• 제목/요약/키워드: current reconstruction

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관절경적 전방 십자 인대 재건술 중 발생한 IntraFix Sheath의 관절 내로의 이동 (Intraarticular Migration of Intrafix Sheath during Arthroscopic ACL Reconstruction)

  • 조석훈;서영진;김용국;유연식
    • 대한관절경학회지
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    • 제14권2호
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    • pp.120-123
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    • 2010
  • 전방 십자 인대 재건술 중 간섭 나사 형태의 경골측 고정시 나사의 부적절한 삽입으로 인하여 합병증을 초래할 수 있다. 저자들은 27세 남자 환자의 전방 십자 인대 재건술 중 잘못 삽입된 Intrafix (DePuy Mitek, Raynham, MA) 나사에 의하여 Intrafix 관(sheath)의 관절 내로의 이동을 경험하였으며, 이에 문헌 고찰과 함께 보고하고자 한다.

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전방십자인대 재건술 - 잔류조직 보존술식 - (ACL Reconstruction - Remnant Preserving Technique -)

  • 이병일;천동일
    • 대한관절경학회지
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    • 제13권2호
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    • pp.97-104
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    • 2009
  • Optimal treatment of the torn anterior cruciate ligament (ACL) remains controversial. The complexity of surgically reproducing the natural biomechanical and anatomical function of the ACL has led to a diversity of reconstructive procedures. Controversy continues to exist regarding the best reconstructive procedure for the ACL deficient knee, but currently, there is no ideal method. Because of the increased frequency of ACL injury and the functional impairment resulting from that, the role of mechanoreceptors in the ACL recently has attracted considerable attention. Proper reconstruction of the ruptured ACL does not always have good results. Success after operation may depend not only on the mechanical stability but also on the quality of recovery of proprioception. It is well known that most ACL are ruptured in proximal half and most mechanoreceptors have been reported to be located in the subsynovial layer and near the tibial insertion of the ACL. Expected roles of tibial remnant is to enhance the revascularization and cellular proliferation of the graft, to preserve proprioceptive function, and to be able to acquire anatomical placement of the graft without roof impingement. The remnant of the ruptured ACL has been removed to clearly visualize the ACL footprint or decrease the risk of impingement and Cyclops lesion in most current techniques for ACL reconstruction. Therefore it seems reasonable to assume that preserving the tibial remnant as much as possible as a source of reinnervation, if technically possible without causing impingement, would be of potential benefit to the patient. In addition, it will facilitate the vascular ingrowth and ligamentization of the grafted ACL.

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Current status and evolution of microsurgical tongue reconstructions, part I

  • Choi, Jong-Woo;Alshomer, Feras;Kim, Young-Chul
    • 대한두개안면성형외과학회지
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    • 제23권4호
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    • pp.139-151
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    • 2022
  • Reconstructive surgery in the management of head and neck cancer has evolved to include structure-specific approaches in which organ-specific treatment algorithms help optimize outcomes. Tongue cancer management and reconstruction are surgical challenges for which well-executed reconstructive plans should be completed promptly to avoid delaying any subsequently planned oncologic treatment. Crucial considerations in tongue cancer resection are the significant functional morbidity associated with surgical defects, particularly in terms of speech and swallowing, and the consequent negative impact on patients' quality of life. With the evolution of microsurgical techniques and the development of the perforator flap concept, flap options can be tailored to the characteristics of various tongue defects. This has allowed the implementation of pliable flaps that can help restore tongue mobility and yield subsequent functional outcomes. Using an evolutional framework, we present this series of reviews related to tongue reconstruction. The first part of the review summarizes flap options and flap-related factors, such as volume and tissue characteristics. Related functional aspects are also presented, including tongue mobility, speech, and swallowing, as well as ways to evaluate and optimize these outcomes.

Maxillo-mandibular Defect Reconstruction with Bilateral Free Fibula Flaps with Dental Implant Placement and Immediate Loading: A Case Report of the Three-team Approach

  • Nazarian, David;Dikarev, Aleksei;Mokhirev, Mikhail;Zakharov, Georgy;Fedosov, Alexander;Potapov, Maksim;Chernenkiy, Mikhail;Vasilev, Yuriy;Kyalov, Grigoriy;Chausheva, Saniyat;Khachatryan, Arbak;Tevosyan, Artur;Arakelyan, Gevorg
    • Archives of Plastic Surgery
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    • 제49권5호
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    • pp.652-655
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    • 2022
  • Patients with advanced malignant tumors, including both jaws, is a challenging task for a head and neck surgeon. Current treatment landscape demonstrates good functional, anatomical, and aesthetic results in patients who could previously receive only palliative care. The extensive tissue defects resulting from oncological resections in the head and neck region require immediate reconstruction due to the exposure of vital structures and their contact with the external environment. A patient was operated using a three-team multidisciplinary approach involving simultaneous work of three specialized teams of maxillofacial and reconstructive microsurgeons, as well as an implantologist and a prosthodontist. This approach allowed simultaneous tumor resection with subsequent reconstruction of the intraoperative defect involving bilateral harvesting of two revascularized free fibular osteomusculocutaneous flaps with dental implantation and simultaneous rehabilitation of dentition with crowns.

Investigation of the super-resolution methods for vision based structural measurement

  • Wu, Lijun;Cai, Zhouwei;Lin, Chenghao;Chen, Zhicong;Cheng, Shuying;Lin, Peijie
    • Smart Structures and Systems
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    • 제30권3호
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    • pp.287-301
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    • 2022
  • The machine-vision based structural displacement measurement methods are widely used due to its flexible deployment and non-contact measurement characteristics. The accuracy of vision measurement is directly related to the image resolution. In the field of computer vision, super-resolution reconstruction is an emerging method to improve image resolution. Particularly, the deep-learning based image super-resolution methods have shown great potential for improving image resolution and thus the machine-vision based measurement. In this article, we firstly review the latest progress of several deep learning based super-resolution models, together with the public benchmark datasets and the performance evaluation index. Secondly, we construct a binocular visual measurement platform to measure the distances of the adjacent corners on a chessboard that is universally used as a target when measuring the structure displacement via machine-vision based approaches. And then, several typical deep learning based super resolution algorithms are employed to improve the visual measurement performance. Experimental results show that super-resolution reconstruction technology can improve the accuracy of distance measurement of adjacent corners. According to the experimental results, one can find that the measurement accuracy improvement of the super resolution algorithms is not consistent with the existing quantitative performance evaluation index. Lastly, the current challenges and future trends of super resolution algorithms for visual measurement applications are pointed out.

Automated Data Analysis of Floor Plans for the Remodeling of Apartment Housing

  • Seo, Wonseok;Kim, Seongah;Park, Junseok;Kim, Jinyoung
    • 국제학술발표논문집
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    • The 9th International Conference on Construction Engineering and Project Management
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    • pp.1059-1066
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    • 2022
  • In 2020, it was estimated that more than 2.4 million households in South Korea are over 30 years old. That is, more than 40% of all houses in Korea are old and that they require proper rehabilitation. The two options to improve poor living conditions are reconstruction and remodeling. Compared to reconstruction, remodeling has advantages in terms of the construction period, cost, and environmental impact. As such, the current Korean regulations are more favorable for remodeling than reconstruction. Typically, several candidate floor plans are presented in the early stages of an apartment remodeling project. Extracting information about bearing walls and other structural elements from the multiple plans to compare those plans quantitatively is one of the essential tasks during the early stage of a project. To cope with this task, an automated data extraction method for walls and slabs from before and after remodeling plans is developed. Through the developed program, load-bearing walls, non-bearing walls, slabs, and weight changes after remodeling can be analyzed and visualized in a fast and automated manner.

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단일 전류 감지기를 이용한 세탁기 BLDC 모터의 PWM Inverter 에서 고조파 저감방법에 관한 연구 (Study of harmonic reduction method in PWM Inverter of washing machine BLDC motor that use single current sensor)

  • 김화성;유지윤
    • 전력전자학회:학술대회논문집
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    • 전력전자학회 2007년도 추계학술대회 논문집
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    • pp.142-144
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    • 2007
  • 이 논문은 세탁기 모터 구동을 위한 단일 전류 센서 방식에서 3상 전류 복원 방법에 대한 기존 방법에 있어서의 문제점 개선 을 위하여 최소전압 주입 방식 과 Smooth 전압 주입 방식을 제시 하고 인버터에서의 전류 복원 향상을 통한 고조파 와 소음 개선 방법을 제시 하였다. 또한 제시된 방식의 타당성을 검증하기 위한 시뮬레이션 및 실험 결과를 고찰하는 것을 목적으로 한다.

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단일 전류 센서를 사용한 3상 PWM 정류기의 새로운 제어 (A New Control of Three-Phase PWM Rectifier with Single Current Sensor)

  • 이우철;현동석;이택기
    • 대한전기학회논문지:전기기기및에너지변환시스템부문B
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    • 제48권8호
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    • pp.440-447
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    • 1999
  • This paper proposes a control method for three-phase PWM rectifier with only single current sensor in DC link side. A PWM modulation strategy for reconstructing three phase currents from the DC link current is given. The states of the retifier switch are modified so that all phase currents can be reconstructed in a switching period although one or two of active vectors is applied only for a short time. Therefore, a new current control using an adjustment scheme of the modulation signal for three-phase PWM rectifier will be discussed, and verified the experimental results.

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고조파 복원에 의한 CELP 음성 부호화기의 저대역 확장 (Low-band Extension of CELP Speech Coder by Recovery of Harmonics)

  • 박진수;최무열;김형순
    • 대한음성학회지:말소리
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    • 제49호
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    • pp.63-75
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    • 2004
  • Most existing telephone speech transmitted in current public networks is band-limited to 0.3-3.4 kHz. Compared with wideband speech(0-8 kHz), the narrowband speech lacks low-band (0-0.3 kHz) and high-band(3.4-8 kHz) components of sound. As a result, the speech is characterized by the reduced intelligibility and a muffled quality, and degraded speaker identification. Bandwidth extension is a technique to provide wideband speech quality, which means reconstruction of low-band and high-band components without any additional transmitted information. Our new approach considers to exploit harmonic synthesis method for reconstruction of low-band speech over the CELP coded speech. A spectral distortion measurement and listening test are introduced to assess the proposed method, and the improvement of synthesized speech quality was verified.

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후방 십자 인대의 해부학과 생역학 (Anatomy and Biomechanics of the Posterior Cruciate Ligament)

  • 김형수
    • 대한관절경학회지
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    • 제2권1호
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    • pp.4-14
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    • 1998
  • As with anterior cruciate ligament reconstruction, posterior cruciate ligament(PCL) reconstruction requires a good understanding of the anatomy and biomechanical properties of the PCL to place the graft correctly as well as to choose the appropriate structure and material for the graft. The anatomy and function of the PCL can be somewhat confusing and continuing to evolve so far. Recent studies have focused on the insertion site anatomy and the identification of the functional components of the ligament. The issue of the ligament isometry and the role of PCL in knee kinematics are still totally resolved. This article can be provided an update on current concepts of the anatomy and biomechanics of the PCL through literature reviews. A clear understanding of these knowledges enables the clinicians to diagnose injuries to the PCL accurately and to reconstruct these structures successfully.

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