• Title/Summary/Keyword: 봉합 가능성

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Effect of Accelerated Rehabilitation with Anti-Gravity Treadmill Program : Isokinetic Myofuction and Functional Score of Knee Joint, ROM, and VAS Score in Meniscus Repair Patients (Anti-Gravity Treadmill Program을 적용한 가속재활의 효과 : 반월상연골 봉합술 환자의 슬관절 등속성 근기능 및 기능점수와 관절의 가동범위, 통증지수)

  • Cho, Han-Su;Oh, Du-Hwan;Lee, Jin-Wook;Zang, Seok-Am;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.46-54
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    • 2016
  • This study was conducted to investigate the effects of participation in the accelerated rehabilitation with an anti-gravity treadmill program for 16 weeks on isokinetic myofunction and functional score of knee joint, ROM, and VAS score in meniscus repair patients. A total of 10 male adult patients who underwent meniscus repair by the same doctor were investigated in this study. Both extension and flexion peak torque at $60^{\circ}/sec$ and $180^{\circ}/sec$ significantly increased (p<0.001, p<0.01), while under muscle deficit, extension and flexion peak torque at $60^{\circ}/sec$ and extension peak torque at $180^{\circ}/sec$ significantly decreased (p<0.01, p<0.05). ROM in extension significantly decreased (p<0.05), whereas ROM in flexion significantly increased (p<0.01) in response to the program. VAS score significantly decreased (p<0.001) and lysholm scores significantly increased after completion of the program (p<0.001). These results suggest that 16 weeks of the anti-gravity treadmill accelerated rehabilitation program improves isokinetic muscle strength and functional score of knee joint, ROM, and VAS score in meniscus repair patients. Therefore, the anti-gravity treadmill accelerated rehabilitation program, which is a more scientific and effective method than conventional rehabilitation, leads to faster recovery of paly ground and normal daily activities.

Arthroscopic Cannulated Screw Fixation of Avulsion Fracture of the Intercondylar Eminence of the Tibia in a Child -A Case Report- (소아에서 발생한 전방 십자인대 견열 골절에서 유관 나사못을 이용한 관절경적 정복술 -증례보고-)

  • Moon, Kyu Pill;Kim, Kyung Taek;Kang, Min Soo;Park, Won Ro
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.1
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    • pp.62-65
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    • 2012
  • Avulsion fractures of the intercondylar eminence of the tibia are uncommon. This kind of fracture is most commonly found in adolescents, with an increasing incidence for those involved in competitive athletics. Recently, an arthroscopic procedure is preferred to reduce the operation-related morbidity. Screws, K-wires, Suture anchor have been described as fixation devices. Cannulated screw fixation is a simple method, but this instrument has the risk of causing damage to the growth plate. The authors report good results using cannulated screw in arthroscopic treatment for pediatric anterior cruciate ligament avulsion fracture.

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The Effectiveness of Prolotherapy Postoperative Rotator Cuff Tear (회전근 개 봉합 수술 후 증식 요법의 유용성)

  • Moon, Young Lae;You, Jae Won;An, Ki Yong;Cho, Sung Won
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.3 no.1
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    • pp.21-25
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    • 2010
  • Purpose: To evaluate efficacy of ultrasound guided prolotherapy in patients with persistant symptoms after rotator cuff repair. Materials and Methods: Between January and December of 2008, 90 patients who had persistant pain and shoulder adhesion 4 weeks after rotator cuff repair were treated with ultrasound guided prolotherapy. The mean age was 55.2 years. Visual analogue scale (VAS) and range of motion (ROM) before and after the procedure, complications related to the procedure were analyzed. Results: The average VAS score at 4 weeks follow up decreased to $2.5{\pm}2.304$ from $6.3{\pm}1.25$ before prolotherapy and forward flexion range at 4 weeks follow up increased to $143{\pm}26.63$ from $106{\pm}21.64.$ Four weeks after the ultrasound guided prolotherapy, 74 cases(82%) reported of improved pain and ROM, 13 cases(14%) reported of improvement after 2~5 days of the procedure and 3 cases(4%) had no improved in pain and ROM. No complications were encountered. Conclusion: The authors believe that ultrasound guided prolotherapy in repaired rotator cuff tear patients theoretically increased possibilities of healing and with relieving the pain of the patients results in increased possibility of rehabilitation effect.

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Appearance of Meniscus Tear Associated with ACL Rupture - Analysis of Location and Type of Meniscus Tear - (전방 십자인대 파열과 동반된 반월상 연골 파열 양상 - 파열부위 및 형태의 분석 -)

  • Lee, Yeong-Hyun;Nam, Il-Hyun;Moon, Gi-Hyuk;Yun, Ho-Hyun;Kim, Jae-Cheol;Ahn, Gil-Yeong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.1
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    • pp.45-49
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    • 2007
  • Purpose: We analyzed the location and type of meniscus tear associated with ACL rupture in order to estimate and prepare whether the meniscus tear is in a repairable location. Materials and Methods: We reviewed 78 cases who had ACL reconstructive surgery due to ACL rupture. We set the period of acute injury on the basis of under 12 months after trauma. The location and type of meniscus tear was analyzed in accordance with MRI findings and arthroscopic findings. Results: The 50 cases of meniscus tear were detected out of the 78 ACL rupture;32 cases were lateral meniscus tears, 24 were medial meniscus tears and 6 cases were both menisci tears. From a total of 56 meniscus tears, 30 cases were longitudinal tears, 22 cases were red-red zone tears and 35 cases(62%) were posterior horn tears. Conclusion: The most common type of meniscus tear associated with ACL rupture war longitudinal tear at the red-red zone or meniscosynovial junction. Majority of the tears located at that place can be healed with conservative treatment, arthroscopic meniscus suture.

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APERT SYNDROME : A CASE REPORT (Apert syndrome 환자의 제증상에 관한 증례보고)

  • Song, Soo-Bok;Kim, Jung-Wook;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.44-50
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    • 2002
  • Apert syndrome is a kind of congenital-acrocephalosyndactyly syndrome which was first reported by Apert in 1906 and characterized by its acrocephaly and syndactyly. Clinical characteristic features are cone-shaped skull morphology due to early fusion of coronal suture, fusion of fingers of hands and toes of feet. It is an autosomal dominant-heritable syndrome. Due to hypo-development of midface region, Apert syndrome patients have a tendency to have ocular proptosis, hypertelorism, maxillary deficiency. High palate and soft palate cleft are common findings in these patients. In general, mandibular growth pattern is normal, but relative maxillary deficiency exaggerates mandibular forward position, so relative mandibular prognathism is inevitable. Narrow maxillary and mandibular dental arch worsen teeth alignment and crowding. Skeletal malocclusion and open bite are also common. This is a case report of a Korean 3 year 1 month male Apert syndrome child referred by department of plastic surgeon for the possibility of orthodontic treatment. General features of Apert syndrome, patient's medical history, radiographic evaluation, clinical examination, orthodontic and surgical treatment planning are discussed in this report.

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Transgastric Endoscopic Cholecystectomy in a Dog : Natural Orifice Transluminal Endoscopic Surgery (개에서 내시경을 이용한 경위장관 담낭절제술 1예 : 자연개구부 내시경수술)

  • Jeong, Seong-Mok;Kim, Young-Ill;Lee, Jae-Yeon;Jee, Hyun-Chul;Park, Ji-Young;Park, Jong-Heon;Kim, Ji-Yeon;Lee, Sang-Il;Kim, Myung-Cheol;Shin, Sang-Tae;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.315-319
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    • 2007
  • Transgastric endoscopic cholecystectomy was successfully accomplished in a 1-year-old, 15 kg, female, mongrel dog. Single-working channel flexible gastric endoscope was used with the aid of one abdominal laparoscopic port. Gastrotomy was performed using endoscopic needle knife at the ventral antral region. Through the gastric incision endoscope was advanced and retroflexed for the visualization of gallbladder. For the better exposure of surgical field, gentle traction was applied at the fundus of the gallbladder using laparoscopic grasping forceps. Cystic duct and artery was ligated using endoclips. After transecting the duct and artery, gallbladder was dissected using endoscopic coagulating grasping forceps and needle knife. Resected gallbladder was retrieved through the mouth and gastric incision site was sutured using endoclips. There was no evidence of bile leakage or stomach leakage on postoperative day (POD) 3. On POD 16, gastric endoscopy and laparoscopy was performed. Gastric endoscopy revealed complete adhesion of incision site. The content of the peritoneum appeared healthy, with no sign of infection, bile staining, or organ injury. The omentum was adhered over resected gallbladder fossa and the serosal surface of gastrotomy site. This is the first report of NOTES cholecystectomy in the dog and provides new concept of cholecystectomy of the dog.

CORTICOTOMY IN PATIENT WITH NARROW PALATAL ARCH (피질골절단술을 이용한 상악협소증환자의 치험례)

  • Kim, Eun-Cheol;Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Lee, Baek-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.371-374
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    • 1999
  • The treatment of adults with dentofacial deformities is frequently complicated by existence of discrepancies in transverse dimension. Control of the transverse dimension through surgical technique is now a valuable treatment consideration in non-growing patients. Proper diagnosis of relative and absolute maxillary transverse deficiency is imperative prior to surgical intervention. Therapeutic purpose should be implemented accordingly to facilitate correction of transverse discrepancies concomitant with treatment objectives in sagittal dimension in order to provide the patient with the most stable and functional result possible. Concomitant surgical correction of narrow palate require less treatment time, treatment cost and post-treatment relapse is less than to do only orthodontic therapy. This report is concerned with rapid palatal expansion by a combination of corticotomy and orthodontic treatment.

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Dyeing on PLA with Disperse Dyes (1) - Effect of Ultrasound (PLA섬유의 분산염료에 의한 염색 (1) - 초음파의 영향)

  • Jeong, Dong-Seok;Cheon, Tae-Il;Lee, Mun-Cheul
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2011.03a
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    • pp.53-53
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    • 2011
  • Poly(lactic acid)(이하 PLA라 칭함)는 1970-80년대의 초기 연구에서는 높은 제조비용과 희귀성에 의해 봉합사와 약물전달시스템으로 용도가 제한적이었으나 1980년대를 거쳐 1990년 이후 농업의 혁신적인 변화를 거쳐 옥수수의 다양한 측면의 이용의 하나로서 6-7년 전부터 양산화에 성공하여, 의류, 필름 및 플라스틱의 여러 가지 분야에서 적용가능성을 모색하고 있다. PLA의 장점은 석유가 아닌 천연 원료에서 얻을 수 있으며, 기존의 합성섬유와는 달리 일정한 조건하에서 미생물 등에 의해 물과 이산화탄소로 90% 이상 분해되는 친환경적인 소재이다. 합성섬유에서 의류용으로 대부분 사용되는 폴리에스테르(이하 PET라 칭함)와 유사한 물성을 가지고 있는 PLA섬유는 PET섬유와 유사한 분산염료로 염색할 수 있다. 따라서 PLA섬유는 분산염료에 의한 염색법을 중심으로 연구되어지고 있으나, PET 섬유의 융점이 $254^{\circ}C$부근인 반면, PLA섬유는 $160-170^{\circ}C$부근이다. 이로 인해 PLA를 섬유로 용도전개에 있어서 약점으로 작용하고 있다. 그러나 PLA섬유는 특유의 경량감과 새로운 촉감 등의 많은 장점을 지니고 있어 여러 가지 용도전개가 되어지고 있다. 초음파는 사람이 들을 수 없는, 사람마다 한계값은 다르지만, 주파수 약 25kHz이상의 음파를 말하며, 주파수가 높고 파장이 짧기 때문에 강한 진동을 수반한다. 초음파의 이용 원리는 Cavitation이라는 현상으로 생성된 기포가 터지면서 강력한 에너지를 방출한다. 이것은 강력하여 사방으로 퍼져 물질표면이나 내부에 영향을 미친다. 섬유에서는 표면에 뭍은 불순물을 제거하는 세정 등에 응용되고 있으며, 염색분야에서도 다양하게 연구되어지고 있다. 본 연구에서는 초음파에 의한 PLA섬유의 염색성을 조사하였다. PLA섬유를 정련하여 초음파작용의 유무에 따라 염색하여 그 결과를 고찰하였다. 초음파 작용에 따른 분산염료의 표면 색변화는 없었으며, 섬유 표면 색 농도의 차이는 초음파 작용에 의하여 저온에서는 차이가 나타나지만, 고온인 $80^{\circ}C$에서는 오히려 낮아졌다.

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Metamorphic Evolution of the Ogcheon Metamorphic Belt: Review of Recent Studies and Remaining Problems (중부 옥천변성대의 변성진화: 최근의 연구결과 논평 및 문제점)

  • 조문섭;김현철
    • The Journal of the Petrological Society of Korea
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    • v.11 no.3_4
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    • pp.121-137
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    • 2002
  • Metamorphic evolution of the Ogcheon metamorphic belt has been studied by many investigators for the past few decades. P-T conditions of the Ogcheon metamorphic belt were estimated as 4.2-9.4 kbar and $490-630^{\circ}C$, corresponding to the medium-pressure type. In addition, the clockwise P-T-t path suggests a crustal-thickening event in association with the formation of thrust nappes. However, some details on deformation and orogeny of the Ogcheon metamorphic belt have been ambiguous yet. Although the metamorphic age has been also equivocal, recent isotopic studies strongly suggest that the peak metamorphism in the Ogcheon metamorphic belt has occurred at ca. 300-280 Ma between Late Carboniferous and Early Permian. It is thus inferred that the Ogcheon metamorphic belt and the Taebaegsan basin have evolved as separate terranes and that both were sutured at ca. 250-220 Ma. These results are partly in contrast with those of previous workers and require a revised framework for tectonic evolution of the Ogcheon belt. In addition, it is likely that the Ogcheon belt is correlative with the Hida marginal belt and the Hida metamorphic belt.

Meniscal Repair with Meniscal Arrows (반월상연골 화살을 이용한 반월상연골 봉합술)

  • Kim Jung-Man;Oh In-Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.124-130
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    • 2002
  • Purpose: The results of meniscal repair of peripheral tear of meniscus with meniscal arrow was analysed. Materials and Methods: Peripheral tears of posterior 1/2 of menisci of 25 cases including 18medial, 6 lateral and 1 both menisci were repaired with meniscal arrows. One to six meniscal arrows were used for each meniscus according to the length of tears. Concurrent tears of ACL were noted in14 cases. The follow-up period was 3.4 years in average. The findings of physical examination and MRI which were taken once or twice in 1$\~$5 years after operation were evaluated. Results: Healing of the tear was achieved in all cases. However, a vertical longitudinal tear of body occurred in two medial menisci along the line of insertion of arrows. An arrow migrated subcuta-neously in two cases, respectively. Conclusions: The meniscal arrow was effective in the treatment of the peripheral tear of menicus. However, there was a chance of occurrence of longitudinal tear of the meniscus in case of insertion of arrows in a row. Migration of the arrow may occur.

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