• Clinics in Shoulder and Elbow
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• 제17권2호
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• pp.57-63
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• 2014

Background: To compare the effect of different starting periods of rehabilitative exercise (early or delayed passive exercise) on the rate of retear and other clinical outcomes after the arthroscopic repair of the rotator cuff. Methods: In total, 103 patients who underwent arthroscopic repair of the rotator cuff were included in the study. Determined at 2 weeks post-operation, patients who were incapable of passive forward elevation greater than $90^{\circ}$ were allotted to the early exercise group (group I: 79 patients; 42 males, 37 females), whilst those capable were allotted to the delayed exercise group (group II: 24 patients; 14 males, 10 females). The group I started passive exercise, i.e. stretching, within 2 weeks of operation, whilst group II started within 6 weeks. The results were compared on average 15.8 months (11-49 months) post-operation using the passive range of motion, the Visual Analog Scale (VAS) pain score, and the University of California at Los Angeles (UCLA) and Constant scores. Stiffness was defined as passive forward elevation or external rotation of less than $30^{\circ}C$ compared to the contralateral side. Follow-up magnetic resonance imaging (MRI) was carried out on average 1 year post-operation and the rate of retear was compared with Sugaya's criteria. Results: There were no differences between the two groups in gender, age, smoking, presence of diabetes, arm dominance, period of tear unattended, pre-operative range of motion, shape and size of tear, degree of tendon retraction, and tendon quality. There were no significant differences in clinical outcomes. Whilst stiffness was more frequent in group II (p-value 0.03), retear was more frequent in group I (p-value 0.028) according to the MRI follow-up. Conclusions: During rehabilitation after the arthroscopic repair of the rotator cuff, the delay of passive exercise seems to decrease the rate of retear but increase the risk of stiffness.

• 대한정형외과학회지
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• 제55권2호
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• pp.103-116
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• 2020

회전근 개 파열은 인구의 고령화 및 영상 진단의 발전 등으로 인해 그 빈도가 빠르게 증가하고 있다. 최근에는 관절경적 봉합술이 일반화되어 있으며 수술 결과 역시 관혈적 봉합술과 대등한 유합률을 보이고 있다. 관절경적 수술 자체가 최소 침습적 방법이므로 수술 후 통증 감소와 조기 기능 향상이라는 부가적인 이점을 가질 수 있지만 최근에는 견관절의 관절경 수술 후 환자의 기능 회복을 더욱 향상시키기 위한 다양한 방법에 대한 관심이 높아지고 있다. 견관절 관절경 수술 후 기능 회복 치료 방법들은 수술 후 시기별로 나누어져 있으며 각 단계별로 활발히 연구되고 개선되고 있다. 그러나 각 시기별, 재활 단계별, 환자 개개인의 특성, 회전근개 파열의 정도 및 기저 질환에 따라 다양한 방법들이 많아 관절경적 회전근 개 봉합술 후 정상 견관절 상태로의 기능 회복을 위해 각 시기에 맞는 적합한 견관절의 기능 회복 방법에 대한 확립이 필요하다고 할 수 있다.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2001년도 봄 학술발표회 논문집
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• pp.437-442
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• 2001

Recently, there have been increased much concerns about repair and rehabilitation works for aged concrete structures. In particular, it is known that due to repeated overburden vehicle there are significantly increasing number of aged concrete bridge slabs, which are strongly needed to construct and rehabilitate by innovative construction method. The objective of this research is to develop the new construction method of concrete slab in bridge structure, which can contribute to minimize the traffic congestion during the repair and rehabilitation works of aged concrete slab, and can also sufficiently assure the quality through the minimization of in-situ works at the site. I-beams with punch holes, which are substituted instead of main reinforcing steels in concrete slabs, will be manufactured in accordance with the specification in the factory. and will be preassembled into the Panel. After erecting the preassembled panels in the site, concrete will be poured into the slab panel. This research is to investigate physical properties of I-Beam with punch holes itself through static and fatigue test with rational numerical analysis Finally this research is to suggest reformed I-beam through the numerical analysis.

• 상하수도학회지
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• 제27권6호
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• pp.787-796
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• 2013

Sewer joint-related defect is one of the most common domestic sewer defects along with the lateral pipe problem. However, there are currently no criteria that precisely assess the joint-related sewer defects. Therefore, this study examined the joint-related sewer defects found in domestic circumstances, classified them according to the suggested defect code, and presented the examples of defect pictures. Each defect code was organized as the process of out of pipeline alignment (OPA) which shows the progress in deterioration. Each defect was classified into 5 grades depending on appropriate repair and rehabilitation method. The result of this study is expected to be useful for domestic CCTV inspectors to assess the sewer condition and helpful for managers to make a decision of repair and rehabilitation.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2002년도 봄 학술발표회 논문집
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• pp.947-952
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• 2002

Recently, there have been increased much concerns about repair and rehabilitation works for aged concrete structures. In particular, it is known that due to repeated overburden vehicle there are significantly increasing number of aged concrete bridge slabs, which are strongly needed to construct and rehabilitate by innovative construction method. The objective of this research is to develop the new construction method of concrete slab in bridge structure, which can contribute to minimize the traffic congestion during the repair and rehabilitation works of aged concrete slab, and can also sufficiently assure the quality through the minimization of in-situ works at the site. I-beams with punch holes, which are substituted instead of main reinforcing steels in concrete slabs, will be manufactured in accordance with the specification in the factory, and will be preassembled into the panel. After erecting the preassembled panels in the site, concrete will be poured into the slab panel. This research is to investigate physical properties of I-Beam concrete slab through static test.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2005년도 추계 학술발표회 제17권2호
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• pp.551-554
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• 2005

The durability of concrete is decreased by various deterioration factors such as a crack, spalling, corrosion. Many repair and rehabilitation methods have been introduced to extend service life of RC structure. An application of coating material is one of repair and rehabilitation methods. However, there is a problem due to reduction of bonding strength and damage of coating material in the case of existed coating material. Thus, this paper is aim to investigate the chloride resistance according to application method of coating material which improve the existed problem. According to the results, it is showed that application of coating material reduces diffusion of chloride into concrete. In special, application of MMA polymer showed the best resistance for chloride attack. However, variation of application method and number of times has a minor effect on chloride diffusion.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2006년도 춘계 학술발표회 논문집(II)
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• pp.229-232
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• 2006

Most of sewage in our country has been made by concrete, and currently they shows gradual deterioration. One of serious problems happened in the sewage is a corrosion of sewage itself. Namely, biochemical corrosion is the most important one. Deterioration phenomenon in concrete used in sewage is occurred by environment condition of sewage, such as erosion by the acid, erosion by sulfate, corrosion by carbonation and so on several factors. However, at present, investigation data on durability of Kangnung city sewage is not sufficient. In addition, the prediction of repair time and selection of rehabilitation method is also not easy. Accordingly, in this research, investigation on durability of sewages located in Kangnung city was carried out. It will also supply the basic data for repair and rehabilitation.

• 대한족부족관절학회지
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• 제22권2호
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• pp.55-61
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• 2018

Chronic lateral ankle instability is a major complication of acute ankle sprains, which can cause discomfort in both daily and sports activity. In addition, it may result in degenerative changes to the ankle joint in the long term. An accurate diagnostic approach and successful treatment plan can be established based on a comprehensive understanding of the concept of functional and mechanical instability. The patients' history and correct physical examination would be the first and most important step. The hindfoot alignment, competence of the lateral ligaments, and proprioceptive function should be evaluated. Additional information can be gathered using standard and stress radiographs. In addition, concomitant pathologic conditions can be investigated by magnetic resonance imaging. Conservative rehabilitation composed of the range of motion, muscle strengthening, and proprioceptive exercise is the main treatment for functional instability and mechanical instability. Regarding the mechanical instability, surgical treatment can be considered for irresponsible patients after a sufficient period of rehabilitation. Anatomic repair (modified $Brostr{\ddot{o}}m$ operation) is regarded as the gold standard procedure. In cases with poor prognostic factors, an anatomical reconstruction or additional procedures can be chosen. For combined intra-articular pathologies, arthroscopic procedures should be conducted, and arthroscopic lateral ligament repair has recently been introduced. Regarding the postoperative management, early functional rehabilitation with short term immobilization is recommended.

• Archives of Plastic Surgery
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• 제51권1호
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• pp.118-125
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• 2024

Tamai zone 4 replantation, defined as the replantation at a level proximal to the flexor digitorum superficialis' insertion and distal to where the common digital artery branches into the proper digital artery, has poor functional results because making orthosis and rehabilitation protocols that protect the bone and the flexor and extensor tendons simultaneously difficult. Two cases of Tamai zone 4 replantation are presented: one case of an index finger replantation at the proximal phalanx and a case of ring finger replantation at the proximal interphalangeal joint. The author did not repair the flexor tendon intentionally in the primary replantation and performed two-stage flexor tendon reconstruction later. The total active motions (TAMs) at the last follow-up were 215 and 180 degrees, respectively, with the latter distal interphalangeal joint being an arthrodesis. Both cases had no extension lag in the proximal interphalangeal joint. These results were much better than those in previous reports, in which the mean TAM was 133 degrees or less. The good results appeared to be mainly due to the reasonable and clear postoperative rehabilitation protocols made by the proposed procedure. This procedure may be useful for obtaining reproducible functional results even in Tamai zone 4 replantation.

• Clinical Pain
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• 제19권2호
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• pp.59-63
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• 2020

Rotator cuff tear is often cited as a reason for shoulder pain and dysfunction in patients > 40 years of age. Surgical repair of rotator cuff tear is one of the most commonly performed orthopedic surgical procedures. Until now, the success rate of surgical repair for rotator cuff tear has not been satisfactory. Many factors influence the process of rotator cuff repair such as the presence of tendinosis and fatty infiltration, but the main factor is the difficulty in achieving healing at the tendon to bone interface. There is a clinical need for bioengineering approaches to promote regeneration of the native enthesis and reduce the poor outcomes after surgical repair. Toward this end, the design and fabrication of multiphasic or hierarchically structured scaffolds have received great attention. This manuscript deals with information on the tendon to bone interface and tries to find out why a multiphasic scaffold is necessary to reproduce it and considerations that need to be taken into to make an ideal scaffold.