• Archives of Plastic Surgery
• /
• 제48권6호
• /
• pp.635-640
• /
• 2021

Background Injuries to the proximal interphalangeal (PIP) joint are common and complex. However, the treatment of osteochondral defects of the head of the proximal phalanx has rarely been described. Herein, we propose a new technique for the management of unicondylar defects of the proximal phalanx that can restore joint amplitudes and provide PIP stability. Methods In this cadaveric feasibility study, unicondylar defects were generated using striking wedges and chisels. First, a transverse tunnel measuring 2 mm in diameter passing through the head of the proximal phalanx was made. A second tunnel at the base of the middle phalanx with the same diameter was then created. The hemitendon of the flexor carpi radialis graft was passed through each of these tunnels. The proximal end of the graft was interposed in the area with a loss of bone substance. The ligamentoplasty was then tensed and fixed by two anchors on the proximal phalanx. Joint amplitudes and frontal stability were measured preoperatively and postoperatively. Results There was no significant change in the joint's range of motion: preoperatively, the mean mobility arcs were -2° to 113.80°, and they were -2° to 110° after the procedure (P=0.999). There was no significant difference in joint stability (P>0.05). Conclusions Ligamentoplasty with PIP interposition appears to be a possible solution for the management of unicondylar defects of the proximal phalanx. An evaluation of clinical results is planned in order to definitively confirm the validity of this procedure.

• 한국지반공학회:학술대회논문집
• /
• 한국지반공학회 2008년도 춘계 학술발표회 초청강연 및 논문집
• /
• pp.1400-1405
• /
• 2008

Execute surface of the earth geological survey for stability analysis of stealing cutting sides and investigated wide area nature of soil structure. Inflected DIPS that measure discontinuity's direction that develop to slope and is slope stability a wide use program for Stereographic Projection Method analysis that utilize geometrical correlation of stealing four sides and discontinuity surface. It is principle that angle of internal friction that is basis element of stability estimation applies direct shear test result on joint side, Examination is impossible by case execution, suppose by 30 angles that apply more conservatively in base rock slope sides usually and achieved analysis. When analyze, consider discontinuity's various adult that develop in research slope, after conduct first each discontinuity different assay falling into fault, joint, executed stability estimation which synthesize whole discontinuity data. When ailment element is recognized as analysis result, wished to present stability countermeasure way of most suitable to take into account of execution, stability, economic performance.

• 터널과지하공간
• /
• 제28권4호
• /
• pp.343-357
• /
• 2018

절리군 대표방향성에만 의존하는 기존의 평사투영 사면해석의 불확실성을 극복하고 해석결과의 신뢰성을 증진시키기 위하여 확률통계학적으로 도출된 절리극점들의 dense point 및 절리군 대표방향성과 암반구조 분석결과를 종합적으로 고려하여 사면거동양상을 분석하는 알고리즘을 고안하였다. 이를 위하여 절리극점들의 분포양상에 의거하여 절리확산지수를 산정하는 기법을 고안하였으며, 콘각에 따라 상이하게 도출되는 절리확산지수 및 절리군 수효와 방향성을 종합적으로 고려하여 사면해석에 사용될 대표방향성을 추출하였다. 이들 대표방향성을 평사투영분석에 활용하여 신뢰성이 증진된 사면해석을 수행할 수 있었다. 또한 평면파괴가 우려되는 사면에 대해 한계평형이론에 의거하여 민감도 해석을 수행하고, 사면 안정성에 대한 절리강도 및 외부하중 변화의 영향을 심도 있게 분석하였다.

• 한국정밀공학회:학술대회논문집
• /
• 한국정밀공학회 2013년도 춘계학술대회 논문집
• /
• pp.1235-1236
• /
• 2013

• The Journal of Advanced Prosthodontics
• /
• 제6권2호
• /
• pp.126-132
• /
• 2014

PURPOSE. This study was conducted to evaluate the influence of the implant-abutment connection design and diameter on the screw joint stability. MATERIALS AND METHODS. Regular and wide-diameter implant systems with three different joint connection designs: an external butt joint, a one-stage internal cone, and a two-stage internal cone were divided into seven groups (n=5, in each group). The initial removal torque values of the abutment screw were measured with a digital torque gauge. The postload removal torque values were measured after 100,000 cycles of a 150 N and a 10 Hz cyclic load had been applied. Subsequently, the rates of the initial and postload removal torque losses were calculated to evaluate the effect of the joint connection design and diameter on the screw joint stability. Each group was compared using Kruskal-Wallis test and Mann-Whitney U test as post-hoc test (${\alpha}$=0.05). RESULTS. The postload removal torque value was high in the following order with regard to magnitude: two-stage internal cone, one-stage internal cone, and external butt joint systems. In the regular-diameter group, the external butt joint and one-stage internal cone systems showed lower postload removal torque loss rates than the two-stage internal cone system. In the wide-diameter group, the external butt joint system showed a lower loss rate than the one-stage internal cone and two-stage internal cone systems. In the two-stage internal cone system, the wide-diameter group showed a significantly lower loss rate than the regular-diameter group (P<.05). CONCLUSION. The results of this study showed that the external butt joint was more advantageous than the internal cone in terms of the postload removal torque loss. For the difference in the implant diameter, a wide diameter was more advantageous in terms of the torque loss rate.

• 오토저널
• /
• 제9권4호
• /
• pp.61-68
• /
• 1987

The Bellows Joint which was used as a absorber or safety equipment to prevent the deformation or fracture of a structure, have been analyzed by the F.E.M using axi-symmetric conical frustum element. Using the F.E.M the general behavior of Bellows Joint corrugation can be investigated easily, and the stability of the analysis be guaranteed. In annular type corrugation, the F.E.M results were agreed with those of other theoretical analyses, but in the U type corrugation, the F.E.M results were more acceptable than those of others.

• 대한물리치료과학회지
• /
• 제28권2호
• /
• pp.57-64
• /
• 2021

Background: During squat exercises, Ankle joint stability during squat movement transfers forces produced by unstable supports or various loads to the leg joints and trunk, reducing the risk of injury; therefore, a reference is needed for correct ankle joint posture during squat exercises. The purpose of this study was to examine the effect of ankle joint stability on quadriceps femoris and hamstring activation during squat exercises. Design: Quasi-experiment one group pretest-posttest design. Methods: The participants in this study were 20 volunteers who performed squat exercises with and without kinesiology tape. We measured quadriceps femoris and hamstring activation using surface electromyography. The ankle joint was stabilized with kinesiology tape using the ankle balance taping (ABT) method. A paired t-test was performed to compare differences between taping conditions. Results: Vastus medialis and vastus lateralis activation were greater following squat exercises with kinesiology tape than without; however, the difference was not significant. Medial and lateral hamstring activation was not significantly different between taping conditions. Conclusion: Although it is difficult to maintain stability using kinesiology tape alone, ankle joint stability is believed to affect quadriceps femoris muscle activity, which increases the effectiveness of the squat exercise.

• 터널과지하공간
• /
• 제9권2호
• /
• pp.141-148
• /
• 1999

암반 내에 존재하는 절리의 분포 양상을 현실적으로 반영할 수 있는 개별요소해석에서, 절리의 거동을 모사하는 구성방정식의 적절한 선택이 해석결과에 미치는 영향은 매우 크다. 본 연구에서는 절리 암반 사면의 안정성 분석을 통하여 Barton-Bandits (BB)의 구성방정식과 Mohr-Coulom (MC)의 구성방정식을 비교해 보았다. 절리의 전단변위 발생에 따른 수직팽창을 허용하는 BB 모델에서는 현장의 사면 양상과 매우 유사한 결과를 도출하였으며, 그 결과 10cm 두께의 숏크리트 타설이 보강 방안으로 제안되었다. 반면, 수직팽창이 일정한 값으로 주어지는 MC모델에서는 외부 하중 조건에 대하여 둔감한 반응을 보이는 등 현장 상황을 충분히 예측하지 못하는 결과가 도출되었다.

• The Journal of Korean Physical Therapy
• /
• 제24권6호
• /
• pp.419-422
• /
• 2012

Purpose: Malalignment of the lower limbs may increases the difficulty of maintaining equilibrium. The purpose of this study was to study the effects of genu varum and poor posture in the sagittal plane on postural stability. Methods: We had 27 subjects with varus and 27 normal subjects participate in this study. Subjects for whom the distance between the medial epicondyles in the knee joint was more than 3 cm were classified as varus group, and subjects for whom the distance was less than 3 cm were classified as normal group. The measurements of static and dynamic stability were used overall stability index (OSI), anterioposterior stability index (APSI), and mediolateral stability index (MLSI) using a Biodex balance system. Results: When measuring the static stability index, there were significant differences in the mediolateral stability index between the varus and control groups. When measuring the dynamic stability index, there were significant differences in the overall, anteriorposterior, and mediolateral stability index between the varus and control groups. These results demonstrated that genu varum affects mediolateral movement in static stability, and overall, anterioposterior and mediolateral movements in dynamic stability. Conclusion: As genu varum affects static and dynamic stability in young adults, it increases the risk of injuries or falls. Exercise and surgery are required for realigning the genu varum. Future studies about postural stability in young children and elderly people who have a risk of falls due to lower postural control ability, are needed, as well as in young adults.

• 대한간호학회지
• /
• 제46권1호
• /
• pp.39-49
• /
• 2016

Purpose: This study was done to develop a postural-stability patient transfer technique for care helpers in nursing homes and to evaluate its effectiveness. Methods: Four types of patient transfer techniques (Lifting towards the head board of the bed, turning to the lateral position, sitting upright on the bed, transferring from wheel chair to bed) were practiced in accordance with the following three methods; Care helpers habitually used transfer methods (Method 1), patient transfer methods according to care helper standard textbooks (Method 2), and a method developed by the author ensuring postural-stability (Method 3). The care helpers' muscle activity and four joint angles were measured. The collected data were analyzed using the program SPSS Statistic 21.0. To differentiate the muscle activity and joint angle, the Friedman test was executed and the post-hoc analysis was conducted using the Wilcoxon Signed Rank test. Results: Muscle activity was significantly lower during Method 3 compared to Methods 1 and 2. In addition, the joint angle was significantly lower for the knee and shoulder joint angle while performing Method 3 compared to Methods 1 and 2. Discussion: Findings indicate that using postural-stability patient transfer techniques can contribute to the prevention of musculoskeletal disease which care helpers suffer from due to physically demanding patient care in nursing homes.