• Title/Summary/Keyword: 고정세

Search Result 748, Processing Time 0.031 seconds

Clinical and Radiographical Follow-up for Residual Displacement of Fracture Fragments after Interlocking Intramedullary Nailing in Humeral Shaft Fractures (상완골 간부 골절에서 교합성 골수강 내 금속정 고정 후 잔존한 골절편 전위에 대한 임상적, 방사선학적 추시)

  • Yum, Jae-Kwang;Lim, Dong-Ju;Jung, Eui-Yub;Sohn, Su-Een
    • Clinics in Shoulder and Elbow
    • /
    • v.16 no.2
    • /
    • pp.107-114
    • /
    • 2013
  • Purpose: This study is designed to evaluate the clinical and radiographical results for the displacement of fracture fragments after interlocking intramedullary nailing in humeral shaft fractures. Materials and Methods: We retrospectively reviewed the results of 8 cases of humeral shaft fractures that have displacements of over 10 mm and under 20 mm after interlocking intramedullary nailing between July 2004 and August 2011. The mean age was 54.1 years (range, 43 to 70 years) and there were 3 male and 5 female patients. Radiographically, the time to bony union, change of displacement and angulation of the fracture site, and degree of improvement of these two factors were measured. Clinically, the range of motion of shoulder and elbow joints, postoperative pain and complications were evaluated. Results: All cases showed complete bony union in last follow-up. The mean time to bony union was 16.1 weeks. At the last follow-up, almost all cases had normal range of motion of shoulder and elbow joints. But, one case had stiffness of shoulder joint. Therefore, arthroscopic capsular release and manipulation was performed. One case had transient shoulder pain and the other case had transient elbow pain. In the two cases, pull-out of proximal interlocking screw were noted, but they finally had bony union. Conclusion: Although considerable displacement of fracture fragments after interlocking intramedullary nailing in humeral shaft fractures was present, we had excellent radiographical and clinical outcomes. Therefore, an additional procedure, such as open reduction or another fixation for the fracture site, was not necessary.

Arthroscopic Treatment of Displaced Tibial Spine Fracture in Children (소아에서의 전위된 경골극 골절의 관절경적 치료)

  • Choi, Nam-Yong;Cheong, Hyung-Kook;Koh, Hae-Seok;Han, Suk-Ku;Nah, Ki-Ho;Song, Hyun-Seok;Kim, Bae-Gyun
    • Journal of the Korean Arthroscopy Society
    • /
    • v.9 no.2
    • /
    • pp.148-153
    • /
    • 2005
  • Purpose: To analyze the clinical result of the arthroscopic reduction and fixation for the displaced tibial spine fractures in children and report the utility of the arthroscopic treatment with the review of the literature. Methods: Between December 2000 and July 2004, five patients (average age 9.1 years) received an arthroscopic reduction and fixation of displaced tibial spine fracture. A male-to-female ratio was 3:2 and mean follow-up was 38.2$(13{\sim}56)$ months. All five patients were classified type III by Movers and McKeever classification. The average period from injury to operation was 4.8 days $(3{\sim}8days)$, the avulsed fragment was reduced by operative arthroscopy and fixated by pull-out suture in 3 patients and by cannulated screw in 2 patients. Postoperatively long leg cast was applied for 2 weeks, and then gradual range-of-motion exercise was permitted. Full weight-bearing ambulation was permitted after 6 weeks. The clinical evaluation was performed by range of motion, Lachman and pivot shift test, KT-1000 arthrometer, Lysholm knee score and the modified Feagin score. Results: All five patients had no symptom and recovered full range of motion of the affected knees. Lachman test was positive finding of 1+ laxity in one patient, the others were negative, and all patients were negative findings for pivot shift test. The result of KT-1000 arthrometric assessment is mean maximum side-to-side differences 1.9 mm. Average Lysholm knee score was 99.4. All patients had excellent results in modified Feagin score. Conclusion: Arthroscopic reduction and fixation of displaced tibial spine fracture in children showed excellent result without complication. Both pull-out suture fixation and cannulated fixation provide an effective treatment option for fixation of the displaced anterior tibial spine fracture.

  • PDF

CLINICAL STUDY ON ORTHOGNATHIC SURGERY FOR 8 YEARS IN OUR DEPARTMENT (최근 8년간 본교실에서 시행한 악교정수술의 임상적 검토)

  • Kwon, Tae-Geon;Lee, Sang-Han
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.17 no.1
    • /
    • pp.1-9
    • /
    • 1995
  • We observed 117 orthognathic surgery cases with dentofacial deformity for 8 years from Jan. 1986 to Dec. 1993. The ratio of male female was 1 : 1.4 and the mean age was 23.0 years ranged from 16 to 35 years. The most dominant group was related to mandibular prognathism (75.0%). Surgery method were divided into 88 cases of mandible surgery, 6 cases of maxilla surgery and 23 cases of two jaw surgery. Sagittal split osteotomy were performed on 84 cases (71.8%). Rigid fixation was increased after 1989 and total percent of rigid fixation was 66%. We used autotransfusion method from 1992 to all orthognathic surgery patient. Lower lip numbness caused by Inferior alveolar nerve injury is the most common problem after operation, and it was 63 cases (53.8%) of total operation cases. In our clinic, we performed 5 cases of re-operation because of segment malalignment, condylar sag, and fixation instability.

  • PDF

A Study about Cultural Sensitivity and Stereotype about Immigrant Women among Nursing Students (간호대학생의 문화적 민감성과 결혼이주여성에 대한 고정관념 김지현)

  • Kim, Ji Hyun
    • Journal of Digital Convergence
    • /
    • v.12 no.7
    • /
    • pp.305-314
    • /
    • 2014
  • This study was conducted to investigate the cultural sensitivity and stereotype about immigrant women among nursing students. The participants in this study were 144 nursing students Data were collected from May to June 2013. The mean age of subjects was 21.8 years old. 68.1% of subjects had have experiences to travel abroad. Many subjects(90.3%) reported that multi-cultural education was needed. 66.0% of subjects met foreigners at clinical place among practice period. The cultural sensitivity and stereotype were middle range. It suggested that to prepare for the coming era of globalization, and to increase the nursing students' cultural sensitivity, a transcultural nursing curriculum needs to develop for appropriate and effective services in cross-cultural situations of the multicultural families in Korea.

Neglected Elbow Dislocation Occurred 3 Years Ago: Open Reduction and Hinged External Fixation - A Case Report - (3년전이 경과된 진구성 주관절 탈구: 개방적 정복술과 경첩 외고정 장치 - 1예 보고 -)

  • Kim, Bo-Kun;Kim, Kyung-Cheon;Park, Jun-Yeong;Shin, Hyun-Dae
    • Clinics in Shoulder and Elbow
    • /
    • v.13 no.2
    • /
    • pp.266-269
    • /
    • 2010
  • Purpose: We report case of neglected elbow dislocation for three years. Material and method: A 45 years old female patient presented with neglected elbow dislocation for three years. Since the patient had contracture in both lateral and medial collateral ligament of elbow, dissection was done. After total separation of posterior articular capsule and incision of anterior articular capsule, by manual manipulation, reduction of radiohumeral and ulnohumeral joints were obtained. We applied modified Morrey type hinged external fixation in the elbow and done early elbow exercise. Result and Conclusion: Since we have experienced a satisfactory result in the case with neglected elbow dislocation for 3 years by using open reduction and hinged external fixation, we report it with the literature.

Migration of Early Broken Wire into the Popliteal Fossa through Popliteal Hiatus in Internally fixed Fracture of Patella - A Case Report - (내고정한 슬개골 골절에서 슬와공을 통한 조기 파절된 강선 조각의 슬와부로의 이동 - 증례보고 -)

  • Jeon, Ho-Seung;Jeon, Seung-Ju;Moon, Chan-Sam;Noh, Hang-Gi;Jeong, Hyung-Jun
    • Journal of the Korean Arthroscopy Society
    • /
    • v.13 no.2
    • /
    • pp.170-173
    • /
    • 2009
  • Wiring techniques in the fixation of patellar fracture are commonly used. Rigid fixation is essential for early rehabilitation. Breakages of wires after the fixation of patellar fracture are common with extracapsular migration if not removed for long term. But, we experienced a case of patellar fracture with early breakage of wiring and migration of the broken wire fragment into the popliteal fossa through the popliteal hiatus in 64- year-old man and we successfully treated this case, using both arthroscopic and open procedures. So we report this unusual case with a review of current literatures.

  • PDF

Exploring the Concepts of Records as Persistent Representation of Activities (기록이란 무엇인가? 활동의 고정적 재현물로서의 개념 탐구)

  • Seol, Moon-won
    • The Korean Journal of Archival Studies
    • /
    • no.59
    • /
    • pp.5-46
    • /
    • 2019
  • This study aims to explore the concepts and nature of records in digital environments based on analyzing recent theoretical studies of records. This is not intended to defining records for management in a specific environment. This study is divided into two parts. Firstly, it classifies the definitions of records in three perspectives; evidence, information, and representation of activities, and explores the concepts and theoretical backgrounds underlying each definition. Secondly, it articulates some implications for understanding the concept and nature of records in digital environments by four categories such as i) fixity, ii) materiality, iii) activity and context, and iv) trustworthiness, which were derived from the definition of "persistent representation of activities" by Geoffrey Yeo.

In-Plane Buckling Behavior of Fixed Shallow Parabolic Arches (고정지점을 갖는 낮은 포물선 아치의 면내 좌굴거동)

  • Moon, Jiho;Yoon, Ki-Yong;Lee, Hak-Eun
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.28 no.1A
    • /
    • pp.79-87
    • /
    • 2008
  • This paper investigates the in-plane stability of fixed shallow arches. The shape of the arches is parabolic and the uniformly distributed load is used in the study. The nonlinear governing equilibrium equation of the general arch is adopted to derive the incremental form of the load-displacement relationship and the buckling load of the fixed shallow arches. From the results, it is found that buckling modes (symmetric or asymmetric) of the arches are closely related to the dimensionless rise H, which is the function of slenderness ratio and the rise to span ratio of such arches. Moreover, the threshold of different buckling modes and buckling load for fixed shallow arches are proposed. A series of finite element analysis are conducted and then compared with proposed ones. From the comparative study, the proposed formula provides the good prediction of the buckling load of fixed shallow arches.

Functional and esthetical full mouth rehabilitation with implant supported prostheses: A case report (고정성 임플란트 보철물을 이용한 완전구강회복 증례)

  • Yeon, Jae-Woong;Lim, Young-Jun;Kwon, Ho-Beom;Kim, Myung-Joo
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.53 no.1
    • /
    • pp.81-85
    • /
    • 2015
  • This report describes the prosthetic treatment of a patient with multiple missing teeth. Installation of five fixtures on maxilla with sinus lift and six fixtures on mandible with ramal bone graft were performed. With implant supported all-ceramic with zirconia core using CAD/CAM technology and porcelain-fused-to-gold prosthesis, treatment with positive outcome which satisfies both functional and esthetical aspect was obtained.

Effects of Rotatory Inertia and Shear Deformation on Natural Frequencies of Arches with Variable Curvature (회전관성 및 전단변형이 변화곡률 아치의 고유진동수에 미치는 영향)

  • Oh, Sang Jin;Lee, Byoung Koo;Lee, In Won
    • Journal of Korean Society of Steel Construction
    • /
    • v.9 no.4 s.33
    • /
    • pp.673-682
    • /
    • 1997
  • The main purpose of this paper is to investigate the effects of rotatory inertia and shear deformation on the natural frequencies of arches with variable curvature. The differential equations are derived for the in-plane free vibration of linearly elastic arches of uniform stiffness and constant mass per unit length. The governing equations are solved numerically for parabolic, circular and elliptic geometries with hinged-hinged, hinged-clamped and clamped-clamped end constraints. For each cases, the four lowest frequency parameters are presented as functions of the two dimensionless system parameters; the arch rise to span length ratio, and the slenderness ratio.

  • PDF