• 제목/요약/키워드: Open Reduction

검색결과 1,141건 처리시간 0.034초

토압 영향을 받는 Down-Up 지하공사 공법의 오픈 구간 균열 저감 방안 연구 (A Study on Crack Reduction Method in open Section of Down-Up Underground Construction Method Affected by Earth Pressure)

  • 심학보;전현수;석원균
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2021년도 가을 학술논문 발표대회
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    • pp.196-197
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    • 2021
  • The underground method can be divided into Top-Down, Semi-Top-Down, Up-Up and Down-Up methods according to the construction order of the upper and lower structures. Among them, the Down-Up method proceeds with the construction of the first floor and its lower floors, and when the foundation is completed, the vertical members of the basement are sequentially completed from the foundation and the above-ground floor is constructed. In this paper, the crack reduction method around the open section of the Down-Up method affected by earth pressure was analyzed and divided into design and construction parts.

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A Comparative Study of Intermaxillary Fixation and Manual Reduction at Open Reduction and Internal Fixation of Mandibular Fractures

  • Jin, Soo-Young;Kim, Su-Gwan;Oh, Ji-Su;Kim, Jeong-Sun;Jeong, Mi-Ae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권1호
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    • pp.51-54
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    • 2013
  • Purpose: The purpose of this study is to evaluate the difference between open reduction and internal fixation (ORIF) and intermaxillary fixation (IMF) of mandibular fractures. Methods: A total of one hundred twenty-seven patients who were treated for mandibular fractures at Chosun University Dental Hospital, from January 2008 to December 2010, and analyzed their prognoses based on the use of IMF at the time of fracture reduction. The patients were divided into two groups; the manual reduction group without IMF and IMF group. Results: After reduction of the mandibular fracture, good results were obtained with majority patients. Nonetheless, seven patients (13.0%) in manual reduction method without arch bars or IMF, developed complications after surgery. Three patients underwent IMF due to occlusal instability after surgery, while one patient underwent re-operation. Thus, a significant difference was not observed between the IMF and manual reduction groups. Conclusion: Manual reduction and IMF at mandibular simple fracture could produce good results. In case of mandibular simple fracture, it was recommended with only manual reduction without IMF or IMF during a short period.

Zig-Zag 결선 및 Open-Delta 방식을 이용한 새로운 고조파 저감장치의 개발 (Development of the New Hormonic Eliminating Device Using Zig-Zag Connection and Open-Delta Mode)

  • 이성호;김기성;유상봉
    • 조명전기설비학회논문지
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    • 제19권1호
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    • pp.169-174
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    • 2005
  • 지금까지의 고조파 필터는 중성선 리액터와 지그재그결선의 영상 고조파 전류를 제거하였으나, 부하율에 따라 고조파 저감율이 변하여 경부하에서는 고조파 저감율이 낮아지는 특성이 있고, 중성선 리액터 과열로 중성선 단선 위험의 문제가 발생하였다. 본 Zig-Zag 결선 및 Open Delta 방식을 이용한 새로운 고조파 저감장치(HANOS)는 Zig-Zag 결선의 Core Block내에 추가로 Open Delta 방식을 결선하여 중성선에 연결함으로써 중성선에 흐르는 영상 고조파 전류가 과열 없이 안전하게 제거되는 것을 시험 분석한 결과로 증명하였다.

족관절 개방성 삼과골절의 즉각적인 수술의 결과 (Outcomes of Immediate Operative Treatment of Ankle Trimalleolar Open Fractures)

  • 이준영;조용진;강신욱;조영민;최현배
    • 대한족부족관절학회지
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    • 제24권1호
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    • pp.25-30
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    • 2020
  • Purpose: Generally, the treatment of ankle trimalleolar open fractures is divided into two stages: external fixation and debridement; and secondary internal fixation. On the other hand, this two-stage operation takes considerable treatment time and is challenging in procedures requiring reduction. The purpose of this study was to evaluate the radiologic and clinical results of an immediate one-stage internal fixation operation considering the wound conditions to overcome two stage operation disadvantages. Materials and Methods: From September 2009 to January 2018, 24 cases of ankle trimalleolar open fractures, who underwent immediate internal fixation and were followed up for at least one year, were studied retrospectively. The open wound was divided into the Gustilo-Anderson classification. Open reduction and internal fixation were performed on every medial and lateral malleolar fracture. On the other hand, with posterior malleolar fractures, surgical or conservative treatment was performed depending on the fragment size. The radiologic outcome was evaluated using the Burwell and Charnley criteria and American Orthopaedic Foot and Ankle Society (AOFAS) scores, and complications, such as infection and posttraumatic arthritis, were used for the clinical evaluation. Results: The wound was classified into eight cases (33.3%) of type I, 11 cases (45.8%) of type II, and five cases (20.8%) of type IIIa. The degree of reduction was anatomical, fair, and poor in 16 cases (66.7%), six cases (25.0%), and two cases (8.3%), respectively. The mean AOFAS score was 79 points, and there were complications, such as infection in three cases (12.5%) and post-traumatic arthritis in two cases (8.3%). Conclusion: Satisfactory results were obtained through immediate surgical treatment in ankle trimalleolar open fractures of types I, II, and IIIa.

C형 경골천정 골절에 대한 일리자로브 외고정술 (ILIZAROV FIXATION FOR THE TYPE C TIBIAL PLAFOND FRACTURES)

  • 조헌오;곽경덕;조성도;김병용;오장호
    • 대한족부족관절학회지
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    • 제1권1호
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    • pp.51-58
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    • 1997
  • The purpose of this study is to evalute the efficacy af the Ilizarov external fixation for the surgical treatment. of the tibial plafond fractures. We reviewed retrospectively fourteen cases of tibial plafond fractures with moderate to severe soft. tissue damage, which were fixed with Ilizarov external fixator. Using the AO Muler classification, there were four Type C1 fractures, six Type C2 and four Type C3. In most, of the cases, the ankles were operated on with other associated fractures within a few days after injury. We reduced the fracture indirectly by soft issue taxis and fixed externally across the ankle joint. using the circular external fixator with tensioned wires and ankle hinge. In cases of inadequate closed reduction, we applied limited open reduction and internal fixation. Range of motion exercise began immediately. Postoperative follow-up averaged fourteen months (ranges, 8-30 months). Overall clinical results rated good or excellent in 7 cases, fair in 4 and poor in 3. There were three cases of pin tract infection which were resolved with short-term antibiotics and local care; one delayed wound closure in a patient. whose fracture was associated with Type III open wound; one wound slough in a patient associated with Type II open wound, which was closed later by skin graft; and one osteoarthritis. From this review, we concluded that cross-ankle circular external fixation with tensioned wires with or without. limited open reduction is a reasonable alternative for the treatment of the tibial plafond fractures with severe soft tissue damage.

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Modified Extracorporeal Reduction of the Mandibular Condylar Neck Fracture

  • Kim, Min-Keun;Kwon, Kwang-Jun;Kim, Seong-Gon;Park, Young-Wook;Kim, Jwa-Young;Kweon, Hae-Yong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제36권1호
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    • pp.30-36
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    • 2014
  • There are many treatment options in management of mandibular condylar neck fractures. Closed reduction is the most conservative treatment; however, achievement of anatomic reduction is difficult, and there are some risks of mandibular functional impairment. Open anatomic reduction and internal fixation have some advantages; therefore, many oral and maxillofacial surgeons have attempted to achieve anatomic reduction through the open approach and extracorporeal reduction and fixation. However, when using this method, there is some risk of resorption of the fractured mandibular condylar head. Therefore, we designed a modified extracorporeal reduction technique, without detaching the lateral pterygoid muscle in order to maintain the blood supply to the fractured mandibular condylar head. We believe that this minor modification may minimize the risk of resorption of the fractured mandibular condylar head. In this article, we introduce this technique in detail, and report on two cases.

초등학교 주변 방범용CCTV의 범죄감소효과 연구 (The Crime-reduction Effects of Open-Street CCTV around Elementary Schools)

  • 임형진
    • 시큐리티연구
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    • 제51호
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    • pp.199-219
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    • 2017
  • 이 연구는 초등학교 주변에 설치된 방범용CCTV가 범죄를 감소하는 효과가 있는지를 검증하였다. 이를 위해 춘천시에 설치된 9개의 방범용CCTV의 위치와 종류에 관한 데이터 및 춘천시의 범죄데이터가 수집되었다. 분석단위로 월 단위가 사용되었으며, 날짜, 월평균 온도, 범죄 추이를 통제한 후 포아송 회귀분석을 이용하여 분석하였다. 분석결과는 초등학교 주변에 설치된 방범용CCTV로 인해 전체범죄와 중범죄가 감소하였음을 보여주었다. 그러나 경범죄에서는 그러한 결과가 나타나지 않았다. 본 연구는 방범용CCTV가 초등학교 인근에 설치되었을 때 중범죄율과 전체범죄율을 낮추는 데 도움을 줄 수 있음을 시사한다.

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하악 과두 골절에 대한 4년간의 후향적 임상연구 (A RETROSPECTIVE CLINICAL STUDY OF CONDYLAR FRACTURES OF THE MANDIBLE IN A 4-YEAR PERIOD)

  • 류재영;김현섭;박충열;국민석;박홍주;오희균
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권3호
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    • pp.388-397
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    • 2008
  • The present study was performed to evaluate the function of the mandible according to the pattern of fracture and treatment methods of condylar fractures of the mandible and help operators in making a treatment plan. Sixty patients (average follow-up period was $7.8{\pm}9.4$ months) who were treated for condylar fracture from June, 2002 to May, 2006 at the Department of Oral and Maxillofacial surgery, Chonnam National University Hospital were reviewed. The common causes of the condylar fracture were traffic accident and fall-down (35.0%). In concomitant injuries, laceration was 46.7% and the fracture of the mandibular symphysis was highest incidence (60.0%). The common site of the fracture was the condylar head (47.8%), followed by subcondyle (36.2%) and condylar neck (15.9%). Under 15 years old patients, the closed reduction was performed in 87.5% out of the patients. All of the condylar fragments were fixed to the mandible with titanium miniplates in cases of open reduction. The mean period of intermaxillary fixation (IMF) was $14.2{\pm}6.5$ days in closed reduction and $10.0{\pm}4.2$ days in open reduction. The old patient with bilateral condylar head fractures, who were treated by closed reduction with IMF for 3 weeks, showed the limitation of mandibular movements. But, there was no significant different results between open reduction and closed reduction with the respect of the Helkimo's mandibular mobility index and clinical dysfunction index (DI). Complications, such as fibrous ankylosis and resorption of the mandibular condyle, were not observed in all patients. These results suggest that the good results can be obtained by closed reduction with proper IMF periods and functional exercise in most condylar fractures of the mandible except severely displaced extracapsular fractures.

족관절 내과 골절시 보조적 관절경적 정복 및 내고정술이 필요한가? (Is an Arthroscopically Assisted Reduction and Fixation Necessary in the Medial Malleolar Fracture of the Ankle?)

  • 신동민;주평
    • 대한관절경학회지
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    • 제2권1호
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    • pp.93-96
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    • 1998
  • We treated 10 cases of the medial malleolar fracture of the ankle by open reduction and internal fixation from June 1997 to December 1997. After the rigid internal fixation, we measured the gap of the fracture site and the step off of the articular surface by special instrument under the ankle arthroscopy whether it was reduced anatomically or not. And we tried to know the necessity of the arthroscopically assisted reduction and fixation in the medial malleolar fracture of the ankle. Under the arthroscopic view, all 10 cases were anatomically reduced as less than 1 mm of gap of the fracture site and less than 1mm of step off of the articular surface after open reduction and internal fixation in the medial malleolar fractures. In conclusion, through the arthroscopic management, it has advantage in finding and treating the accompanying intraarticular lesion, but also has disadvantage in setting the arthroscope and prolonging the operation time.

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