• Title/Summary/Keyword: repair methods

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Studies on Repair of Reinforced Concrete Structures(I) -Repair Materials and Methods- (철근콘크리트 구조물의 보수공법 연구(I) -보수재료 및 공법-)

  • 연규석;정영수;한만엽;이종열;장태연;정경현
    • Proceedings of the Korea Concrete Institute Conference
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    • 1995.04a
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    • pp.212-218
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    • 1995
  • This study experimentally evaluated the performance of damaged section which was repaired using polymer materials in reinforced flexural flexural members Six different materials, two types of polymer, two types of polymer-cement and two types of cement, were used by means of injection method on prepacked concrete and spray mortar patching method. As results, the repair works could be done easily and surfaces of the repaired section were smooth.

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Bankart Suture Repair for Anterior Instability of the Shoulder- Results of Arthroscopic versus Open Repair - (견관절 전방 재발성 탈구의 치료-관절경 및 관혈적 Bankart병변 수복술의 비교 -)

  • Choi, Chang-Hyuk;Kwun, Koing-Woo;Kim, Shin-Kun;Lee, Sang-Wook;Shin, Dong-Kyu;Kim, Kyung-Min
    • Clinics in Shoulder and Elbow
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    • v.5 no.1
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    • pp.47-54
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    • 2002
  • Purpose : We evaluated clinical result of arthroscopic and open Bankart repair in anterior shoulder instability to identify factors iuluencing operative result and prognosis. Materials & Methods . We reviewed 24 patients of anterior shoulder instability treated with arthroscopic Bankart repair in 16 cases and open Bankart repair in 8 cases. Average age was 26 years old and involved in dominant arm in 15 cases. Patients were suffered instability for 3.1 years before operation and mean follow-up was 2 year 9 months ( 1 you 9 months -4year 10 months). Results : Post operative pain was subsided in 2 weeks in arthroscopic surgery and 3 weeks in open surgery. The final range of motion after arthroscopic repair were flekion in 168" , external rotation in 54" , and internal rotation in 79, and after open repair 168" ,49" , and 78 respectively. In arthroscopic surgery,2 cases (13%) were redislocated, and 4 cases(25%) showed mild instability. In open case,1 case (11%) showed mild instability. According to function- al result by Rowe grading scale, satisfactory results were 12case (76%) in arthroscopic repair and 7 cases (88%) in open cases. Conclusions Both arthroscopic or open Bankart could get good results in the treatment of anterior instability of shoulder. In arthroscopic repair, perioperative morbidity was lower than open repair, but it needs careful rehabilitation program to prevent redislocation and to return to sports activity.

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.

Vascularisation of Urethral Repairs with the Gracilis Muscle Flap

  • Kua, Ee Hsiang Jonah;Leo, Kah Woon;Ong, Yee Siang;Cheng, Christopher;Tan, Bien-Keem
    • Archives of Plastic Surgery
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    • v.40 no.5
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    • pp.584-588
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    • 2013
  • Background The ability to achieve a long-term, stricture-free urethral repair is one of the ongoing challenges of reconstructive urologic surgery. A successful initial repair is critical, as repeat procedures are difficult, owing to distortion, scarring, and short urethral stumps. Methods We describe a technique in which the gracilis muscle flap is laid on or wrapped around the urethral repair site to provide a well-vascularised soft tissue reinforcement for urethral repair. This technique promotes vascular induction, whereby a new blood supply is introduced to the repair site to improve the outcome of urethral repair or anastomotic urethroplasty. The surface contact between the muscle flap and the repair site is enhanced by the use of fibrin glue to improve adherence and promote inosculation and healing. We employed this technique in 4 patients with different urethral defects. Results After a follow-up period of 32 to 108 months, all of the urethral repairs were successful without complications. Conclusions Our results suggest that the use of a gracilis muscle flap to vascularise urethral repairs can improve the outcome of challenging urethral repairs.

Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations: A Numbers-needed-to-treat Analysis for Prevention of Recurrent Dislocations

  • Park, Jihong;Cosby, Nicole L.
    • Clinics in Shoulder and Elbow
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    • v.19 no.2
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    • pp.110-116
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    • 2016
  • Background: Arthroscopic surgical repair is a better intervention than non-operative (conservative) treatment for patients with shoulder dislocations. This systematic review determined the numbers-needed-to-treat (NNT) and relative risk reduction (RRR) associated with arthroscopic surgical repair versus non-operative treatment in reducing recurrence rates among patients with first-time traumatic anterior shoulder dislocations. Methods: We searched Google Scholar, MEDLINE, SPORTDiscus, and CINAHL from inception in 2015. All articles had to compare arthroscopic surgical repair and non-operative treatment and be written in English. We used the total number of subjects and the number of recurrent dislocations within each treatment to calculate the NNT and RRR for each study and the pooled data. Results: Six articles were selected and all clearly demonstrated that the arthroscopic surgical repair was more effective than non-operative treatment in reducing the recurrence episodes. The pooled NNT was 1.76 (95% confidence interval [CI]=NNT to benefit 1.50-2.13) and the pooled RRR was 86.0% (95% CI=77.0%-92.0%) among individuals who underwent arthroscopic repair. The average follow-up time was 56 months. Conclusions: A Strength of Recommendation Taxonomy level of evidence of 1 with a grade A recommendation supports the use of arthroscopic surgical repair over non-operative treatment in prevention of first-time traumatic anterior shoulder dislocations. We suggest that sports medicine practitioners consider the patients' age, occupation, and physical activity level when making a clinical decision.

Preventive Maintenance Model after Minimal Repair Warranty (최소수리보증 이후의 예방보전모형)

  • Jung, Ki-Mun
    • Communications for Statistical Applications and Methods
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    • v.17 no.6
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    • pp.865-877
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    • 2010
  • This paper considers the periodic preventive maintenance model for a repairable system following warranty expiration. We consider three types of warranty policies: free repair warranty, pro-rata repair warranty, and combination repair warranty. Under these preventive maintenance models, we derive the expressions for the expected cycle length, the total expected cost, and the expected cost rate per unit time. In addition, we explain the optimal preventive maintenance period and the optimal preventive maintenance number by minimizing the expected cost rate per unit time. Finally, the optimal periodic preventive maintenance policy is given for a Weibull distribution case.

Single and Double-row Repair in Rotator Cuff Tears (회전근 개 파열의 일열 봉합술과 이열 봉합술)

  • Park, Jin-Young;Choi, Jin-Hyung;Park, Hong-Keun;Yu, Je-Wook;Seo, Joong-Bae
    • Clinics in Shoulder and Elbow
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    • v.9 no.1
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    • pp.89-95
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    • 2006
  • Purpose: Arthroscopic repair of rotator cuff tears are many techniques that have been developed to improve the initial postoperative strength of the repair. There was a doubt that current arthroscopic cuff repairs using a single row of suture anchors reproduce insufficient area of the anatomic cuff insertion, and concerns about failure of fixation often lead surgeons to limit early motion. Newer technique of double-row repair in arthroscopic treatment may provide initial stronger fixation and more contact with bone at the repair site than single-row repair did. We studied the comparison between clinical outcomes of arthroscopic single- and double-row repair in cuff tears at 1year postoperatively. Materials and methods: We retrospectively analyzed 40 shoulders with single-row repair and 38 shoulders with double-row repair of full-thickness rotator cuff tears between May 2002 and October 2004. Out of total 78 shoulders, 42 (54%) were male patients and 36 (46%) were female patients and the mean age at surgery was 56 years. All patients were diagnosed by physical examination and MRI. At 1year' follow-up after operation, we evaluated with the ASES and the Constant scoring system, and measured muscle power of abduction, internal and external rotation of the affected shoulder then compared with each other. Results: Mean ASES scores and Constant scores in double-row repair group improved more than single-row repair group significantly at 1year postoperatively. Muscle power of abduction and internal rotation, especially abduction power, improved more significantly in double-row repair group than in single-row repair. Conclusion: Arthroscopic double-row repair for the full thickness rotator cuff tear may be a superior technique, which showed better clinical outcomes and restoration of muscle power compared with single-row repair at relatively short period of postoperative follow-up. Restoration of footprint close to normal anatomy by double-row repair seems to play an important role in the recovery of muscle strength.

Surgical Treatment of the Ruptured Achilles Tendon: A Comparative Study between Percutaneous and Open Repair (급성 아킬레스건 파열의 수술적 치료: 경피적 봉합술과 관혈적 봉합술의 비교)

  • Kim, Do-Yeon;Kim, Sang-Bum;Heo, Youn-Moo;Lee, Jung-Bum;Lim, Jae-Woo;Oh, Hyeong-Tak
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.2
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    • pp.79-85
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    • 2011
  • Purpose: The purpose of the present study was to compare and analyze the clinical outcomes of the percutaneous and open repair of acute Achilles tendon ruptures. Materials and Methods: We performed a retrospective study on 24 patients (group 1) managed with percutaneous repair, and 21 patients (group 2) managed with open repair for acute Achilles tendon rupture. The postoperative evaluations were done by an Arner-Lindholm scale and AOFAS score. Postoperative overall satisfaction and cosmetic satisfaction were also evaluated. Results: By Arner-Lindholm scale and AOFAS score, there was no difference between two groups (p<0.05). As for postoperative overall satisfaction, 5 cases were very satisfied, 16 cases were satisfied and 3 cases were fair in group 1. In group 2, 12 cases were very satisfied, 9 cases were satisfied. For postoperative cosmetic satisfaction, 13 cases were satisfied, 11 cases were fair in group 1. In group 2, 9 cases were very satisfied, 12 cases satisfied. In open repair group, a case of deep wound infection and three cases of skin necrosis were reported as complication. 2 cases of sural nerve injury were seen in percutaneous repair group and were recovered within 3 months. Conclusion: Percutaneous repair of acute Achilles tendon ruptures have high level of cosmetic satisfaction compared with open repair without any significant difference in clinical outcomes.

Investigation and Repair Methods for the Excavated Mountain Area damaged by Rainfall : At the Sunghak Campus, Dong-A University (호우로 인한 절개산지의 피해 조사 및 대책공법 -동아대 승학 캠퍼스를 중심으로-)

  • 정성교;김종대
    • Geotechnical Engineering
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    • v.7 no.2
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    • pp.27-40
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    • 1991
  • The Sunghak Campus, Dong-A University, which located at the excavated area of mountain, has been constructed year by year for about 10 years since 1978. The buildings, steep slopes, road and so on in the Campus area were damaged by heavy rainfall more than 200mm 1 day on August, 1989. The methods used for the investigation and repair methods of the damage are the preliminary investigation, the present condition survey, 50 by 50m grid survey, compasstraverse for locating outcrops, geopysical exploration, geologic survey, boring and laboratory soil testing. Based on the results of investigations, the causes of the failures have been evaluated, and the repair methods have been set up as horizontal drains, removal of the dangerous rock, retaining wall with subsurface drains, the elimination of colluvium and slope stabilization by use of precast concrete grids and so on.

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Characteristics of manual welding process on carbon steel repair welding using buttering bead (버터링 비드를 이용한 탄소강 보수용접에서 수동 용접 프로세스의 특성)

  • Song, Geun-Ho;Kim, In-Su;Lee, Myeong-Yeol
    • Proceedings of the KWS Conference
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    • 2007.11a
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    • pp.42-44
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    • 2007
  • Methods of repair welding are different to production welding for welding position, welding process, welding power source, heating methods. This study investigated proper the welding process used the welding process SMAW and GTAW in the weldment of inconel filler metals. Mechanical test showed that SMAW and GTAW process had higher mechanical properties than those of material specification. Both SMAW and GTAW welding process can appy the repair welding. In comparison, GTAW welding process had more higher mechanical properties in the weldment.

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