• Title/Summary/Keyword: Wiring technique

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Bipolar Hemiarthroplasty in Unstable Intertrochanteric Fractures with an Effective Wiring Technique

  • Jae-Hwi Nho;Gi-Won Seo;Tae Wook Kang;Byung-Woong Jang;Jong-Seok Park;You-Sung Suh
    • Hip & pelvis
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    • v.35 no.2
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    • pp.99-107
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    • 2023
  • Purpose: Bipolar hemiarthroplasty has recently been acknowledged as an effective option for treatment of unstable intertrochanteric fracture. Trochanteric fragment nonunion can cause postoperative weakness of the abductor muscle and dislocation; therefore, reduction and fixation of the fragment is essential. The purpose of this study was to perform an evaluation and analysis of the outcomes of bipolar hemiarthroplasty using a useful wiring technique for management of unstable intertrochanteric fractures. Materials and Methods: A total of 217 patients who underwent bipolar hemiarthroplasty using a cementless stem and a wiring technique for management of unstable intertrochanteric femoral fractures (AO/OTA classification 31-A2) at our hospital from January 2017 to December 2020 were included in this study. Evaluation of clinical outcomes was performed using the Harris hip score (HHS) and the ambulatory capacity reported by patients was classified according to Koval stage at six months postoperatively. Evaluation of radiologic outcomes for subsidence, breakage of wiring, and loosening was also performed using plain radiographs at six months postoperatively. Results: Among 217 patients, five patients died during the follow-up period as a result of problems unrelated to the operation. The mean HHS was 75±12 and the mean Koval category before the injury was 2.5±1.8. A broken wire was detected around the greater trochanter and lesser trochanter in 25 patients (11.5%). The mean distance of stem subsidence was 2.2±1.7 mm. Conclusion: Our wiring fixation technique can be regarded as an effective additional surgical option for fixation of trochanteric fracture fragments during performance of bipolar hemiarthroplasty.

A Study on the Establishment of Preventive Measures for Electric Fires Using the 4M Technique (4M 기법을 활용한 전기화재 예방대책 수립 연구)

  • Oh, Teakhum;Park, Chanseok
    • Journal of the Korea Safety Management & Science
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    • v.23 no.4
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    • pp.23-29
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    • 2021
  • The purpose of this study is to reduce the probability of occurrence of electric fires as a preemptive preventive measure, and to strengthen the capability of preventing electric fires by strengthening the cooperative function between electric fire-related departments and establishing a cooperative system. In this study, the general aspects of electric fires were identified by reviewing the literature such as ignition mechanisms of electric fires. And the major electrical fires that occurred in the last 10 years were classified into ignition factors (short circuit, overload/overcurrent, and earth leakage/ground fault) and ignition sources (wiring/wiring appliances, electrical equipment/household appliances). And the 4M technique was used to analyze the potential causes of ignition at the fire site and to suggest preventive measures. In the case In this study, out of 48 electrical fires in the past 10 years, 16 short-circuit fires, 3 overload/overcurrent fires, 3 short-circuit and earth fault fires, 16 fires in wiring/wiring appliances, and 10 fires in electrical equipment/home appliances classified as cases. And prevention measures were presented in terms of human, machine, media, and management by using the 4M technique. For the preemptive prevention of electric fires, strengthening the compulsory electrical safety inspection and making it mandatory to report when new or expanding electric facilities, charging a fee for electric safety inspection for detached houses and granting benefits subject to inspection completion, improvement of the electric safety voluntary inspection table and safety indications; It was suggested as a policy to organize and operate electrical safety inspection personnel in a two-person team (mixed), establish a close work cooperation system with related organizations, and strengthen electrical safety education and publicity.

Primary Arthroplasty for Unstable and Failed Intertrochanteric Fractures: Role of Multi-Planar Trochanteric Wiring Technique

  • Javahir A. Pachore;Vikram Indrajit Shah;Sachin Upadhyay;Shrikunj Babulal Patel
    • Hip & pelvis
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    • v.35 no.2
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    • pp.108-121
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    • 2023
  • Purpose: The primary objective of the current study is to demonstrate the trochanteric wiring technique. A secondary objective is to evaluate the clinico-radiological outcomes of use of the wiring technique during primary arthroplasty for treatment of unstable and failed intertrochanteric fractures. Materials and Methods: A prospective study including follow-up of 127 patients with unstable and failed intertrochanteric fractures who underwent primary hip arthroplasty using novel multi-planar trochanteric wiring was conducted. The average follow-up period was 17.8±4.7 months. Clinical assessment was performed using the Harris hip score (HHS). Radiographic evaluation was performed for assessment of union of the trochanter and any mechanical failure. P<0.05 was considered statistically significant. Results: At the latest follow-up, the mean HHS showed significant improvement from 79.9±1.8 (at three months) to 91.6±5.1 (P<0.05). In addition, no significant difference in the HHS was observed between male and female patients (P=0.29) and between fresh and failed intertrochanteric fractures (P=0.08). Union was achieved in all cases of fractured trochanter, except one. Wire breakage was observed in three patients. There were five cases of limb length discrepancy, three cases of lurch, and three cases of wire-related bursitis. There were no cases of dislocation or infection. Radiographs showed stable prosthesis in situ with no evidence of subsidence. Conclusion: Use of the proposed wiring technique was helpful in restoring the abductor level arm and multi-planar stability, which enabled better rehabilitation and resulted in excellent clinical and radiological outcomes with minimal risk of mechanical failure.

Percutaneus Cerclage Wiring in Distal Clavicle Fracture Type 2a - One Case Report - (원위 쇄골 골절 2a 형에서의 경피적 환상 강선 고정술 -1례 보고-)

  • Kim, Jae-Hwa;Lee, Soon-Chul;Cho, Duck-Yun;Yoon, Hyung-Ku;Lee, Yoon-Seok
    • Clinics in Shoulder and Elbow
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    • v.9 no.1
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    • pp.124-129
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    • 2006
  • Distal clavicular fracture frequently requires operative treatment due to high rate of non-union. The operative technique includes the tension band wiring, K- wire fixation, and cerclage wiring etc. Each method has disadvantages somewhat like pin migration or acromioclavicular joint injury and so on. For the distal clavicular fracture type 2a, because of its oblique fracture line, the cerclage wiring is suitable. We performed the cerclage wiring percutaneously under minimal incision without injury to periosteum for the patient who had the distal clavicular fracture type 2a, and the result was favorable.

Application of Plate and Circumferential Wiring with Resin to Bilateral Mandibular Fractures in a Calf: Case Report

  • Yu, Yong;Kim, Namsoo;Heo, Suyoung
    • Journal of Veterinary Clinics
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    • v.37 no.6
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    • pp.363-366
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    • 2020
  • A 2-month-old, 50 kg male Korean native calf was referred with bilateral mandibular fractures. The bilateral mandible was hanging loose, with inability to use the jaw, indicated by excessive salivation. Radiography revealed a long oblique fracture in the right mandible, and a short oblique fracture in the left mandible. Computerized Tomography, a different form of radiography, revealed the fracture in the left mandible to be a comminuted fracture. In order to stabilize the bilateral mandible fractures, a combination of bone plate and wiring was applied; in addition, resin was applied to enhance stabilization of the mandible. Six weeks after surgery, the calf was able to masticate and ruminate well. In this case, application of the plate and wiring with resin to bilateral mandibular fractures presented a successful functional recovery. Accordingly, the combination of bone plate and wiring with resin can be an effective technique for treating mandibular fractures.

Medial Canthopexy using Modified Hiraga's Incision for Correction of Traumatic Telecanthus (외상성 내안각격리증 환자에 있어 Hiraga 절개법을 이용한 내안각 고정술)

  • Lim, Jong-Hyo;Kim, Yong-Ha;Kim, Tae-Gon;Lee, Jun-Ho
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.504-508
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    • 2010
  • Purpose: Traumatic telecanthus can result from nasoethmoid-orbital fractures. Repair of the medial canthal tendon (MCT) using transnasal wiring is regarded as a choice of method to treat telecanthus, however, is often complicated by incomplete anchoring and drift of canthus, extrusion of wire, in-fracture of orbital bone, and eye damage. The authors introduced oblique transnasal wiring method through the Hiraga's epicanthopalsty incision instead of well-known classical bicoronal approach. Methods: Five patients with traumatic telecanthus were treated with this method. Though the Hiraga's epicanthoplasty incision, we could approach the operative field; the medial orbital wall and detached MCT. Oblique transnasal wiring was performed as following steps. After slit skin incision on the contralateral nasal recession area, drill holes were made from this point to the superior and posterior point of lacrimal sac of deformed eye. A 2-0 wire was double-passed through the holes and MCT. Traction was applied to ensure pulling the MCT and the wires were twisted in the contralateral nose, securing the MCT in the correct position. Results: All patients except 1 person showed improvement and rapid recovery. On average each canthus was moved 5.6 mm medially. In all cases, there were no eyelashes disappear, lacrimal canaliculitis, lacrimal duct injury, or infections. Conclusion: The Hiraga's epicanthoplasty incision could give sufficient operative field to reattach the MCT in traumatic telecanthus patients. And the oblique transnasal wiring technique is effective for the Asians who have flat nose and exophthalmic eye. The authors conclude that this technique could be a simple, safe and scarless method to correct traumatic telecanthus.

A Study on Intelligent Technique for Correlation Application of Overcurrent and Leakage Current Signals in the Indoor Wiring (옥내배선에서 과전류와 누전 신호의 상관관계 적용을 위한 지능형 기법 연구)

  • Kim, Doo-Hyun;Kim, Eun-Jin;Kim, Sung-Chul
    • Journal of the Korean Society of Safety
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    • v.30 no.4
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    • pp.14-19
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    • 2015
  • The purpose of this paper is to study the correlation application that electrical fire causes occurs for overcurrent and leakage current signals in the indoor wiring. In the order to purpose, the causes data of overcurrent, or leakage current of electrical fire are drawn out referring to past studies, consulting with experts and experimental data. The correlation application was then applied with fuzzy logic of intelligent technique. To check the reliability and performance of the correlation application, modified center of area(CoA) was adopted to calculate the possibility that electrical fire occurs, whose value was then compared to the results. The chance of electrical fire calculated is higher when two causes of fire are put into the CoA of the correlation application of this paper than that of when each cause is separately put into the CoA. The correlation application developed in this study enables better analysis on possible electrical fire due to overcurrent, or leakage current and provides managers with the possibility of electrical fire so that they can better manage at a time of overcurrent, or leakage current.

The Development of Micro Wiring System for Micro Active Endoscope (박막 공정을 이용한 초소형 내시경의 MicroWiring System의 개발)

  • Jung, Seok;Chang, Jun-Keun;Han, Dong-Chul
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1997.04a
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    • pp.362-365
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    • 1997
  • In the field of Micro-Mechanics, it has been known diffcult to integrate the micro-machine with sensor and source line for the conventional copper line cnanot be used in compact and small size. We developed a system to make thethin copper film as a connect line on the poyurethane pipe (2mm in diameter) by the evaporation technique. This system consists of an evaporation chamber two long branches, substrate hoider and a Linear-Rotary motion feed feedthrough. The results showed that thin copper film coated polyurethanc pipe could be applied th the small medical devices such as the micro active endoscope.

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The Design and Fabrication of SRAM Modules Surface Mounted on Multilayer Borads (다층 기판 위에 표면실장된 SRAM 모듈 설계 제작)

  • Kim, Chang-Yeon;Jee, Yong
    • Journal of the Korean Institute of Telematics and Electronics A
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    • v.32A no.3
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    • pp.89-99
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    • 1995
  • In this paper, we ecamined the effect that MCM-L technique influencess on the design and fabrication of multichip memory modules in increasing the packing desity of memory capacity and maximizing its electrical characteristics. For that purpose, we examined the effective methods of reducing the area of module layout and the wiring length with the variation of chip allocation and the number of wiring layers. We fabricated a 256K${\times}$8bit SRAM module with eight 32K${\times}$8bit SRAM chips. The routing experiment showed that we could optimize the area of module layout and wiring length by placing chips in a row, arranging module I/O pads parallel to chip I/O pads, and equalizing the number of terminal sides of module I/O's to that of chip I/O's. The routing was optimized when we used three wire layers in case of one sided chip mounting or five wire layers in case of double sided chip mounting. The fabricated modules showed 18.9 cm/cm$^{2}$ in wiring density, 65 % in substrate occupancy efficiency, and module substrate and functionally tested to find out the module working perfectly.

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EWIS Reliability Analysis of Aging Fighter Aircraft through Teardown Inspection (완전분해 점검을 통한 장기운영 전투기 전기배선시스템의 신뢰성분석)

  • Lee, Hoyong
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.26 no.4
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    • pp.116-121
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    • 2018
  • According to the incresement of aging aircraft, Republic of Korea Air Force (RoKAF) conducted a teardown inspection of aircraft's EWIS (electrical wiring interconnection system) to determine the status of deterioration and the influence of failure occurrences due to it. The inspected aircraft were the retired fighter jets that had been used for more than 40 years. By analyzing defect type and the defect tendency, RoKAF can establish the necessary measures for the usage extension of their fleet and furthermore, the analysis results can be used as a basic data for the preparation of it's aircraft aging. EWIS inspection was done throughout careful visual inspection technique by removing all the ducts and pipes located in the fuselage and wings. For the aircraft wiring where no damage was found, the elongation tests were performed to determine the deterioration of wiring according to the location of the aircraft. The connectors, which is the main cause of intermittent failure, were completely disassembled and inspected for internal damage such as corrosion, abrasion, and traces of foreign objects. The detected defects were classified into 4 severity levels based on the type of damage, and the classified defects were weighted according to the criticality which may affects to it's system to establish the action plan.