• Title/Summary/Keyword: Tendons

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Digital Replantation in Industrial Punch Injuries (천공 펀치 기계에 의한 수지 절단부의 재접합술)

  • Lee, Kyu-Cheol;Lee, Dong-Chul;Kim, Jin-Soo;Ki, Sae-Hwi;Roh, Si-Young;Yang, Jae-Won
    • Archives of Reconstructive Microsurgery
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    • v.19 no.1
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    • pp.12-20
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    • 2010
  • Purpose: Industrial punch accidents involving fingers cause segmental injuries to tendons and neurovascular bundles. Although multiple-level segmental amputations are not replanted to regain function, most patients with an amputated finger want to undergo replantation for cosmetic as much as functional reason. The authors describe four cases of digital amputation by an industrial punch that involved the reinstatement of the amputated finger involving a joint and neurovascular bundle. Amputated segments were replanted to restore amputated surfaces and distal segments. Methods: A single institution retrospective review was performed. Inclusion criteria of punch injuries requiring replantation were applied to patients of all demographic background. Injury extent (size, tissue involvement), operative intervention, pre- and postoperative hand function were recorded. Result: Four cases of amputations were treated at our institute from 2004 to 2008 from industrial punch machine injury. Average patient age was 32.5 years (25~39 years) and there were three males and one female. Sizes of amputated segments ranged from $1.0{\times}1.0{\times}1.2\;cm^3$ to $3{\times}1.5{\times}1.6\;cm^3$. Tenorrhaphy was conducted after fixing fractured bone of the amputated segments with K-wire. Proximal and distal arteries and veins were repaired using the through & through method. The average follow-up period was thirteen months (2~26 months), and all replanted cases survived. Osteomyelitis occurred in one case, skin grafting after debridement was performed in two cases. Because joints were damaged in all four cases, active ranges of motion were much limited. However, a secondary tendon graft enhanced digit function in two cases. The two-point discrimination test showed normal values for both static and dynamic tests for three cases and 9 mm and 15 mm by dynamic and static testing, respectively, in one case. Conclusion: Though amputations from industrial punch machines are technically challenging to replant, our experience has shown it to be a valid therapy. In cases involving punch machine injury, if an amputated segment is available, the authors recommend that replantation be considered for preservation of finger length, joint mobility, and overall functional recovery of the hand.

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Prestressing Effect of LNG Storage Tank with 2,400 MPa High-Strength Strands (2,400 MPa급 고강도 강연선이 적용된 LNG 저장탱크의 프리스트레싱 효과)

  • Jeon, Se-Jin;Seo, Hae-Keun;Yang, Jun-Mo;Youn, Seok-Goo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.6
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    • pp.999-1010
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    • 2016
  • High-strength strands have been increasingly applied to recent actual structures in Korea. Structural effect of the increased spacing of sheaths was investigated in this study when the usual 1,860 MPa strands of an LNG storage tank are replaced with 2,400 MPa high-strength strands. First, finite element models of a cylindrical wall of an LNG tank were established and prestressing effect of the circumferential and vertical tendons was considered as equivalent loads. As a result of varying the tendon spacing and prestressing force with the total prestressing effect kept the same, the stress distribution required in design was obtained with the high-strength strands. Also, a full-scale specimen that corresponds to a part of an LNG tank wall was fabricated with 31 high-strength strands with 15.2 mm diameter inserted in each of two sheaths. It was observed that such a high level of prestressing force can be properly transferred to concrete. Moreover, an LNG tank with the world's largest 270,000 kl capacity was modeled and the prestressing effect of high-strength strands was compared with that of normal strands. The watertightness specifications such as residual compressive stress and residual compression zone were also ensured in case of leakage accident. The results of this study can be effectively used when the 2,400 MPa high-strength strands are applied to actual LNG tanks.

Study on Some Qualitative Features of Meat from Young Goat of Bulgarian Breeds and Crossbreeds of Goats Slaughtered at Various Ages

  • Stankov, Iv.K.;Todorov, N.A.;Mitev, J.E.;Miteva, Tch.M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.15 no.2
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    • pp.283-289
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    • 2002
  • A comparative study on the quality of meat from three breeds of goats reared in Bulgaria: Local Aboriginal (LA); Bulgarian White Dairy (BWD) and crossbreeds of local aboriginal with Saanen goats (LA ${\times}$ S). Eight intact young male goats from each breed have been included in the experiment. The animals from the three breeds have been reared under similar conditions. The animals have been slaughtered at the age of 2 months (at weaning) and at the age of 6 months (upon reaching sexual maturity). The following tests have been performed on samples of m. longissimus dorsi between $5^{th}$ and $6^{th}$ ribs: pH 45 min post mortum, colorimetrically color of meat, water holding capacity and fatty acid composition of the fat. The thickness of muscle fibre and the proportion of muscle, connective and adipose tissue have been microscopically determined at m. longissimus dorsi, m. semitendinosus and m. iliopsoas. After deboning and separating the bigger tendons, the chemical composition of the meat from the left half of the carcass has been determined. The results reveal lack of statistically significant differences among the three breeds concerning pH, the water holding capacity, color of meat, thickness of the muscle fibre and fatty acid composition of the fat. The carcass meat of crossbreeds of LA ${\times}$ S contains significantly more fat than the other two breeds. This influences the proportion of muscle, connective and adipose tissue in m. longissimus dorsi, m. semitendinosus and m. iliopsoas, resulting in more adipose tissue in the LA ${\times}$ S compared to young goats of the LA or the BWD. There are differences in slaughtering 2-month-old goats (at weaning) and 6-month-old ones (upon reaching sexual maturity). At a greater age the content of fat in the carcass increases, as well as the quantity of the adipose tissue, the intensity of the colour of the meat and there is a tendency towards thickening of the muscle fibre and increasing the water holding capacity of meat. The moisture content in meat decreases due to the increase of fat.

An Experimental Study on the Flexural Behavior of RC Beams Strengthened with High-Strength Bars(1) (고장력 인장봉으로 보강된 RC보의 휨거동에 관한 실험적 연구(1))

  • Shin, Kyung-Jae;Kwak, Myong-Keun;Heo, Byung-Wook;Na, Jung-Min;Oh, Young-Suk
    • Journal of the Korea Concrete Institute
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    • v.18 no.4 s.94
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    • pp.527-534
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    • 2006
  • This paper outlines a new strengthening technique for concrete beams using externally unbended high-strength bars. The advantages of proposed method lie in speed and simplicity of construction compared to the alternative strengthening method. Externally unbended reinforcement retains many of the advantages over external unbended prestressed tendons. It eliminates time consuming stressing operations. Clearance requirements around anchorages are reduced as access is not required for prestressing jacks. Test results of eight specimens on reinforced concrete beams using different reinforcement materials such as carbon fiber sheet, steel plate and high-tension bar are reported. The beam strengthened by carbon fiber sheet showed a brittle failure mode due to the separation of fiber. As a result of draped profile of external bar, the maximum strength of the beam were increased by up to 212 percent and the deflections were reduced by up to 65 percent. Test results show that the beams reinforced with high-tension bar are superior to reference specimens, especially for the strength and deformation capacity.

Anatomy of the Sural Nerve in the Foot and Ankle and Its Surgical Implications (족부 및 족관절 부위에서 비복 신경의 해부학 및 수술시의 의미)

  • Lee, Woo-Chun;Park, Hyun-Soo;Han, Young-Kil;Chang, Byeong-Chun;Rim, Jang-Woon;Rha, Jong-Deuk
    • Journal of Korean Foot and Ankle Society
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    • v.2 no.2
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    • pp.88-92
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    • 1998
  • The course of the sural nerve in the calf has been well documented, but there is a general lack of information concerning the distal course of the nerve. The purpose of this study was to describe the distal course of the sural nerve and its surgical implications. Seven fresh amputated specimens were dissected to show the anatomy of the sural nerve in the foot and ankle. At the level of about 10cm proximal to the plantar surface, the sural nerve coursed anteriorly and inferiorly away from the Achilles tendon. 2 to 4 lateral calcaneal branches arose. The first branch of the lateral calcaneal branches coursed along the lateral border of the Achilles tendon, and it arose at 8cm proximal to the plantar surface in 2 specimens, 12cm proximal to the plantar surface in 4 specimens, and at 12cm proximal to the plantar surface in one specimen. The main nerve trunk continued distally plantar to the peroneal tendons and divided into two terminal branches and crossed peroneus longus tendon at the level of the inferior border of the calcaneo-cuboid joint, at about 3cm(range, $2.5\sim3.0$)cm from the plantar surface. In conclusion, a longitudinal incision lateral to the Achilles tendon would cross the path of the sural nerve at about 10cm proximal to the plantar surface. When the first branch of them arise more than 10cm above the plantar surface, a logitudinal incision lateral to the Achilles tendon may be made without damage. The other lateral calcaneal branches will be cut when we make transverse incision paralled to the plantar surface. The terminal branch also may be in danger by the same transverse incision.

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Comparison of Compliance, Time Required for Diagnosis and Pain of Patients with Finger Tendon Injury Between Gross and Ultrasonographic Confirmation (손가락 힘줄 손상환자에서 육안 검사와 초음파 검사의 순응도, 시간, 통증의 비교)

  • Lee, Seo-Woo;Park, Hyun-Jae;Lee, Jung-Won;Park, Sae-Hoon;Kim, Jae-Woo
    • Journal of Trauma and Injury
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    • v.23 no.2
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    • pp.83-88
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    • 2010
  • Purpose: It is not always easy to determine the existence of tendon injuries when it comes to patients with finger lacerations. Thus, we tried to find the difference in effectiveness and in compliance of patients when we employed two different types of diagnosis, conventional gross confirmation and ultrasonographic confirmation. Methods: From December 2009 to March 2010, we enrolled 14 patients with finger tendon injury at Soonchunhyang University Cheonan Hospital. The median age of the patients was $35.9{\pm}14.4$, and the ratio of females to males was 1:2.5 We evaluated the compliance of each patient by measuring four different categories (level of cooperativeness in showing their wound and in following the instructions, level of movement of their fingers during the diagnosis and total number of attempts to diagnose) by using a score from 1 to 3 for each category, for a total possible score of 12 for each patient. We also measured the painfulness of each patient by using a score of 1 to 10 and the time required for each diagnosis. Results: The levels of patients' compliance was $8.9{\pm}2.1$ when diagnosed with gross confirmation and $9.8{\pm}2.1$ when diagnosed with ultrasonographic confirmation (p value=0.042). The pain score of the patients was $3.7{\pm}1.7$ with gross confirmation and $2.9{\pm}1.2$ with ultrasonographic confirmation (p value=0.020). The median duration of time in each test was $6.7{\pm}4.8$ minutes with gross confirmation and $10.5{\pm}4.2$ minutes with ultrasonography (p value=0.006). Conclusion: Comparing gross confirmation and ultrasonographic confirmation, gross confirmation is a better method than ultrasonography because of time efficiency. However, ultrasonographic confirmation has advantages over gross confirmation in pain scale and better compliance of patients. Emergency physicians generally employ gross confirmation rather than ultrasonography in determining the existence of tendon injury in patients. In patients with finger lacerations without bone injury, ultrasonography can be considered as a secondary diagnostic tool, especially when patients have much pain.

Changes of Hysteresis Loop Characteristics of the Tendon Under Tensile Stress (Tendon의 인장응력에 따른 자기이력특성 변화의 측정)

  • Kang, Sunju;Son, Derac;Joh, Changbin;Lee, Jungwoo
    • Journal of the Korean Magnetics Society
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    • v.25 no.4
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    • pp.123-128
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    • 2015
  • The iron is an element having a high yield strength, mechanical hardness, good electrical conductivity, and also it has been used in various fields because of ease machining. In bridges have been used tendon made of a steel wire for large loads and light weight. Tension measurement of tendon employed in PreStressed Concrete (PSC) bridge is very important for the bridge safety check. NDT (Non-Destructive Testing) is essential for the safety check, however, magnetic NDT is difficult to apply due to the non-linear magnetization curve and hysteresis loop in the magnetic properties. In this work, for basic study of magnetic NDT application, we have constructed a B-H loop measuring system for 7-strand tendon of which diameter is 15.5 mm, and which can apply tensile stress up to 2.0 GPa. We have measured hysteresis loops of two kinds of tendons under different tensile stress. Amplitude permeability and maximum magnetic induction near knee show the most sensitive and high linearity depends on tensile stress. Relative amplitude permeability was decreased from 500 to 200 and maximum magnetic flux density changed 0.6 T.

Analysis and the Assessment of Exterior Design of Functional Sandals for Stature of Achilles Tendons (아킬레스건 신장용 기능성 샌들의 외형 디자인 평가 분석)

  • Yang, Keun-Young
    • The Journal of the Korea Contents Association
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    • v.12 no.6
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    • pp.182-190
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    • 2012
  • Based on the study, the issues and trends in the current functional sandal designs on the same product line will be examined for the future developments for the functional sandals and the results were obtained as follows. First, the sandals must have a high front heel with wide floors that meet the ground. Second, the preference for the chromatic colour is stronger than the achromatic colors. Third, the sandals must be designed in curves in terms of the height and shape of the heels and design must consider the shoe's balance. Fourth, the product must appear big to provide a sense of stability. However, the sandals must not be designed too big to make them look crude or cause inconvenience while exercising. Fifth, the sandals must not be designed in too complex ways. This study has investigated and analyzed the external design of functional sandals and the user reviews on the actual sandals were not done. Through more detailed studies, the diversity in the design of functional sandals must be south and Korea's competitive edge in the industry and design must be secured for the future.

A Study on the Optimum Cross-section and Tendon Profiles of 60 m span Half-Decked PSC Girder Bridge (Half-Deck을 포함한 60 m 경간 PSC 거더의 단면 및 텐던 프로파일 최적화 연구)

  • Kim, Tae Min;Kim, Do-Hak;Kim, Moon Kyum;Lim, Yun Mook
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.6A
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    • pp.417-424
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    • 2011
  • This study focused on development of 60 m span PSC girder considering not only structural performance, but also economical efficiency and constructability including from the improvement of cross-section to the tendon profiles in sequence. Bulb-T type cross section was derived from optimization and actual possibilities to design a bridge were assessed through cross section evaluation. Tendons were also arranged efficiently so that the girder could resist the service load effectively. After developed girder was applied to a sample bridge, result of finite element analysis proved all load steps were satisfied with the allowable stress. Furthermore, it seemed that sufficient redundancy will be available to design a bridge safely. Based on these, a full-scale 60 m span girder was fabricated and 4 point bending test was performed. An initial crack occurred over twice of the service load in this experiment, which establishes adequate structural performance. 60 m span Half-Decked PSC girder developed in this study has a lower height for the given span which resulted from cross section improvement and efficient tendon layout. This girder also has not only the structural advantage, but also advantages in economical efficiency and constructability.

Structural Performance of Pre-tensioned Half-depth Precast Panels (프리텐션 반두께 바닥판을 갖는 바닥판의 구조성능 평가)

  • Kim, Dong Wook;Shim, Chang Su
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.34 no.6
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    • pp.1707-1721
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    • 2014
  • Half-depth panels were developed with the merits of CIP (Cast In Place) decks and precast decks for constructability and fast construction. In this paper, details of half-depth panels with pre-tensioning were suggested. For evaluation of structural performance, five half-depth panel specimens were fabricated and static tests were conducted. The cross-sections of these specimens were composed of pre-tensioned half-depth panels and pre-tensioned two-span half-depth panels. Test parameters were the amount of the prestressing force and the longitudinal reinforcements. Static tests on simply-supported slabs showed that ultimate strength was 1.55 times greater than calculated nominal strength. The flexural strength was only 10 % increased and the influence on crack width control was negligible when the member of tendons was increased twice. For two-span continuous specimens, the ultimate strength increased 1.2 times and 1.38 times respectively as the reinforcement was additionally provided. The verified half-depth panels by this research can be effectively utilized for the fast replacement or construction of bridges.