• Title/Summary/Keyword: re-repair

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Re-Repair Method for Deterioration of Partial Depth Repair Section in Portland Cement Concrete Pavement (콘크리트 포장 부분단면보수 재파손 구간의 적정 보수 방안)

  • Lee, Yong Hyeon;Kim, Hyun Seok;Jung, Won Kyong;Oh, Han Jin;Kim, Hyung Bae
    • International Journal of Highway Engineering
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    • v.19 no.5
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    • pp.33-42
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    • 2017
  • PURPOSES : The purpose of this study is to suggest the construction and quality control method for the re-repair of a deteriorated partial depth repair for sections of Portland cement concrete pavement. METHODS : An experimental construction was conducted to extend the repair width for removing an existing repair section. A removal method was used to ensure early performance for a deteriorated partial depth repair section. Bond strength and split tensile strength were measured at the near vertical interface layer between the existing pavement and repair material. The area was analyzed for various conditions such as the extended repair area and the removing method of the existing repair section. RESULTS : As a result of analysis of bond strength and split tensile strength, the bonding performance of a milling removed section was improved over a cutting and hand breaker removed section. The bond strength was analyzed to increase slightly as the extended repair width for removing the existing repair section increased. The split tensile strength did not show a clear relationship to an increased extended repair width of an existing removed repair section. CONCLUSIONS : The milling removal method should be applied in the removal of existing deteriorated partial depth repair sections. The extended repair width for a re-repair section should be wider than the existing partial depth repair with at least a 75-mm length and width for the bond strength and the split tensile strength.

Open Repair of Massive Rotator Cuff Tears (광범위 회전근 개 파열의 개방적 봉합술)

  • Ahn, Byung-Woo;Yoon, Jong-Ho;Jo, Je-Il;Kwag, Wan-Sub;Wang, Kyung-Tae;Jung, Sung-Weon
    • Clinics in Shoulder and Elbow
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    • v.9 no.1
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    • pp.20-26
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    • 2006
  • Purpose: To evaluate the usefulness and functional results of open repair of massive rotator cuff tears combined with or without the tenoplasty of biceps long head. Materials and Methods: From March 2003 to August 2004, we evaluated 18 cases of the patient treated with open repair of massive rotator cuff tears. The mean age was 56 years and mean follow-up period was 15 months. We performed open repair of massive rotator cuff tears by tendon to bone repair, but in irrepairable 4 cases for tendon to bone repair performed open repair combined with tenoplasty of biceps long head. The functional results were assessed using the Constant score, the parameters of which were pain, dialy activity, mobility, strength and satisfaction. Results: The functional results were excellent in 4 cases, good in 8 cases, fair in 3 cases and poor in 3 cases. And the results of open repair combined with tenoplasty of biceps long head were good in 2 cases and fair in 2 cases. Re-repair was done in 1 case for re-rupture. And the functional result of this case was fair. The 3 poor cases were suspected re-rupture, the factor of which old age and weakened rotator cuff. It was impossible to do re-repair. Conclusion: The open repair combined with or without tenoplasty of biceps long head is a useful and effective method for massive rotator cuff tear.

Repair Integrity and Functional Outcomes after Arthroscopic Repair of Transtendinous Full-thickness Rotator Cuff Tears Minimum Two-year Follow-up

  • Kim, Kyung Cheon;Lee, Woo-Yong;Shin, Hyun Dae;Kim, Young-Mo;Han, Sun Cheol
    • Clinics in Shoulder and Elbow
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    • v.20 no.4
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    • pp.183-188
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    • 2017
  • Background: To evaluate the clinical outcomes and associated repair integrity in patients treated with arthroscopic repair for a transtendinous rotator cuff tear followed by resection of the remnant rotator cuff tendon. Methods: Between July 2007 and July 2011, we retrospectively reviewed patients who were treated for transtendinous full-thickness tears in the tendinous portion of the rotator cuff by arthroscopic repair. Clinical outcomes were evaluated using the American Shoulder and Elbow Surgeons (ASES) score, the Shoulder Rating Scale of the University of California at Los Angeles (UCLA), the Constant-Murley score, a visual analogue scale (VAS) pain score, and range of motion (ROM). The repair integrity was determined by magnetic resonance imaging or ultrasonography. Results: There were 19 shoulders with transtendinous full-thickness tears in the tendinous portion of the rotator cuff. The ASES, UCLA, Constant-Murley, and VAS pain scores showed significant improvements in function and symptoms (all p<0.001). The active ROM for forward flexion and abduction was also significantly improved (p=0.002 and p<0.001, respectively). The postoperative radiological examination showed cuff integrity without a re-tear in 68.4% of patients. However, the UCLA, ASES, and Constant-Murley scores were not significantly different between healed and re-torn group (p=0.530, p=0.885, and p=0.262, respectively). Conclusions: Although repair of transtendinous rotator cuff tears followed by resection of the remnant rotator cuff tendon in the footprint has a relatively high re-tear rate, no significant difference was observed in the short-term clinical results between the re-tear and healed groups.

Arthroscopic Partial Repair of Massive Contracted Rotator Cuff Tears

  • Kim, Sung-Jae;Kim, Young-Hwan;Chun, Yong-Min
    • Clinics in Shoulder and Elbow
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    • v.17 no.1
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    • pp.44-47
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    • 2014
  • Typically, massive rotator cuff tears have stiff and retracted tendon with poor muscle quality, in such cases orthopaedic surgeons are confronted with big challenging to restore the cuff to its native footprint. Furthermore, even with some restoration of the footprint, it is related with a high re-tear rate due to less tension free repair and less tendon coverage. In this tough circumstance, the partial repair has yielded satisfactory outcomes at relatively short follow-up by re-creating the transverse force couple of the rotator cuff. Through this partial repair, the massive rotator cuff tear can be converted to the "functional rotator cuff tear" and provide improvement in pain and functional outcomes in patient's shoulder.

Repair methods for aging aircraft and application of composite patch repair (노후항공기의 보수 방법 및 복합재 패치보수의 응용)

  • 김위대;김종진
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 2002.05a
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    • pp.167-172
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    • 2002
  • During the operation of military aircraft, maintenance is divided into organizational, intermediate and depot maintenance. In the depot maintenance, after removal of major parts and removable doors, damage assessment is performed. Locating damage, charactering the damage and determining its extent, zoning the damage on the part being repaired and re-evaluation of the damaged area after damage removal. Repair joints are classified by bonded joints and bolted joints, depending on joining material. In this paper, repair method in aging aircraft is investigated and the possibility of application of copmposite patch is surveyed.

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Ultrasonographic Assessment for Rotator Cuff Repair According to the Tear Sizes and the Repair Method (회전근 개 파열의 크기 및 봉합 방법에 따른 초음파를 이용한 추적검사의 유용성)

  • Choi, Chang-Hyuk;Park, Jae-Hyun;Shin, Dong-Young;Lee, Jae-Kun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.2
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    • pp.53-61
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    • 2009
  • Purpose: This study was designed to evaluate the clinical usefulness of serial ultrasonography (USG) after arthroscopic rotator cuff repair and to assess the re-tear rate and the re-tear time according to the tear sizes and the repair method. Materials and Methods: Between January 2008 and June 2008, 52 patients were treated with arthroscopic rotator cuff repair, Of the 52 patients, 29 patients that had undergone more than six months follow-up underwent preoperative USG examinations and subsequent arthroscopic examinations. MRI and USG findings were compared with intraoperative results of arthroscopic examinations. The postoperative integrity of the rotator cuff was observed using serial USG examination performed postoperatively at two weeks, six weeks, three months, and six months. Results: Small to medium rotator cuff tear were identified in 10 patients where the double pulley suture bridge (DPSB) technique was performed; the re-tear rate was 20%. For 19 patients with large to massive rotator cuff tears, the re-tear rates was 100% for six patients who had undergone tendon to tendon (TT) repair, the re-tear rate was 50% for two patients who had undergone tendon to tendon and bone to tendon (TTBT) repair and the re-tear rate was 55% for11 patients where the DPSB technique was performed. Re-tear rates according to follow-up periods were 7% from two to six weeks, 66% from six weeks to three months and 27% from three to six months postoperatively. Conclusion: Serial USG examinations after arthroscopic rotator cuff repair were useful to assess the re-tear rate and the re-tear time. In addition, USG examination were useful for treatment planning during postoperative rehabilitation.

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Management of Postoperative Complications Following Surgical Repair of Achilles Tendon Rupture (아킬레스건 파열의 수술 후 합병증의 치료)

  • Bae, Su-Young
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.2
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    • pp.89-94
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    • 2021
  • The surgical repair of an Achilles tendon acute rupture is a proven, traditional treatment for optimal functional recovery. However, concerns regarding complications such as re-rupture, wound problems and infections are driving new techniques, including minimally invasive approaches and nonoperative treatments. If we understand the characteristics and contemplate treatment strategies for possible complications, the surgical repair of the Achilles tendon is an attractive option and can be expected to yield satisfactory functional recovery.

Tricuspid Valve Re-Repair in Ebstein Anomaly Using the Cone Technique

  • Kim, Do Jung;Suh, Jee Won;Shin, Yu Rim;Shin, Hong Ju;Park, Han Ki
    • Journal of Chest Surgery
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    • v.49 no.1
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    • pp.35-38
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    • 2016
  • The management of recurrent tricuspid regurgitation after tricuspid valve repair in patients with Ebstein anomaly is difficult, and tricuspid valve replacement is most commonly performed in such patients. We report two cases of recurrent tricuspid regurgitation in patients with Ebstein anomaly that were successfully re-repaired using the cone technique. The cone repair technique is a useful surgical method for reconstructing a competent tricuspid valve, and can be applied in patients who have undergone previous tricuspid valve repair.

Free Semitendinosus Tendon Graft in Re-ruptured Achilles Tendon (반건상근 건을 이용한 아킬레스건 재파열의 치료)

  • Ji, Jong-Hoon;Kim, Weon-Yoo;Kim, Young-Yel;Lee, Yeun-Soo;Yoon, Jong-Seoung
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.259-263
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    • 2006
  • The acute Achilles tendon rupture usually occurs to the people who participate in sports-related activities between 30 and 40 years of age. Recently surgical repair is the standard treatment in acute Achilles tendon rupture. After the Achilles tendon rupture in the left ankle, a 30-years old young man had been suffered from re-rupturing within three months after the primary repair. 2 years later, right-side Achilles tendon was reruptured after primary repair consequently. In the revision surgery, we performed V-Y advancement of the gastrocnemius-soleus fascia and reinforcement of the semitendinosus tendon. None of the English-literature was reported about using the semitendinosus tendon in revision surgery of the Achilles tendon retear previously. Therefore, we report this case and surgical technique because of the simple technique and the excellent results.

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Investigation into Variations of Welding Residual Stresses and Redistribution Behaviors for Different Repair Welding Widths (보수용접부 폭에 따른 용접잔류응력의 변화 및 재분배 거동 평가)

  • Park, Chi-Yong;Lee, Hwee-Sueng;Huh, Nam-Su
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.2
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    • pp.177-184
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    • 2014
  • In this study, we investigated the variations in welding residual stresses in dissimilar metal butt weld due to width of repair welding and re-distribution behaviors resulting from similar metal welding (SMW) and mechanical loading. To this end, detailed two-dimensional axi-symmetric finite element (FE) analyses were performed considering five different repair welding widths. Based on the FE results, we first evaluated the welding residual stress distributions in repair welding. We then investigated the re-distribution behaviors of the residual stresses due to SMW and mechanical loads. It is revealed that large tensile welding residual stresses take place in the inner surface and that its distribution is affected, provided repair welding width is larger than certain value. The welding residual stresses resulting from repair welding are remarkably reduced due to SMW and mechanical loading, regardless of the width of the repair welding.