• Title/Summary/Keyword: Fixation length

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Morphological Study of Microfilariae Found in the Area of Yongju-Gun (영주지방에 분포하는 사상충 자충에 대한 형태학적 연구)

  • 김훈수
    • The Korean Journal of Zoology
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    • v.8 no.1
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    • pp.11-14
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    • 1965
  • The object to this study is to identify the genus and species of the microfilariae which were recently found in the area of Youngju-Gun. THe identification of the microfilariae was made on the morphologicla aspects. 1. Blood samples were collected through vena punction from known microfilariae carriers living in the newly confirmed filaria endemic area of Youngju0Gun in Jyongsang Pukdo Province. Youngju-Gun is located in the mountainous central part of Korean Peninsula. 2. The following fixation and staining techniques were applied. (1) Fixation by drying in the air, followed by staining with Azeo or Giemsa. (2) Knott's fixation method (2% formalin), followed by staining with Azur II. 3. A comparative study of the body length of the microfilariae after different fixation and staining techniques were applied. (1) Knott's fixation method followed by staining with Azur II : average body length found was 28.4$\mu$. (2) Dry fixation followed by staining with Giemsa : average body length found was 209.4$\mu$. (3) Dry fixation followed by staining with Azeo : average body length found was 205.4$\mu$. 4. The locations of the different body cells were measured in 60 individuals of microfilariae in the wet preparation fixed by Knott's method and stained with Azur II. The distance of the different body cells to cephalic apex of microfilariae was measured and calculated as a percentage of the total body length. The average results are as follows : BNC , 3.04% ; N, 22.74%, EP, 31.4% ; EC, 37.77%, G1 cell , 67.94%; G2 cell, 73.54% : G3 cell , 75.55% ; G4 cell, 77.65% ; AP, 82.02%%. 5. As a result of the above findings the microfilariae found in the above mentioned area could be identified as Brugia malai(BRUG, 1927) BUCKLEY, 1960.

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Pedicular and Extrapedicular Morphometric Analysis in the Korean Population : Computed Tomographic Assessment Relevance to Pedicle and Extrapedicle Screw Fixation in the Thoracic Spine

  • Kim, Jun-Hak;Choi, Gyeong-Mi;Chang, In-Bok;Ahn, Sung-Ki;Song, Joon-Ho;Choi, Hyun-Chul
    • Journal of Korean Neurosurgical Society
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    • v.46 no.3
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    • pp.181-188
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    • 2009
  • Objective : To evaluate the anatomical parameters that must be considered when performing thoracic transpedicular or extrapedicular screw fixation. Methods : We selected 958 vertebrae (1,916 pedicles) from 98 patients for analysis. Eight parameters were measured from CT scans : the transverse outer pedicular diameter, transverse inner pedicular diameter, length, angle, chord length of the pedicles and the transverse width, angle, and chord length of the pedicle-rib units. Results : The age of the patients ranged from 21 to 82 years (mean: 48.2 years) and there were 57 men and 41 women. The narrowest transverse outer pedicular diameter was at T5 (4.4 mm). The narrowest pedicle length was at T1 (15.9 mm). For pedicle angle, T1 was 31.6 degrees, which was the most convergent angle, and it showed the tendency of the lower the level, the lesser the convergent angle. The chord length showed a horizontal pattern with similar values at all levels. For the PRU width, T5 showed a similar pattern to the pedicle width at 13.4 mm. For the PRU angle, T1 was the largest angle at 46.2 degrees and the tendency was the lower the level. the narrower the angle. For chord length, T1 was the shortest at 46.9 mm and T8 was the longest at 60.1 mm. Conclusion : When transpedicular screw fixations carried out at the mid-thoracic level, special care must be taken because there is a high chance of danger of medial wall violation. In these circumstances, extrapedicular screw fixation may be considered as an alternative treatment.

Changes of Dimensional Stability of Cotton Knitted Fabrics after Flame Resistant Treatment (면 편성물의 방염처리에 의한 형태안정성의 변화)

  • Jee Ju-Won
    • Journal of the Korean Society of Clothing and Textiles
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    • v.29 no.9_10 s.146
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    • pp.1274-1284
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    • 2005
  • Effect of fixation methods and relaxation treatment on the dimensional stability and physical properties of MDPPA/HMM treated cotton knitted fabrics were studied. Combination of four different fixation methods - relaxation, swelling agent treatment, pad dry cure fixation, and wet fixation - were applied to flame retardant finish of 4 kinds of cotton knitted fabric with MDPPA/HMM. Then these fabrics were washed 10 times. As a result, In swelling treatment on 10G showed relatively higher value of length shrinkage than 14G. Length and width shrinkage were increased by initial washing treatment and no further change was shown after 6 washing cycles. After 10 washing cycles, length and width shrinkage decreased. The KES standardized basic value of B/W, 2HB/W and bursting strength of interlock were relatively larger than those of single jersey. The values of B/W and 2HB/W of cotton knitted fabrics were increased by relaxation and washing treatment but were decreased by swelling treatment. In addition, the bursting strength of the cotton knitted fabrics was decreased after fusing, washing and relaxation treatment.

Transtibial Double Bundle PCL Reconstruction using TransFix Tibial Fixation - Technical Note - (TransFix 경골부 고정을 이용한 경 경골 두 다발 후방십자인대 재건술 - 수술 술기 -)

  • Lee, Yong-Seuk;Jung, Young-Bok;Ahn, Jin-Hwan;Kang, Bun-Jung;Shin, Yun-Chang;Kong, Chae-Gwan
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.203-208
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    • 2006
  • Purpose: Previous transtibial double bundle posterior cruciate ligament (PCL) reconstruction methods have several problems in graft length and tibial fixation. We introduce new surgical method that is less restrictive by graft length and is more stable with single tibial fixation. Operative technique: After diagnostic arthroscopy, we prepare the graft, ream the tibial tunnel and perform the procedure for TransFix tibial fixation. Femoral 2 tunnel is made and graft is passed via anteromedial (AM) portal. Tibial fixation is done and femoral 2 graft is fixed sequentially at each knee position. Conclusion: TtransFix tibial single fixation method in double bundle PCL reconstruction provides more stable fixation, more free graft selection and prevents graft damage by passing the graft via AM portal.

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Treatment of Intra-articular Calcaneal Fracture with Open Reduction and Internal Fixation (관혈적 정복 및 내고정을 이용한 관절내 종골 골절의 치료)

  • Choi, Jun-Won;Choi, Joon-Cheol;Lee, Young-Sang;Na, Hwa-Yeop;Kim, Woo-Sung;Han, Sang-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.2
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    • pp.226-231
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    • 2007
  • Purpose: To evaluate the clinical outcomes and radiographic results of open reduction and internal fixation for intraarticular calcaneal fractures. Materials and Methods: We reviewed 20 cases of calcaneal fractures managed with open reduction and internal fixation from March 2003 to January 2005. We used the computed tomographic classification system proposed by Sanders et al to classify these fractures. Preoperative and postoperative Bohler's angle, heel height (calcaneal facet height) and calcaneal length, calcaneal width were measured. The Creighton-Nebraska Health Foundation Assessment score was used for clinical evaluation. Results: There were 12 cases of type II fractures, 5 of type III fractures and 3 of type IV fractures. The mean clinical score was 84.3 for type II, 82.6 for type III and 56.1 for type IV. The mean preoperative $B{\ddot{o}}hler$ angle was $6.1^{\circ}$ and final was $22.8^{\circ}$. The mean preoperative calcaneal facet height was 76.6 mm and final was 80.3 mm (The mean calcaneal facet height was changed from preop 76.6 mm to postop 80.3 mm). The mean preoperative calcaneal length was 88.2 mm and final was 92.6 mm. The mean preoperative width was 38.1 mm and final was 35.6 mm. Conclusion: Open reduction and internal fixation showed good results for type II and III fractures, but for type IV fractures the clinical result was significantly worse than the other types. However, type IV fractures still had restoration of (should be restored in) $B{\ddot{o}}hler's$ angle, calcaneal facet height, calcaneal length and width which may be helpful in later subtalar fusion.

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Quantitative Comparison of the E-book and Paper-book by using Eye-tracker

  • Kim, Jung-Yong;Lee, Min-Ho;Min, Seung-Nam;Cho, Young-Jin;Choi, Jun-Hyeok
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.5
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    • pp.609-616
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    • 2012
  • Objective: The aim of the study is to evaluate the difference of legibility between e-book and paper-book by using eye-tracker. Background: Despite of many researches on the e-book and paper-book, there are few researches on the difference between e-book and paper-book. In addition, the researches on the e-book were only dependent on the e-book reader. This study focused on the comparison of e-book and paper-book controlled with the same environments. Method: This study was conducted with $2{\times}3$ within-subject design. Independent variables include the types of book (e-book, paper-book) and font sizes (8pt, 10pt, 12pt). Dependent variables are four measures of fixation duration, saccade length, blink rate and subjective discomfort. Analysis of Variance (ANOVA) with repeated measured design was used to investigate the main and interaction effects of independent variables on each of the dependent variables. The multiple comparisons were performed by post hoc analysis and Bonferroni correction was applied. Results: Fixation duration at e-book was longer than paper-book (p<0.01). Saccade length at e-book was shorter than paper-book (p<0.05). Blink rate at e-book was higher than paper-book (p<0.1). Subjective discomfort at e-book was higher than paper-book (p<0.1). Legibility at 8pt was better than 10pt, 12pt (p<0.01) in fixation duration, saccade length and subjective discomfort. Conclusion: It was found that the legibility at e-book are worse than paper-book from this study. These results indicated that the legibility of e-book was needed to be validated and improved to replace the paper-book. Application: This study suggests improving something related to fixation duration, saccade length, blink rate and subjective discomfort for betterment of e-book.

Percutaneous screw fixation and external stabilization as definitive surgical intervention for a pelvic ring injury combined with an acetabular fracture in the acute phase of polytrauma in Korea: a case report

  • Hohyoung Lee;Myung-Rae Cho;Suk-Kyoon Song;Euisun Yoon;Sungho Lee
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.298-303
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    • 2023
  • Unstable pelvic ring injuries are potentially life-threatening and associated with high mortality and complication rates in polytrauma patients. The most common cause of death in patients with pelvic ring injuries is massive bleeding. With resuscitation, external fixation can be performed as a temporary stabilization procedure for hemostasis in unstable pelvic fractures. Internal fixation following temporary external fixation of the pelvic ring yields superior and more reliable stabilization. However, a time-consuming extended approach to open reduction and internal fixation of the pelvic ring is frequently precluded by an unacceptable physiologic condition and/or concomitant injuries in patients with multiple injuries. Conservative treatment may lead to pelvic ring deformity, which is associated with various functional disabilities such as limb length discrepancy, gait disturbance, and sitting intolerance. Therefore, if the patient is not expected to be suitable for additional surgery due to a poor expected physiologic condition, definitive external fixation in combination with various percutaneous screw fixations to restore the pelvic ring should be considered in the acute phase. Herein, we report a case of unstable pelvic ring injury successfully treated with definitive external fixation and percutaneous screw fixation in the acute phase in a severely injured polytrauma patient.

A STUDY ON BONE-CONTACT TO INTER-SEGMENTAL LENGTH RATIO OF RIGID FIXATION SCREWS USED IN BSSRO FOR MANDIBULAR SETBACK (하악지 시상절단술시 견고 고정 나사의 골편간/골내 길이 및 비율에 대한 연구)

  • Cho, Sung-Min;Kim, Seong-Hun;Park, Je-Uk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.5
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    • pp.329-334
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    • 2009
  • Objective: To evaluate the ratio between bone-contact length and inter-segmental length of the rigid fixation screw used in bilateral sagittal split ramus osteotomy (BSSRO) for mandibular setback. Material and Methods: Records of 40 patients with Class III malocclusion were selected. 20 of them had BSSRO, while the other 20 had BSSRO with maxillary LeFort I osteotomy. All of the patients had three noncompressive bicortical screws inserted at the gonial angle through transcutaneous approach. Two screws were inserted antero-posteriorly above inferior alveolar nerve and one screw was inserted below. The lengths of bone-contact and that of inter-segmental part were measured using cone-beam computed tomography. Ratio between these two measured lengths was calculated. Results: Both bone-contact and inter-segmental lengths were longer in BSSRO group than in BSSRO with maxillary LeFort I osteotomy group. Ratio of bone-contact to inter-segmental length was lower in BSSRO group than in BSSRO with Lefort I group. Both bone-contact and inter-segmental lengths were longer at the antero-superior position than at the inferior position. However, their ratio showed little difference. Conclusion: This study suggest that stability of screws in BSSRO group was greater than in BSSRO with Lefort I group. Stability of screws at the antero-superior position was greater than at the inferior position. Ratio of bone-contact to inter-segmental lengths was 0.2 in average.

Surgical Rib Fracture Fixation: Early Operative Intervention Improves Outcomes

  • James Dixon;Iain Rankin;Nicholas Diston;Joaquim Goffin;Iain Stevenson
    • Journal of Chest Surgery
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    • v.57 no.2
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    • pp.120-125
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    • 2024
  • Background: This study aimed to assess the outcomes of patients with complex rib fractures undergoing operative or nonoperative management at our major trauma center. Methods: A retrospective review of all patients who were considered for surgical stabilization of rib fractures (SSRF) at a single major trauma center from May 2016 to September 2022 was performed. Results: In total, 352 patients with complex rib fractures were identified. Thirty-seven patients (11%) fulfilled the criteria for surgical management and underwent SSRF. The SSRF group had a significantly higher proportion of patients with flail chest (32 [86%] vs. 94 [27%], p<0.001) or Injury Severity Score (ISS) >15 (37 [100%] vs. 129 [41%], p<0.001). No significant differences were seen between groups for 1-year mortality. Patients who underwent SSRF within 72 hours were 6 times less likely to develop pneumonia than those in whom SSRF was delayed for over 72 hours (2 [18%] vs. 15 [58%]; odds ratio, 0.163; 95% confidence interval, 0.029-0.909; p=0.036). Prompt SSRF showed non-significant associations with shorter intensive care unit length of stay (6 days vs. 10 days, p=0.140) and duration of mechanical ventilation (5 days vs. 8 days, p=0.177). SSRF was associated with a longer hospital length of stay compared to nonoperative patients with flail chest and/or ISS >15 (19 days vs. 13 days, p=0.012), whilst SSRF within 72 hours was not. Conclusion: Surgical fixation of complex rib fractures improves outcomes in selected patient groups. Delayed surgical fixation was associated with increased rates of pneumonia and a longer hospital length of stay.

Surgical Techniques for Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures (쇄골 간부 골절에 대한 경피적 골수강내 금속핀 고정 수술법과 결과 보고)

  • Ha, Sung Sik;Sim, Jae Chun;Sung, Min Chul;Jeon, Jong Hyun;Seo, Yi Rak
    • Journal of the Korean Orthopaedic Association
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    • v.52 no.1
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    • pp.7-14
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    • 2017
  • Purpose: To report the clinical results from surgical treatment for clavicle shaft fracture by percutaneous intramedullary fixation with Steinmann pins. Materials and Methods: Between January 2004 and June 2014, the medical records of 135 patients who underwent percutaneous intramedullary fixation with Steinmann pins were reviewed. The mean follow-up periods were 15 months. The functional results were evaluated with The Disabilities of the Arm, Shoulder and Hand (DASH) score and Constant score. The clinical results were evaluated with the shortened length of the clavicle, length of surgical wound, operation time and Kang's criteria. Results: The mean bone union period was 11.6 weeks (8-16 weeks). The mean DASH score was 11.8. The mean Constant score was 91.2. The mean shortened length of the clavicle was less than 20 mm. The mean length of surgical wound was 1.2 cm (0.7-1.5 cm). The mean operation time was 18 minutes (10-35 minutes). Using Kang's criteria, 131 out of 135 patients (97.0%) showed good results. Complications included were 3 pin migrations and 2 non-unions. Conclusion: Percutaneous intramedullary fixation with Steinmann pins showed good results for treating clavicle shaft fracture.