• 대한관절경학회:학술대회논문집
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• 대한관절경학회 제21차 추계 학술대회
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• pp.153-153
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• 2009

The purpose of this study was to evaluate tibial tunnel widening prospectively after anterior cruciate ligament (ACL) reconstruction with hamstring tendon grafts using Rigidfix (DePuy Mitek, Raynham, MA) femoral fixation and Intrafix (DePuy Mitek) tibial fixation. 56 consecutive patients who underwent ACL reconstruction with a minimum of 2 years' postoperative evaluation were reviewed. On the anterior-posterior (AP) and lateral radiographs, the diameter of the tibial tunnel was measured at proximal, middle, and distal positions and the shape of the tibial tunnels were classified. Tunnel widening was defined as widening of greater than 2 mm. Group I was defined as cases with no tunnel widening and group II defined as cases with tunnel widening. Postoperative laxity evaluations were performed using Lachman test, pivot-shift test, and Instrumented laxity testing using the KT-1000 arthrometer. On the AP radiographs, the average diameter of the tibial tunnel increased 8.8% at 6 months and 8.5% at 12 months postoperatively compared to the immediate postoperative day. On the lateral radiographs, the average diameter of the tibial tunnel increased 7.2% at 6 months and 8.1% at 12 months year postoperatively compared to the immediate postoperative day. The tunnel shape evaluation revealed predominantly linear type in 53 patients (95%). Group I was 42 patients (75%) and group II was 14 (25%). The average KT-1000 measurement was 1.0~1.8 mm in group I and 2.1~2.8 mm in group II (p>0.05) The Lachman and pivot-shift showed tests no significant differences between the two groups. In conclusion, hamstring ACL reconstruction using Rigidfix and Intrafix fixation showed less widening of the tibial tunnels than observed in previously published studies.

• 로봇학회논문지
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• 제12권1호
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• pp.26-32
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• 2017

Previous shape sensors including bend sensors and optic fiber based sensors are widely used in various applications including goniometer and surgical robots. But theses sensors have large nonlinearity, limited in the range of sensing curvature, and sometimes are expensive. This study suggests a new concept of bend sensor using cable-conduit which consists of the outer sheath and the inner wire. The outer sheath is made of helical coil whose length of the central line changes as the sheath bends. This length change of the central line can be measured with the length change of the inner cable. The modeling and the experimental results show that the output signal of the proposed sensor is linearly related with the bend angle of the sheath with root mean square error of 5.3% of $450^{\circ}$ sensing range. Also the polynomial calibration of the sensor can decrease the root mean square error to 2.1% of the full sensing range.

• Structural Engineering and Mechanics
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• 제10권6호
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• pp.517-532
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• 2000

A direct output feedback control scheme was recently proposed by the authors for single-story building structures resting on flexible soil body. In this paper, the control scheme is extended to mitigate the seismic responses of multi-story buildings. Soil-structure interaction is taken into account in two parts: input at the soil-structure interface/foundation and control algorithm. The former reflects the effect on ground motions and is monitored in real time with accelerometers at foundation. The latter includes the effect on the dynamic characteristics of structures, which is formulated by modifying the classical linear quadratic regulator based on the fundamental mode shape of the soil-structure system. Numerical result on the study of a $\frac{1}{4}$-scale three-story structure, supported by a viscoelastic half-space of soil mass, have demonstrated that the proposed algorithm is robust and very effective in suppressing the earthquake-induced vibration in building structures even supported on a flexible soil mass. Parametric studies are performed to understand how soil damping and flexibility affect the effectiveness of active tendon control. The selection of weighting matrix and effect of soil property uncertainty are investigated in detail for practical applications.

• Structural Engineering and Mechanics
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• 제83권3호
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• pp.363-375
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• 2022

Flexural capacity prediction is a challenging problem for externally prestressed concrete beams (EPCBs) due to the unbonded phenomenon between the concrete beam and external tendons. Many prediction equations have been provided in previous research but typically ignored the differences in deformation mode between internal and external unbonded tendons. The availability of these equations for EPCBs is controversial due to the inconsistent deformation modes and ignored second-order effects. In this study, the deformation characteristics and collapse mechanism of EPCB are carefully considered, and the ultimate deflected shape curves are derived based on the simplified curvature distribution. With the compatible relation between external tendons and the concrete beam, the equations of tendon elongation and eccentricity loss at ultimate states are derived, and the geometric interpretation is clearly presented. Combined with the sectional equilibrium equations, a rational and simplified flexural capacity prediction method for EPCBs is proposed. The key parameter, plastic hinge length, is emphatically discussed and determined by the sensitivity analysis of 324 FE analysis results. With 94 collected laboratory-tested results, the effectiveness of the proposed method is confirmed, and comparisons with the previous formulas are made. The results show the better prediction accuracy of the proposed method for both stress increments and flexural capacity of EPCBs and the main reasons are discussed.

• 대한족부족관절학회지
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• 제27권2호
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• pp.75-78
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• 2023

During bone tumor resection, many cases require medial malleolar osteotomy to achieve adequate access to the operative field. Various osteotomy methods have been developed to address this issue, including oblique, transverse, reverse V-shape, and step-cut osteotomies. However, medial malleolar osteotomy has several drawbacks, such as the excessive disruption of the joint surface, unstable screw fixation when fixing the medial malleolus, and iatrogenic medial ankle joint arthritis due to articular displacement during the reduction of the osteotomy site. In addition, there is a possibility of injury to the posterior tibial artery, tibial nerve, or posterior tibialis tendon if the osteotomy range is too aggressive. Therefore, the authors propose a new osteotomy method, which has shown promising clinical results, namely, partial posterior medial malleolar osteotomy. This method minimizes articular involvement and provides adequate access to the operative field during talar body bone tumor resection.

• 전산구조공학
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• 제8권4호
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• pp.75-85
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• 1995

본 연구의 목적은 부착되어 있거나 혹은 부착되어 있지 않는 텐돈을 갖고 있는 프리스트래스트 콘크리트 구조체의 해석이 가능한 프로그램을 개발하는데 있다. 이를 위해서 먼저 콘크리트, 철근, 그리고 텐돈등의 반복하중에 대한 모델을 선정 개발하고, 텐돈이 부착되어 있지 않는 경우에 그 응력 및 변형도를 보다 정확하게 해석할 수 있는 복합유한요소법을 유도하였다. 이러한 복합 유한요소법을 사용하였을때 요소의 변형 형상을 가정하지 않고도 각 단면들의 변형을 결정할 수 있어 요소의 길이가 기존의 유한요소법에 비하여 상당히 길어질 수 있다. 이러한 복합유한요소법을 가능하게 하기 위해서 다양한 형태의 적분 방법이 프로그램되었다. 그리고 텐돈이 부착되어 있지 않는 경우 그효과를 예측할 수 있는 방법이 개발되었다. 끝으로, 실제 구조체에 대한 해석결과 및 실제시험에 대한 해석결과를 비교하여 프로그램의 적용성을 검토하였다.

• Archives of Reconstructive Microsurgery
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• 제25권2호
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• pp.25-28
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• 2016

Purpose: Reconstruction of small defects of the dorsal fingers and toes is a challenging task. Although adipofascial flap is widely used for these areas, additional refinements are warranted. In this paper, we define the appropriate defect size in the finger and toes that can be treated with the adipofascial flap, refine its surgical indications and present a few surgical tips. Materials and Methods: Twelve patients with dorsal defects of the fingers and toes were treated with a random-type adipofascial turn-over flap and skin graft. If the defect area exceeded the size that could be covered by a conventional design, the flap base was designed in oblique or curvilinear fashion to lengthen the flap. For accurate defect coverage, the width of the flap base was designed in an asymmetrical shape depending on the defect configuration, varying the width from 0.3 to 1.0 cm, as opposed to the standard 0.5 to 1.0 cm width. Moreover, the lateral limit of the flap was defined as the lateral axial line. The size of the defect ranged from $3.0{\times}1.7cm$ to $1.5{\times}1.3cm$. Results: All flaps survived completely. Gliding function of the hand was well preserved and there was no evidence of tendon adhesion. Conclusion: The small defect in the dorsal finger and toe can be defined as less than one phalanx-length, measuring about $3.0{\times}2.0cm$ in size. If the defect exceeds this dimension, it is recommended that a different option be considered. We believe the adipofascial flap is an excellent option for treating small defects.

• 대한정형외과 초음파학회지
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• 제6권2호
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• pp.60-64
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• 2013

원위 요골 골절에 대한 수장부 금속판 고정술이 많이 사용되면서, 합병증으로서, 원위 요골 배측 피질골을 관통한 나사못으로 인해 신전건 활막염이나 파열이 발생할 수 있슴이 보고된 바 있다. 그러나, 나사못에 의한 배측 피질골의 관통여부를 표준 방사선 촬영만으로 정확히 평가하기에는 한계가 있다. 저자들은 수장측 금속판 고정술 후 발생한 신전건 건활막염 및 부분 파열이 의심된 환자에 대하여 수술 전 초음파를 이용하여 나사못에 의한 건활막염 및 활막 종괴 형성 소견을 효과적으로 진단하고 수술적 치료를 시행하여 좋은 결과를 얻었기에 이를 보고하고자 한다.

• 대한토목학회논문집
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• 제28권1A호
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• pp.135-146
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• 2008

본 논문에서는 가속도 및 임피던스 신호를 이용하여 프리스트레스트 콘크리트(PSC) 거더교에 적합한 하이브리드 손상 모니터링 체계를 제안하였다. PSC 거더교의 주된 손상유형으로 텐던의 긴장력 감소와 콘크리트 거더의 휨 강성 저하를 고려하였다. 제안된 하이브리드 체계는 손상경보, 손상분류 및 손상평가와 같이 크게 3단계로 구성하였다. 첫 번째 단계에서는 가속도 특성 변화를 모니터링하여 전역적인 손상의 발생을 경보한다. 두 번째 단계에서는 임피던스 특성 변화를 모니터링하여 손상유형이 긴장력 감소인지 휨 강성 저하인지를 분류한다. 세 번째 단계에서는 손상유형에 적합한 손상평가기법을 이용하여 손상의 위치와 크기를 평가한다. 손상유형이 휨 강성 저하인 경우에서는 모드형상기반 손상검색 기법을 적용하였고, 손상유형이 긴장력 감소인 경우에서는 고유진동수기반 긴장력 추정 기법을 적용하였다. 모형 PSC 거더 실험을 통해 제안된 하이브리드 손상모니터링 체계의 유용성을 평가하였다.

• 대한예방한의학회지
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• 제7권2호
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• pp.121-130
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• 2003

The Musculoskeletal Disease has been ignored or turned away due to the difficulty of diagnosis and the vagueness of judgement up to now. Contrary to other diseases, there were many cases where the character of the Musculoskeletal Disease wasn't revealed through the objective inspection. And that's because the Musculoskeletal Disease appears for the most part due to muscular defect so it is impossible to diagnose the muscle by X-ray diagnosing the bone and it is also impossible to diagnose the fine damage of the muscle or tendon even by advanced device like MRI. As the nervous blood vessels or acupunctures pass through or are next to the muscle, the tension of the muscle put pressure on these so can become the direct or indirect causes of various kinds of pains or intern diseases. But in spite of that, for lack of proper equipment diagnosing the state of the muscle(Shortened.. Relaxed... or Hardened...) the muscle has been disregarded or neglected intentionally or unintentionally. While many people think themselves to be a muscular expert, if they don't see the shape of the muscle, that is just like blind treatment. But as now the equipment diagnosing the state of the muscle is developed, it seems that this problem can be settled. It was attempted in this study that the muscle or skeleton of the Musculoskeletal disease patients was diagno the treatment order and method were decided by a questionnaire survey and simple inspection, and the Musculoskeletal correction exercise using the muscle management and sling system made them escape from the Musculoskeletal disease, turning their muscle into more flexible and stronger muscle. As a result notwithstanding the limited treatment period '12 times', the improvement rate was as high as 74%, which showed that the muscle management and Musculoskeletal correction exercise had a great effect on the symptom improvement of the patients. If the treatment times had increased, the improvement rate also would have increased more.