• 제목/요약/키워드: Iliac

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인공 슬관절 전치환술 후 발생한 메이-터너 증후군 및 심부정맥 혈전증 (May-Thurner Syndrome with Deep Vein Trombosis after Total Knee Arthroplasty)

  • 이화성;김용우;정세훈;이세원
    • 대한정형외과학회지
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    • 제55권4호
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    • pp.343-347
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    • 2020
  • 메이-터너 증후군(May-Thurner syndrome)은 장골 정맥 압박 증후군으로 알려져 있고 좌하지의 총 정맥 유출로가 압박되어 부종, 통증 또는 혈전(심부정맥 혈전증)을 유발할 수 있는 상태이다. 특히 우측 총 장골 동맥과의 교차 지점에서 좌측 총 장골 정맥이 압박되는 형태가 전형적이다. 저자들은 우측 인공 슬관절 전치환술을 시행한 75세 여자 환자에서 메이-터너 증후군이 합병된 증례를 치료하였고 이를 보고하고자 한다. 수술을 시행한 후 좌측 하지의 부종과 통증에 대해 혈관 조영술 및 컴퓨터 단층촬영을 이용해 메이-터너 증후군을 진단하였다. 혈전용해제와 혈전제거술를 사용하여 혈전을 제거한 후 혈관 성형술 및 정맥 내 스텐트를 삽입하였다. 한국에서 인공 슬관절 전치환술 후 메이-터너 증후군이 합병된 증례는 보고된 바가 없다. 이에 저자들은 문헌고찰과 함께 보고하고자 한다.

요추궁 절제술 후 발생한 동정맥루 (Arteriovenous Fistula following Lumbar Laminectomy - A Case -)

  • 오중환
    • Journal of Chest Surgery
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    • 제24권6호
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    • pp.605-609
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    • 1991
  • The formation of postlaminectomy arteriovenous fistula is unusual and the rongeur during discectomy with resultant simultaneous damage to artery and vein is causative. The delay in diagnosis is particularly distressing. The presence of a palpable abdominal thrill or bruit with or without congestive heart failure should results in a high index of suspicion of this entity. Prompt recognition and surgical closure of the post-laminectomy arteriovenous iliac fistula are most important in successful management.

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A FEM Analysis for Acetabular Component with Negative Poisson's Ratio in Total Hip Arthroplasty

  • 최재봉
    • 전산구조공학
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    • 제8권4호
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    • pp.17-23
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    • 1995
  • Based on the present FEM study for negative Poisson's-ratio UHMWPE, the following conclusions seem expected. 1) Negative Poisson's-ratio UHMWPE transfers less stresses to the subchondral or peripheral iliac bone, compared to the conventional UHMWPE with Poission's-ratio. 2) Negative Poisson's-ratio cup reduces stresses in UHMWPE cup itself as well as metal backing, and subchondral bone. 3) The reduction in periacetabular mechanical stresses would significantly reduce the rate of fatigue failure and consequently reduce the incidence of aseptic loosening of the cup due to wear or bone resorption.

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외상성 복부 대동맥류의 파열 -수술치험 1례 보고- (Rupture of the Traumatic Abdominal Aneurysm -Surgical Experience 1 case-)

  • 김범식
    • Journal of Chest Surgery
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    • 제23권4호
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    • pp.782-784
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    • 1990
  • We present a case of ruptured abdominal aortic aneurysm caused by blunt injury. The patient was 23-year-old soldier injured by a motor vehicle accident. Injuries sustained a contused abdominal aorta. At the time of aortic repair, the involved segment formed huge pseudoaneurysm, and which had intimal tear. Aorto-iliac graft replacement was carried out with a woven-dacron Y-graft prosthesis, which restored satisfactory circulation to both lower limbs. The postoperative course was uneventful.

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추간원판절제술후 발생한 동-정맥루공 수술치험 1례 (Arteriovenous fistula formation following disk surgery)

  • 김종호;김용진
    • Journal of Chest Surgery
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    • 제15권4호
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    • pp.428-431
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    • 1982
  • A vascular complication caused by lumbar disc surgery is not infrequent till recently after the first report by Linton & White in 1945. In October 1980, we experienced one case of arteriovenous fistula following lumbar disc surgery in the department of thoracic surgery, CAFGH. The A-V fistula was situated between left common iliac artery and vein, which was confirmed by angiography easily. The A-V fistula was corrected surgically by Taylor`s method successfully without complication.

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