• 제목/요약/키워드: Joint preserving

검색결과 60건 처리시간 0.027초

Surgical Tips to Preserve the Facet Joint during Microdiscectomy

  • Park, Man-Kyu;Kim, Kyoung-Tae;Cho, Dae-Chul;Sung, Joo-Kyung
    • Journal of Korean Neurosurgical Society
    • /
    • 제54권4호
    • /
    • pp.366-369
    • /
    • 2013
  • Lumbar microdiscectomy (MD) is the gold standard for treatment of lumbar disc herniation. Generally, the surgeon attempts to protect the facet joint in hopes of avoiding postoperative pain/instability and secondary degenerative arthropathy. We believe that preserving the facet joint is especially important in young patients, owing to their life expectancy and activity. However, preserving the facet joint is not easy during lumbar MD. We propose several technical tips (superolateral extension of conventional laminotomy, oblique drilling for laminotomy, and additional foraminotomy) for facet joint preservation during lumbar MD.

Posterior Cervical Inclinatory Foraminotomy for Spondylotic Radiculopathy Preliminary

  • Chang, Jae-Chil;Park, Hyung-Ki;Choi, Soon-Kwan
    • Journal of Korean Neurosurgical Society
    • /
    • 제49권5호
    • /
    • pp.308-313
    • /
    • 2011
  • Posterior cervical foraminotomy is an attractive therapeutic option in selected cases of cervical radiculopathy that maintains cervical range of motion and minimize adjacent-segment degeneration. The focus of this procedure is to preserve as much of the facet as possible with decompression. Posterior cervical inclinatory foraminotomy (PCIF) is a new technique developed to offer excellent results by inclinatory decompression with minimal facet resection. The highlight of our PCIF technique is the use of inclinatory drilling out for preserving more of facet joint. The operative indications are radiculopathy from cervical foraminal stenosis (single or multilevel) with persistent or recurrent root symptoms. The PCIFs were performed between April 2007 and December 2009 on 26 male and 8 female patients with a total of 55 spinal levels. Complete and partial improvement in radiculopathic pain were seen in 26 patients (76%), and 8 patients (24%), respectively, with preserving more of facet joint. We believe that PCIF allows for preserving more of the facet joint and capsule when decompressing cervical foraminal stenosis due to spondylosis. We suggest that our PCIF technique can be an effective alternative surgical approach in the management of cervical spondylotic radiculopathy.

중증 족관절 관절염: 족관절 전치환술 (Severe Ankle Osteoarthritis: Treatment with Total Ankle Arthroplasty)

  • 정비오;정혁
    • 대한족부족관절학회지
    • /
    • 제22권1호
    • /
    • pp.8-15
    • /
    • 2018
  • Ankle osteoarthritis is a debilitating condition that causes severe pain associated with functional impairment and decreased activity. Ankle osteoarthritis, unlike that of the knee or hip joint, is rare in primary arthritis. Most cases are traumatic arthritis that occur after ankle sprain or fractures or chronic ankle instability. Although ankle fusion has been regarded as the standard treatment of ankle osteoarthritis in the past, total ankle arthroplasty (TAA) is increasing due to the development of the implant design and surgical techniques. TAA is biomechanically superior to ankle fusion by preserving the movement of the ankle joint. In particular, it is functionally superior to ankle fusion because it enables normal joint motion during gait. In addition, there is an advantage of preserving the movement of the hindfoot and reducing the abnormal stress applied to the adjacent joints after ankle fusion to prevent the occurrence of long-term adjacent joint arthritis. Although the short-term and mid-term results of TAA have been reported to be excellent, long-term follow-up has a relatively low survival rate and high complication rate compared to total knee or hip arthroplasty. Therefore, continuous and further research is needed.

뮐러-와이스 병의 방사선학적 특징 및 수술적 치료의 결과 (Radiographic Characteristics and the Clinical Results of the Operative Treatment of M$\ddot{u}$ller-Weiss Disease)

  • 최홍준
    • 대한족부족관절학회지
    • /
    • 제17권2호
    • /
    • pp.100-105
    • /
    • 2013
  • Purpose: To present radiographic characteristics and report the clinical results of the operative treatment of M$\ddot{u}$ller-Weiss disease. Materials and Methods: This is a retrospective study including 13 patients, 14 feet who had been operated for M$\ddot{u}$ller-Weiss disease between April 2006 and December 2011. Osteoarthritis of the peri-navicular joints were radiographically evaluated. Various range of peri-navicular fusion and joint-preserving surgeries according to patients' symptoms and radiographic findings were done. The clinical results were evaluated by American Orthopaedics Foot and Ankle Society (AOFAS) midfoot scale and visual analogue scale (VAS). Results: On radiographs, osteoarthritic changes were presented at talonavicular joint in 11 cases, calcaneocuboid joint in 7 cases, subtalar joint in 6 cases, naviculo-cuneiform joint in 1 case. The mean anteroposterior talocalcaneal angle was 16.6 degrees. On hindfoot alignment view, 6 cases were varus, 5 cases were neutral and 3 cases were valgus alignment. Fusion comprised 6 cases in triple fusion, 1 case in talonavicular-cuneiform fusion, 2 cases in talonavicualr fusion and 1 case in talonavicular & calcaneocuboid fusion. Joint-preserving surgeries were bony fragment excision of the lateral part of navicular & medial displacement calcaneal osteotomy in 1 case, bony spur excision of talonavicular joint in 1 case and medial displacement calcaneal osteotomy in 2 cases. The postoperative AOFAS and VAS score were improved significantly (p=0.000, p=0.000). Conclusion: In cases of M$\ddot{u}$ller-Weiss disease without osteoarthritic changes at peri-navicular joints, fragment excision of navicular, bony spur excision with or without medial displacement calcaneal osteotomy were effective operative treatments.

외측벽 절제술과 교정 절골술을 이용한 종골 부정유합의 치료: 3예 보고 (Treatment of Calcaneal Fracture Malunion Using Lateral Exostectomy and Corrective Osteotomy: A Report of Three Cases)

  • 노영민;김유미;김상열
    • 대한족부족관절학회지
    • /
    • 제19권3호
    • /
    • pp.122-127
    • /
    • 2015
  • Inappropriate treatment for calcaneus fracture may result in malunion causing long-lasting pain and functional deficits. When such complications occur, the ideal principle of management is preserving congruence and motion of adjacent joints. For three patients with calcaneus fracture malunion, subtalar joint-preserving surgery using exostectomy and corrective osteotomy was performed, and satisfactory outcomes were achieved postoperatively.

Joint Hierarchical Semantic Clipping and Sentence Extraction for Document Summarization

  • Yan, Wanying;Guo, Junjun
    • Journal of Information Processing Systems
    • /
    • 제16권4호
    • /
    • pp.820-831
    • /
    • 2020
  • Extractive document summarization aims to select a few sentences while preserving its main information on a given document, but the current extractive methods do not consider the sentence-information repeat problem especially for news document summarization. In view of the importance and redundancy of news text information, in this paper, we propose a neural extractive summarization approach with joint sentence semantic clipping and selection, which can effectively solve the problem of news text summary sentence repetition. Specifically, a hierarchical selective encoding network is constructed for both sentence-level and document-level document representations, and data containing important information is extracted on news text; a sentence extractor strategy is then adopted for joint scoring and redundant information clipping. This way, our model strikes a balance between important information extraction and redundant information filtering. Experimental results on both CNN/Daily Mail dataset and Court Public Opinion News dataset we built are presented to show the effectiveness of our proposed approach in terms of ROUGE metrics, especially for redundant information filtering.

임플란트 주위 조직 보존을 위한 임플란트 경부의 디자인에 관한 고찰 (Considerations in implant crestal module to preserve peri-implant tissue)

  • 김홍준;김지환;김성태;이재훈;박영범
    • 대한치과보철학회지
    • /
    • 제49권4호
    • /
    • pp.346-353
    • /
    • 2011
  • 연구 목적: 임플란트 식립 후 변연골 흡수에 따라 임플란트 주위 연조직이 재구성되며, 이에 따라 치료의 예후 및 심미성 등에 영향을 주게 된다. 그러므로 임플란트 경부 주위 골조직 보존을 위한 임플란트 경부에 다양한 디자인이 연구되고 있다. 본 고찰의 목적은 초기 변연골 흡수의 원인과 이에 따른 임플란트 주위의 연조직 변화에 대해 고찰하고, 어떠한 임플란트 경부 디자인이 임플란트 주위 조직의 보존에 유리한 지 알아보고자 한다. 연구 재료 및 방법: Pubmed database에서 임플란트 초기 변연골 흡수의 원인과 관련된 논문과 임플란트 경부의 여러 디자인에 관한 논문을 검색하여 분석하였다. 임플란트 경부 디자인은 one piece implant, two piece implant, internal hex abutment, external hex abutment, taper joint connection, butt joint connection, scalloped design abutment, platform switching concept에 관해 검토하였다. 결과: 초기의 임플란트 주위 조직 보존에 대하여 one piece implant가 two piece implant보다 유리한 것으로 여러 임상적, 실험적 연구가 있다. Two piece implant에서는 internal hex abutment가 external hex abutment보다, taper joint connection가 butt joint connection보다 유리할 것으로 보여진다. Scalloped design abutment에 대해서는 논쟁의 여지가 있어 더 많은 연구가 필요할 것으로 판단된다. Platform switching concept은 그 원인이 명확히 밝혀지지는 않았으나 임상적, 실험적으로 초기 임플란트 주위 조직 보존에 대해 유리한 것으로 판단된다. 결론: 임플란트 경부의 디자인마다 각각의 장단점이 있고 추가적인 연구가 더 필요한 제한이 있지만 현재까지의 선행 연구들을 분석 종합해 보면 초기 임플란트 주위 조직 보존을 고려한다면 가능한 경우 one piece implant가 유리할 것으로 판단되며, 보철적인 문제나 다른 이유로 인하여 two piece implant를 고려할 경우 platform switching concept, internal connection abutment, taper joint connection을 이용하는 것이 임플란트 주위 조직 보존에 좀더 유리할 것으로 사료된다.

공동주택의 친환경 리모델링을 위한 부품접합부 개선방안의 유형화에 관한 연구 II;욕실 및 주방을 중심으로 (A Study on the Development Type of Component Joint Design for Environment Friendly Multi Housing Remodeling)

  • 임석호;김수암;황은경;윤매한
    • 한국주거학회:학술대회논문집
    • /
    • 한국주거학회 2006년도 추계학술발표대회 논문집
    • /
    • pp.370-373
    • /
    • 2006
  • Lastly, the problem of filling occurs in the process of concealed joint of adjacent components and was seen in joints between the structure and an electrical or mechanical device. Therefore, the dry processing which replaces wet joint was seen in joints between the structure and a door, ones between the structure and a finishing materials, ones between a gypsum board and electrical device, and ones between a water pipe and a tile finishing. And a process of separating the area of jointed parts in order to eliminate the problem of overlap was seen in joints between a door and a finishing material and ones between a gypsum board on the ceiling and a light. Lastly, an analysis of a process of exposing concealed parts indicated that the problem of filling could be applied to joints between the structure and an electrical or mechanical device and ones between a finishing material and a mechanical device. This study sought out methods to apply Environment Friendly Multi Housing Remodeling that allow easy remodeling as part of environment- preserving policies. It also contains basic data useful to implement long-life houses in the future by presenting a comprehensive design standard for them

  • PDF

시공간 3차원 결합 잡음제거 필터 (Spatio-Temporal 3D Joint Noise Reduction Filter)

  • 홍성훈;홍성용
    • 한국멀티미디어학회논문지
    • /
    • 제5권2호
    • /
    • pp.147-157
    • /
    • 2002
  • 영상 시퀀스에 포함된 잡음은 화질을 열화시키고 중요한 영상의 미세 정보를 훼손시킨다. 또한 잡음은 영상의 복잡성을 증가시키므로 영상의 압축효율을 저하시킨다. 본 논문에서는 특성이 서로 다른 두개의 적응형 잡음제거 필터를 결합적으로 연결하여 잡음을 제거하는 공간결합필터와 시간결합필터를 제시하고, 이 결합필터들을 연결한 IIR필터 구조를 갖는 3차원 잡음제거 필터를 제시한다. 제시된 잡음제거 필터는 영상의 에지와 미세정보를 유지하면서도 평탄한 영상영역에 대해서는 강한 잡음제거를 수행하며 이웃한 프레임 사이에서도 잡음에 의한 시간적인 깜박임을 억제한다. 실험결과 제안된 잡음제거 필터는 기존 방식들에 비하여 객관적 화질뿐만 아니라 주관적인 화질을 크게 향상시킴을 알 수 있었다.

  • PDF