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Pull-out repair for root tear of medial meniscus (내측 반월상 연골 후방 골 기시부 파열의 수술적 봉합술)

  • Kim, Deok-Weon;Moon, Jeong-Seok;Kim, Min-Gun;Kim, Jin-Goo
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.1
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    • pp.40-45
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    • 2005
  • Purpose: This study is to evaluate the clinical findings of media] meniscus root tear, pull-out repair technique and it's short term results. Materials and Methods: From September 2003 to August 2004, 23 cases of total 27 medial meniscus root tears were treated by pull-out repair technique. Mean age was 60.2 years old. The pull-out technique was divided into 2 groups In group 1(14/23 cases), anterolateral portal was used and in group 2(9/23 cases), anterolateral and posteromedial portals were used for bed preparation. Concomitant cartilage lesions were documented as ICRS mapping system. The clinical outcomes were evaluated according to Lysholm Knee Score. Results: The postoperative Lysholm Knee Score was 77.1(range; $58{\sim}97$) in group 1 and 81.4(range; $72{\sim}94$) (p>0.05). The failure rate was 3 of 14 cases(21.4%) in group 1 and 1 of 9 cases(11.1%) in group 2. Twenty of 22 cases(90.9%) showed cartilage lesions in weight bearing portion of medial femoral condyle which were 8 grade III and 5 grade IV according to the Outerbridge classification. Conclusion: Pull-out repair seems to be a useful treatment of the medial meniscus root tear for preservation of circumferential hoop tension of meniscus.

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Pull-out Capacity of Cast-in-place Anchor for Construction of Precast Concrete Segment Arch (프리캐스트 콘크리트 패널 분절 아치 시공을 위한 선설치 앵커의 인발 강도 평가)

  • Ahn, Jin-Hee;Yim, Hong Jae;Bang, Jin Soo;Jeon, Seok Hyeon
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.24 no.2
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    • pp.94-102
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    • 2020
  • Precast concrete segment arch system has an economic and construct ability that combined with advantage of precast concrete and arch behavior. A precast concrete segment arch system with outrigger is consisted of segmented precast panels, a steel outrigger rib, and V-strip to connect precast panels with a steel outrigger rib and cast-in-place anchors in precast panels to connect V-strip should have sufficient pull-out capacity to form its arch shape by site lifting for assembled precast panels and outriggers. However, it is difficult to secure its embedment depth due to the relatively shallow thickness of precast panel. It can be also occurred that flexure deformation of precast panels caused by its pull-out behaviors. In this study, pull-out capacity of cast-in-place anchor was examined for construction of precast concrete segment arch system with outriggers. Therefore, a total of 24 precast panel specimens were fabricated to examine pull-out capacities of cast-in-place anchor in precast panels, and installation depth of anchors, diameter of anchors and wire mesh effects for the precast panel were examined. From this pull-out tests, its pull-out capacities and failure modes were evaluated and the type of the cast-in-place anchor applicable to the precast concrete segment panel arch system with outriggers was determined from comparison of the design specification values.

Effects of Screw Diameter and Thread Shape on the Strength of Transpedicular Screw Fixation in Posterior Spinal Fusion (후방 척추고정술에서 척추경 나사못의 크기와 형태가 척추 고정력에 미치는 영향에 대한 연구)

  • Mun, Mu-S.;Ryu, Jei-C.;Yoo, Myung-C.;Kim, Ki-T.
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.23-26
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    • 1995
  • The objectives of the present study are 1)to find the effect of the diameter of transpedicular screws on their fixational strength in pedicles under static pull-out loading, 2)to determine the biomechanical correlation between the pedicle diameter and the screw diameter, and 3)to find the effects of other factors in the screw design, such as materials, screw pitch, thread height and shape on their fixational strength. Biomechanical tests (Test I) were performed to evaluate the effect of the screw diameter on pull-out strength by using 60 porcine pedicls and six groups of custom-made pedicle screws with different diameters (the major and the minor diameter of the screws used in the testing varied from 4mm upto 9mm and from 3mm upto 8mm, respectively) while all other factors (materials, screw pitch, thread height and shape etc.) were fixed. In Test II, by using 61 porcine pedicles, the relationship between the ratio of the pedicle diameter and the screw diameter(=aspect ratio) of the custum-made screw and the pull-out strength of the screw was investigated. Test III was performed with 94 porcine pedicles and 8 different types of the commercial screws from 6 major productors in order to determine the effect of the screw diameter, pitch and the thread shape on the pull-out strength of the screw, respectively. The results of Test I showed that the axial pull-out resistance of the screw could be increased prportionaly to the screw diameter(P<0.05). But this increase in the pull-out resistance did not found when the screws of 4mm or 9mm in the diameter were employed. It was found from the results of Test II that the screws had its maximum pull-out resistant force when the aspect ratio ranging 40 - 69% (P<0.05). based on the results for the major diameter against the minor diameter of screw, the maximal pull-out resistance was found at 60-65% (P<0.05). According to these biomechanical testing results, it seems that the screw with a moderately large pitch is more desirable and the buttress-shaped screw can provide stronger fixation than the V-shape one can, if other designal factor and conditions were fixed.

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Field Pull-out Test and 3-D FEM Analysis for Steel Pipe Nailing Installed Foldable Wedge (접이식 웨지 장착 강관네일의 현장 인발시험 및 3차원 유한요소해석)

  • Kwon, Kyo-Keun;Choi, Bong-Hyuck
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.6C
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    • pp.313-319
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    • 2009
  • In this study, field pull-out test and 3-D FEM analysis have been performed for examining and reflecting the behavior of steel pipe nailing installed foldable wedge. Field pull-out test was performed under various conditions. As a result, the steel pipe nailing installed foldable wedge has an effect of pull-out resistance increased about 30% in comparison with non-wedge type steel pipe nailing. Through back analysis in 3-D FEM for behavior of non-wedge type steel pipe nailing, friction characteristics between nail to soil was analyzed and obtained first consistent with field pull-out behavior. Then, the frictional characteristic was used for analyzing the behavior of the steel pipe nailing installed foldable wedge. The result was compared with the test results. Consequently, friction coefficient (${\mu}$) of about 1.2 between grout to soil leads to good agreement with analysis results and test results. And a limited pull-out resistance, $$T_L{\sim_=}32$$ tonf is similar to field pull-out test result which is improved about 33% in comparison with non-wedge type steel pipe nailing's $$T_L{\sim_=}24$$ tonf.

A PHOTOELASTIC STUDY ON THE STRESS DISTRIBUTION OF THE UPPER ANTERIOR TEETH WHEN RETRACT WITH HIGH PULL J-HOOK HEADGEAR (상악전치의 후방견인시 J-hook headgear의 사용이 응력분포변화에 미치는 영향에 대한 광탄성학적 연구)

  • Lee, You-Jin;Park, Soo-Byung
    • The korean journal of orthodontics
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    • v.27 no.5 s.64
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    • pp.697-709
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    • 1997
  • This study was designed to investigate the stress intensity and distribution produced by 1mm activation of retraction archwire with $0^{\circ},\;7^{\circ},\;14^{\circ}$ torque and application of high polk J-hook headgear during retraction of four maxillary incisors using the photoelastic stress analysis. The photoelastic model was made with a PL-3 type epoxy resin which was substituted by alveolar bone portion. Each retraction archwire was fabricated from .020' X .025' stainless steel wire which had vertical loops in 7mm height and hooks for high pull J-hook headgear between central and lateral incisors. The high pull J-hook headgear was applied 35 degree backward and upward to occlusal plane with 200gm pet each side The findings of this study were as follows: 1. In case of $0^{\circ}$ torque, the stress was distributed from cervical 1/8 to apex of roots of central and lateral incisors which were the forms of arc mode. When the high pull J-hook headgear was applied, the stress distributed by arc mode was presented from cervical 1/2 to apex of roots of central and lateral incisors. And the stress distributed by following the root surface was presented from alveolar crest to cervical 1/2 of roots of central and lateral incisors. The stress between apecies of central and Lateral incisors was presented also. 2. In case of $7^{\circ}$ torque, the stress distributed by arc mode was presented from cervical 1/2 to apex of roots of central and lateral incisors. And the stress distributed by following the root surface was presented from alveolar crest to cervical 1/2 of roots of central and lateral incisors. When the high pull J-hook headgear was applied, the stress distributed by following the root surface was presented mote apically than without headgear. The stress between apecies of central and lateral incisors was presented also. 3. In case of $14^{\circ}$ torque, the stress distributed by following the root surface was Presented from alveolar crest to apex of roots of central and lateral incisors. When the high pull J-hook headgear was applied, the stress distributed by following the root surface was presented stronger than without headgear The stress between apecies of central and lateral incisors was presented also.

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Implementation of the Supply Chain Management System on the Office Automation Industry (사무기기 산업에서의 SCM 시스템: 사례연구)

  • 강민식;문치웅
    • Proceedings of the CALSEC Conference
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    • 2001.02a
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    • pp.223-234
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    • 2001
  • A SCM Implementation case on the Office Automation Industry is introduced in this paper. It supports JIT based Kanban and demand pull system A new system called "PrdnMgr" is designed for the synchronized production and quality assurence using barcode and Kanban. And web based supplier pull system called "Antennashop" is developed for automatic procurement of parts.

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Support Characteristics of Rock Bolt and Spiral Bolt (록 볼트 및 스파이럴 볼트의 지보특성)

  • Cho, Young-Dong;Song, Myung-Kyu;Lee, Chung-Shin;Kang, Choo-Won;Ko, Jin-Seok;Kang, Seong-Seung
    • Tunnel and Underground Space
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    • v.19 no.3
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    • pp.181-189
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    • 2009
  • This study is to evaluate an effect of supports with respect to these supports after comparing the characteristic of support between rock bolt of a widely used type and spiral bolt of a new type. For these purposes, we performed pull-out test in laboratory about rock and spiral bolts in the case of cement-mortar grout curing periods, 7 and 28 days, then calculated pull-out load, displacement, external pressure, inner pressure and shear stress using data obtained from the results of pull-out test, respectively. In relation between pull-out load and displacement, displacement of spiral bolt is larger than one of rock bolt. It is considered that mechanical property of rock bolt is due to larger than one of spiral bolt. In addition, displacement of supports shows nearly same or decreasing with curing periods. We found that because adhesive force between supports and cement-mortar grout is increasing with compressive strength of grout according to curing periods. The inner pressure of spiral bolt is represented larger than one of rock bolt at a step of same pull-out load. It is suggested that spiral bolt is more stable than rock bolt, maintaining stability of ground or rock mass, when supports are installed in a ground or rock mass under the same condition. Putting together with above results, we can consider that spiral bolt as a new support on an aspect of pull-out load and inner pressure is larger than rock bolt in a ground or rock mass under the same condition. Moreover, spiral bolt is more effective support than rock bolt, considering an economical and constructive aspects of supports, as well as ground or rock stability before or after installing supports.

Re-pull-through Operation in Hirschsprung's Disease (Hirschsprung 병에서의 재 교정 수술의 성적)

  • Kim, Hyun-Young;Park, Kwi-Won;Chun, Yong-Soon;Jung, Seung-Eun;Lee, Seong-Cheol;Kim, Woo-Ki
    • Advances in pediatric surgery
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    • v.10 no.1
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    • pp.1-8
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    • 2004
  • A re-pull-through operation for Hirschsprung's disease is performed when the primary operation has failed because of the remnant or acquired aganglionosis, anastomotic stricture and/or fistula. The purpose of this study is to review our experience of the re-pull-through procedure for Hirschsprung's disease. From May 1978 to July 2003, 26 patients who underwent re-pull-through operations at the Department of Pediatric Surgery, Seoul National University Children's Hospital, were studied retrospectively by means of chart review as well as telephone interview. The mean age at primary operation and re-operation were llmonths (2 months - 10 years) and 43 months (1 year - 23 years 3 months), respectively. Initial operation for Hirschsprung's disease was Duhamel's procedure in 17, Swenson's in 6 and Soave's 3. Causes of failure of primary operation were remains of secondary aganglionic segment (n=23), vascular arcade injury (n= 1), rectoperineal fistula (n=2, due to mesenteric torsion and poor blood supply), Mean interval between the primary operation and the re-operation was 34 months (6 months-22 years). Reoperation methods were Soave's in 12, Duhamel's in 8, APSP (abdomino-posterosagittal pull-through procedure) in 5, and Swenson's in 1 case. In 2 cases of repeated rectoperineal fistula or rectourethral fistula, re-APSP were performed 3 times, respectively. A total of 29 re-pull-through operations were performed. Postoperative complications were wound infection (n=1), adhesive ileus (n=1), rectoperineal fistula (n=3), rectourethral fistula (n=2), and death due to pulmonary embolism (n=1). Mean follow up period of reoperation was 78 months (1 month-23years). In current state, 2 patients have an ileostomy because of repeated rectoperineal fistula and rectourethral fistula. Of the remaining 23 patients, 21(91 %) are totally continent with or without minimal soiling. Reoperation for Hirschsprung's disease was effective and safe for the patients complicated to the initial pull-through operation.

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