2$) to $15{\times}30cm$ ($450cm^2$) and were located either posteriorly (n=4) or anteriorly (n=1). Associated injuries included open fractures (n=3) and motor nerve transection (n=2). Wound coverage was achieved in a mean duration of 18.8 days (range, 11 to 42 day). There were no flap failures and no major complications. The mean postoperative active elbow motion was $102^{\circ}$ (range, $45^{\circ}$ to $140^{\circ}$). Conclusions : In our small series we have highlighted the safety and utility of using the free ALT flap in complex elbow injuries. The ALT flap has many advantages which include abundant skin and subcutaneous tissue; vascularised vastus lateralis muscle that was used in our series to obliterate dead space, provide a vascular bed for nerve grafts and combat infection; and, access to fascia lata grafts for reconstruction of the triceps tendon.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.33 no.4
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• pp.237-244
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• 2020

This study investigates the effect of the outrigger wall reinforced with post-tension on reducing differential column shortening. Since the outrigger wall is a concrete structure, the effect of its long-term behavior should be considered. The long-term behavior of the outrigger wall increases differential column shortening and decreases the shear force acting on the outrigger. When the stiffness of the outrigger becomes small, the effect of its long-term behavior increases. Furthermore, a method of reinforcing with post-tension to reduce differential column shortening is proposed. Following the analysis, it was confirmed that the post-tension method shows a significant reduction in the differential column shortening. This study shows that the effect of the outrigger wall reinforced with post-tension on reducing differential column shortening increases with the prestressing force of tendon.

• Journal of the Korea Concrete Institute
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• v.25 no.5
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• pp.555-564
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• 2013

An effective method was proposed in this study which can improve the strengthening effect of continuous girder bridges by external tendons. The improvement of the proposed strengthening method in comparison with conventional methods was analyzed by applying equivalent load concept. In order to verify the strengthening effect, the enhancement of load-carrying capacity achieved by external prestressing was investigated through the test of continuous beams that were or were not strengthened by the external prestressing. The continuous beams were fabricated by making the deck slab continuous according to general construction practice of an actual concrete girder bridge. The test results showed that the deflections and strains of the strengthened beam were significantly reduced when comparing with those of the non-strengthened beam for the same level of external loads, and the stiffness of the member increased by strengthening. In particular, it was verified that the proposed method can effectively reduce the tensile stresses of the deck caused by negative moment at the intermediate supports of a continuous bridge.

• Journal of the Korean Arthroscopy Society
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• v.12 no.2
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• pp.139-146
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• 2008

Purpose: The purpose of this study is to introduce the double bundle posterior cruciate ligament(PCL) reconstruction using Achilles allograft by the tibial inlay method and evaluate the clinical results of 11 cases who had PCL reconstruction using this method and were followed for more than 2 years after surgery. Materials and Methods: Our series consists of 11 cases of PCL reconstruction due to chronic posterior instability of knee and acute PCL rupture. The clinical results were assessed using the IKDC(International Knee Documentation Committee) scoring system, posterior stress radiographs and the maximum posterior displacement using a KT-1000TM arthrometer. Results: The average preoperative posterior displacement in 90 degree flexion stress radiograph was measured 13.4 mm and in 10 degree flexion the average posterior displacement using the KT-1000TM arthrometer was measured 11.4 mm. Postoperatively the 13.4 mm reduced to 4.4 mm and the 11.4 mm reduced to 3.9 mm. According to IKDC scoring system, 9 cases(81.8%) were satisfied. One case showed limitation of flexion with mild stiffness in the knee and another one case was not improved the posterior instability sufficiently and no complication of allograft was noticed. Conclusion: The double bundle PCL reconstruction using Achilles allograft by the tibial inlay method is a useful method for acute PCL rupture and chronic posterior instability of the knee including failed PCL reconstruction, because it will also make the posterior stability in the extension and 90 degree flexion position, and avoid the grafted tendon abrasion by acute turn of tibial tunnel.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.32 no.6
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• pp.359-366
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• 2019

Experimental and analytical studies on the behavioral characteristics of a pre-stressed (PS) steel girder are conducted to investigate the effects of deviators on the non-linear inelastic properties of the PS system. In this regard, 4 test specimens consisting of a steel H-beam, a straight cable with eccentricity, anchorages, and deviators are built and failure tests are performed under two-point loading. In addition, in-plane elastic deformation theories for the PS system without a deviator, and with three deviators at regular intervals are analytically formulated and solved using a symbolic calculation technique. To verify the validity of the experimental and the proposed analytical theories, the results obtained using FEM models composed of beam elements, rigid beam elements, and truss cable elements, are compared to the experimental results and the analytical solutions. As a result, it is determined that externally installed un-bonded deviators inhibit flexural deformation of the deformed beam to such an extent that their elastic stiffness, and failure strength are significantly improved compared to those of the PS system without deviators.

• Journal of the Korean Arthroscopy Society
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• v.17 no.1
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• pp.31-37
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• 2013

Purpose: This study performed to compare degree of joint stiffness and clinical results between early and delayed reconstruction of acute posterior cruciate ligament (PCL) injuries. Materials and Methods: Thirty-two Patients who underwent PCL reconstruction between March 2008 and October 2011 enrolled this study. We performed transtibial single bundle reconstruction using the allo-achilles tendon in all cases. We divided the patient into two groups, early reconstruction group underwent surgery before a week, delayed reconstruction group underwent surgery after 3 weeks, before 6 weeks. All the patients underwent aggressive joint motion exercise till surgery and enrolled post operative rehabilitation program. We checked posterior drawer stress radiography, range of motion, the Lysholm score, the International Knee Documentation Committee (IKDC) score and the Tegner score to evaluate the results. Results: At the final follow up the Lysholm score was 92.1 in the early group and 93.8 in the delayed group. All the cases were rated above B (near normal) on IKDC score (p=0.808, p=0.722). The Tegner score was 6.6 in the early reconstruction group and 6.2 in the delayed group (p=0.480), The average of maximum flexion and extension angle was $133.9^{\circ}$, $1.4^{\circ}$ in the early group and $133.6^{\circ}$, $1.1^{\circ}$ in the delayed group (p=0.560, p=0.581), no complication such as deep vein thrombosis or infection, no difference in posterior drawer stress radiography (p=0.750). Conclusion: We could obtain satisfactory clinical results in both the early and delayed reconstruction groups of acute PCL injuries. Therefore, the early reconstruction of PCL performed before a week could be one of the treatment options for acute PCL injury.