• 제목/요약/키워드: Fixation length

검색결과 155건 처리시간 0.027초

무지외반증에서 저상형 금속판 고정을 이용한 근위 개방형 절골술의 임상적 결과: 근위 갈매기형 절골술 후 K-강선 고정술과의 비교 (The Clinical Results of the Proximal Opening Wedge Osteotomy Using a Low Profile Plate in Hallux Valgus: Comparison with Proximal Chevron Osteotomy Fixed with K-wires)

  • 서은석;방태정;전숙하
    • 대한족부족관절학회지
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    • 제17권4호
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    • pp.302-308
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    • 2013
  • Purpose: To present clinical results of proximal first metatarsal opening wedge osteotomy and low profile plate fixation in hallux valgus deformity. Materials and Methods: Thirty-two patients (39 feet) underwent surgery for hallux valgus deformity. Fourteen patients (18 feet; Group A) underwent proximal first metatarsal opening wedge osteotomy fixed with low profile titanium plate ($Arthrex^{(R)}$), and 18 patients (21 feet; Group B) underwent proximal chevron osteotomy with two K-wires. Improvement in hallux valgus angle (HVA), 1, 2 intermetatarsal angle (IMA), range of motion of 1st metatarsophalangeal joint, VAS score, and the length of first metatarsal on weight-bearing radiograph were evaluated preoperatively and at final follow-up. Results: HVA improved from $36.2{\pm}6.6$ degrees to $11.7{\pm}5.1$ degrees, and 1, 2 IMA improved from $15.7{\pm}2.6$ degrees to $7.2{\pm}1.9$ degrees. VAS score improved from $7.2{\pm}1.2$ to $1.4{\pm}0.9$. There were no significant differences clinically and radiologically. Conclusion: Proximal first metatarsal opening wedge osteotomy with stable fixation using low profile plate may be an effective surgical option for correction of hallux valgus deformity.

Morphometric analysis of sacral corridor in the upper three sacral segments to prevent neurovascular injury

  • Binita Chaudhary;Prem Kumar;Ruchika Narayan;Adil Asghar;Padamjeet Panchal;Neelam Kumari
    • Anatomy and Cell Biology
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    • 제57권2호
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    • pp.221-228
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    • 2024
  • Although studies of the sacral corridor dimension have been reported in the European population, little attention has been paid to this issue in the Asian population. The purpose of the study is to estimate the safe dimension of the corridor to avoid neurovascular damage during the fixation of the sacral fracture. The study aimed to examine the cephalocaudal (vertical) and the anteroposterior diameter of the bony passage in the upper three sacral segments. The study further examines the effect of age and sex on corridor dimensions at different sacral levels. Three-dimensionally reconstructed sacra from computed tomography of normal subjects were included in the study. Cephalocaudal and anteroposterior diameters were measured in coronal and axial sections using Geomagic Freeform Plus software. Anteroposterior diameter of the sacral corridor at the first, second, and third sacral segments are significantly higher in males (P=0.013, 0.0011, and <0.0001, respectively). The length of the sacrum also revealed sexual dimorphism (P<0.00016). The anteroposterior diameter of the second sacral segment (ap-S2c) correlated moderately with the first sacral anteroposterior diameter (ap-S1c) (R=0.519, P<0.001). The ap-S2c exhibited a moderate correlation to the third sacral segment (ap-S3c) (R=0.677, P<0.001). The sacral corridor at the level of S1 has the largest cephalocaudal (18.25 mm) and anteroposterior diameter (17.11 mm). Placement of the screw in the first sacral corridor may avoid damage to the neurovascular bundle during the fixation of the sacral fracture.

우리 문장 읽기에서 안구 운동의 특성: 어절 길이, 단어 빈도 및 착지점 관련 효과 (The characteristics of eye-movement in Korean sentence reading: cluster length, word frequency, and landing position effects)

  • 고성룡;윤낙영
    • 인지과학
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    • 제18권4호
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    • pp.325-350
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    • 2007
  • 본 연구에서는 대학생 독자들이 48개의 평이한 문장을 읽을 때, 전반적인 안구 운동의 특성과 어절/단어 수준에서의 특성을 알아보았다 대학생 독자들은 어절을 대략 225ms 보다가 3.6자 정도 뛰어 다음 어절로 눈을 움직였다. 어절이 짧고 단어가 고빈도일 때는 어절을 건너뛰기도 하고, 앞으로만 읽어가는 것이 아니라 19% 정도 다시 되돌아가서 읽기도 했다. 물론 고정과 도약의 양상은 독자에 따라 개인차가 있었다. 이런 전반적인 양상과 더불어, 어절 수준에서 어절 길이, 단어 빈도 및 착지점 관련 효과를 살펴보았는데, 눈은 대체로 어절의 중앙에 자주 착지했으며, 가장자리에 착지했을 때가 중앙에 착지할 때보다 그 어절을 다시 더 고정했다. 또한 독자들은 단어가 고빈도인 어절을 저빈도인 어절보다 훨씬 빨리 읽었다.

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Factors Affecting the Extent of Graft Tendon Synovialization after Double-Bundle Anterior Cruciate Ligament Reconstruction: Based on Second-Look Arthroscopic Findings

  • Ahn, Gil Yeong;Nam, Il Hyun;Lee, Yeong Hyeon;Lee, Yong Sik;Choi, Young Duk;Lee, Hee Hyung;Hwang, Sung Hyun
    • Clinics in Orthopedic Surgery
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    • 제10권4호
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    • pp.413-419
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    • 2018
  • Background: We aimed to examine the factors that influence synovialization of the grafted tendon after double-bundle anterior cruciate ligament (ACL) reconstruction based on second-look arthroscopic findings. Methods: Out of 205 knees that were treated between August 2008 and May 2016 with double-bundle ACL reconstruction using bio-absorbable cross-pins and Endobuttons for femoral tunnel fixation, we enrolled 65 knees (64 patients) that underwent second-look arthroscopy with hardware removal at 1 year postoperatively. Measured clinical outcomes included the Lysholm score and Tegner activity score that were evaluated preoperatively and during the final follow-up. We analyzed the relationship between synovial coverage and patient age, length of the preserved remnant tissue on the tibial side, type of bundle (anteromedial or posterolateral), type of graft (autograft or allograft), and time from injury to surgery. Results: The area of synovial coverage showed a significant statistical correlation with patient age and the length of the preserved remnant tissue on the tibial side. The average synovial coverage was significantly better for the anteromedial bundle than for the posterolateral bundle, better for the autograft than for the allograft reconstruction, and better when treated in the acute stage than in the chronic stage. However, synovialization of grafted tendon did not correlate to clinical outcomes. Conclusions: While we were able to identify several factors influencing synovialization of the grafted tendon after double-bundle ACL reconstruction, including patient age, length of preserved remnant tissue of the torn ACL, type of bundle, type of graft, and time from injury to surgery, we found no evidence that increased synovialization improves clinical outcomes at 1 year postoperatively.

켄터키블루그래스와 토끼풀 간 혼합파종 비율에 따른 초기 생육 특성 (Characteristics of Initial Growth on Kentucky bluegrass (Poa patensis) and white clover (Trifolium repens) by Mixed Sowing Rates)

  • 주진희;박선영;이선영;윤용한
    • 한국환경복원기술학회지
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    • 제25권2호
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    • pp.15-22
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    • 2022
  • This study has been conducted to investigate the appropriate mixed sowing rates with white clover (Trifolium repens) and Kentucky bluegrass (Poa pratensis) by evaluating initial growth. Six different mixed sowing rates (CT, Control Trifolium repens; CP, Control Poa pratensis; T1P3, Trifolium repens 1 : Poa pratensis 3; T1P2, Trifolium repens 1 : Poa pratensis 2; T1P1, Trifolium repens 1 : Poa pratensis 1; T2P1, Trifolium repens 2 : Poa pratensis 1; T3P1, Trifolium repens 3 : Poa pratensis 1) with three repetitions were implemented in greenhouse experiment plastic pots (50.5 length × 35.0 width × 8.5 cm height). Plant height, leaf length, leaf width, number of leaves, root length, fresh weight, and dry weight were measured after a week from the germination for three months. Initial growth of Kentucky bluegrass significantly increased as mixed sowing rates with increasing, while that of white clover kept relatively decreasing than that in Control. Initial growth strongly affected sowing mixed rates by Kentucky bluegrass and not by white clover in this experiment, indicating that grasses played a dominant role during initial growth period. However, seeding rates with white clover will be dependent on the use of a turf and the desired green cover. There remains a need to further study of the mechanisms and dynamics of legume and grass competition to underpin sustainable management practices.

소형금속판에 고정나사의 삽입시 drilling의 위치 및 각도에 따른 시편의 이동량에 대한 효과 (THE EFFECT OF LOCATION AND ANGLE OF DRILLING ON THE CHANGES OF THE DISTANCE BETWEEN TWO BLOCK SPECIMENS DURING SCREWING ON MINIPLATE FIXATION)

  • 오현철;안진석;구홍;국민석;박홍주;오희균
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권3호
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    • pp.213-221
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    • 2006
  • Purpose This study was aimed to evaluate the effect of the location and angle of drilling on the changes of the distance between the two block specimens. Materials and methods In experimental group 1, the screw holes were prepared by drilling in the distal portion of compression part of the plate at $90^{\circ}$. In experimental group 2, the drilling was performed at an angle of $30^{\circ}$ proximal to the miniplate, and in experimental group 3, at $30^{\circ}$ distal respectively. In control group, the drilling was performed to the center of hole at $90^{\circ}$. The fixation screw length was 5 mm, 7 mm, and 9 mm in all groups. The results were as follows. Results 1. In control group, the mean changes between two specimens were 0.01 mm, 0.02 mm, and 0.00 mm in 5 mm, 7 mm, and 9 mm screws respectively. 2. In experimental group 1, the compression part was moved toward the retention part. The range of mean changes were from -0.39 mm to -0.43 mm. 3. In experimental group 2, the compression part was moved toward the retention part. The range of mean changes were from -0.51 mm to -0.56 mm. 4. In experimental group 3, the compression part was moved apart from the retention part and the range of mean changes were from 0.55 mm to 0.56 mm. 5. The changes were significantly different between all groups(p<0.01). Conclusion These results suggest that 0.4$\sim$0.5 mm of compressive effect can be achieved by drilling on the distal area of the screw hole at an angle of $90^{\circ}$ and by the proximal angulation to the miniplate, and the gap between specimens can be increased by distal angulation to the miniplate during drilling.

Safe Margin beyond Dens Tips to Ventral Dura in Anterior Odontoid Screw Fixation : Analysis of Three-Dimensional Computed Tomography Scan of Odontoid Process

  • Sung, Min-Jae;Kim, Kyoung-Tae;Hwang, Jeong-Hyun;Sung, Joo-Kyung;Cho, Dae-Chul
    • Journal of Korean Neurosurgical Society
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    • 제61권4호
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    • pp.503-508
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    • 2018
  • Objective : Anterior odontoid screw fixation is a safe and effective method for the treatment of odontoid fractures. The surgical technique is recommended for perforation of the apical cortex of the dens by the lag screw. However, overpenetration of the apical cortex may lead to potentially serious complications such as damages of adjacent vascular and neural structures. The purpose of this study was to assess the role of three-dimensional computed tomography (CT) scan to evaluate the safe margin beyond dens tip to ventral dura for anterior odontoid screw fixation. Methods : We retrospectively analyzed the three-dimensional CT scans of the cervical spines in 55 consecutive patients at our trauma center. The patients included 38 males and 17 females aged between 22 and 73 years (mean age${\pm}$standard deviation, $45.8{\pm}14.2years$). Using sagittal images of 3-dimensional CT scan, the safe margins beyond dens tip to ventral dura as well as the appropriate screw length were measured. Results : The mean width of the apical dens tip was $9.6{\pm}1.1mm$. The mean lengths from the screw entry point to the apical dens tip and posterior end of dens tip were $39.2{\pm}2.6mm$ and $36.6{\pm}2.4mm$. The safe margin beyond apical dens tip to ventral dura was $7.7{\pm}1.7mm$. However, the safe margin beyond the posterior end of dens tip to ventral dura was decreased to $2.1{\pm}3.2mm$, which was statistically significant (p<0.01). There were no significant differences of safe margins beyond dens tip to ventral dura with patient gender and age. Conclusion : Extension by several millimeters beyond the dens tip is safe, if the trajectory of anterior odontoid screw is targeted at the apical dens tip. However, if the trajectory of the screw is targeted to the posterior end of dens tip, extension beyond dens tip may lead to damage immediately adjacent to the vental dura mater.

FPGA를 위한 분석적 배치에서 사전 패킹, 조기 배치 고정 및 밀도 분석 다층화 (Pre-Packing, Early Fixation, and Multi-Layer Density Analysis in Analytic Placement for FPGAs)

  • 김교선
    • 전자공학회논문지
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    • 제51권10호
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    • pp.96-106
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    • 2014
  • 기존 학계의 FPGA 툴 연구는 단순한 가상 아키텍처 모델 가정에 의존해 왔다. 이러한 제약을 극복하기 위한 첫걸음으로 분석적 배치 및 배치 적법화의 기본 알고리즘들을 상용 FPGA의 아키텍처에 적용하는 실제 상황에서 발생되는 이슈들을 도출하여 대안을 제시한 후 그 효과를 평가하였다. 먼저, 코어 사용률이 낮은 FPGA에서 배치된 셀들의 무게 중심이 칩 중심에서 벗어나는 현상이 발생할 수 있는데 이 변위를 최소화하는 함수를 분석적 배치의 목적 함수에 추가하였다. 또한 배치 밀도 평가의 정확도를 높이기 위해 셀 종류별로 별도의 밀도 행렬을 사용하는 다층 분석, 그리고 자원이 매우 한정된 블록의 조기 고정 방안을 제안하였다. 그밖에, 슬라이스 내에서 두 개의 플립플롭이 제어 핀들을 공유하기 때문에 발생하는 호환성 문제를 개선하기 위한 플립플롭 사전 패킹도 제안하였다. 제안된 기법은 상용 FPGA 아키텍처를 정확하게 모델링하고 수정 개선할 수 있는 K-FPGA 패브릭 평가 툴킷을 근간으로 구현되었으며 12개의 실용 예제에 적용하여 기존 방식에 비해 평균적으로 배선길이 22%, 슬라이스 사용량 5%를 감축하는 효과를 확인하였다. 본 연구는 신규 FPGA 아키텍처 개발을 위한 최적화 CAD 툴 개발 연구의 기초가 될 것으로 기대한다.

혈관 부착 이식 비골에 발생한 피로골절 (Stress fracture in Vascularized fibular Grafts)

  • 김형민;김윤수;이기행;정창훈;김준석
    • Archives of Reconstructive Microsurgery
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    • 제10권1호
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    • pp.18-22
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    • 2001
  • Purpose : The purpose of this study was to evaluate stress fracture of vascularized fibular grafts(VFG) by analyzing factors associated with stress fracture and the treatment results. Materials and Methods : From June 1985 to May 1998, 7 patients with stress fractures in the 38 patients with long bone defect who had vascularized fibular graft were evaluated with clinical and radiologic methods including grafted fibular length and hypertrophic index of de Boer. The average age of the patients was 35 years(range, $14{\sim}60$ years). The mean follow-up period was 20 months(range, $16{\sim}32$ months). Results: 7(18.4%) stress fractures occurred in 38 patients. Characteristics of the fractures were (1) all occurred at lower extremity of male patients treated with VFG for long bone defected caused by infected nonunion; (2) all occurred 10 months at the average(range, $4{\sim}17$ months) after VFG; and (3) the length and hypertrophic index of grafted fibula had no influence on the incidence of stress fracture. Union was obtained in 3 patients by conservative treatment. 4 patients obtained union by internal fixation; one at immediately onset of fracture; and three after failure of conservative treatment who had fracture around the knee joint. Conclusion : Stress fracture may occur during the first one year after vascularized fibular graft and more attention must be paid for prevention of it, especially in the cases of infected nonunion. Stress fracture around the knee joint was expected to lead to a good result of early union by operative treatment.

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Antagonistic and growth promotion potential of endophytic bacteria of mulberry (Morus spp.)

  • Pratheesh Kumar, Punathil Meethal;Ramesh, Sushma;Thipeswamy, Thipperudraiah;Sivaprasad, Venkadara
    • International Journal of Industrial Entomology and Biomaterials
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    • 제31권2호
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    • pp.107-114
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    • 2015
  • Endophytes provide multifarious benefits such as promotion of plant growth and yield, suppression of phyto-pathogens, phosphate solubilising and fixation nitrogen. A study has been carried out to explore growth promotion and antifungal activities of endophytes of mulberry (Morus spp.). Endophytic bacteria were isolated from mulberry plants and studied their cultural, morphological characters, growth promotion as well as their antifungal activity against Rhizoctonia bataticola and Fusarium oxysporum , two mulberry root rot associated pathogens. Except two isolates, all bacteria were colourless and the colony size of eight isolates was small. The margin of five isolates was irregular and the consistency of three isolates was creamy, six isolates was slimy and one was mucoid. Texture of seven isolates was convex and others were flat. Eight isolates were gram positive and the rest Gram negative, five were cocci and others were bacilli (rod shaped). Four isolates were motile and all were catalase positive and only three isolates were oxidase positive. Spore staining was positive only for two isolates. The growth promotion study showed that there was significant difference in root length and seedling length. The antagonistic effect of the bacterial isolates was tested against R. bataticola showed significant (p <0.05) influence of the bacteria, days after inoculation and their interaction on the inhibition of fungal growth. The isolate En-7 completely inhibited the fungus followed by En-5 (66.67%). The bacterial isolates significantly (p <0.05) inhibited growth of F. oxysporum in PDA. The mean inhibition was higher (70.45%) in case of En-7 followed by En-8 (68.65%) and En-10 (66.44%). The study reveals that some endophytic bacteria associated with mulberry have growth promotion and antifungal activity and could be explored for promotion of mulberry growth and managing root rot disease.