• Title/Summary/Keyword: mobile-bearing

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Microsurgical Decompression for Lumbar Stenosis via Unilateral Laminotomy (요추 협착증에 대한 일측성 추궁절개술을 통한 미세 수술적 감압술)

  • Shim, Yong-Jin;Ha, Ho-Gyun;Lee, Jong-Sun;Kim, Yong-Seog;Park, Moon-Sun;Kim, Joo-Seung
    • Journal of Korean Neurosurgical Society
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    • v.29 no.11
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    • pp.1505-1513
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    • 2000
  • Objectives : Many surgical procedures have been introduced to a symptomatic lumbar stenosis. Most of these procedures still have been regarded as an extensive surgical intervention with respect to normal aging process of the lumbar spine. We adopted a microsurgical decompression procedure via unilateral exposure as a minimally invasive intervention for symptomatic lumbar stenosis without instability. Materials and Methods : Fifty-seven patients with symptomatic lumbar stenosis underwent microsurgical decompression via unilateral laminotomy between March 1998 and December 1999. The conceptual modification and technical refinements were added to the previously reported microsurgical decompression procedure. Bilateral decompression through a unilateral laminotomy hole was performed in 11 patients. These patients profile also included 9 cases of degenerative spondylolisthesis(Grade I) without instability. Results : Preoperative neurogenic intermittent claudication(NIC) was more notably improved than low back pain, 60% to 82% during the follow-up period. Overall clinical results were excellent in 20(35%), good in 29(51%), fair in 6(11%) and poor in 2(3%). Conclusions : Microsurgical decompression for lumbar stenosis with stable spine provided a satisfactory symptomatic improvement without extensive destruction of the weight-bearing structures and functional mobile segments, even bilateral symptoms existed.

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Study of Producing Natural Gas From Gas Hydrate With Industrial Flue Gas (산업용 배기가스를 이용한 가스 하이드레이트로부터의 천연가스 생산 연구)

  • Seo, Yu-Taek;Kang, Seong-Pil;Lee, Jae-Goo;Cha, Min-Jun;Lee, Huen
    • 한국신재생에너지학회:학술대회논문집
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    • 2008.10a
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    • pp.188-191
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    • 2008
  • There have been many methods for producing natural gas from gas hydrate reservoirs in permafrost and sea floor sediments. It is well knownthat the depressurization should be a best option for Class 1 gas hydrate deposit, which is composed of tow layers: hydrate bearing layer and an underlying free gas. However many of gas hydrate reservoirs in sea floor sediments are classified as Class 2 that is composed of gas hydrate layer and mobile water, and Class 3 that is a single gas hydrate layer. The most appropriate production methods among the present methods such as thermal stimulation, inhibitor injection, and controlled oxidation are still under development with considering the gas hydrate reservoir characteristics. In East Sea of Korea, it is presumed that the thick fractured shale deposits could be Class 2 or 3, which is similar to the gas hydrate discovered offshore India. Therefore it is needed to evaluate the possible production methods for economic production of natural gas from gas hydrate reservoir. Here we would like to present the production of natural gas from gas hydrate deposit in East Sea with industrial flue gases from steel company, refineries, and other sources. The existing industrial complex in Gyeongbuk province is not far from gas hydrate reservoir of East Sea, thus the carbon dioxide in flue gas could be used to replace methane in gas hydrate. This approach is attractive due to the suggestion of natural gas productionby use of industrial flue gas, which contribute to the reduction of carbon dioxide emission in industrial complex. As a feasibility study, we did the NMR experiments to study the replacement reaction of carbon dioxide with methane in gas hydrate cages. The in-situ NMR measurement suggeststhat 42% of methane in hydrate cages have been replaced by carbon dioxide and nitrogen in preliminary test. Further studies are presented to evaluate the replacement ratio of methane hydrate at corresponding flue gas concentration.

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Total Ankle Arthroplasty : Short Term follow up Results of Semiconstrained Type and Unconstrained Type (족관절 인공관절 치환술: 반 구속형과 자유형 치환물의 단기 추시 결과 비교)

  • Kang, Kyu-Bok;Choi, Jae-Hyuck;Kim, Taik-Sun;Kim, Hak-Jun;Kwon, Jae-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.2
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    • pp.177-181
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    • 2007
  • Purpose: The purpose of this study is to compare the two prosthesis that used for total ankle arthroplasty. Materials and Methods: From Sept. 2003 to Jun 2006, 13 patients and 14 ankles that could be follow up more than 1 months. Semiconstrained type (Group I, 7 cases) and Unconstrained type (Group II, 7 cases) were used for total ankle arthroplasty. Mean age was 63.2 year-old, 12 ankles are men and 2 ankles were women. Mean follow up periods were 29 months. The criteria to compare the clinical result were postoperative range of motion, AOFAS score and residual bone stock of medial malleolus. Results: Postoperative range of motion of group I was $43.6{\pm}9.4$ degrees and of group II was $50.7{\pm}7.3$ degrees (p=0.115). Postoperative AOFAS score of group I was $77.1{\pm}13.0$ points and of group II was $86.0{\pm}5.7$ points (p=0.094). Resected bone stock in medial malleolus of group I was $10.7{\pm}2.5\;mm$ and of group II was $5.1{\pm}1.2\;mm$ (p=0.003). Total number of complication in our study was 9 cases. 3 cases were a malleolar fracture, two occurred at intra-operation, the other at follow-up period. Re-operation was done in 6 cases, 3 cases were calcaneal corrective osteotomy, 2 cases were resection of a heterotopic bone and one case was pedicular flap operation for skin problem. Conclusion: In our hospital, mobile bearing type prosthesis shows good result than a semiconstrained type in respect of residual bone stock in medial malleolus. Postoperative range of motion and AOFAS score between two groups shows no significant difference. But small number of patients and short term follow up period is a defect in our study, afterward more population and long term follow up period are needed.

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A Study on the Management of the Indian Ocean Tuna Fishing Grounds (인도양 다랭이어업의 어장관리에 관한 연구)

  • Gong, Yeong;Park, Yeong-Chull;Yang, Won-Seok;Lee, Je-Hu
    • The Journal of Fisheries Business Administration
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    • v.18 no.1
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    • pp.59-97
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    • 1987
  • Tuna and tuna fishing extend over most of the tropical waters of the world oceans, especially, this study of the Indian Ocean and the fish and the fishing vessels are highly mobile. No country can deal in isolation with the problems of its tuna fishery and of any tuna fishery in its waters, without collaborating with other countries. This cooperation is often best established through some formal international mechanism. The essential requirements are for information-on the resources, the fishery, the trade-and to identify where management actions are needed to consore the resources or to maintain the economic or social function of the fishery. These will also usually require some form of international mechanism. With the changes in the Law of the Sea, the siuuation in respect of management of tuna-considered among the highly migratory species, requirng special treatment-has also changed. At present there are both uncertainty regarding tuna management and political arguments as to how such management can be best implemented. Bearing this in mind, together with the fact that only few tuna stocks have shown clear evidence of serious depletion through over-exploitation, present emphasis will be placed on information requirements. This study included compiling the data necessary to review the state of stoks in the Indian Ocean tuna fishing grounds. Information on the resources-where the fish are, their quantity, their movements, etc. is important, whether in planning development of new fisheries, or considering the need for collaboration with other countries (in ascertaining to what extent their catches may affect catches of the natoinal fleet) or for conservation measures. A major source of information is the statistics of for conservation measures. A major source of information is the statistics of catch and fishing effort from existing commercial vessels. These need to be assembled for all fisheries on the same stock on an oceanwide basis. The statistical data also need to be analysed and intepreted, and combined with biological data(e.g., on growth, mortality and migration rates) to provide information that is intelligible and useful for administrators and other decision-makers. This must also be undertaken on a resource-wide or ocean-wide basis. Finally, because of the world-wide similarities in the methods of datching, processing and marketing fish, there is a particular tut not exclusive need in those countries just beginning to develop their tuna fisheries-to have ready access to a syntheis of information on tuna, tuna biology and tuna fisheries and tuna fisheries economics and management on the Indian Ocean.

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Clinical Results of Medial Unicompartmental Knee Arthroplasty in Elderly Patients Older than 70 Years of Age (70세 이상의 고령 환자에서 시행한 내측 슬관절 단일구획치환술의 임상 결과)

  • Kim, Kyung Tae;Lee, Song;Kim, Jin Hak;Lee, Ho Young;Kim, Myung Jin
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.1
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    • pp.34-41
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    • 2021
  • Purpose: To evaluate the long-term clinical results and survivorship of unicompartmental knee arthroplasty (UKA) in elderly patients older than 70 years by analyzing cases that have been implanted for >10 years ago. Materials and Methods: The long-term follow-up results were evaluated in 39 patients (46 cases) who underwent medial UKA from March 2002 to February 2004. The mean age of the patients at the time of surgery was 74.0 years, and the preoperative diagnosis was degenerative arthritis of the knee in all cases. Results: Of the 46 cases, reoperation occurred due to the complications in four cases. In 22 cases without 14 cases of death and six cases of follow-up loss, follow-up more than 10 years was possible. The mean Knee Society knee and function scores improved significantly from 53.0 and 52.5 points pre-operatively to 89.4 and 80.9 points at the last follow-up, respectively (p<0.001). The mean range of motion of the knee recovered to 132.5°, and the mean tibiofemoral angle changed to 5.9° of valgus at the last follow-up. Complications following the UKA occurred in four cases; the most prevalent complication was mobile bearing dislocation (n=2). One case of failure occurred due to aseptic loosening and degenerative arthritis of the lateral compartment, respectively. The cumulative survival rate of the implants was 95.0% at 10 years and 85.7% at 15 years. Of the 40 cases, excluding six cases of follow-up loss, 36 cases (90.0%) could be used without reoperation until death or at the last follow-up after surgery. Conclusion: These results showed the outstanding functions of the knee and satisfactory long-term survivorship after UKA. Therefore, UKA could be a useful method for the treatment of osteoarthritis of the knee in elderly patients older than 70 years of age.