Purpose: To compare the clinical and radiological result of arthroscopic Mattress Locking suture repair to that of a Simple suture repair with small and medium-sized rotator cuff tears. Materials and Methods: Among 92 patients who were followed up after arthroscopic repair in patients with small and medium-sized rotator cuff tear from April 2007 to October 2010, 27 patients who took Arthroscopic Mattress Locking suture were set as group I and 65 patients who took Simple suture were set as Group II. The average age of patients were 58 years old and average follow-up period was 30 months. For analysis, VAS, ASES and KSS were used to analyze the range of joint movement and pain. And, for the image result, MRI performed after operation were evaluated. Results: The average VAS, KSS, UCLA score and ASES prior to surgery improved in the last follow-up (p 0.001). In MRI follow-up examination, the 2 cases (7.41%) of group 1 showed increased rupture lesions with improved symptoms. And the 12 cases (18.47%) of group 2 showed increased rupture lesions with improved symptoms. Retears in the group I were significant less than the group II (p Conclusion: Comparing patients with small and medium-sized rotator cuff tear who took arthroscopic mattress locking suture repair to those who took simple suture repair after over one year follow up period, the clinical result showed no significant difference between two groups. However, Mattress Locking suture repair showed excellent radiological result compared to simple suture repair when comparing rerupture.
Purpose: We wanted to review the arthroscopic Remplissage technique and introduce our experiences with it for treating recurrent shoulder instability with a large Hill-Sachs lesion. Materials and Methods: The arthroscopic Remplissage technique with Bankart repair is performed in patients with no osteoarthritis, no fracture around the shoulder, a history of recurrence more than 10 times, a large Hill-Sachs lesion more than 30 to 40% of the humeral articular surface and glenoid bone loss less than 20%. Results and Conclusion: For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique resulted in a good outcome for the shoulder stability, and good clinical and functional results.
Purpose: To evaluate shoulder stability, clinical, and functional results more than 6 months after utilizing the ‘Remplissage’ technique, consisting of an arthroscopic posterior capsulodesis and infraspinatus tenodesis, to fill Hill-Sachs lesions. Materials and Methods: Seven patients were followed-up more than 6 months after the ‘Remplissage’ procedures performed in our hospital from August 2008 to August 2009. The mean age of the patients was 28.6 years and the mean follow-up time was 10 months. Evaluations included ROM, ASES score, KSSI score, ROWE score, and postoperative MRI. Results: In a functional evaluation of the patients with an average postoperative time of 10 months, the ASES score improved from 51.4 preoperatively to 76.8 postoperatively, the KSSI score improved from 46.5 preoperatively to 76 postoperatively, and the ROWE score improved from 43.5 preoperatively to 76.3 postoperatively. After an average postoperative time of 10 months, the range of motion was nearly normal (>170 degrees in further flexion, and >45 degrees in external rotation). Conclusion: In recurrent shoulder instabilities with large Hill-Sachs lesions, the ‘Remplissage’ technique resulted in good outcomes in terms of shoulder stability, clinical, and functional results after postoperative times of more than 6 months.
본 연구에서는 쌀 이축 압출 성형 중 반죽 스크루의 배열의 변화가 압출 시스템 변수 및 압출물의 물리화학적 특성에 미치는 영향을 분석하였으며 수행한 결과는 다음과 같다. 스크루 배열 변화시 조리 구간에 배열한 반죽 스크루의 각도 및 길이의 변화에 따라 충진도 및 입자크기를 관찰하면서 압력형성과 비기계적 에너지 소요 변화와 관계를 파악할 수 있었다. 충진도 및 압력은 config. 1에서 고전단처리가 가능한 config. 5로 증가함에 따라 규칙적으로 증가되는 결과를 나타내었으며, 고전단력이 발생하는 config. 5에서 충진길이는 115 mm의 가장 높은 값을 나타내었으며 압력은 5,748.76 kPa로 가장 높은 갚을 형성하였다. 입자크기 및 비기계적 에너지 관계는 압력은 config. 1에서 config. 5로 증가함에 따라 비기계적 에너지 증가되었으며, 쌀의 입자 크기는 감소되었다. Config. 5에서 비기계적 에너지 값이52.80 kJ/kg이며 입자크기는 0.22에서 0.28 mm범위로 감소되었다. 팽화율, 수분용해지수, 전분 소화율은 config. 1에서 고전단력 처리가 가능한 config. 5로 증가함에 따라 규칙적으로 증가되는 결과를 나타내었다. 팽화율은 config. 1에서 1.85를 나타내었으나 config. 5에서 충진 길이 및 압력 증가의 영향으로 3.06으로 증가되었다. 수분용해지수와 전분 소화율도 원재료에서 각각 1.36%, 10.53%을 나타내었으나 config. 5에서 입자크기 감소 및 SME 증가의 영향으로 수분용해지수는 22.08%, 전분소화율은 16.57%로 증가되었다. 본 연구를 통하여 스크루 배열 변화는 시스템 변수 및 물리화학적 특성에 영향을 미치는 중요한 공정 변수임을 확인하였다. 압출 성형공정에서 스크루 배열 변화에 따라 저전단에서 고전단 공정을 제어 할 수 있으며, 사출구 압력, 비기계적 에너지, 압출물의 물리화학적 특성 등의 변수를 결정하는데 중요한 역할을 한다는 것이 이 연구를 통하여 확인할 수 있었다.
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