• 대한디지털의료영상학회논문지
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• 제10권1호
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• pp.35-40
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• 2008

I.objective The composition method with acquiring 2${\sim}$5 image not only lack perfection in compensating the geometrical distortion but could also cause inaccurate connection problem of compensating the geometrical distortion but could also cause inaccurate connection problem of continuing bone structure due to the enlargement ratio difference of ruller and bone, density difference in image composition process. This paper studies those mentioned problems through the experiments. II. Object and method Experiment 1 After attaching 3 step wedge(Pb) on detector and 2 ruller on upper, lower part of the step wedge, we have exposed them to create density difference between 1st image and 2nd image, then examined if there were any errors. Experiment 2 1st 100cm ruller was attached on the center of detector, and by escalating the distance between 2nd 100cm ruller and detector 5cm, 10cm, 15cm respectively, we investigated if there any errors caused by enlargement ratio. Experiment 3 The ruller was placed on detector, a joint photographing was performed through spot photographing after fully operating the electric field photographing to include hip joint ${\sim}$ ankle joint part and we have compared the values from two methods. III. Result : A horizontal axis error was caused when photopraphing is not poerated in equal density since the image shifted horizontally in accordance with the difference of Pb step wedge 1 due to the density difference, as the result of Epperiment 1.

• 한국전문물리치료학회지
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• 제12권2호
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• pp.11-19
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• 2005

Patellofemoral pain syndrome (PFPS) is often attributed to malalignment and maltracking of patella within the patellofemoral joint. Most exercise for PFPS has focused on selectively strengthening the vastus medialis oblique muscle (VMO). This study was designed to identify the effect of medial, lateral wedge and difference of Quadriceps angle (Q-angle) on vastus medialis oblique/vastus lateralis muscle (VL) activity ratios. The subjects were twenty young adult males who had not experienced any knee injury. They were asked to perform isometric contraction exercises in three postures using medial and lateral wedge. The EMG activity of the VL and VMO were recorded in three postures by surface electrodes and normalized by %MVC values derived from seated, isometric knee extensions. The normalized EMG activity levels (%MVC) of the VL and VMO for the three postures of the lower extremities were compared using 2-way repeated measures ANOVA with 1 between-subject factor (group), and 1 within-subject factor (wedge). Results of repeated measures of ANOVA's revealed that the medial wedge isometric contraction exercise produced significantly greater EMG activity of VMO/VL ratios in Group I (Q-angle $18^{\circ}$ or less) (p<.05). But, the medial wedge isometric contraction exercise was no significant difference of VMO/VL ratios in Group II (Q-angle $19^{\circ}$ or more) (p>.05). These results have important implications for selective VMO muscle strengthening exercises in PFPS patients.

• 한국전산구조공학회:학술대회논문집
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• 한국전산구조공학회 1997년도 봄 학술발표회 논문집
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• pp.35-42
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• 1997

The two-state or mutual M-integral which is derived from tile M-integral and is applicable for two elastic states, is applied for computing all intensity of a singular near-tip field around the vertex of a class of wedge, encountered in adhesive lap joints under mechanical loading. Numerically we verify that a simple auxiliary field associated with every eigenfunction for the composite wedge under consideration exists in the form of the conjugate solution in the sense of tile M-integral. The auxiliary field is then employed for superposition with the elastic field under consideration, and the associated two-state M-integral is computed via the domain integral technique. This enables us to extract the intensity for a singular field information for a singular elastic boundary layer is extracted form the domain integral representation without resort to singular finite element for the wedge vertex.

• Geomechanics and Engineering
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• 제2권2호
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• pp.125-140
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• 2010

Slope stability analysis of the right abutment of a railway bridge proposed at about 350 m above the ground level, crossing a river and connecting two huge hillocks in the Himalayas, India is presented in this paper. The site is located in a highly active seismic zone. The rock slopes are intensely jointed and the joint spacing and orientation are varying at different locations. Static slope stability of the rock slope is studied using equivalent continuum approach through the most commonly used commercial numerical tools like FLAC and SLOPE/W of GEOSTUDIO. The factor of safety for the slope under static conditions was 1.88 and it was reduced by 46% with the application of earthquake loads in pseudo-static analysis. The results obtained from the slope stability analyses confirmed the global stability of the slope. However, it is very likely that there could be possibility of wedge failures at some of the pier locations. This paper also presents the results from kinematics of right abutment slope for the wedge failure analysis based on stereographic projections. Based on the kinematics, it is recommended to flatten the slope from 50o to 43o to avoid wedge failures at all pier locations.

• 대한족부족관절학회지
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• 제16권1호
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• pp.38-46
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• 2012

Purpose: This study was performed retrospectively to evaluate clinical outcomes of distal metatarsal osteotomy using bio-compression screw as the joint preservation method for advanced hallux rigidus. Materials and Methods: Eleven cases were followed up for more than 1 year after distal metatarsal dorsal wedge osteotomy for advanced hallux rigidus. The clinical evaluation was performed according to the American Orthopaedic Foot and Ankle Society (AOFAS) score and patient's satisfaction score. The range of motion, and the period to return to running exercise, tip-toeing gait, squatting, walking down the stairs were evaluated. As the radiographic evaluation, the interval of $1^{st}$ MTP (metatarsophalangeal) joint space and the period to union were measured. Results: The AOFAS hallux score had improved significantly from preoperative average 50.7 points to 87.6 points at the last follow-up (p=0.005). The subjective satisfaction score was average 90.6 points. There were no case of subsequent fusion or additional operation, and no complication associated with bio-compression screw. The period to return to running exercise, tip-toeing gait, squatting, walking down the stairs were average of 24.8 weeks, 20.4 weeks, 16.8 weeks, 18.5 weeks respectively. Dorsiflexion of $1^{st}$ MTP joint had improved significantly from preoperative average $17.5^{\circ}$ to $44^{\circ}$ (p<0.001). All cases achieved union of osteotomy site, and the period to union was average 10.4 weeks. The interval of $1^{st}$ MTP joint space had improved significantly from preoperative average 1.2 mm to 3.5 mm (p=0.014). Conclusion: Distal metatarsal osteotomy using bio-compression screw seems to be one of effective treatment methods for advanced hallux rigidus, because of restoration of the first MTP joint motion, and reliable pain relief, and needlessness of hardware removal.

• Knee surgery & related research
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• 제30권4호
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• pp.303-310
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• 2018

Purpose: The purpose of this study was to investigate whether surgical experience could improve surgical competency in medial open wedge high tibial osteotomy (MOWHTO). Materials and Methods: One hundred consecutive cases of MOWHTO were performed with preoperative planning using the Miniaci method. Surgical errors were defined as under- or overcorrection, excessive posterior slope change, or the presence of a lateral hinge fracture. Each of these treatment failures was separately evaluated using the cumulative summation test for learning curve (LC-CUSUM). Results: The LC-CUSUM showed competency in prevention of undercorrection, excessive posterior slope change, and lateral hinge fracture after 27, 47, and 42 procedures, respectively. However, the LC-CUSUM did not signal achievement of competency in prevention of overcorrection after 100 procedures. Furthermore, the failure rate for overcorrection showed an increasing tendency as surgical experience increased. Conclusions: Surgical experience may improve the surgeon's competency in prevention of undercorrection, excessive posterior slope change, and lateral hinge fracture. However, it may not help reduce the incidence of overcorrection even after performance of 100 cases of MOWHTO over a period of 6 years.

• 대한의용생체공학회:의공학회지
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• 제25권4호
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• pp.289-293
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• 2004

본 연구에서는 경사각도가 다른 내, 외측 후족 왯지를 착용하고 보행하는 동안 삼차원 동작분석시스템과 무선가속도측정시스템을 이용하여 무릎관절의 내번토크와 내외측 방향 가속도를 측정하였다. 내번토크와 외측 가속도는 하중수용기와 전유각기에서 각각 양의 절정값을 나타내었다. 하중수용기에 내측 왯지의 경우 내번토크와 외측 가속도가 맨발에 비하여 증가되었으며, 외측 왯지의 경우 내번토크와 외측 가속도값이 감소하였다. (p<0.05). 이러한 변화는 왯지의 경사각이 커질수록 더욱 뚜렷한 상관성을 보였다(p<0.05). 그러나 전유각기에서는 왯지의 방향과 경사에 따른 무릎의 내번토크와 내외측 가속도의 상관성을 확인할 수 없었다. 본 연구의 견과를 통하여 외측 왯지 사용 시 무릎관절의 내번토크가 감소되어 퇴행성 무릎관절염의 치료에 도움을 줄 수 있다. 또한, 보행 중 무릎관절의 내번토크 대신에 외측방향 가속도를 측정함으로써 간단히 왯지의 효과를 결정할 수 있을 것이다.

• 대한족부족관절학회지
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• 제17권4호
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• pp.302-308
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• 2013

Purpose: To present clinical results of proximal first metatarsal opening wedge osteotomy and low profile plate fixation in hallux valgus deformity. Materials and Methods: Thirty-two patients (39 feet) underwent surgery for hallux valgus deformity. Fourteen patients (18 feet; Group A) underwent proximal first metatarsal opening wedge osteotomy fixed with low profile titanium plate ($Arthrex^{(R)}$), and 18 patients (21 feet; Group B) underwent proximal chevron osteotomy with two K-wires. Improvement in hallux valgus angle (HVA), 1, 2 intermetatarsal angle (IMA), range of motion of 1st metatarsophalangeal joint, VAS score, and the length of first metatarsal on weight-bearing radiograph were evaluated preoperatively and at final follow-up. Results: HVA improved from $36.2{\pm}6.6$ degrees to $11.7{\pm}5.1$ degrees, and 1, 2 IMA improved from $15.7{\pm}2.6$ degrees to $7.2{\pm}1.9$ degrees. VAS score improved from $7.2{\pm}1.2$ to $1.4{\pm}0.9$. There were no significant differences clinically and radiologically. Conclusion: Proximal first metatarsal opening wedge osteotomy with stable fixation using low profile plate may be an effective surgical option for correction of hallux valgus deformity.

• 대한족부족관절학회지
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• 제20권3호
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• pp.126-130
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• 2016

Purpose: The aim of this study was to evaluate the result of extraarticular dorsal closing wedge osteotomy in Freiberg's disease. Materials and Methods: Between February 2012 and July 2014, total 10 patients who underwent dorsal closing wedge osteotomy and followed up more than 1 year were selected for inclusion. Average age was 16.3 years, and average follow-up period was 15.5 months. The diagnosis was made using magnetic resonance imaging of those with a limitation in walking or usual activity due to pain in the metatarsal head. During operation, we removed loose body, and synovectomy was done. Osteotomy at the metatarsal neck and fixation with Kirschner wire were performed. X-ray was taken to check shortening of 2nd metatarsal and bone union. Moreover, we checked the active range of motion of 2nd metatarsophalangeal joint before and after surgery. At the last follow-up, the shortening of metatarsal, American Orthopaedic Foot and Ankle Society (AOFAS) score, visual analogue scale (VAS), and patient's subjective satisfaction were evaluated. Results: According to the Smillie's stage, there were 3 cases of stage II, 4 cases of stage III, and 3 cases of stage IV. Average bone union time on the osteotomy site was 8 weeks. Average shortening of metatarsal was 2.53 mm. Average AOFAS score improved significantly from 56.9 to 82.8 points at final follow-up (p<0.05), and average VAS score also improved significantly from 6.4 to 1.4 points at final follow-up (p<0.05). Average active range of motion at metatarsophalangeal joint improved from $28.0^{\circ}$ preoperatively to $46.5^{\circ}$ at the final follow-up. Other complications, such as metatarsalgia and arthritis, were not found; however, there was 1 case of delayed union with no symptom. Conclusion: In Freiberg's disease, dorsal closing wedge osteotomy is recommended for the improvement of clinical symptoms and range of motion.

• 한국강구조학회 논문집
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• 제19권6호
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• pp.655-661
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• 2007

강재의 접합형식으로 쐐기의 원리를 이용한 새로운 접합장치인 쐐기형 접합장치(wedge connectors)가 개발되었다. 본 연구에서는 새로운 접합장치를 적용한 철골 보-기둥 접합부의 내진성능에 대한 실험연구를 수행하였다. 새로운 접합장치를 적용한 2개의 보-기둥 접합부 시험체에 대해 반복하중 실험을 수행하였다. 2개의 시험체는 켄티레버형이며 동일한 상세를 갖도록 제작되었다. 반복하중 실험의 결과 2개의 시험체 모두 특수모멘트골조에 대해 요구되는 총회전각인 0.04 라디안보다 큰 0.06라디안의 총회전각을 발휘할 수 있었으며 기존의 보-기둥 접합형식에 비해 에너지 소산능력이 크게 우수한 것으로 나타났다.