• Title/Summary/Keyword: modified technique

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Modified Proximal Scarf Osteotomy for Hallux Valgus

  • Young, Ki Won;Lee, Hong Seop;Park, Seong Cheol
    • Clinics in Orthopedic Surgery
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    • v.10 no.4
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    • pp.479-483
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    • 2018
  • Background: We developed a modified proximal scarf osteotomy technique for moderate to severe hallux valgus in an attempt to obtain better correction of the deformity. In addition, we compared the clinical and radiographic results of this modified technique with those of the classic scarf osteotomy reported in other studies. Methods: Between December 2004 and July 2009, 44 cases of modified proximal scarf osteotomy was performed in 35 patients with moderate hallux valgus. The American Orthopedic Foot and Ankle Society (AOFAS) score, visual analogue scale (VAS) score, range of motion of the first metatarsophalangeal joint, and radiographic results were evaluated. Results: The mean hallux valgus angle and the mean first intermetatarsal angle improved from an average of $32.2^{\circ}$ and $14.3^{\circ}$, respectively, to an average of $12.5^{\circ}$ and $8.6^{\circ}$, respectively. The distal metatarsal articular angle improved from an average of $18.7^{\circ}$ to $12.4^{\circ}$. The preoperative mean AOFAS and VAS scores were 47 points and 7 points, respectively, which improved to 86 points and 1 point, respectively, at the final follow-up. Limited range of motion occurred in two cases postoperatively. The height of the first metatarsal-cuneiform joint, which was an average of 15.9 mm preoperatively, did not change. The first metatarsal-talus angle increased from an average of $4.1^{\circ}$ to $7.1^{\circ}$. Conclusions: The modified proximal scarf osteotomy for the treatment of moderate hallux valgus showed similar results with the classic scarf osteotomy with regard to changes in the first intermetatarsal angle and postoperative satisfaction. Therefore, we suggest the modified proximal scarf osteotomy be considered as well as other proximal osteotomy in the treatment of moderate to severe hallux valgus.

Validation of Gamma Knife Perfexion Dose Profile Distribution by a Modified Variable Ellipsoid Modeling Technique

  • Hur, Beong Ik;Jin, Seong Jin;Kim, Gyeong Rip;Kwak, Jong Hyeok;Kim, Young Ha;Lee, Sang Weon;Sung, Soon Ki
    • Journal of Korean Neurosurgical Society
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    • v.64 no.1
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    • pp.13-22
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    • 2021
  • Objective : High precision and accuracy are expected in gamma knife radiosurgery treatment. Because of the requirement of clinically applying complex radiation and dose gradients together with a rapid radiation decline, a dedicated quality assurance program is required to maintain the radiation dosimetry and geometric accuracy and to reduce all associated risk factors. This study investigates the validity of Leksell Gamma plan (LGP)10.1.1 system of 5th generation Gamma Knife Perfexion as modified variable ellipsoid modeling technique (VEMT) method. Methods : To verify LGP10.1.1 system, we compare the treatment plan program system of the Gamma Knife Perfexion, that is, the LGP, with the calculated value of the proposed modified VEMT program. To verify a modified VEMT method, we compare the distributions of the dose of Gamma Knife Perfexion measured by Gafchromic EBT3 and EBT-XD films. For verification, the center of an 80 mm radius solid water phantom is placed in the center of all sectors positioned at 16 mm, 4 mm and 8 mm; that is, the dose distribution is similar to the method used in the x, y, and z directions by the VEMT. The dose distribution in the axial direction is compared and analyzed based on Full-Width-of-Half-Maximum (FWHM) evaluation. Results : The dose profile distribution was evaluated by FWHM, and it showed an average difference of 0.104 mm for the LGP value and 0.130 mm for the EBT-XD film. Conclusion : The modified VEMT yielded consistent results in the two processes. The use of the modified VEMT as a verification tool can enable the system to stably test and operate the Gamma Knife Perfexion treatment planning system.

Ultrasound Imaging Based On Simultaneous Multiple Transmit Focusing Using Orthogonal Modified Golay Code (직교하는 변형된 골레이(Golay) 코드를 이용한 동시 다중 집속 기반의 초음파 영상 기법)

  • Kim, B.H.;Jeong, Y.K.;Song, T.K.
    • Proceedings of the KIEE Conference
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    • 2001.11c
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    • pp.187-190
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    • 2001
  • A new ultrasound imaging technique based on simultaneous multiple transmit focusing using orthogonal modified Golay codes is presented. modified Golay codes are used to increase signal-to-noise-ratio(SNR) and maximize the transmit power efficiency(TPE). Conventional Golay codes consist of a pair of complementary codes with same length and can be compressed into a delta-like signal due to their complementary property. In the present work, two modified Golay codes focused at different depths are transmitted at the same time, which are mutually orthogonal. On receive, these orthogonal modified Golay codes are separately compressed into two short pulses and individually focused. These two focused beam are combined to form a frame of image with improved lateral resolution. Computer simulations are performed to verity the proposed method improves the lateral resolution of image compared with the conventional echo system.

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Surgical Outcomes of Arthroscopic Modified Brostr$\ddot{o}$m Procedure in Chronic Lateral Ankle Instability (족관절 만성 외측 불안정증에서 관절경하 변형 Brostr$\ddot{o}$m 술식의 수술적 결과)

  • Cha, Min Seok;Cha, Seung Do;Kim, Eung-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.4
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    • pp.283-287
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    • 2013
  • Purpose: To evaluate the result of arthroscopic modified Brostrom procedure with suture anchor for chronic lateral ankle instability. Materials and Methods: Fifty-two patients with chronic lateral ankle instability were analyzed, who underwent arthroscopic modified Brostrom procedure between December 2010 and May 2012. Clinical evaluation was performed using AOFAS scroring and Sefton grading system. Results: The average AOFAS hind foot score increased from preoperative 61.9 to 88.8 at the last follow up. There were 35 excellent, 9 good, 4 fair, 4 poor results according to Sefton grading system. For one patient, lateral ankle instability recurred. Conclusion: Arthroscopic modified Brostrom procedure is considered to be an effective and satisfactory technique.

Design of Ergonomic Chair Considering Consumer's Emotional Preference and Usability, and Development of Interface for Designers (소비자 감성과 사용성을 고려한 인간공학적 의자 설계 및 디자인 인터페이스 개발)

  • Kim, Jeong-Ryong;Yun, Sang-Yeong;Pyeon, Heung-Guk;Jo, Yeong-Jin;Kim, Mi-Suk
    • Journal of the Ergonomics Society of Korea
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    • v.19 no.1
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    • pp.23-36
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    • 2000
  • In conventional ergonomics, consumer product can be made based on anthropometric data and specific design guideline. However, the product may not satisfy consumers because their emotional preference have not been properly considered in design phase. Therefore, in this study a new chair design process was introduced by which both consumer's emotional need and traditional ergonomic requirement can be satisfied. As a part of the process, the traditional Kansei engineering technique was modified to collect quantitative information of consumer's visual appreciation and physical feedback of various types of chairs. Furthermore, we developed an interface, so called, KADAS(Kamsung Analysis and Design Assistance System), for designers to use the technique in chair design. This software can help designers to understand what should be the most suitable shape in designing items such as seat, back and arm rest, etc. to meet the emotional need of consumers. This software displays the result of modified quantification theory I, and explains how to use the statistics. This study suggested a new approach for ergonomic design incorporated with Kansei Engineering technique. This technique can be also applied to other products by extending the database of KADAS.

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