• Title/Summary/Keyword: bone and skin

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The Usefulness of the Artificial Nail for Treatment of Fingertip Injuries (손가락끝 손상의 치료 시 인조손톱의 유용성)

  • Choi, Hwan-Jun;Kwon, Joon-Sung;Tark, Min-Seong
    • Archives of Plastic Surgery
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    • v.37 no.6
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    • pp.788-794
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    • 2010
  • Purpose: The fingertip is the most commonly injured part of the hand and its injury frequently results in avulsion or crushing of a segment of the nail bed and fracture of the distal phalangeal bone. Restoration of a flat and smooth nail bed is essential for regrowth of a normal nail, which is important not only for cosmetic reasons but also for tactile capability of the fingertip. It is also anatomical reduction of the distal phalanx to promote patient's cosmetics and prevent nail bed deformity. Absence or no replacement of the nail plate results in obliterated proximal skin fold. When the avulsed nail plate cannot be returned to its anatomic position or when it is absent, we use a synthetic material for splinting the nail bed and alternative reductional method for distal phalangeal bone fracture, especially, instead of hardwares. Methods: From January of 2006 to June of 2009, a total of ten patients and fourteen fingers with crushing or avulsion injuries of the fingertip underwent using the artificial nails for finger splint. We shaped artificial nails into the appropriate sizes for use as fingernail plates. We placed them under the proximal skin fold and sutured to the fold proximally and to the lateral and medial edges of the nail bed or to the distal fingertip. Our splints were as hard as K-wire and other fixation methods and more similar to anatomic nail plates. Artificial nails were kept in place for at least 3 weeks. Results: No artificial nail related complication was noted in any of the ten cases. No other nail fold or nail bed complications were observed, except for minor distal nail deformity because of trauma. Conclusion: In conclusion, in order to secure the nail bed after injury and reduce the distal phalangeal bone fracture, preparing a nail bed splint from a artificial commercial nail is a cheap and effective method, especially, for crushed or avulsion injuries of the fingertip.

Clinico-pathological studies on the experimental cadmium pisoning in dogs (실험적 카드뮴 중독견의 임상병리학적 관찰)

  • Lee, Sang-gwan;Lee, Hyun-beom
    • Korean Journal of Veterinary Research
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    • v.36 no.2
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    • pp.471-482
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    • 1996
  • These experiments were undertaken in order to find out the useful clinicopathological diagnostic methods of cadmium poisoning in dogs. Twenty-one dogs were divided into a control group and 6 experimental groups. The experimental groups were adminstered orally 5, 10, 15, 30, 60 and 120mg of cadmium per kg of body weight for 56 days. All dogs were examined for clinical signs, and weekly changes in hematological and blood chemical values. All dogs were necropsied on 57th days of experiment. Tissue samples including hair, skin, muscle, lung, liver, kidney, spleen, pancreas, testis, ovary, uterus, and bone were collected and analyzed for cadmium, zinc, iron and copper contents using atomic absorption spectrophotometer. From these experiments following results were obtained : 1. All experimental dogs showed vomitting, salivation, anorexia, decreased water-intake, dehydration, and marked weight loss. The dogs received 30mg/kg or more of cadmium died during the period from 2nd to 7th week after administration. 2. Hematologically, all experimental dogs showed decrease in erythrocyte count, hemoglobin concentration, and packed cell volume. The anemia was identified as normocytic and regenerative morphologically. 3. No significant differences in serum glutamic oxaloacetic transminase, glutamic pyruvic transaminase, blood urea nitrogen, and cholosterol value were obseved between the control and experimental dogs. 4. The cadmium contents in various tissues of experimental dogs were estimated as $37.8{\sim}201.8{\mu}g/g$ in bone, $14.1{\sim}49.5{\mu}g/g$ in liver, $13.2{\sim}53.1{\mu}g/g$ in kidney, $0.4{\sim}35.2{\mu}g/g$ in pancreas, $0.8{\sim}35.4{\mu}g/g$ in spleen, $0.9{\sim}30.1{\mu}g/g$ in hair, $0{\sim}7.1{\mu}g/g$ in lung, $0{\sim}5.1{\mu}g/g$ in skin, and $0{\sim}3.6{\mu}g/g$ in muscle, respectively. However, the serum, testis, ovary and uterus showed no cadmium accumulation. Two contol dogs showed cadmium accumulation only in bone. 5. Significant differances in zinc, iron, and copper contents in tissue samples were observed between the control and experimental groups.

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SPARING EFFECTS OF COBALT AND NICKEL ON ZINC NUTRITION IN PIGS

  • Chung, A.S.;Faltin, E.C.;Grummer, R.H.;Hoekstra, W.G.
    • Asian-Australasian Journal of Animal Sciences
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    • v.1 no.2
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    • pp.89-98
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    • 1988
  • Three experiments were conducted to determine whether cobalt (Co) or nickel (Ni) could prevent zinc (Zn) deficiency signs in pigs fed a high calcium (Ca) corn-soybean diet. The basal diet contained 1.3% Ca, .93% phytic acid and means of 34 to 48 ppm Zn. After weanling, pigs in experiment I were fed the basal diet for 9 weeks, and was found that 50 ppm Co or Ni for 5 weeks increased average daily weight gain (ADG) and reversed skin lesions toward normal. These effects were similar to those of 100 ppm supplemental Zn. The Zn content and alkaline phosphatase activity of serum from pigs supplemented with Co or Ni were higher at 2 weeks and 4 weeks (P<.05) than those of the basal group. Zn content of bone, liver and kidney, and alkaline phosphatase activity in bone were increase after 5 weeks of supplementation with Co or Ni. In experiments 2 and 3, addition of 54 ppm and 27 ppm of either Co or Ni increased (P<.05) ADG and decreased incidence of skin lesions except in one group supplemented with 27 ppm Ni. Supplemental Co or Ni increased Zn in serum and alkaline phosphatase activity in serum and bone in both experiments. Over all experiments, supplemental Co or Ni decreased Zn deficiency signs in the following order of effectiveness: 54 ppm Co, 54 ppm Ni, 27 ppm Co and 27 ppm Ni. The alleviation of signs of Zn deficiency by Co or Ni may have been the result of increased availability of dietary Zn.

CT-Guided Percutanous Nidus Excision of Osteoid Osteoma - Burr Down Technique - (유골 골종에서 전산화 단층 촬영 유도하 경피적 핵 절제술 - 천공기 이용법 -)

  • Kim, Byoung-Suck;Cho, Jae-Hyun;Lee, Kyi-Beom;Yu, Chung-Su;Ahn, Jae-In
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.1
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    • pp.51-55
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    • 1999
  • Aspirin has usually been taken for pain relief originating in the nidus of osteoid osteoma, however it takes too long to become effective. Because of the protracted painful course and the unpredictability of regression, osteoid osteoma is usually removed. And then, the defective host bone is internally fixed by plate and screws and augumented by autogenous bone graft. However, the common intracortical location and exuberant periosteal reaction hinders the exact intraoperative localization of the nidus. The authors managed 6 patients by computerized tomography-guided percutaneous nidus excision with a relatively small skin incision, small cortical window, short operation time and no bone graft. It may be one of the best options for removal of the nidus of osteoid osteoma with certainty.

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Effect of Capsosiphon fulvecense Extract on Collagen Content of Connective Tissues in Ovariectomized Rats (매생이 추출물이 난소를 절제한 흰쥐 결합조직의 collagen 함량에 미치는 영향)

  • Park, Mi-Hwa;Kim, Mi-Hyang
    • Journal of Life Science
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    • v.16 no.7 s.80
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    • pp.1219-1224
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    • 2006
  • Osteoporosis is one of the major health problem affecting postmenopausal women. Estrogen deficiency results in an increase in bone turnover, lead to bone resorption and an increase risk of fracture. The aim of this study was to evaluate the effects of Capsosiphon fulvecense extract (SCF) on the collagen content of the connective tissues and alkaline phosphatase activity of serum in ovariectomized estrogen-deficient rats. Three groups were surgically ovariectomized (OVX). The fourth group was sham operated. Sprague-Dawley female rats were randomly assigned to the following groups : sham-operated rats (Sham), ovariectomized control rats (OVX-control), ovariectomized rats supplemented with CsF at 50mg/kg body wt (OVX-CSF50) and ovariectomized rats supplemented with CsF at 200mg/kg body wt (OVX-CSF200). The Capsosiphon fulvecense extracts were orally administrated at 1mL per day. The ovariectomy caused a decreasing in the levels of collagen content in bone, cartilage, skin and lung tissues. However CSF groups, supplementation with Capsosiphon fulvecense extract, were increased the level of collagen content in bone, cartilage, skin and lung tissues than OVX-control group. Alkaline phosphatase activity also were increased and calcium levels were decreased than OVX-control on serum. These results suggest that Capsosiphon fulvecense supplementation prevents postmenopausal bone loss, thus it may be used possibly to improve the quality of life in menopausal women.

The Evaluation of Donor Site after Transfer of Free Osseous and Osteocutaneous Flap of Fibula (유리 생비골 및 생비골 피부편 이식 후 공여부의 평가)

  • Lee, Kwang-Suk;Han, Seung-Bum;Hwang, In-Churl;Song, Hyung-Suk
    • Archives of Reconstructive Microsurgery
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    • v.10 no.2
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    • pp.75-80
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    • 2001
  • Purpose : We have evaluated the morbidity of donor site after transfer of free fibular osseous and osteocutaneous flap to defect site of bone and soft tissue due to chronic osteomyelitis of long tubular bone, open fracture with bony defect, bone or soft tissue tumor and congenital anomaly. Materials and methods : The 54 cases of 79 cases to be carried out from May, 1982 to May, 2001 which could be followed up were reviewed. There were forty nine in male and five in female. The mean age was 35(4 to 66)years old and mean follow up period is 21.3 month(12 to 72). We have retrospectively analyzed the various postoperative complications such as compartment syndrome, donor site infection, skin defect, hypesthesia, hammer toes, ankle instability and activity of daily living by help of questionnaire, telephone, physical examination, follow up x-ray study and chart. Results : In the total 54 cases the medication period for pain control after operation were classified into three groups under 2 weeks(49 cases), from 2 weeks to 6 weeks(3 cases) and over 6 weeks(2 cases). The postoperative morbidity were occurred in total 12 cases(compartment syndrome: 0, infection : 2, skin defect: 1, hypesthesia: 5, hammer toe: 2 ankle pain: 2 discomfort in activity of daily living: 0), and also the morbidity rates of donor site were 23.5% in osseous flap and 21.6% in osteocutaneous flap were occurred. There was no statistical significonce in morbidity between osseous and osteocutaneous free fibular flap transfer(P>0.05). Discussion : In general the morbidity of free fibular flap transfer was relatively high but it did not have any effect on daily activity of living. We think that the meticulous operation technique, detailed wound care and early range of motion exercise will reduce the morbidity of donor site of flap.

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Arthrodesis of the Knee with Vascularized Fibular Graft - A Case of Infected Total Knee Arthroplasty - (혈관 부착 비골 전위술을 이용한 슬관절 유합술 - 슬관절 전치환술 후 감염이 합병된 증례 -)

  • Chung, Duke-Whan;Han, Chung-Soo;Lee, Jae-Hoon;Jeong, Sun-Teak;Park, Jin-Sung
    • Archives of Reconstructive Microsurgery
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    • v.15 no.2
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    • pp.111-116
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    • 2006
  • An infection after total knee arthroplasty has many complications such as severe bone defect, skin and soft tissue problems, devastated general condition, so arthrodesis is preferred as treatment option. However, poor bony contact due to severe bone defect and inadequate conditions of the soft tissue often cause nonunion or severe limb shortening after arthrodesis. More over these conditions, it is not easy to choose appropriate fixative devices. In these situations, the arthrodesis using vascularized fibular graft can be the solution. Vascularized fibular graft (VFG) can playa role as a suitable material for the treatment of bone defects. And VFG can overcome poor blood circulation caused by scar tissues, and can be relatively more durable and adequate length. In the long term, VFG can be hypertrophied by weight bearing, and will give mechanical stablility. The purpose of the paper is to report the successful results of arthrodesis using VFG in a patient who got extensive bone defect after failed revision total knee arthroplasty with infection.

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Ectopic Bone Formation Induced By BMP - Fibrous Collagen Membrane Composite (BMP-교원질 섬유막 복합체에 의한 이소성 골형성)

  • Shin, Hong-In;Suh, Jo-Young
    • Journal of Periodontal and Implant Science
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    • v.26 no.1
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    • pp.68-79
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    • 1996
  • To investigate the efficiency of a fibrous collagen membrane(FCM) composed of bovine skin type I atelocollagen as a carrier for BMP, partially purified bovine BMP/FCM($0.3mg/10{\times}5{\times}1mm$) composites were implanted into the dorsal subcutaneous tissue of rats. FCM alone was also implanted as a control. The implants were harvested at 1, 2, 3, and 10 weeks after implantation, then prepared for routine light microscopic observation. The FCM alone did not induce osteogenesis and revealed no specific foreign body reaction nor was there any definite resorptive evidence for 10 weeks after implantation, while the BMP/FCM composites induced favorable bone formation in a process that resembled an endochondral and direct ossification mode. At 10 weeks, the well formed bone confined to embedded collagen fibers revealed hematopoietic marrow between bony trabeculae without evidence of resorptive or degenerative changes . These findings support the suggestion that BMP may induce undifferentiated mesenchymal cells into either chondroblasts or osteoblasts or both independantly according to the chemico- physical characteristics of the carrier, which develops the endochondral and/or direct bone formation process, and suggest that the FCM may be a favorable carrier for BMP.

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Pyogenic Granuloma with Severe Mandibular Bone Destruction (심한 하악골 파괴를 동반한 화농성 육아종)

  • Shin Jeong-Won;Heo Min-Suk;Lee Sam-Sun;Choi Soon-Chul;Park Tae-Won
    • Imaging Science in Dentistry
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    • v.30 no.2
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    • pp.123-126
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    • 2000
  • Pyogenic granuloma is a overzealous proliferation of a vascular type connective tissue as a result of some minor trauma and is a well circumscribed elevated, pedunculated or sessile benign inflammatory lesion of skin and mucous membrane. The clinical features of pyogenic granuloma are indicative but not specific and nearly all cases of pyogenic granulomas are superficial in nature, and there is little if any mention in the literature of these lesions producing alveolar bone even jaw bone loss. This case is somewhat unique in that the lesion was an obvious histologic pyogenic granuloma; however, it appeared to invade the mandibular bone which resulted in the loss of the adjacent teeth. A 12-year-old boy came to Seoul National University Dental Hospital with chief complaints of left facial swelling. The features obtained were as follows; Plain radiograms showed a large well-circumscribed radiolucent lesion on left mandibular ramus area, which made severe expansion of lingual cortex and displacement of lower left 3rd molar tooth germ. Computed tomograms showed large soft tissue mass involving left masticator space with destruction of left mandibular ramus. Histologically, sections revealed loose edematous stroma with intense infiltration of inflammatory cells and proliferation of vascular channels. Also, there were focal areas of extensive capillary proliferation, bone destruction and peripheral new bone formation.

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The Design of Temporal Bone Type Implantable Microphone for Reduction of the Vibrational Noise due to Masticatory Movement (저작운동으로 인한 진동 잡음 신호의 경감을 위한 측두골 이식형 마이크로폰의 설계)

  • Woo, Seong-Tak;Jung, Eui-Sung;Lim, Hyung-Gyu;Lee, Yun-Jung;Seong, Ki-Woong;Lee, Jyung-Hyun;Cho, Jin-Ho
    • Journal of Sensor Science and Technology
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    • v.21 no.2
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    • pp.144-150
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    • 2012
  • A microphone for fully implantable hearing device was generally implanted under the skin of the temporal bone. So, the implanted microphone's characteristics can be affected by the accompanying noise due to masticatory movement. In this paper, the implantable microphone with 2-channels structure was designed for reduction of the generated noise signal by masticatory movement. And an experimental model for generation of the noise by masticatory movement was developed with considering the characteristics of human temporal bone and skin. Using the model, the speech signal by a speaker and the artificial noise by a vibrator were supplied simultaneously into the experimental model, the electrical signals were measured at the proposed microphone. The collected signals were processed using a general adaptive filter with least mean square(LMS) algorithm. To confirm performance of the proposed methods, the correlation coefficient and the signal to noise ratio(SNR) before and after the signal processing were calculated. Finally, the results were compared each other.