• 제목/요약/키워드: nailing

검색결과 224건 처리시간 0.031초

Intramedullary Screw Fixation for Clavicle Shaft Fractures: Comparison of the Anterograde versus the Retrograde Technique

  • Rhee, Yong Girl;Cho, Nam Su;Cho, Sung Whan;Song, Jong Hoon
    • Clinics in Shoulder and Elbow
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    • 제19권1호
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    • pp.8-14
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    • 2016
  • Background: The purpose of this study was to investigate the difference between two nailing approaches of intramedullary screw fixation, the retrograde nailing versus the anterograde nailing, on the radiological and clinical outcomes in patients with clavicle shaft fractures. Methods: From April 2002 to August 2014, we enrolled a total of 22 patients with clavicle shaft fractures to participate in this study. Twelve patients received retrograde intramedullary nailing and 10 received anterograde nailing. The average duration of follow-up was 12 months. In all the patients, we took follow-up radiographs of the anteroposterior and the axial views to assess the postoperative radiological outcomes. We measured the visual analogue scale (VAS) score, American Shoulder and Elbow Surgeons (ASES) score, and the range of motion (ROM). Results: Clinically, we did not find a statistically significant difference in the retrograde group and the anterograde group in terms of the duration to bone union, the VAS score the ASES score and the ROMs. Radiologically, we found that the difference in the clavicle shortening of the affected arm and the unaffected arm did not show a statistically significant difference at the immediate postoperative assessment. we found that the difference in the clavicle shortening of the affected arm between the immediate postoperative and the final follow-up value did not show a statistically significant difference. Conclusions: We found that both the retrograde nailing and the anterograde nailing gave a favorable outcome for clavicle shaft fractures. Although we saw evidence of clavicle shortening after intramedullary screw fixation, this was not a factor that influenced clinical outcome.

대형파괴재하시험을 통한 조립식 쏘일네일 벽체의 거동분석 (Behavior Analysis of Assembling Soil Nailed Walls through Large Scaled Load Test)

  • 강인규;권영호;박신영;기민주;김홍택
    • 한국지반환경공학회 논문집
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    • 제9권4호
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    • pp.23-36
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    • 2008
  • 쏘일네일링 공법은 수동보강재를 이용하여 원지반의 전단강도를 증가시켜 지반을 보강하는 공법이다. 쏘일네일링 공법에서 전면벽체는 현장타설 콘크리트 격자블록과 현장타설 콘크리트 벽체의 2가지 형태가 있으며, 1:0.7 보다 완만한 사면일 경우에는 현장타설 콘크리트 격자블록이 사용되고 있다. 또한 1:0.5 보다 급한 사면인 경우에는 숏크리트에 두께 30cm 정도의 현장타설 콘크리트 벽체를 합벽으로 시공하는 형태의 전면벽체가 활용되고 있다. 이 연구는 새로운 쏘일네일링 공법으로 조립식 쏘일네일링 공법을 제안하였다. 조립식 쏘일네일링 공법은 두께 20cm의 공장 제작된 콘크리트 패널을 사용하여 조립식으로 시공하는 공법으로 기존의 쏘일네일링 공법에 비해 전면벽체의 품질과 시공성을 향상시킬 수 있으며, 사면 절취 후 바로 콘크리트 패널을 절취면에 부착하여 전체 사면의 안정성을 증대시키는 효과가 있다. 본 연구에서는 실물규모의 사면단면에 파괴재하시험을 실시하여 조립식 쏘일네일링 공법에서 사용하고 있는 콘크리트 패널에 의한 전면벽체의 강성에 의한 구속효과에 의한 영향을 규명하고자 하였다. 대형파괴재하시험결과 숏크리트 전면벽체로 시공된 일반 쏘일네일링 공법에 비해 콘크리트 패널의 강성 전면벽체를 사용한 조립식 쏘일네일링 공법의 경우 하중-침하 관계가 우수한 것으로 나타났다.

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족관절 기능과 증상을 중심으로 평가한 경골 원위부 골절에서의 금속정 치료 결과 (The Function and Symptoms of Ankle Joint in the Distal Tibial Fractures Treated by Nailing)

  • 김병민;배서영;노재영
    • 대한족부족관절학회지
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    • 제12권1호
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    • pp.86-92
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    • 2008
  • Purpose: To evaluate the safety and prognostic factors of intramedullary nailing of distal tibia fractures in terms of function and symptoms of the ankle joint. Materials and Methods: We retrospectively analyzed 22 distal tibial fractures with intramedullary nailing. The mean duration of follow-up was 43 months. We reviewed medical records to describe each case. We measured radiographic parameters such as fracture configuration, arthritic change of the ankle joint and status of reduction. We also assessed clinical results by AOFAS ankle hind foot scoring system, degree of pain by VAS and range of motion to find out prognostic factors for functional result of the ankle joint. Results: Bone healing was obtained in all cases without any wound complications. Mean AOFAS ankle score was 94. There were 4 cases with mild (VAS<3/10) ankle pain and 2 cases with mild limitation of ankle motion. The comminution of fracture had a significant relationship with delayed angular deformity of ankle joint (p=0.032). There was no other significant parameter affecting ankle joint function except the location of nail-end. Conclusion: Intramedullary nailing in distal tibia fracture is a safe and effective procedure. But further study may need to evaluate the relationship between the position of nail-end and the function of ankle joint.

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간편 시행쐐기법을 이용한 스파이럴 파이프 네일링 시스템의 안정해석 및 적용성에 관한 연구 (A Study on Application and Stability Analysis of Spiral Pipe Nailing System Using Simplified Trial Wedge Method)

  • 김홍택;박시삼;박성철;정성필
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2004년도 춘계학술발표회
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    • pp.651-658
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    • 2004
  • In this study, we introduced the spiral pipe nailing system (refer as SPN system) with self drilling method, can apply to ground which is hard to keep shape of bore hole, and performed limit equilibrium analysis with simplilied trial wedge method while length ratio and bond ratio were altered to evaluate slope stability considered of tensile strength and bending stiffness. A newly soil nailing system named as the SPN system is respected to reduce displacement of nail and increase global slope stability. And effects of various factors related to the design of the SPN system, such as the type of drilling method and the bit, are examined throughout a series of the displacement-controlled field pull-out tests. 6 displacement-controlled field pull-out tests are performed in the present study and the volume of grouting arc also evaluated based on the measurements. In addition, short-term characteristics of pull-out deformations of the newly proposed SPN system are analyzed and compared with those of the general soil nailing system by carrying out the displacement-controlled field pull-out tests.

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Modal control algorithm on optimal control of intelligent structure shape

  • Yao, Guo Feng;Chen, Su Huan;Wang, Wei
    • Structural Engineering and Mechanics
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    • 제15권4호
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    • pp.451-462
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    • 2003
  • In this paper, a new block iterative algorithm is presented by using the special feature of the continuous Riccati equation in the optimal shape control. Because the real-time control require that the CPU time should be as short as possible, an appropriate modal control algorithm is sought. The computing cost is less than the one of the all state feedback control. A numerical example is given to illustrate the algorithm.

프리텐션 효과에 따른 쏘일네일링 벽체의 거동특성에 관한 실험적 고찰 (An Experimental Study on Behavior Characteristics of the Soil Nailed Wall with Effects of the Pretension Force)

  • 김홍택;최영근;박시삼;김범석
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2003년도 봄 학술발표회 논문집
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    • pp.61-68
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    • 2003
  • In this study, a newly modified soil nailing technology named as the pretension soil nailing system, is developed to reduce both facing displacements and ground surface settlements in top-down excavation process as well as to increase the global stability. Up to now, the pretension soil nailing system, has been investigated mainly focusing on an establishment of the design procedure. In the present study, laboratory model tests are carried out to investigate the failure mechanism and behavior characteristics of the pretension soil-nailed wall. Various results of model tests are also analyzed to provide a fundamental basis for the efficient design.

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현장계측에 의한 쏘일네일링 보강벽체의 변형특성에 관한 고찰 (A Consideration on Deformation Characteristics of Soil Nailed Retaining-Walls on Field Measurements)

  • 윤배식;이종문;강인규;권영호;김홍택
    • 한국방재학회:학술대회논문집
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    • 한국방재학회 2007년도 정기총회 및 학술발표대회
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    • pp.534-537
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    • 2007
  • The soil nailing was generally using method in practical business, in application of the soil nailing, the analysis was primarily used to Beam-Colum Method, Finite Element Method and Limit Equilibrium Method. Beam-Colum Method and Finite Element Method were able to examine transformation but widely using Limit Equilibrium Method wasn't able to examine transformation and displacement Therefore, this study was focused on presenting stability in comparison with former study-results about horizontal displacement of the soil nailing retaining-walls satisfing a criterion safety factor of Limit Equilibrium. There were performing comparison field measurements and former study-results in first step.

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제거식 쏘일네일 벽체의 적용성에 관한 연구 (A Study on Application of Removable Soil Nail Walls)

  • 김홍택;강인규;정성필;박사원;박시삼
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 1999년도 가을 학술발표회 논문집
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    • pp.481-488
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    • 1999
  • Recently a removable soil nail is demanded due to problems beyond of economical and engineering purpose. In this study controlled displacement and controlled force field pull-out tests are carried out 7 times in order to evaluate short-term and long-term pull-out characteristics of the removable soil nail. For evaluating application of removable soil nailing system, bending tests of removable soil nails and tensile tests of fixed sockets are carried out. In the removable soil nailing system, the predicted horizontal displacements from FLAC-2D are also compared with the field measurements occurred in stepwise excavation. And approach for the stability analysis of removable soil nailing system after removed is proposed.

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