• 제목/요약/키워드: final closing

검색결과 52건 처리시간 0.036초

관절외 배부 폐쇄 쐐기 절골술을 이용한 Freiberg병의 치료 결과 (Outcome of Extraarticular Dorsal Closing Wedge Osteotomy for Freiberg's Disease)

  • 이준영;김웅희;정성;양성훈
    • 대한족부족관절학회지
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    • 제20권3호
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    • pp.126-130
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    • 2016
  • Purpose: The aim of this study was to evaluate the result of extraarticular dorsal closing wedge osteotomy in Freiberg's disease. Materials and Methods: Between February 2012 and July 2014, total 10 patients who underwent dorsal closing wedge osteotomy and followed up more than 1 year were selected for inclusion. Average age was 16.3 years, and average follow-up period was 15.5 months. The diagnosis was made using magnetic resonance imaging of those with a limitation in walking or usual activity due to pain in the metatarsal head. During operation, we removed loose body, and synovectomy was done. Osteotomy at the metatarsal neck and fixation with Kirschner wire were performed. X-ray was taken to check shortening of 2nd metatarsal and bone union. Moreover, we checked the active range of motion of 2nd metatarsophalangeal joint before and after surgery. At the last follow-up, the shortening of metatarsal, American Orthopaedic Foot and Ankle Society (AOFAS) score, visual analogue scale (VAS), and patient's subjective satisfaction were evaluated. Results: According to the Smillie's stage, there were 3 cases of stage II, 4 cases of stage III, and 3 cases of stage IV. Average bone union time on the osteotomy site was 8 weeks. Average shortening of metatarsal was 2.53 mm. Average AOFAS score improved significantly from 56.9 to 82.8 points at final follow-up (p<0.05), and average VAS score also improved significantly from 6.4 to 1.4 points at final follow-up (p<0.05). Average active range of motion at metatarsophalangeal joint improved from $28.0^{\circ}$ preoperatively to $46.5^{\circ}$ at the final follow-up. Other complications, such as metatarsalgia and arthritis, were not found; however, there was 1 case of delayed union with no symptom. Conclusion: In Freiberg's disease, dorsal closing wedge osteotomy is recommended for the improvement of clinical symptoms and range of motion.

방조제 체절시 사석 및 돌망태의 적정규모 산정을 위한 매뉴얼 개발 -I. 이론 및 모형의 검증- (Assessment Manual for Optimization of Structural Scale of Stone and Gabion at the Final Closure of Sea Dike -I. Verification of Theories and Models-)

  • 송현구;김종규;황인찬
    • 한국해안·해양공학회논문집
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    • 제21권2호
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    • pp.136-144
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    • 2009
  • 방조제 시공구간의 사석 및 돌망태의 적정규모를 산정하기 위한 매뉴얼을 개발하였다. 본 매뉴얼은 새만금 방조제 끝막이 구간의 상고공, 바닥보호공, 1차 사석재 구간을 대상으로 한 재료의 이동한계유속을 측정한 수리모형실험 결과와 기존의 경험공식에서 산정되는 규모별 이동한계유속의 비교 및 검증을 통해 개발되었다. 또한 현재까지 수행되지 않았던 사석과 돌망태를 혼용할 경우에 대하여도 이동한계유속을 측정하여 매뉴얼에 추가하였다. 본 매뉴얼은 새만금방조제 끝막이 기간 동안 발생유속에 대한 일별로 시공구간별 적정규모를 제시하였으며, 새만금방조제 끝막이가 끝난 후 그 적용성이 상당히 높게 평가되었다.

Analysis of Blood Flow Interacted with Leaflets in MHV in View of Fluid-Structure Interaction

  • Park, Choeng-Ryul;Kim, Chang-Nyung
    • Journal of Mechanical Science and Technology
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    • 제15권5호
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    • pp.613-622
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    • 2001
  • Interaction of blood flow and leaflet behavior in a bileaflet mechanical heart valve was investigated using computational analysis. Blood flows of a Newtonian fluid and a non-Newtonian fluid with Carreau model were modeled as pulsatile, laminar, and incompressible. A finite volume computational fluid dynamics code and a finite element structure dynamics code were used concurrently to solve the flow and structure equations, respectively, where the two equations were strongly coupled. Physiologic ventricular and aortic pressure waveforms were used as flow boundary conditions. Flow fields, leaflet behaviors, and shear stresses with time were obtained for Newtonian and non-Newtonian fluid cases. At the fully opened phase three jets through the leaflets were found and large vortices were present in the sinus area. At the very final stage of the closing phase, the angular velocity of the leaflet was enormously large. Large shear stress was found on leaflet tips and in the orifice region between two leaflets at the final stage of closing phase. This method using fluid-structure interaction turned out to be a useful tool to analyze the different designs of existing and future bileaflet valves.

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호안제체에서 Non-Darcy 흐름해석 (Analysis of Non-Darcy Flour in Tide Embankment)

  • 최흥식
    • 한국수자원학회논문집
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    • 제37권2호
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    • pp.87-96
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    • 2004
  • Li 등(1998)이 제안한 호안제체를 통과하는 non-Darcy 흐름에 대한 i- V관계식의 해석결과는 실측자료와의 비교결과 잘 맞는 것으로 나타났다. 따라서 이식의 사용은 현장에 적용성이 있는 것으로 평가되었고, 적용에 따른 변수인 공극율의 정확한 값의 입력이 요구된다. 관수로흐름과 Taylor의 평균수리수심에 기초한 사석에 적용되는 non-Darcy 특성의 흐름은 블록 및 케이슨 호안에도 적용 가능한 것으로 평가된다. 호안제체를 통과하는 흐름에 대한 정확한 계산은 호안의 최종체절 개방구간에서의 정확한 유속의 산정은 물론 축조 후의 호안 내의 수위의 변화를 예측할 수 있다.

초기평형상태 구현을 위한 사장교의 폐합단계 해석 (Closing Step Analysis in Cable-Stayed Bridges to Produce Initial Equilibrium Condition)

  • 박용명;윤재순;조현준;박충곤
    • 한국강구조학회 논문집
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    • 제19권2호
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    • pp.191-199
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    • 2007
  • 본 연구에서는 캔틸레버 공법으로 가설되는 사장교의 최종단계에서 초기평형상태를 구현하기 위한 폐합 방법을 제안하였다. 캔티레버식 가설에 의한 사장교에서 초기평형상태의 구현을 위해서는 거더 폐합단계에서 폐합단면 양측의 연직 처짐, 회전각 및 축방향 변위에 대한 적합조건을 만족시켜야 하는데, 본 연구에서는 실제 시공시 적용 가능한 데릭 크레인의 인양력과 케이블의 장력, 그리고 주탑부에 설치된 유압잭을 이용하여 적절한 폐합이 가능함을 제시하였다. 제안된 방법을 예제 교량의 시공단계 해석에 적용하여 그 타당성을 검증하였으며, 폐합시 축방향 변위에 관한 적합조건의 고려 여부가 주탑의 결과에 큰 영향을 끼치는 것으로 나타났다.

콘크리트댐 지진응답에서의 수직 지반운동의 영향 (Effect of Vertical Ground Motion on Earthquake Response of Concrete Dams)

  • 이지호
    • 한국지진공학회:학술대회논문집
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    • 한국지진공학회 2001년도 춘계학술대회 논문집
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    • pp.190-195
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    • 2001
  • In the present paper computational simulation of a concrete dam is performed to determine the effect of vertical ground motions on earthquake response of concrete dams. Cyclic and dynamic versions of the plastic-damage model proposed by Lee and Fenves are used to represent micro-crack development and crack opening/closing, which is important mechanism in nonlinear damage analysis of concrete structures subject to strong earthquake loading. The result shows that the vertical component of ground motion effects on final crack patterns and consequently, on displacement response.

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어은리 주민들의 출입구에 대한 인식 -경북 영천시 금호읍 어은리의 사례- (Residents' Recognition of House Entrance at Eoeun Village - The Case of Eoeun-Ri, Yiungcheon City -)

  • 이관희
    • 한국조경학회지
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    • 제29권5호
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    • pp.37-42
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    • 2001
  • This research is related to house entrance recognition of residents, who have long kept the entrance without a closing door in Eoeun village, Geumho, Keongbook. The purpose of the research was to interpret the recognition of a house entrance in Eoeun village with the theories of cultural ecology. Final results suggest the belief for all the inhabitant\`s welfare through anthropological adaptation to habitat. The fish in the Geumho River had sought the shelter from the heavy rain in summer. The Eoeun forest at the entrance of the village provided good shelter for the fish. The Eoeun residents thought that the safe shelter fur the river fish is also semantic for the people. They believed that if the fish could not find shelter, i.e., the Eoeun forest and left, the village could be not safe for their life. Therefore, even the entrance of house should be structurely opened for the fish shelter in a symbolic sense. The entrance without a closing door has implied that their life should depend upon their natural environments because they have believed that till now there have been no considerable accidents in the village.

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