• Journal of Korean Foot and Ankle Society
• /
• v.21 no.4
• /
• pp.144-150
• /
• 2017

Purpose: To assess the clinical and radiographic results and complications of arthroscopy-assisted reduction and percutaneous fixation for patients with tongue-type Sanders type II calcaneal fractures. Materials and Methods: Between August 2014 and December 2015, 10 patients who underwent surgery using subtalar arthroscopic assisted reduction and percutaneous fixation for tongue-type Sanders type II calcaneal fractures were reviewed. The mean age was 50.8 years (36~62 years), and the mean follow-up period was 24 months (12~40 months). The clinical results were evaluated using the visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score at the regular follow-ups, and the foot function index (FFI) at the last follow-up. The subtalar range of motion (ROM) was evaluated and compared with the uninjured limb at the last follow-up. The radiographic results were assessed using the Bohler's angle from the plain radiographs and the reduction of the posterior calcaneal facet using computed tomography (CT). The postoperative complications were assessed by a chart review. Results: The VAS and AOFAS ankle-hindfoot score improved until 12 months after surgery. The FFI was 15 (1.8~25.9) and subtalar ROM was 75.5% (60%~100%) compared to the uninjured limb at the last follow-up. The $B{\ddot{o}}hler^{\prime}s$ angle was increased significantly from $2^{\circ}$ ($-14^{\circ}{\sim}18^{\circ}$) preoperatively to $21.8^{\circ}$ ($20^{\circ}{\sim}28^{\circ}$) at the last follow-up. The reduction of the posterior facet was graded as excellent in five feet (50.0%) and good in five (50.0%) on CT obtained at 12 months after surgery. One foot (10.0%) had subfibular pain due to a prominent screw head. One foot (10.0%) had pain due to a longitudinal tear of the peroneal tendon that occurred during screw insertion. Conclusion: Subtalar arthroscopic-assisted reduction of the posterior calcaneal facet of the subtalar joint and percutaneous fixation is a useful surgical method for tongue-type Sanders type II calcaneal fractures.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.2 no.2
• /
• pp.77-81
• /
• 2003

Purpose: The biomechanics and kinematics of knee joint were reviewed in this article. And then the common sports injuries were presented. Anatomy and Kinetics: None of the pairs of bearing surfaces in the knee joint is exactly congruent This allows the knee six degrees of freedom of motion. Tibiofemoral Kinematics: In flexion and extension, the axis of motion is not perpendicular to the medial-lateral plane of the joint, nor is it perpendicular to the axis of longitudinal rotation. This results in coupled varus angulation and internal rotation with flexion and in valgus angulation and external rotation with extension. Patellofemoral Articulation: Loads across the patellofemoral joint are indirectly related to the angle of knee flexion and directly related to the force generated within the quadriceps mechanism. Fractures of the Patella: Nonoperative treatment is indicated if the extensor mechanism is intact and if displacement of fragment is minimal. The specific type of internal fixation depends on the fracture pattern. It is important to repair retinaculum. Acute and Recurrent Patellar Instability: The degree of dysplasia and the extent of the instability play a large part in determining the success of nonoperative treatment. Patients who experience recurrent dislocations and patients with major anatomic variations require surgery to minimize their instability. Sports Injuries in School-age Atheletes: Patellar pain in young athletes groups a number of conditions, including Idiopathic Adolescent Anterior Knee Pain, Osgood- Schlatter Disease, and Sinding-Larsen-Johansson Disease.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.33 no.2
• /
• pp.821-831
• /
• 2013

As a result of recent research, it is reported that the periodic replacements criterion of rails is able to extend as grinding rail surface and using the continuous welded rail (CWR). In this study, we carried out fatigue tests on existing laid rails. Based on the test results, an S-N curve expressing the remaining life of laid rails at a fracture probability of 50% was obtained using weighted probit analysis suitable for small-sample fatigue data sets. As rails used for testing had different histories in terms of accumulated tonnage, the test data were corrected to average out the accumulated tonnage. We estimated the remaining service lives for laid rails on the urban railway using equations developed in the past to estimate rail base bending stress and that surface irregularities into consideration. Therefore, estimating the remaining service life of laid rails showed that the rail replacement period could be extended over 200 MGT, although it is necessary to remove longitudinal rail surface irregularities at welds by grinding. Also, the fatigue test results under fatigue limit, Haibach's rule appling half slope of S-N curve under the fatigue limit was considered more reasonable than modified Miner's rule for estimating rail fatigue life.

• Journal of the Korea institute for structural maintenance and inspection
• /
• v.21 no.3
• /
• pp.130-137
• /
• 2017

The purpose of this study is to provide a reasonable analytical method for the reinforced concrete beams which shows failure mode of shear and flexure-shear by proposing a modified formulation to consider the effect of shear deformation on the beam-column fiber element based on the flexibility method and a new constitutive law of inelastic shear response history for the section. A total of 6 specimens of reinforced concrete beams which is designed to cause shear failure before yielding longitudinal reinforcement to investigate the influence of the main experimental variables on the shear behavior characteristics and the analysis was performed by using a non-linear finite element analysis program (RCAHEST) applying the newly modified constitutive equation by the authors. The failure mode and the overall behavior characteristics until fracture are predicted appropriately for all specimens and the results are expected to be useful enough for the 3 - D analysis to carry out reliable results of large-scale and complicated structures in the future.

• Archives of Plastic Surgery
• /
• v.36 no.5
• /
• pp.623-628
• /
• 2009

Purpose: In cases where nasal fractures involve frontal process of maxilla or perpendicular plate of ethmoid, 4 - 5 days of nasal packing may not provide sufficient support for avoiding displacement after packing removal. Therefore a single Kirschner - wire(K - wire) is used as an internal splint when nasal fractures involve the above two areas. Methods: Thirty five patients during the last 3 practical years were treated with a K -wire pinning according to the anatomic locations of nasal fractures. We performed a retrospective study using 13 nasal fractures out of total 35 patients. Among 13 cases, 10 patients involved frontal process of maxilla, and 3 patients were diagnosed as bilateral nasal side wall fractures accompanied with fractures of perpendicular plate of ethmoid. One patient of the last three cases had been augmented with dorsal silicone implant long before the trauma. We analyzed the anteroposterior displacement of key stone area and the width between both lateral walls by comparing immediate postoperative radiographs with 2 month follow - ups. To reduce the errors, the same measurements were taken by two different inspectors, and the mean of each inspector's measurements was compared. Patient satisfaction was analyzed using a questionnaire regarding the esthetic and functional outcomes. Results: Ten patients underwent a longitudinal K - wire fixation in submucoperiosteal plane underneath the frontal process of maxilla. And three patients underwent a transverse K - wire fixation from the one side of lateral wall to the perpendicular plate of ethmoid and to the other side of lateral wall. The mean postoperative anteroposterior displacement of the key stone area measured by two inspectors were 1.84% and 3.06%; mean narrowing of bony pyramid were 1.33% and 1.48%, respectively. Subjective satisfaction scores regarding the esthetic appearance and the maintenance of nasal shape compared with immediate post - operative state with the long term ones were not different (p>0.05). Conclusion: K - wire pinning after closed reduction is a reliable and useful method for the treatment of nasal fractures involving frontal process of maxilla or perpendicular plate of ethmoid. This is because it achieves longer intranasal support after reduction. This method also leaves conspicuous external scar, and minimal soft - tissue injury.

• Journal of the Korea institute for structural maintenance and inspection
• /
• v.23 no.1
• /
• pp.71-77
• /
• 2019

Recently, most of the pile foundations have been applied as a method to transfer the heavy load of the structure to the ground with high bearing capacity. In this study, the pile-cap behavior between foundation and hollow-head precast reinforced concrete(HPC) pile reinforced with longitudinal rebar and filling concrete was experimentally evaluated depending on the cyclic load and reinforcement ratio. As the drift ratio increases, it was found that the cracks pattern and fracture behavior of two types of pile-cap specimens according to the reinforcement ratio were evaluated to be similar. As the reinforcement ratio increases by 1.77 times, the BS-H25 specimen increases the maximum load by 1.47 times compared to the BS-H19 specimen. However, the ductility ratio of positive and negative was decreased by 76% and 70% respectively. After the yielding of the pile-cap reinforcing rebars, the positive and negative stiffness of the all specimens were decreased by a range from 66% to 71% and a range from 54% to 57% respectively, and the average stiffness of BS-H25 specimen is 13% higher than that of BS-H19 specimen. The cumulative dissipated energy capacity of BS-H19 and BS-H25 specimen under ultimate load state is 5.5 times and 6.6 times higher than that of service load state.