• Title/Summary/Keyword: anchoring method

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Surgical treatment of recurrent mandibular dislocation by augmentation of the articular eminence (악관절 융기 증강술을 통한 습관성 악관절 탈구환자의 치험례)

  • Kim, Il-Kyu;Sihn, Joo-Ho;Oh, Sung-Seop;Choi, Jin-Ho;Kim, Hyung-Don;Oh, Nam-Sik;Kim, Eui-Seong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.2
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    • pp.238-242
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    • 2000
  • Recurrent mandibular dislocation is frequent morbidity of temporomandibular joint relatively. There are many etiologic causes in TMJ disorders but, difficult to find obvious one. Various treatment methods have been utilized for a mandibular dislocation. It is categorized into two groups broadly - nonsurgical or surgical methods. The basic rationale of the surgical method is to allow free movement of the condyle by reducing height of articular eminence or to limit anterior excessive movement of the condyle by increasing height of articular eminence or soft tissue anchoring procedure. In this case, 69 year-old woman was treated by augmentation of the articular eminence with mandibular symphysial bone graft leading to osteosynthesis without difficulty. As a result, favorable postoperative outcome was obtained functionally without any complication or recurrence.

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Feasibility of Use of a Barbed Suture (V-Loc 180) for Quilting the Donor Site in Latissimus Dorsi Myocutaneous Flap Breast Reconstruction

  • Thekkinkattil, Dinesh Kumar;Hussain, Tasadooq;Mahapatra, Tapan Kumar;McManus, Penelope Louise;Kneeshaw, Peter John
    • Archives of Plastic Surgery
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    • v.40 no.2
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    • pp.117-122
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    • 2013
  • Background Latissimus dorsi (LD) myocutaneous flap is a popular method of breast reconstruction which can be associated with high incidence of seroma formation. Quilting sutures at the harvest site are used to reduce this. Barbed sutures are self anchoring sutures which avoid multiple knotting and can be useful in quilting. Methods A retrospective analysis of prospectively maintained database of patients who underwent LD flap breast reconstruction between January 2009 and January 2011 was carried out. Seroma formation at the harvest site, wound related complications, inpatient stay and duration of surgery were analysed and a comparison was made between two groups where quilting was done with barbed (V-Loc) suture and conventional polydioxanone (PDS) II sutures. Results Fifty-seven patients were included of which 33 had quilting by V-Loc sutures and in 24 patients PDS II suture was used. Median age in the PDS group was 55 years (interquartile range [IQR)], 45 to 61 years) which was comparable to the V-Loc group (53 years [IQR, 48 to 59 years]; P-value 0.948). Sixteen patients (28%) had significant seroma formation and 5 (9%) patients developed superficial wound dehiscence. Incidences of seroma or wound complications were comparable (P-value 0.378 and 1.00, respectively). Secondary outcomes such as total duration of surgery, total inpatient stay, total amount of drain at the donor site were also similar in two groups. Conclusions Use of barbed sutures for quilting the donor site in LD flap reconstruction is a feasible option and the associated seroma formation and wound complications are comparable with conventional sutures.

A Revision Restoring Projection after Nipple Reconstruction by Burying Four Triangular Dermal Flaps

  • Kim, Ji Hun;Ahn, Hee Chang
    • Archives of Plastic Surgery
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    • v.43 no.4
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    • pp.339-343
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    • 2016
  • Background Numerous techniques have been used to achieve long-term projection of the nipple following nipple-areola reconstruction. However, the reconstructed nipple loses projection over time. We describe a technique that uses local flaps to improve the lost projection of reconstructed nipples. Methods Between November 2013 and March 2015, nine patients (11 nipples) underwent revisional nipple reconstruction for lost projection. Only C-H nipple reconstructions were included in this study. The medical history of each patient was reviewed and photographs were taken in front and lateral views. All patients attended routine follow-up visits. Deepithelialized triangular flaps were made on all four sides of the nipple and buried in the opposite corners in order to augment the volume of the nipple. Anchoring sutures were used to attach each triangular flap on the side opposite their point of origin, and the resulting defects were closed directly. Results This procedure was used successfully in nine patients (11 nipples). Adequate projection was achieved in all patients and no complications occurred. The average nipple height was 3 mm before operation, 7 mm one day after operation, 5 mm at the six-month follow-up, and 5 mm at the 12-month follow-up. The average nipple-areolar angle was $164^{\circ}$ before the operation, $111^{\circ}$ one day after the operation, $130^{\circ}$ at the six-month follow-up, and $133^{\circ}$ at the 12-month follow-up. Conclusions The method described provides a solution to the loss of projection in reconstructed nipples. We recommend this technique because it leads to better projection, greater volume, and a more natural shape.

Study of Etching Method for Plating Layer Formation of ABS Resin (ABS 수지상의 도금층 형성을 위한 에칭 방법 연구)

  • Choi, Kyoung Su;Choi, Ki Duk;Shin, Hyun Jun;Lee, Sang-Ki;Choi, Soon Don
    • Journal of the Korean institute of surface engineering
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    • v.47 no.3
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    • pp.128-136
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    • 2014
  • In the present study, we successfully developed an eco-friendly chemical etching solution and proper condition for plating on ABS material. The mechanism of forming Ni plating layer on ABS substrate is known as following. In general, the etching solution used for the etching process is a solution of chromic acid and sulfuric acid. The etching solution is given to the surface resulting in elution of butadiene group, so-called anchor effect. Such a rough surface can easily adsorb catalyst resulting in the increase of adhesion between ABS substrate and Ni plating layer. However a use of chromic acid is harmful to environment. It is, therefore, essential to develop a new alternative solution. In the present study, we proposed an eco-friendly etching solution composed of potassium permanganate, sulfuric acid and phosphoric acid. This solution was testified to observe the surface microstructure and the pore size of electrical Ni plating layer, and the adhesive correlation between deposited layers fabricated by electro Ni plating was confirmed. The result of the present study, the newly developed, eco-friendly etching solution, which is a mixture of potassium permanganate 25 g/L, sulfuric acid 650ml/L and phosphoric acid 250ml/L, has a similar etching effect and adhesion property, compared with the commercially used chromium acid solution in the condition at $70^{\circ}C$ for 5 min.

Slope stabilization with high-performance steel wire meshes in combination with nails and anchors

  • Rudolf Ruegger;Daniel Flum
    • Proceedings of the Korean Geotechical Society Conference
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    • 2000.11b
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    • pp.3-38
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    • 2000
  • Slope draperies in soil and rock are a well known method to avoid rockfalls into the roads or onto housings. Common wire mesh or a combination of wire mesh and wire rope nets are pinned to the slope by the means of fully grouted nails or anchors. Most of these installations have not been designed to stabilize the slope, but simply avoid the rocks from bouncing. The combination of soil- or rocknailing with a designable flexible facing system offers the advantage of a longterm stabilization of slopes and can replace other standard methods for slope stabilization. The capability to transfer axial and shear loads from the flexible facing system to the anchor points is most decisive for the design of the stabilization system. But the transfer of forces by mesh as pure surface protection devices is limited on account of their tensile strength and above all also by the possible force transmission to the anchoring points. Strong wire rope nets increase the performance for slope stabilizations with greater distances between nails and anchors and are widely used in Europe. However, they are comparatively expensive in relation to the protected surface. Today, special processes enable the production of diagonally structured mesh from high-tensile steel wire. These mesh provide tensile strengths comparable to wire rope nets. The interaction of mesh and fastening to nail / anchor has been investigated in comprehensive laboratory tests. This also in an effort to find a suitable fastening plates which allows an optimal utilization of the strength of the mesh in tangential (slope-parallel) as well as in vertical direction (perpendicular to the slope). The trials also confirmed that these new mesh, in combination with suitable plates, enable substantial pretensioning of the system. Such pretensioning increases the efficiency of the protection system. This restricts deformations in the surface section of critical slopes which might otherwise cause slides and movements as a result of dilatation. Suitable dimensioning models permit to correctly dimension such systems. The new mesh with the adapted fastening elements have already been installed in first pilot projects in Switzerland and Germany and provide useful information on handling and effects.

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Verification of Equipment Number Equation Considering New Types of Ships (선종 변화를 고려한 의장수 계산식의 적합성 검증)

  • Ku, Namkug;Ha, Sol;Lee, Kyu-Yeul;Yang, Jin-Hyeck;Bae, Jae-Ryu;Lee, Soo-Ho
    • Journal of the Society of Naval Architects of Korea
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    • v.52 no.2
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    • pp.119-124
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    • 2015
  • The purpose of this research is a verification of the current equation for calculating equipment number and a suggesting a method for development of a rational new equation. The equation for calculating equipment number consists of total surface area of a ship that fluid resistance act on. Equipment number determines the specification of anchoring and mooring equipment such as anchor weight, anchor chains length and diameter, the number, length and breaking load of tow lines and mooring lines. The equation for equipment number calculation is basically derived considering x, y components of a wind and current force acting on a ship. But this equation is only based on a tanker, which was main type of ships when the equation was derived. Therefore, verification of the equation is required for other types of ships, such as container carrier, LNG carrier, etc. Therefore, in this research, we find out the equation for equipment number calculation should be revised for other types of ships especially the container carrier, by comparing wind and current force acting on a ship to holding force of an anchor and anchor chains, which are selected based on the equipment number.

Subclavian Portal Approach for Isolated Subscapularis Tendon Tear - Technical Note - (견갑하 건 단독 파열에 대한 쇄골하 삽입구를 이용한 봉합술 - 술기보고 -)

  • Choi, Chang-Hyuk;Kim, Shin-Kun;Chang, Il-Woong;Kim, Se-Sik
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.221-225
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    • 2009
  • Purpose: For an isolated tear of the subscapularis tendon, the presented technique using a subclavian portal provides both a good angle for anchor placement and sufficient space for managing the upper portion of a subscapularis tendon tear. Materials and Methods: The conventional method needs 2 additional portals for traction, debriding the footprint and anchor fixation for repair. The presented technique requires only an anterior portal for suture management and a subclavian portal without cannula for suture anchoring and placement of suture hooks. Results: The two suture limbs of the anchor can be placed on the subscapularis tendon by the switching technique and these limbs are repaired sequentially. Conclusion: This technique is simple and reproducible and it can be applied to partial tears and minimally retracted subscapularis tears.

A Study on the Calculation of GHG Emissions from General Ships by Tier3 Method (일반선박의 Tier3 수준의 온실가스 배출량 산정에 관한 연구)

  • Bong, Choon-Keun;Park, Seong-Jin;Kim, Yong-Gu;Lee, Im-Hack;Lee, Hee-Kwan;Hwang, Ui-Hyun
    • Journal of Korean Society of Environmental Engineers
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    • v.33 no.10
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    • pp.701-708
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    • 2011
  • In this study, the emissions of GHG from general ships were calculated by Tier1 method based on the fuel consumption, and by Tier3 method based on the activities data such as power and SFOC of each engine, sailing characteristics (e.g. time and load factor, etc.) considering the ship type. In 2009, the emissions of GHG by Tier1 and Tier3 method were appeared 28.27 mega-ton $CO_{2eq}$ and 30.81 mega-ton $CO_{2eq}$. The emissions by Tier3 were slightly more than those by Tier1. We found that the values of the sailing characteristics for surveyed data are overestimated slightly. In the near future, more detailed researches for sailing characteristics considering ship types would be needed for sailing, anchoring, and berthing condition, etc.

Flexural Reinforcement of Timber Beams Using Carbon Fiber Plates (탄소섬유판을 사용한 목재 보의 휨보강)

  • Choi, Jin-Chul;Kim, Seung-Hun;Lee, Yong-Taeg
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.26 no.6
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    • pp.238-246
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    • 2022
  • This paper summarizes the development and evaluation of the reinforcement details of CFRP plates to improve the bending performance of wooden beams. In this study, the reinforcing technology using high-strength bolts for the end of beam were developed as reinforcement details for reinforcing wooden beams with CFRP plates by EBM method. In order to evaluate the bending performance, a bending test was conducted for the specimens with details of reinforcement such as the EBM method and the NSM method. From the experimental results, the EBM specimens without end restraints had both the CFRP plate attachment failure and the splitting failure of the wood. In the load-displacement curve, the non-reinforced specimens exhibited linear elastic behavior and then brittle fracture after the maximum load. The maximum load of the specimens reinforced by the EBM method increased by 31.5~63.0% compared to the non-reinforced specimens, and the maximum load according to the end restraints of the high-strength bolts increased by 24.0%. Based on the reinforcement amount of the same CFRP plate, EBM reinforcement was 2.67 times larger in maximum load increase rate than NSM reinforcement.

A refined Panax ginseng karyotype based on an ultra-high copy 167-bp tandem repeat and ribosomal DNAs

  • Waminal, Nomar Espinosa;Choi, Hong-Il;Kim, Nam-Hoon;Jang, Woojong;Lee, Junki;Park, Jee Young;Kim, Hyun Hee;Yang, Tae-Jin
    • Journal of Ginseng Research
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    • v.41 no.4
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    • pp.469-476
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    • 2017
  • Background: Panax ginseng Meyer (Asian ginseng) has a large nuclear genome size of > 3.5 Gbp in haploid genome equivalent of 24 chromosomes. Tandem repeats (TRs) occupy significant portions of the genome in many plants and are often found in specific genomic loci, making them a valuable molecular cytogenetic tool in discriminating chromosomes. In an effort to understand the P. ginseng genome structure, we characterized an ultrahigh copy 167-bp TR (Pg167TR) and explored its chromosomal distribution as well as its utility for chromosome identification. Methods: Polymerase chain reaction amplicons of Pg167TR were labeled, along with 5S and 45S rDNA amplicons, using a direct nick-translation method. Direct fluorescence in situ hybridization (FISH) was used to analyze the chromosomal distribution of Pg167TR. Results: Recently, we reported a method of karyotyping the 24 chromosome pairs of P. ginseng using rDNA and DAPI (4',6-diamidino-2-phenylindole) bands. Here, a unique distribution of Pg167TR in all 24 P. ginseng chromosomes was observed, allowing easy identification of individual homologous chromosomes. Additionally, direct labeling of 5S and 45S rDNA probes allowed the identification of two additional 5S rDNA loci not previously reported, enabling the refinement of the P. ginseng karyotype. Conclusion: Identification of individual P. ginseng chromosomes was achieved using Pg167TR-FISH. Chromosome identification is important in understanding the P. ginseng genome structure, and our method will be useful for future integration of genetic linkage maps and genome scaffold anchoring. Additionally, it is a good tool for comparative studies with related species in efforts to understand the evolution of P. ginseng.