• Title/Summary/Keyword: nailing

Search Result 227, Processing Time 0.024 seconds

Treatment of Deformity in Polyostotic Fibrous Dysplasia Using Interlocking Intramedullary Nailing (다발성 섬유성 골이형성증 변형에 대한 나사못 맞물림 골수정을 이용한 치료)

  • Lee, Kwang-Suk;Oh, Jong-Keon;Koo, Ja-Seong
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.1 no.2
    • /
    • pp.249-253
    • /
    • 1995
  • The fibrous dysplasia is a progressive and disabling condition that lead to deformity, especially weight bearing bones. The morbidity that is associated with the polyostotic fibrous dysplasia is the recurrent fracture and deformity. Various methods of treatment had been failed to control this problem. We used osteotomy and reconstruction nailing for polyostotic fibrous dysplasia occured in the proximal part of right femur with varus deformity and reconstruction nailing in left femur without osteotomy, and interlocking intramedullary nailing in right tibia to prevent pathologic fracture. These methods brought a good result of bone union and full weight bearing ambulation after 1 year and 6 month follow up. We think these methods are useful methods to control refracture and deformity, so we reported this case with bibliographic reviews.

  • PDF

Evaluation of slope stability with Fabric Form (섬유거푸집을 적용한 비탈면의 안정성 평가)

  • Ahn, Kwang-Kuk;Choi, Young-Keun
    • Proceedings of the Korean Geotechical Society Conference
    • /
    • 2005.10a
    • /
    • pp.689-697
    • /
    • 2005
  • The soil nailing system at permanent slope reinforcement is used with various facing methods in Korea. Also, pressure-injected grout technique is variously applied to many structures. However, most design of the pressure-injected grout technique have been carried out empirically because of complicated mechanisms associated with the behavior of surrounding soils and the hardening process of cement grout. Therefore this study, a newly modified soil nailing technology named as the PGSN (Pressure Grouting Soil Nailing) system with fabric form is developed to increase the global stability. Up to now, the PGSN system has been estimated mainly focusing on an establishment of the design procedure. In the present study, numerical study are carried out to evaluate potential failure surface and minimum factor of safety including facing stiffness and expanded radius of cemented grout by SSR (Shear Strength Reduction) technique. Also, results of numerical analysis are carried out for the typical section of soil nails slope using $FLAC^{2D}$ program for expanded effective radius by pressure grouting.

  • PDF

The Pull-out Characteristics of Pressurized Grouting Soil Nailing using Rubber Membrane Packer System (고무막 패커시스템을 적용한 가압 그라우팅 쏘일네일링 공법의 인발거동 특성)

  • Bae, Kyung-Tae;Choi, Kyung-Gyp;Cho, Kook-Hwan;Kim, Hyun-Jung;Kim, Ji-Hwan
    • Proceedings of the Korean Geotechical Society Conference
    • /
    • 2008.03a
    • /
    • pp.405-411
    • /
    • 2008
  • The pressurized grouting soil nailing method using rubber membrane packer system was developed for recycling materials to minimize environmental pollution and reducing construction costs. For this purpose, field pull-out tests were performed to evaluate the characteristics of soil nailing by measuring tensile stresses and axial displacements.

  • PDF

Evaluation of Behavior Characteristics of Geosynthetic Fiber Nail System from the Field Pull-Out Tests (현장인발시험을 통한 섬유형 쏘일네일의 거동특성 평가)

  • Kim, Hong-Taek;Park, Si-Sam;Cho, Byeong-Guk;Jung, Sung-Pil
    • Proceedings of the Korean Geotechical Society Conference
    • /
    • 2004.03b
    • /
    • pp.342-347
    • /
    • 2004
  • Excavation nearby the existing structures is being performed vigorously to get the greatest use of land along with fast economic growth in the downtown area. The application of soil nailing system gradually increases because of an advantage of soil nailing system adjacently constructed in the existing structures. In this study, friction resistance by pull-out is considered as main resistance except resistance formed by flexural rigidity of nail observing that resistance of flexural rigidity is about $0{\sim}15\;%$ of whole safety factor according to degree of flexural rigidity in general soil nail wall and application of geosynthetic fiber soil nailing system is evaluated through laboratory tensile strength test and field pull-out test.

  • PDF

Stress Analysis of Plate Augumentation for Distal Femur Fracture (대퇴부 원위부 골절에 관한 금속판 보강술의 응력 해석)

  • 김지숙;범현규;양영수
    • Proceedings of the Korean Society of Precision Engineering Conference
    • /
    • 1997.10a
    • /
    • pp.816-819
    • /
    • 1997
  • The operation of femoral non-union after IM(Intramedullary) nailing in distally femoral fractures is considered. Augmentive plate fixation is the management of femoral non-union after IM nailing. The purpose of this study is to compare the bending, torsional stiffness and stress distribution of the two operations by the FEM(Finite Element Method). Augmentive plate fixation is better than IM nail fixation. These results conclude that plate augmentation is a useful method for the unstable femoral non-union after interlocking IM nailing.

  • PDF

A Study of Reinforced Design Chart for Soil Nailing Slopes (Soil Nailing 공법을 적용하기 위한 사면보강 설계도표에 관한 연구)

  • Seo, Jin-Won;Kim, Hak-Moon;Jang, Kyung-Jun
    • Proceedings of the Korean Geotechical Society Conference
    • /
    • 2009.03a
    • /
    • pp.1009-1019
    • /
    • 2009
  • Soil nailing method is widely used in reinforcing slopes and excavating earth. The analysis of nail-reinforced slopes, in order to determine the economical length ratio and nail angle, complicated analytical need to be applied by means of computer programs. Therefor this suggested Soil stability Chart for nailed slopes which may be very useful for pre-design, rapidly design, and final check. Three slope types, three nail length and three nail angles are selected for the stability analysis by using limit equilibrium method of Bishop and French Method. From the above results, this study propose the slope reinforced design charts for dry season and rainy season. This proposed reinforced design charts can check dry season as well as rainy season, also these charts can provide reinforcing requirement, soil nail's economical length ratio and nail angle as well.

  • PDF

A Study on the Behavior of Partially Extended Grouted Soil-Nailing (부분적으로 확장된 그라우트 구근을 갖는 쏘일네일링 공법의 거동에 관한 연구)

  • Lee, In;Choi, Seung-Hwan;Kim, Ju-Hyun;Park, Jun-Beom;Kim, Hong-Taek
    • Proceedings of the Korean Geotechical Society Conference
    • /
    • 2009.03a
    • /
    • pp.1068-1075
    • /
    • 2009
  • The Soil-nailing installed to the slope or the vertical excavation surface shows reinforce effect using frictional resistance between ground and grout. This friction is showed the more the shape of grout is rough, the more efficient.. This study is about the characteristic behavior of Soil-nailing has partial extension grout made artificially control. In this study, we refer to the new boring machine that can make partially extended grout and perform 3D analysis between of the partial extended grout and the general grout of a cylinder shape using the finite element method for comparing.

  • PDF

A Comparative Study of Interlocking IM Nailing and LCP Fixation through MIPPO Technique in the Treatment of Distal Metaphyseal Tibial Fracture (경골 원위부 골절 치료에서 최소 침습적 접근법을 통한 잠금 나사 금속판 고정술과 교합성 골수강 내 금속정 고정술의 비교 연구)

  • Lee, Chang-Soo;Suh, Jin-Soo;Kim, Ji-Hoon
    • Journal of Korean Foot and Ankle Society
    • /
    • v.12 no.1
    • /
    • pp.80-85
    • /
    • 2008
  • Purpose: To evaluate and compare the outcome between interlocking IM nailing and LCP fixation in the treatment of distal metaphyseal tibial fracture. Materials and Methods: From January 2000 to December 2007, 17 patient were treated by interlocking IM nail and 13 patient were treated by LCP fixation for distal metaphyseal tibial fracture. Results: According to AO classification, there were 2 type A1 fracture (12%), 6 type A2 fracture (36%), 3 type A3 fracture (18%), 4 type B1 fracture (24%), 1 type B3 fracture (6%), 1 type C1 fracture (6%) in interlocking IM nailing group and 1 type A2 fracture (7.7%), 2 type A3 fracture (15.4%), 3 type B1 fracture (23%), 3 type B2 fracture (23%), 3 type C1 fracture (23%), 1 type C2 fracture (7.7%) in LCP fixation group. The clinical functional outcome (according to AOFAS score) is 75.6 point in IM nailing group and 81.5 point in LCP fixation group. In IM nailing group, 65% of patient showed satisfactory result and In LCP fixation group, 77% of patient showed satisfactory result. Conclusion: There is no difference on clinical results between IM nailing and MIPPO (minimal invasive percutaneous plate osteosynthesis) group in the treatment of distal tibia fracture. But MIPPO group have higher subjective satisfactory score and less complication rate. The weakness of our study is a small case number and limited follow-up and we believe a better designed prospective study will be needed.

  • PDF

Shoulder Function after antegrade intramedullary interlocking nailing for humeral shaft fracture (상완골 간부 골절에 대한 선행성 교합 골수강내 금속정 고정술 후 견관절 기능)

  • Park, Jin-Young;Chun, Ji-Yong;Kim, Myung-Ho
    • Clinics in Shoulder and Elbow
    • /
    • v.6 no.1
    • /
    • pp.27-36
    • /
    • 2003
  • Antegrade interlocking intramedullary nailing (AIIN) for the humeral shaft fracture can induce shoulder pain and decrease of shoulder function postoperatively. The purpose of this study was to estimate the outcome of the shoulder functions after AIIN through the rotator interval between the subscapularis and the supraspinatus to decrease the shoulder pain. Out of consecutive 43 cases that underwent AIIN 42 had been followed for two years or more. Among them we analysized 40 cases of 39 Patients excluding two cases of Pathologic fractures. The average was 47 years. There were 17 men and 23 women. The average follow-up was 34 months. Open nailing was performed in 26 fractures and closed nailing in 14. Bone graft was done in 7 fractures with open nailing. With a single operation, all but two patients achieved osseous union. Average pain score with visual analog scale was one (range; 0∼4) postoperatively By the Neer's score 37 patients received a excellent or satisfactory results while 3 patients' unsatisfactory or failed results. By the functional score of ASES (American Shoulder and Elbow Society) 6 cases received the fair or poor results. Except three cases with persistent nerve palsy and one case of technique failure with protruded nail over humeral head, all patients could achieved satisfactory results with Neer's score and 35 cases (94%) satisfactory results with functional score of ASES. An insertion of antegrade nail to the rotator interval was recommended for better shoulder functions and less pain postoperatively.