• Journal of Korean Foot and Ankle Society
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• v.13 no.2
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• pp.133-137
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• 2009

Purpose: The purpose of this study was to evaluate the clinical results of the old Achilles tendon rupture treated with modified flexor hallucis longus (FHL) tendon transfer. Materials and Methods: Seventeen patients with old Achilles tendon rupture treated with modified FHL tendon transfer between March 2004 and February 2008 were enrolled in this study. Technically FHL was pass through the distal portion of the ruptured tendon instead of the drilled hole made on the calcaneus. The mean age of the patients was 37 years (range, 22~67 years), mean follow-up period was 28 months (range, 12~30 months). Patients' subjective satisfaction, calf circumferential diameter, range of motion of ankle and AOFAS ankle-hind foot score and Arner-Lidholm score was evaluated. Results: The average gap between the ruptured tendon was 52 mm (range, 47~56 mm). The AOFAS score improved from 47 pre-operatively to 91 points at the last follow-up. Sixteen patients were satisfied with the result free from discomfort, a patient had mild discomfort who had DM. fourteen patients had decreased range of motion less than 5 degrees while 2 patients had more than 7 degrees decrease compared to the intact side but had no discomfort in daily activities. Nine patients had less than 1 cm calf circumferential diameter difference and 7 patients had 1 to 3 cm diameter difference compared to the intact side. One who had more than 3 cm diameter difference had deteriorated muscle strength. Conclusion: Modified FHL tendon transfer can be a useful technique for the treatment of old Achilles tendon rupture when the gap is with large gap placed too proximal.

• Journal of the Korea Concrete Institute
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• v.14 no.6
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• pp.843-850
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• 2002

Linear transformation theory has been effectively used in the design and analysis of prestressed concrete structures. The underlying assumptions of the theory, which were often overlooked, are investigated in the respect of equivalent load method. As a result, it is found that the same equivalent loading system is produced for all the cases of the linear transformation by the assumptions of the conventional equivalent load method. On the other hand, equivalent loading systems in a strict and accurate sense do not satisfy the classical theories of the linear transformation. Also, it is shown that a little different equivalent loading system from the conventional one is obtained for each linear transformation according to the proposed equivalent load method that is derived from the self-equilibrium property of the tendon-induced forces. Therefore, it can be concluded that the linear transformation theory is valid only when referring to the conventional approximate equivalent load method. The discussions are further extended to the eccentrically located circumferential tendon in the wall of containment structures, where the problem of eccentricity is analyzed also from the view point of the linear transformation.

• Archives of Plastic Surgery
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• v.32 no.4
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• pp.539-542
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• 2005

Reconstructions of soft tissue defect of the posterior ankle including Achilles the tendon should take into account not only coverage but functional outcome. Various methods of tendon transfer and tendon graft have been reported as a single-stage procedure. With advances and refinements in microsurgical techniques, several free composite flaps including tendon, fascia, or nerve have been used in single-stage reconstructions of large defects in this area minimizing further damage to the traumatized leg. However, when free flap is not feasible for some reasons, this cannot be accomplished successfully. Here we present a patient with Achilles tendon and circumferential large soft tissue defect. Because of circulatory compromise of the lower extremity, free flap reconstruction could not be applied. Instead, cross-leg composite flap of the dorsalis pedis flap including the extensor hallucis brevis musle and tendon, and tendon strips of the Second, third and fourth extensor digitorum logus were employed, Functional reconstruction of the tendon and resurfacing were obtained at the same time. The flap was detached 3 weeks postoperatively, and the transplanted flap has survived without any complications. By 3 months after surgery, full weight bearing, tip-toe standing and even walking without crutch assistance was possible. When functional reconstruction with the free flap is unattainable in the large defect of the posterior ankle including the Achilles tendon, cross-leg composite island flap of dorsalis pedis flap and tendon strips of the extensor digitorum longus tendon is a viable alternative.

• Smart Structures and Systems
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• v.16 no.3
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• pp.415-433
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• 2015

Tendon failures in bonded post-tensioned bridges over the last two decades have motivated ongoing investigations on various aspects of unbonded tendons and their monitoring methods. Recent research shows that change of strain distribution in anchor heads can be useful in detecting wire breakage in unbonded construction. Based on this strain variation, this paper develops a damage detection model that enables an automated tendon monitoring system to identify and locate wire breaks. The first part of this paper presents an experimental program conducted to study the strain variation in anchor heads by generating wire breaks using a mechanical device. The program comprised three sets of tests with fully populated 19-strand anchor head and evaluated the levels of strain variation with number of wire breaks in different strands. The sensitivity of strain variation with wire breaks in circumferential and radial directions of anchor head in addition to the axial direction (parallel to the strand) were investigated and the measured axial strains were found to be the most sensitive. The second part of the paper focuses on formulating the wire breakage detection framework. A finite element model of the anchorage assembly was created to demonstrate the algorithm as well as to investigate the asymmetric strain distribution observed in experimental results. In addition, as almost inevitably encountered during tendon stressing, the effects of differential wedge seating on the proposed model have been analyzed. A sensitivity analysis has been performed at the end to assess the robustness of the model with random measurement errors.

• Journal of the Korea Concrete Institute
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• v.14 no.5
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• pp.759-765
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• 2002

Prestressing tendons in the wall of circular storage tank are investigated from the viewpoint of equivalent load method. Special attention is paid to the effectiveness of eccentricities of the hoop and vertical tendons. Local effect at the bent Point of vertical tendon in the wall with varying thickness is examined. Some aspects which are frequently overlooked or misinterpreted in the conventional analyses of vertical tendons are discussed. Numerical examples are presented to emphasize the significance of accurate analysis of the vortical tendon in practice. It is expected that the equivalent load method can be effectively used to simplify the analysis of tendons in the circular wall and to minimize the errors.

• Fashion & Textile Research Journal
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• v.21 no.4
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• pp.488-496
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• 2019

This study investigated if the proper pressure level on the wrist tendon area and muscle area of the lower arm are within the same range by examining the responses of blood flow and subjective evaluation. Subjects consisted of 18 males in their 20s, and the experimental bands were custom-made by applying size measurements of each subject. In the experiment, a total of 5 steps were selected by reducing 10 (Step 1) to 50 (Step 5)% from the original body size in the circumferential direction. Blood flow was measured with a sensor attached to the tip of the finger inside the right hand while sitting in a chair for 15 minutes. Blood velocity began to increase (0.82 kPa) when the wrist circumference around tendon area was reduced by 20% (Step 2) and reached its maximum (1.72 kPa) at Step 4. However, the preferred subjective pressure was 1.36 kPa, which was less than the maximum pressure value of 1.72 kPa for Step 4. Blood velocity began to increase when pressure on the muscle area was 1.38 kPa and reached its maximum at 2.16 kPa; however, the most preferred clothing pressure was 1.71 kPa. The results of this study showed that the appropriate pressure level was higher in the muscle area than in the wrist tendon of the lower arm and indicated that graduated compression is favorable.

• Journal of the Korean Society for Precision Engineering
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• v.30 no.4
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• pp.434-441
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• 2013

Bending motion has been used in the surgical instruments with bending structures and tendon mechanisms. A simplified bending angle amplification ratio between the proximal and distal bending joint was derived in this article. The bending structure of disk and rib in the proximal joint was analyzed based on finite element method with an emphasis on the circumferential uniformity of bending stiffness. Regarding the distal joint, optimal design and sensitivity analysis was done with four design variables of outer and inner diameter, rib height and rib width while maximizing the deformation under the stress distribution below the yield stress. Outer diameter and rib width are most critical to maximum deformation as the outer diameter and inner diameters are so to maximum equivalent stress.

• 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.