• Title/Summary/Keyword: 고정세

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CONSERVATIVE APPROACH ON THE SEVERELY DISPLACED ROOT FRACTURE OF PRIMARY INCISORS : CASE REPORT (심하게 변위된 유전치 치근파절의 보존적 접근)

  • Kim, Jee-Young;Lee, Kwang-Hee;Kim, Dae-Eop;Ra, Ji-Young;Lee, Dong-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.3
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    • pp.571-577
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    • 2008
  • Root fracture of primary teeth is relatively uncommon because the more pliable alveolar bone allows displacement of the tooth. Root fracture of primary teeth is occupied $2{\sim}7%$ in trauma pattern of primary teeth. A horizontal root fracture is classified based on the location of the fracture in relation to the root tip : the apical third, middle third, or cervical third of the root. The prognosis worsens the further cervically the fracture has occurrer. Root fracture of primary teeth should be treated by splinting the incisor to the adjacent normal teeth with a resin-wire splint for $8{\sim}12$ weeks. However, if a portion of the root is abscessed or extremely mobile, it can be extracted, and the remaining root fragment will resorb normally. For coronal third fracture in primary teeth, the coronal third is extracted, leaving the apical portion of the root to resorb normally. These root fracture cases of primary teeth were treated by resin-wire splinting despite extremely mobile coronal fragment. Even though they seems like healing well, They need to be monitored regularly until their successors erupt.

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Treatment of Open Proximal Humerus Fracture by Gunshot (총격에 의한 개방성 근위 상완골 골절의 치료 - 증례 보고 -)

  • Kim, Sung-Jae;Lee, Jae-Hoo;Chun, Yong-Min
    • Clinics in Shoulder and Elbow
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    • v.15 no.1
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    • pp.37-42
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    • 2012
  • Purpose: To consider the proper management of proximal humerus fracture on gunshot wounds. Materials and Methods: A 28-year-old male patient, who sustained a gunshot injury on the left arm 5 days ago, was admitted through the emergency department. Although he underwent an emergency surgery (bullet fragment removal and debridement), there remained bullet fragments around the proximal humerus fracture site. The wound seemed to be infected and a partial dehiscence occurred. No neurologic deficit was noted. Immediate exploration and debridement were performed, and an external fixator was applied to restore the anatomical alignment and manage the wounds. Intravenous antibiotics were administered. On the 9th postoperative day, wound debridement was done again, and cement beads mixed with antibiotics were inserted. After two weeks, the external fixator was removed, and the pin sites were closed after debridement. One week later, the open reduction and internal fixation with locking compression plate and screws were done. Result: At 3 months after the internal fixation, the bone union was obtained with satisfactory alignment of the humerus. Conclusion: The severity of the soft tissue injury influences the fracture management plan. Further, the risk on lead toxicity should be considered.

The Surgical Treatment of Chronic Avulsion Fracture of the Anterior Cruciate Ligament (진구성 전방 십자 인대 견열 골절의 수술적 치료)

  • Song Eun-Kyoo;Seol Jong-Yoon;Choi Jin
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.1
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    • pp.31-36
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    • 2002
  • Objective : The purpose of this study was to evaluate the clinical and radiological results after treatment of old ACL(anterior cruciate ligament) avulsion fracture of tibia. Materials and Method : 11 cases who were followed up at least 2 years after treatment in chronic ACL avulsion fracture of tibia were included in this study. The average age of patients was 26(9-66) years and the mean period of follow up was 53(24-131) months. After evaluation of the lesion and treatment of associated lesion under arthroscope, open reduction and internal fixation or fragment removal was performed. Pull-out suture was performed in 8 cases, screw fixation in 2 cases. Results : The Lysholm knee score was 64.3 in average preoperatively and improved to 96.2 average at follow up. On the Lachman test, there were mild(+) instabilities in 7 cases, moderate(++) in 4 cases. On the postoperative Lachman test, there were no instabilities in 9 cases, mild(+) instabilities in only 2 cases. According to Meyers and Mckeever's evaluation protocol, 9 cases $(81.8\%)$ were excellent, 2 case $(18.2\%)$, good. On preoperative instrumented anterior laxity test with $Telos^{\circledR}$, side to side difference in 201b was 7.8(10-4) min in average and 2.1(6-0) mm in average at follow-up. Conclusion : In chronic ACL avulsion fracture, it is thought that combination of arthroscopic evaluation of associated injury and open reduction and fixation and fragment removal can bring about satisfactory results.

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Treatment of Anterior Glenoid Rim Fracture with Comminuted Fragment Using Arthroscopic Reduction and AO Headless Compression Screw Fixation - A Case Report - (관절경하 AO 무두 압박 나사를 이용한 견갑골 전방 관절와 분쇄 골절의 치료 - 증례 보고 -)

  • Kim, Hyung-Sik;Koh, Il-Hyun;Kim, Sung-Guk;Chun, Yong-Min;Kim, Sung-Jae;Kang, Ho-Jung
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.94-98
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    • 2011
  • Purpose: We present a case of anterior glenoid rim comminuted fracture that was treated with arthroscopic reduction and an AO headless compression screw (HCS) fixation. Materials and Methods: A 31-year old man complained of left shoulder pain after falling down on stairs. The anterior glenoid comminuted fragments were arthroscopically reduced. Fixation with an AO HCS was done after placement of 1.1 mm Kirschner wire as a guide pin through a standard cannulated anterosuperior portal. Results: Twelve months after the operation, union of the fracture was achieved and the range of motion was fully recovered. He did not complain of any discomfort during his activities of daily living. Conclusion: An AO HCS had various screw sizes and this was good for fixation of a small glenoid fracture and a long drill bit and screw driver were useful for fixation of deep seated glenoid fracture. A short guide wire could be replaced by a 1.1 mm K-wire. An AO HCS was useful for fixation of an anterior glenoid rim comminuted fracture.

The Model Experiment on Holding Power of the Anchors used in the Set Net (정치망 고정용 닻의 파주력에 대한 모형실험)

  • 윤일부;이주희;권병국;김성훈;신정욱
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.37 no.2
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    • pp.95-105
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    • 2001
  • A series of experiment is carried out to determine the holding power of the existing anchors used in the stationary gear in the coast of the South sea. The experiment apparatus is made of the pulling machine, the load cell, the personal computer and three water tanks the bottom of which are mud, sand and m & s respectively. The result obtained are as follows : 1. On the tension and holding power of the existing anchors, B-type of the stock anchor with two fluke shows the greatest and gets smaller on order of A-type one with a fluke. The holding power of the anchors shows the greatest in the mud and gets smaller in order of m & s, sand. And, the holding power depending upon the length of anchor rope increase as the length does up to the 4 times of depth. 2. On the holding power per fluke area of the existing anchors in case of ration of length of anchor rope to depth is 2, 3 and 4, A-type anchor shows about 310-320 kg/m supper(2), 470-480 kg/m supper(2), 590-640 kg/m supper(2) respectively, B-type one 260-265 kg/m supper(2), 390-450 kg/m supper(2), 630-700 kg/m supper(2) respectively, and C-type one 70-100 kg/m supper(2), 150-180 kg/m supper(2), 210-270 kg/m supper(2) respectively. The holding power per fluke area of the anchors increase as the length of anchor rope does. 3. On the coefficient of holding power of the existing anchors, A-type anchor shows the greatest and gets smaller in the order of B-type one, C-type one.

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Study for Fire Examples of LPG Leakage Including Fuel hose, Injector and Pressure Regulator Connector in Vehicle (자동차 연료호스, 인젝터 및 압력조절기 연결부에서 LP 가스 누출에 의한 화재사례 고찰)

  • Lee, Il Kwon;Kook, Chang Hoo;Suh, Moon Won;Jung, Dong Hwa
    • Journal of the Korean Institute of Gas
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    • v.17 no.3
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    • pp.8-13
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    • 2013
  • The purpose of this paper is to study for fire example by fuel leakage in LPG Vehicle. At first example, the car was repaired the fuel line that was connected with pressure hose between fuel regulator and injector in engine. But the service man was not very tighten with regular torque. At a result, the gas leaked on hot parts of engine. It verified the production of fire by engine heat. At second example, when the repair man, after replacement the injector, inserted the injector in a assembling part of it, he didn't the transform condition of fixing part. Therefore, the tearing phenomenon of O ring producted the controlled leakage of fuel by the injector deflection. It found the fact that the fuel leaked with gap of O ring. At third example. the fuel-cut solenoid valve was lined with pressure regulator unit. But the service man didn't throughly certify the leaked work of connected parts after repaired it. As a result, it certified the fire by engine heating leaked liquefied petroleum gas. Therefore it have to minimize the fire production that the driver should do no problem to throughly manage the fuel system.

Immobilization of Bacillus sp. Strains, Catalase Producing Bacteria and Their Hydrogen Peroxide Removal Characteristics (카탈라제를 생산하는 고초균 (Bacillus sp.)의 고정화 및 과산화수소 분해 특성)

  • Han, Kyung-Ah;Jang, Yun-Hee;Rhee, Jong-Il
    • KSBB Journal
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    • v.25 no.6
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    • pp.520-526
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    • 2010
  • In this work we have investigated the production of catalase from Bacillus sp. strains, which were screened and identified from soil. These strains were cultivated in shaking flasks with tryptic soy broth (TSB) at $30^{\circ}C$ and 200 rpm. Effects of the temperature and pH on the stability of the native catalase and whole cell viability were studied in the temperature range of $25-60^{\circ}C$ and the pH range of 7-13. Korean natural zeolite was added to culture medium and mixed with microorganisms for 24 hours. The native catalase maintained its activity over $50^{\circ}C$. The enzyme acitiviy of the catalase from Bacillus flexus BKBChE-3 was highest among the Bacillus sp. strains studied. Bacillus flexus BKBChE-3 and immobilized Bacillus cells have survived under extreme conditions of over $50^{\circ}C$ and pH 12. 60 mL of 10.5 mM $H_2O_2$ solution were entirely removed within 1 hour with catalase produced from Bacillus sp. on the flask. When Bacillus cells were immobilized on Korean natural zeolite, colony forming unit of Bacillus flexus BKBChE-3 was increased and high efficiency of hydrogen peroxide removal was observed.

Implant Supported Fixed Restoration for Maxillary Edentulism using CAD/CAM Guided Implant Surgery (NobelGuide$^{TM}$) and Immediate Loading (상악 완전 무치악 환자의 CAD/CAM 을 이용한 임플란트 식립(NobelGuide$^{TM}$) 및 즉시하중 후 고정성 보철수복 증례)

  • Huh, Yoon-Hyuk;Yi, Yang-Jin;Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.4
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    • pp.423-439
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    • 2012
  • This case report described a technique utilizing a computer-aided design (CAD)/computer-aided machining (CAM) - guided surgical implant placement and prefabricated temporary fixed prosthesis for an immediately loaded restoration. The advantages of CAD/CAM guided implant procedures are flapless, minimally invasive surgery and shorter surgery time. With this technique, less postoperative morbidity and delivery of prosthesis for immediate function would be possible. A patient with an edentulous maxilla received 8 implants in maxilla using CAD/CAM surgical templates. Prefabricated provisional maxillary implant supported fixed prosthesis were connected immediately after implant installation. Provisional prosthesis was evaluated for aesthetics, function during 6 months. Definitive implant supported fixed porcelain fused metal bridges were fabricated.

Restoration of an Edentulous Patient with CAD/CAM Guided Implant Surgery ($NobelGuide^{TM}$) and Immediate Loading: Case Report (무치악 환자에서 CAD/CAM을 이용한 임플란트 식립($NobelGuide^{TM}$) 및 즉시하중 증례)

  • Ko, Kyoung-Ho;Lim, Kwang-Gil;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.2
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    • pp.233-245
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    • 2011
  • With the use of computed tomography (CT), computer-aided design/computer-assisted machining (CAD/CAM) technology and internet, the implant dentistry has been evolved. The surgical templates made by CAD/CAM technology and precise installation of implants, permit restorations to be inserted immediately after implants have been placed. The advantages of CAD/CAM guided implant procedures are flapless, minimally invasive surgery and shorter surgery time. With this technique, less postoperative morbidity and delivery of prosthesis for immediate function would be possible. A patient with an edentulous maxilla and mandible received 7 implants in mandible using CAD/CAM surgical templates. Prefabricated provisional fixed prostheses were connected immediately after implant installation. Provisional prostheses were evaluated for aesthetics and function during 6 months. Definitive prostheses were fabricated. At 6 months recall appointment, patient's occlusion was slightly changed. To prevent additional adverse effect, regular check-up and occlusal adjustment would be needed.

Internal Fixation of Proximal Humerus Fracture with Locking Compression Plate (잠김 압박 금속판을 이용한 근위 상완골 골절의 내고정술)

  • Park, Chul-Hyun;Park, Sung-Hyuk;Seo, Jae-Sung
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.44-52
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    • 2009
  • Purpose: We assessed the radiographic and clinical results of one surgeon's experience treating proximal humerus fractures with a locked proximal humeral plate. Materials and Methods: Twenty patients with unstable proximal humerus fractures were treated with a locking compression plate between February 2005 and September 2007. The average age of the patients was 60.6 years, and the average postoperative follow-up period was 22.3 months. The clinical results were evaluated using the Constant and DASH scores. The radiologic results were evaluated by the Paavolainen method, which measures the neck shaft angle and humeral head height. Results: At the last follow-up examination, the mean Constant score was 75.3 and 15 cases (75%) had excellent or good results; the mean DASH score was 16.4. The mean neck shaft angle was $137.1^{\circ}$, and 19 cases (95%) had good results by the Paavolainen method. There was one delayed union, malunion, and screw loosening. Conclusion: The patients treated with a locking compression plate had relatively good clinical and radiologic results, and a low complication rate. Moreover, the patients could exercise earlier due to good reduction and initial stability. Treatment of unstable proximal humerus fractures with a locking compression plate is a reliable method.