• 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.

• Tunnel and Underground Space
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• v.21 no.3
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• pp.164-173
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• 2011

In the present study, the stability of a compressed air energy storage cavern was numerically assessed by concrete plug shapes in order to investigate the optimal shape of concrete plug. The concrete plugs were cylindrical, embedded cylindrical, tapered, and wedged in shape. The stability assessment was carried out based on factor of safety through a strength reduction method and a volume ratio which refers to the ratio of the volume of yield regions in concrete induced by internal pressure to all concrete volume. The results from the present study indicated that the embedded cylindrical and taper shaped plugs were mechanically more stable than the cylindrical and wedge shaped plugs. However, from a comparison of stress distributions in rock mass between the embedded cylindrical and taper shaped plugs, the taper shaped plug was found to be more optimal than the embedded cylindrical plug, since the embedded cylindrical plug caused more stress concentration in the interface between the plug and rock mass than the taper shaped plug.

• Journal of the Society of Naval Architects of Korea
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• v.45 no.5
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• pp.477-486
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• 2008

Numerical analysis for slamming impact phenomena has been carried out when 2-dimensional wedge shaped structure with finite deadrise angles enter the free surface by using a commertial CFD code, FLUENT. Fluid is assumed incompressible and entry speed of the structure is kept constant. Geo-reconstruct scheme (or PLIC-VOF scheme) is used for the tracking of the deforming free surface. User defined function of 6 degrees of freedom motion and moving dynamic mesh option are used for the expression of the downward motion of the structure and deforming of unstructured meshes adjacent to the structure. The magnitude and the location of impact pressure and the total drag force which is the summation of pressures distributed at the bottom of the structure are analyzed. Results of the analysis show good agreement with the results of similarity solution, asymptotic solution and the solution of BEM.

• Journal of Chest Surgery
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• v.39 no.3 s.260
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• pp.248-250
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• 2006

A 48-years-old woman was visited to our hospital because of incidental finding of intrapulmonary foreign body. Chest X-ray showed a 4cm sized foreign body in left upper lung field without adjacent fibrosis. Chest CT showed a sewing needle shaped foreign body of metallic density, located in the 113ft upper lobe. The foreign bodies including the needle were removed surgically using a wedge resection. The extracted needle was divided into three 4 cm pieces. Patient was discharged without other respiratory symptoms after surgery. We report a case of wedge resection in a patient with intrapulmonary needle in the left upper lobe, with review of literatures.

• Journal of Ocean Engineering and Technology
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• v.33 no.1
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• pp.26-32
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• 2019

The vortex flow behind a bluff body has been a subject of interest for a very long time because of its engineering applicability such as to vortex induced vibration. In the near wake of a bluff body, vortices are periodically shed in two shear layers, which originate in the trailing edges. The far wake is made up of the classical Karman vortices, which are connected together by streamwise and spanwise vortices. These vortex formations have been studied in many experimental and numerical ways. However, most of the studies considered non-cavitating flow. In this study, we investigated cavitating flow in the wake of a two-dimensional wedge. Experiments were conducted in a cavitation tunnel of Chungnam National University. Using a particle image velocimetry (PIV), we measured the velocity fields under two different flow conditions: non-cavitating and cavitating regimes. We also investigated the vortex shedding frequencies using an absolute pressure transducer mounted on the top of the test window. Throughout the experiments, it was found that the shedding frequency of the vortex was strongly affected by cavitation, and the Strouhal number could exceed its value in the non-cavitating regime.

• Journal of the Institute of Convergence Signal Processing
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• v.22 no.3
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• pp.122-127
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• 2021

Flow features near the ship bow such as wave breaking, small scale phenomena have been studied using numerical methods. In this study, the bow shaped wedge was adopted which is from previous paper [1, 2] and the conditions of simulation were Re = 1.64 × 10⁵) and Fr = 2.93. Star CCM+, one of the commercial CFD programs has been used for the simulations. Simulation results such as wave profiles near the ship bow, shape of plunging jet, air entrainment, and wave breaking process have been compared with previous experimental and numerical studies. Overall results showed good agreements with previous studies. Profiles of bow waves showed that overturning jet has been created and broken along the wedge. Plunging wave breaking has been observed along the wedge and four components of plunging wave breaking process were shown. It is confirmed that velocity near the overturing jet significantly increased during plunging wave breaking.

• Journal of the Korean Orthopaedic Association
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• v.55 no.2
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• pp.127-134
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• 2020

Purpose: The aims of this study were (1) to investigate the relationship between the characteristics of allogenic bone block and the compressive strength of an allogenic bone block measured by biomechanical experiments, and (2) to compare the maximum pressure load of allogenic bone block with the gap pressure measured at the high tibial opening osteotomy. Materials and Methods: Ten patients who provided informed consent for gap pressure measurements during opening wedge high tibial osteotomy (OWHTO) were included. The gap pressures were measured at 1 mm intervals while opening the osteotomy site from 8 mm to 14 mm. Seventeen U-shaped allogenous wedge bone blocks were made from the femur, tibia, and humerus. The height, width, cross-sectional area, and cortex thickness of the bone blocks were measured, along with the maximum compressive load just before breakage. The relationship between these characteristics and the maximum pressure load of the bone blocks was evaluated. The gap pressures measured in OWHTO were compared with the maximum pressure loads of the allogenous wedge bone blocks to evaluate the possibility of inserting allogenous wedge bone blocks into the osteotomy site without a distractor in OWHTO. Results: The OWHTO gap pressure increased with increasing osteotomy site opening. The mean gap pressure, which occurred at a 14-mm opening, was 282±93 N; the maximum pressure was 427 N. The maximum pressure load of the allografts was 13,379±6,469 N (minimum, 5,868; maximum, 29,130 N) and was correlated significantly with the cortical bone thickness (correlation coefficient=0.693, p=0.002) and cross-sectional area (correlation coefficient=0.826, p<0.001). Depending on the sterilization method, the maximum pressure loads for the bone blocks were 13,406±5,928 N for freeze-dried and 13,348±7,449 N for fresh frozen. The maximum compressive load of the allogenous wedge bone blocks was 13.7-times greater than that in OWHTO opened to 14 mm (5,868 N vs. 427 N). Conclusion: The compressive strength of allogenous wedge bone blocks was sufficiently greater than the gap pressure in OWHTO. Therefore, allogenous wedge bone blocks can be inserted safely into the osteotomy site without a distractor.

• Tunnel and Underground Space
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• v.30 no.4
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• pp.404-416
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• 2020

An analytical procedure for calculating the failure load of a V-shaped rock notch under two-dimensional stress conditions was developed based on the slip-line plastic analysis method. The key idea utilized in the development is the fact that the α-line, one of the slip-lines, extends from the rock notch surface to the horizontal surface outside the notch when the rock around the notch is in the plastic state, and that there exists an invariant which is constant along the α-line. Since the stress boundary condition of the horizontal surface outside the rock notch is known, it is possible to calculate the normal and shear stresses acting on the rock notch surface by solving the invariant equation. The notch failure load exerted by the wedge was calculated using the calculated stress components for the notch surface. Rock notch failure analysis was performed by applying the developed analytical procedure. The analysis results show that the failure load of the rock notch increases with exponential nonlinearity as the angle of the notch and the friction of the notch surface increase. The analytical procedure developed in this study is expected to have applications to the study of fracture initiation in rocks through wedge-shaped notch formation, calculation of bearing capacity of the rock foundation, and stability analysis of rock slopes and circular tunnels.

• The Journal of the Korean dental association
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• v.48 no.4
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• pp.297-307
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• 2010

Noncarious cervical lesions(NCCLs) are characterized as structural defects found on the tooth surface of the cement-enamel junction. Loss of tooth structure through noncarious mechanisms may vary in etiology and clinical presentation for each individual but presently many clinician now classify this as tooth failure of abfraction due to the stress applied in the cervical area of the tooth under oral physiological and pathological loads. In the current study, we investigated the stress distribution of maxillary premolar with NCCL using simulated 3D finite element analysis. The results were as follows: 1. In the sound maxillary premolar, the stresses were highly concentrated at cervical enamel surface of the mesiobuccal line angle, asymmetrically. 2. Once the lesion has been formed, the highest stress concentration was observed around the apex of the wedge shaped lesion. 3. In four types of NCCL, the patterns of stress distribution were similar and the peak stress was observed at mesial corner and also stresses concentrated at lesion apex. 4. Lesion cavity modification of rounding apex, reduced stress of lesion apex. 5. When restoring the notch-shaped lesion, material with high elastic modulus worked well at the lesion apex and material with low elastic modulus worked well at the cervical cavosurface margin.

• Journal of Trauma and Injury
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• v.19 no.2
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• pp.196-200
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• 2006

We report a case of celiac artery dissection after abdominal blunt trauma. A 29-year-old man visited the emergency room for acute left periumbilical pain after abdominal blunt trauma from his child. Computed tomography showed a wedge-shaped splenic infarction with splenic artery thrombus. He was hospitalized for careful observation, and after two days, follow-up computed tomographic angiography showed a progressed celiac artery dissection that involved common hepatic artery and an increased extent of splenic infarction. He underwent conventional angiography, and a self-expandable stent was placed between the celiac axis and the common hepatic artery. After two days, follow-up computed tomographic angiography showed good hepatic arterial blood flow via the stent and no progression of splenic infarction. After ten days, he was discharged without complications.