• Journal of the Korean Society of Radiology
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• v.82 no.6
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• pp.1600-1605
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• 2021

Fibroma of the tendon sheath is a benign slow-growing fibrous tumor. Although rare, cases occurring in the upper extremities usually involve the fingers. It appears as a well-defined, roundor oval-shaped mass originating from the flexor tendon. Abundant fibrous stroma makes fibromas appear as a low intensity mass in all MRI sequences. Most of the fibromas manifest as painless soft tissue masses. Herein, we report a case of fibroma of the tendon sheath with an unusual clinical presentation, triggering carpal tunnel syndrome during wrist movement.

• Clinics in Shoulder and Elbow
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• v.26 no.4
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• pp.406-415
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• 2023

Background: Surgical management of a massive rotator cuff tear (RCT) is always challenging. This study describes the clinical and radiological outcomes of patients who underwent bridging grafts using a plantaris tendon for an irreparable RCT. Methods: Thirteen patients with a massive RCT were treated with arthroscopic interposition of a folded plantaris tendon autograft between June 2017 and January 2020. For clinical evaluation, a visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES) score, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Constant-Murley score, and range of motion values were collected. For radiographic evaluation, standardized magnetic resonance imaging and ultrasonography were performed to check the integrity of the interposed tendon. Results: A statistically significant improvement at the final follow-up was evident in scores for the VAS (-3.0, P=0.003), ASES (24.9, P=0.002), D ASH (-20.6, P=0.001), and Constant-Murley values (14.2, P=0.010). In addition, significant improvement was shown in postoperative flexion (17.3°, P=0.026) and external rotation (27.7°, P<0.001). In postoperative radiologic evaluations, the interposed tendons were intact at the last examination in 12 of the 13 patients. No complications related to donor sites were reported. Conclusions: An arthroscopic bridging graft for irreparable RCTs using a modified Mason-Allen stitch and a plantaris autograft resulted in improved short-term radiological and clinical outcomes. Graft integrity was maintained for up to 2 years in most patients. Level of evidence: IV.

• Journal of the Korea institute for structural maintenance and inspection
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• v.10 no.1
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• pp.165-172
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• 2006

A variety of techniques for strengthening have been developed, including pate bonding, external prestressing and overslabbing. Expecially, a strengthening technique for reinforced concrete beams using external unbonded reinforcement offers advantages in speed and simplicity of installation. The purpose of this paper is to investigate the capabilities of a new retrofitting technique, namely external prestressing(out-cable), for flexural strengthening of beams. Results of 2 physical tests (external Post-tension and out-cable system specimen) on strengthened reinforced concrete continuous beams are reported and compared. It is shown that the out-cable system can provide strength enhancement.

• Journal of the Korea institute for structural maintenance and inspection
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• v.12 no.4
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• pp.98-106
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• 2008

The strengthening in terms of efficiency, easy, economics is very popular method when it is applied to a damaged structures. The purpose of this study develops anchorage system that supports enough strengthening effect without any damage. In addition it is checked whether the method can be conveniently applied to structures. To verify strengthening effect a flexural experiments were performed. Four concrete beams were constructed and tested. Deflections, strains and modes of failure were recorded to examine strengthen of beams. Comparing crack load of each experimental data, yielding load, ultimate load, ductility index, and tendon stress were analyzed.

• Journal of the Korean Arthroscopy Society
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• v.8 no.1
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• pp.19-25
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• 2004

Purpose: To compare the results of two different autografts used to reconstruct the anterior cruciate ligament(ACL): bone-patellar tendon-bone and quadruple hamstring tendon. Materials and Methods: Forty one cases (20 bone-patellar tendon-bone cases and 21 quadruple hamstring tendon cases) were followed up more than 2 years postoperatively. Patellar tendons were fixed with interference screws and hamstring tendons were fixed with cross pins and intrafix sheaths and screws. Follow-up results were evaluated with KT-2000 arthrometer, International knee Documentation Committee(IKDC) evaluation form and follow up X-ray Donor site morbidity was analysed. Results: Final IKDC) scores more than B grade and side to side differences of manual maximum test using KT-2000 arthrometer showed insignificant differences(p>) between the two groups. Plain radiographs of hamstring group showed marked widening of the femoral and tibial tunnels at postoperative 2 years. Patellar tendon group showed 30% rate of anterior knee complications. Conclusion: ACL reconstruction using autogenous hamstring graft with new fixation method showed comparable clinical results to using autogenous patellar tendon graft with fewer anterior knee symptoms.

• Journal of the Korea Concrete Institute
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• v.21 no.4
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• pp.513-521
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• 2009

Recently, the externally prestressed unbonded concrete structures are increasingly being built. The mechanical behavior of prestressed concrete beams with external unbonded tendon is different from that of normal bonded PSC beams in that the slip of tendons at deviators and the change of tendon eccentricity occurs as external loads are applied in external unbonded PSC beams. The purpose of the present paper is therefore to evaluate the flexural behavior by performing static flexural test according to tendon area and tendon force. From experimental results, before flexural cracking, there was no difference between external members and bonded members. However, after cracking, yielding load of reinforcement, ultimate load, and the tendon stress of external members was lower than that of bonded members. For the relationship of load-tendon stress, the increasing of tendon strain was inversely proportional to the initial tendon force. However, even if the initial tendon force was large, the tendon strain with small effective stress was smaller than that with large effective stress. The concrete compressive strain was proportional to the effective stress of external tendon. From the comparison between test results and codes, the ACI-318 could not consider the effect of tendon force or effective stress, and especially the results of ACI-318 were very small, so it was very conservative. And the AASHTO 1994 could be influenced on the tendon area, initial force and effective stress, but as it was made on the basis of internal unbonded tendon, its results were much larger than the test results. For this reason, the new correct predict equation of external tendon stress will be needed.

• Journal of the Korean Orthopaedic Association
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• v.56 no.2
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• pp.157-163
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• 2021

Purpose: Xanthomatosis of the Achilles tendons is rare. In some patients, however, the lesions in the Achilles tendon need to be removed, which may be painful and disfiguring. While studies of successful surgical outcomes for the total resection and reconstruction of the Achilles tendon have been reported, reconstruction surgery has a technical challenge, and extended surgical exposures are required. This study analyzed five cases of bilateral xanthoma of the Achilles tendon, which was treated surgically using a wedge-shaped tendon-sparing approach to eliminate the need for tendon reconstruction. Materials and Methods: From July 2010 to May 2018, five patients with xanthomatosis in both Achilles tendons underwent wedge-shaped tendon preserving surgery. The average age was 49 years (range, 40-55 years), and the follow-up period was 21.4 months (range, 12-31 months). The patients consisted of three males and two females. Complications related to surgery were recorded. The outcome measures included the range of motion of the ankle joint, American Orthopaedic Foot and ankle Society (AOFAS) ankle/hindfoot score, and visual analogue scale (VAS) for overall satisfaction at the last follow-up. The availability of a single-limb heel raise and returning time to work were also measured. Results: Wound dehiscence that did not require secondary surgery was noted in one patient. At the last follow-up, the range of motion of the ankle joint was normal in all patients. The mean AOFAS ankle/hindfoot score was 91 (range, 85-96) and the VAS for the overall satisfaction ranged from 8 to 10. The average time between surgery and return to work was 27.6 days (range, 17-58 days) and all patients could perform a single-limb heel raise test. Conclusion: The tendon-sparing technique, which can preserve the anatomical functioning of the Achilles tendon, could be an excellent surgical approach because it has very promising functional and cosmetic surgical outcomes in patients with Achilles tendon xanthomatosis.

• Archives of Plastic Surgery
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• v.34 no.5
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• pp.580-586
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• 2007

Purpose: High tension electrical injuries result in major tissue(eg. bones, tendons, vessels and nerves) destruction. Therefore, the management of mutilating wrist caused by electrical injuries still represents a challenge. There are various approaches to this problem including local and regional flaps as well as pedicled distant flaps and microsurgical free tissue transfer. Although it has not gained wide acceptance, because of the technically demanding dissection of the pedicle, posterior interosseous flap is now well accepted for the reconstruction of hand and wrist in hand surgery. The principal advantages of this flap are minimal donor site morbidity, minimal vascular compromise, one stage operation. This flap also offers the advantages of ideal color match and composition. In this report, we describe our experience with the reverse posterior interosseous island flap for reconstruction of mutilating wrist with main vessel injuries. Methods: From October, 2004 to June, 2006, we treated 11 patients with soft tissue defects and main vessel injuries on the wrist that were covered with reverse posterior interosseous island flap. Results: These 11 patients were all male. The ages ranged from 27 to 67 years(mean age 41.75) and the follow-up period varied from 4 to 19 months. Complete healing of the reverse posterior interosseous island flaps were observed in 11 patients(12 flaps). The majority of these flaps showed a certain degree of venous congestion, which in a flap was treated with medical leech. 1 flap has partial necrosis owing to sustained venous congestion, requiring secondary skin graft. flap size varied from $3.5{\times}8cm$ to $10{\times}12cm$(mean size $6.4{\times}8.9m$). The donor site defect was closed directly in 5 flaps, and by skin graft in 7 flaps. Conclusion: We found that the reverse posterior interosseous island flap is reliable and very useful for reconstruction of mutilating wrist and we recommend it as first choice in coverage of soft tissue defects in the wrist with electrical arc injuries.

• Journal of the Korea Concrete Institute
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• v.23 no.4
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• pp.421-430
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• 2011

As a fundamental study to introduce the reliability-based design code, a statistical study is conducted for the material strength data collected from domestic construction sites. In order to develop a rational design code based on statistics and reliability theory, it is essential to obtain the statistical properties of material strength. Material strength data for concrete, reinforcing bars, and prestressing strands which are used in domestic construction sites are collected and statistically analyzed. Then, the statistical properties are compared with those used in the process of the reliability-based calibration of internationally leading design codes. The statistical properties of the domestic data are such that the bias factor is relatively uniform between 1.13 and 1.20 and the coefficient of variation is below 0.10. Reinforcing bar data show difference among different manufacturers but there is not much difference among re-bar diameters. In the case of tendons, which are high strength materials, both of the domestic and foreign data show smaller values of the bias factor and the coefficient of variation than those of concrete and re-bar. Statistical distribution of all the material strength can be properly assumed as normal, log-normal, or Gumbel distribution after analyzing the classified data by individual construction site and manufacturer rather than the mixed data obtained from different sources in order to express the individual distribution of each structure.

• Journal of Korean Foot and Ankle Society
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• v.1 no.1
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• pp.59-64
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• 1997

The aims of free tissue transplantation to the injured foot are to cover the exposed blood vessels, nerves, muscles, tendons and bones, to clear up infection, to lessen the morbidity, to shorten the hospitalization, and to prepare for further surgical procedures when no local or transpositioning flaps are available. Authors have carried out free flap transplantation in 13 cases of crushing injury, osteomyelitis and electrical burn in the foot at Chonbuk National University Hospital from June 1992 through May 1996. The results were as follows : 1. 9 cases of 13 (69%) were sustained from the traffic accident. 2. The dorsalis pedis free flap transplantation has been performed most frequently in 5 cases (38.5%), followed gracilis muscle flap in 4 cases(30.7%), rectus abdominis muscle flap in 2 cases(15.4%), latissimus dorsi muscle flap and upper arm flap in 1 each. 3. 6 muscle flaps were covered with split thickness skin graft 20 days after microsurgical anastomosis. 4. All of 13 cases were survived after microsurgical procedure and showed excellent coverage in the foot.