Several factors need to be considered for a successful anterior cruciate ligament (ACL) reconstruction, such as preoperative planning, operation technique, and postoperative rehabilitation. Graft choice, fixation, preparation method, maturation, incorporation to host bone, and graft tension should also be considered to achieve a good outcome after an ACL reconstruction. Factors to consider when selecting a graft are the graft strength, graft fixation, fixation site healing, and donor site morbidity, as well as the effects of initial strength, size, surface area, and origin of the graft on its potential for weakening during healing. There are two types of graft for an ACL reconstruction, autograft or allograft. Several autografts have been introduced, including the bone-patellar tendon-bone, hamstring tendon, and quadriceps tendon-bone. On the other hand, each has its advantages and disadvantages. The recent increased use of allografts for an ACL reconstruction is the lack of donor site morbidity, decreased surgical time, diminished postoperative pain, and good availability of source. Despite this, there are no reports suggesting that an allograft may have a better long-term outcome than an autograft. Allografts have inherent disadvantages, including a longer and less complete course of incorporation, remodeling, biomechanically inferiority to autograft, the potential risk of an immunogenic reaction and disease transmission. Higher long-term failure rates and poorer graft maturation scores were reported for allografts compared to autografts. An autograft in an ACL reconstruction should remain the gold standard, although the allograft is a reasonable alternative. If adequate length and diameter of autograft can be obtained for an ACL reconstruction, an autograft with adequate graft fixation and postoperative rehabilitation should be chosen instead of an allograft to achieve better results.
The Graft copolymerization of acrylonitrile(AN) and styrene(ST) onto chloroprene rubber(CR) were carried out with benzoyl peroxide(BPO) as an initiator. The synthesized graft copolymer(ACS) was separated from polymeric mixture by the extraction with ethyl acetate and n-hexane, acetone and methanol, dimethylformamide(DMF) and methanol mixed solvent systems. The graft copolymer obtained, acrylonitrile-chloroprene-styrene(ACS) was identified by IR spectrophotometer. The effect of mole ratio of styrene to acrylonitrile, reaction time and temperature, initiator concentration, CR content and solvents on graft copolymerization were examined. It was observed that the grafting efficiency increased with [ST]/[AN] mole ratio and reaction time. The grafting efficiency increased with increasing initiator concentration and CR content. The maximum grafting efficiency was obtained when the mole ratio of [ST]/[AN] was 1.5 and reaction was made at 40hrs, and $70^{\circ}C$ using chloroform/toluene mixed solvent. The thermal properties, light resistance and flammability of ACS were compared with those of ABS and AES. It was found that flame retardancy of related polymers increased in the order ACS>ABS>AES. The thermal stability of ACS was greatly improved when compared with ABS or AES. Morphology of ACS was also investigated by using a transmisson electron microscope(TEM).
In this work, poly(methyl methacrylate) (PMMA) was grafted onto amine treated graphite nanosheets ($NH_2$-GNs) and the surface characteristics and physical properties of the $NH_2$-GNs-g-PMMA films were investigated. The graft reaction of $NH_2$-GNs and PMMA was confirmed from the shift of the $N_{1S}$ peak, including amine oxygen and amide oxygen, by X-ray photoelectron spectroscopy (XPS). The surface characteristics of the $NH_2$-GNs-g-PMMA films were measured as a function of the $NH_2$-GN content using the contact angle method. It was revealed that the specific component of the surface free energy (${\gamma}s$) of the films was slightly increased as the $NH_2$-GN content increased. Also, the thermal and mechanical properties of the $NH_2$-GNs-g-PMMA films were enhanced with the addition of $NH_2$-GNs. This can be attributed to the chemical bonding caused by the graft reaction between the $NH_2$-GNs and the PMMA matrix.
Kim, Seok Kwun;Yang, Jin Il;Kwon, Yong Seok;Lee, Keun Cheol
Archives of Craniofacial Surgery
/
v.11
no.1
/
pp.13-18
/
2010
Purpose: Nasal defect can be caused by excision of tumor, trauma, inflammation from foreign body reaction. Nose is located in the middle of face and protruded, reconstruction should be done in harmony with size, shape, color, and textures. We report various methods of nasal reconstruction using local flaps. Methods: From March 1998 to July 2008, 36 patients were operated to reconstruct the nasal defects. Causes of the nasal defects were tumor (18 cases), trauma (11 cases), inflammation from foreign body reaction (5 cases) and congenital malformation (2 cases). The sites of the defects were ala (22 cases), nasal tip (8 cases) and dorsum (6 cases). The thickness of the defects was skin only (5 cases), dermis and cartilagenous layer (7 cases) and full-thickness (24 cases). According to the sites and thickness of the defects, various local flaps were used. Most of alar defects were covered by nasolabial flaps or bilobed flaps and the majority of dorsal and tip defects were covered by paramedian forehead flaps. Small defects below $0.25 cm^2$ were covered with composite graft or full-thickness skin graft. Results: The follow-up period was 14 months. Partial flap necrosis was observed in a case, and one case of infection was reported, it was improved by wound revision and antibiotics. Nasal reconstruction with various local flaps could provide satisfactory results in terms of color and texture match. Conclusion: The important factors of nasal reconstruction are the shape of reconstructed nose, color, and texture. Nasolabial flap is appropriate method for alar or columellar reconstruction and nasolabial island flap is suitable for tip defect. The defect located lateral wall could be reconstructed with bilobed flap for natural color and texture. Skin graft should be considered when the defect could not afford to be covered by adjacent local flap. And entire nasal defect or large defect could be reconstructed by paramedian forehead flap.
Cho In-Hee;Kwak Noh-Seok;Kang Phil-Hyun;Nho Young-Chang;Hwang Taek-Sung
Polymer(Korea)
/
v.30
no.3
/
pp.217-223
/
2006
Ion exchange fibers, high functionalized onto hybrid polyolefine fiber's surface, were synthesized by $\gamma-ray$ mutual radiation. Degree of grafting (DG) of copolymer increased with increasing GMA monomer concentration and the maximum rate of DG was 355% at 50 GMA. The graft reaction occurred in polar solvent and DG was 190% maximum value in $1.0\times10^{-3}$ Mohr's salt and 0.1 M sulfuric acid, respectively. The amination for graft copolymers varied depending on amine reagents, and the reactivity for copolymers was highest for methylamine, and that of triethylamine lowest. It was shown that water uptake and ion exchange capacities increased with increase in the rate of amination while surface area decreased rapidly as proceeding for graft reaction and amination.
Journal of the Korean Society of Food Science and Nutrition
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v.29
no.1
/
pp.134-139
/
2000
Angelica gigas Nakai (danggui) is a popular herb which has been used as a blood-building decoction for recovery from weakness in the Chinese medicine. Its demand increased in functional foods and pharmaceutical industries. For its hygiene, fumigation has been used, but the use of fumigants are going to be prohibited for food processing. In order to investigate gamma irradiation technique for hygiene of danggui, the immunomodulation activity of danggui after irradiation was examined. The water extract of irradiated danggui showed a strong mitogenic effect on splenocytes in vitro to the same level of lipopolysaccharide (LPS) and phytohemagglutinin (PHA). The effect was not different from that of non-danggui. It was tested whether there was any difference between irradiated and non-irradiated danggui in effects on the secretion of antibodies and graft versus host reaction in vivo. It turned out that intraperitoneal (i.p.) administration of the extract of irradiated danggui for 4 days remarkably increased the number of antibody-secreting cells in mice injected with sheep red blood cells (SRBC). Splenomegaly, due to graft versus host reacton, was also increased after 7 days i.p. administration of the extract of danggui in mice injected with allogeneic splenocytes. In these two in vivo test, the effect were not different from those of non-irradiated danggui. These results indicated that immunomodulation activity of danggui might be preserved after irradiation. In the other experiments (data not shown), the irradiated danggui was stable in active component analysis and safe in genetic toxicity test. In further research, the stability in other physiological activity of irradiated danggui will have to be proved before practical application of irradiation for hygiene.
In this study, a series of highly swelling hydrogels based on sodium alginate (NaAlg) and polymethacrylamide (PMAM) was prepared through free radical polymerization. The graft copolymerization reaction was performed in a homogeneous medium and in the presence of ammonium persulfate (APS) as an initiator and N,N'-methylenebisacrylamide (MBA) as a crosslinker. The crosslinked graft copolymer, alginate-graft-polymethacrylamide (Alg-gPMAM), was then partially hydrolyzed by NaOH solution to yield a hydrogel, hydrolyzed alginate-graft-polymethacrylamide (H-Alg-g-PMAM). During alkaline hydrolysis, the carboxamide groups of Alg-g-PMAM were converted into hydrophilic carboxylate anions. Either the Alg-g-PMAM or the H-Alg-g-PMAM was characterized by FTIR spectroscopy. The effects of the grafting variables (i.e., concentration of MBA, MAM, and APS) and the alkaline hydrolysis conditions (i.e., NaOH concentration, hydrolysis time, and temperature) were optimized systematically to achieve a hydrogel having the maximum swelling capacity. Measurements of the absorbency in various aqueous salt solutions indicated that the swelling capacity decreased upon increasing the ionic strength of the swelling medium. This behavior could be attributed to a charge screening effect for monovalent cations, as well as ionic cross-linking for multivalent cations. Because of the high swelling capacity in salt solutions, however, the hydrogels might be considered as anti-salt superabsorbents. The swelling behavior of the superabsorbing hydrogels was also measured in solutions having values of pH ranging from 1 to 13. Furthermore, the pH reversibility and on/off switching behavior, measured at pH 2.0 and 8.0, suggested that the synthesized hydrogels were excellent candidates for the controlled delivery of bioactive agents. Finally, we performed preliminary investigations of the swelling kinetics of the synthesized hydrogels at various particle sizes.
Proceedings of the Membrane Society of Korea Conference
/
2004.05a
/
pp.191-194
/
2004
A novel type of intelligent microcapsule reactor system was prepared. The reactor can recognize pH change in the medea and control reaction rate by itself. For the reactor system, acrylic acid (AA), N-isopropylacrylamide (NIPAM), and glucose oxidase (GOD) were selected as a pH-responsive device, a gating device according and a reaction device, respectively. Poly(NIPAM-co-AA) (P-NIPAM-co-AA) are known to change its hydrophilicity-hydrophobicity due to pH change. They were integrated in a core-shell microcapsule space. GOD was loaded inside the core space and the pores in the outside shell layer were filled with P-NIPAM-co-AA linear grafted chains as pH-responsive gates by plasma graft filling polymerization method. When P-NIPAM-co-AA gates are hydrophilic at high pH value, this microcapsule permits glucose penetration into the core space and GOD reaction proceeds. However, when P-NIPAM-co-AA gates are hydrophobic at low pH value, this microcapsule forbids glucose penetration and GOD reaction will not occur. The accuracy of this concept was examined.
Kim, Jong-Hak;Koh, Jong-Kwan;Choi, Jin-Kyu;Park, Jung-Tae;Koh, Joo-Hwan
Membrane Journal
/
v.18
no.4
/
pp.261-267
/
2008
A graft copolymer consisting of poly(vinyl chloride) (PVC) backbone and poly(hydroxyethyl acrylate) (PHEA) side chains was synthesized via atom transfer radical polymerization (ATRP). Direct initiation of the secondary chlorines of PVC facilitates grafting of hydrophilic PHEA monomer. This graft copolymer, i.e. PVC-g-PHEA was cross-linked with sulfosuccinic acid (SA) via the esterification reaction between -OH of the graft copolymer and -COOH of SA, as confirmed by FT-IR spectroscopy. Ion exchange capacity (IEC) continuously increased to 0.87meq/g with increasing concentrations of SA, due to the increasing portion of charged groups in the membrane. However, the water uptake increased up to 20.0wt% of SA concentration above which it decreased monotonically. The membrane also exhibited a maximum proton conductivity of 0.025 S/cm at 20.0 wt% of SA concentration, which is presumably due to competitive effect between the increase of ionic sites and the crosslinking reaction.
Many studies have been carried out on the graft finishing in order to improve the quality of silk fiber. Various vinyl monomers, for instance, styrene, methylmethacrylate, 2-hydroxyeth-ylmethacrylate and methacrylamide, have been used practically up to date. Among these monomers, methacrylamide has been applied as the most favourable monomer onto silk fibers in recent years. The polymerization mechanism about styrene- and methylmethacrylate-grafted silk fiber has been studied by many researchers. They proposed that free radicals were formed and vinyl monomers were polymerized in silk fibroin by graft polymerization mechanism, while active sites were varied by the types of monomer and initiator as well as by the reaction condition. In general. there is another Opinion that monomers are polymerized and impregnated in the internal side of the fiber by homopolymerization, which has not been proved experimentally yet More than 10 years have been passed since methacrylamide was applied on the silk fiber, and at the present time most finishings are being achieved by methacrylamide. However, no attention has been paid to the polymerization mechanism of the methacrylamide-treated silk fiber yeL In this paper, the treatments of methacrylamide on silk fibers were studied in aqueous solution using potassium persulfate as an initiator. The polymerization mechanism of the methacrylamide-treated silk fibers was investigated and analyzed on the basis of the results of infrared spectroscopy, amino acid analysis and scanning electron microscopy. From the results of these instrumental analyses, it can be suggested that polymerization mechanism about the methacrylamide-treated silk fibers is not performed by graft polymerization which has been accepted generally in styrene and methylmethacrylate-grafted silk fibers. The different mechanism is supposed to be due to the difference in monomer types, initiator types and treatment conditions.
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