• Title/Summary/Keyword: fracture repair

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Peroneus Longus Dislocation associated with Trimalleolar Fracture (A Case Report) (족관절 삼과 골절과 동반된 장 비골건 탈구(1예 보고))

  • Hwang, In-Hwan;Kim, Kwang-Yul;Kim, Hyung-Chun;Lim, Moon-Sup;Lee, Ji-Hoon;Cho, Sung-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.227-229
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    • 2009
  • Traumatic dislocation of the peroneus longus tendon is an often unrecognized injury which has been reported to occur most commonly during sports activity. Most acute cases with early detection can be treated by simple repair of the tendon or retinaculum using one of several procedures available. Accurate treatment through a comprehensive evaluation of the ankle injury prevents suboptimal and sometimes unrecorrectable outcomes. The authors experienced concomitantly the peroneus longus tendon dislocation associated with a trimalleolar fracture of the ankle. We report this case a brief review of the literature.

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SECONDARY REPAIR OF LATE ENOPHTHALMOS WITH CALVARIAL BONE GRAFTS AROUND INTRAORBITAL CONTENT -REPORT OF 2 CASES- (안와주위에 두개골이식을 통한 안구함몰의 이차적 성형재건 치험례)

  • Kim, Sung-Gil
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.4
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    • pp.373-378
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    • 1998
  • In the midfacial fracture, the orbital region presents many additional complication unique to the orbit. Among them are ectropion, entropion, lid ptosis, injury to the lacrimal apparatus, diplopia or the late development of enophthalmos. The residual problem confronting the surgen is usually enophthalmos or diplopia. Enophthalmos becomes cosmetically obvious at 3mm and if more severe it can interfere with vision from obstruction by the orbital rim. In this clinical situation, many patients prefer the simpler intraorbital volume expansion to the more complex orbital osteotomy. In general, except in mild cases of enophthalmos, the procedure of choice is osteotomy and repositioning for zygoma fracture and volume augmentation for blow-out fracture. Late treatment is performed by volume augmentation based on the CT findings behind the axis of the globe. Inferiorly placed grafts elevate the globe, posterior superior grafts move the globe anterior and medially positioned grafts push the globe laterally. In this two cases, the patients who has stable orbitozygomatic rim, the use of calvarial bone grafts more than 3 areas around intraorbital content, we corrected late enophthalmos combined with diplopia. As result, the first patient had 2mm advance in exophthalmometric check with improvement of the diplopia gradually. The second patient had 1.5mm advance with correction of vertical ocular dystopia and cosmetically good results respectively.

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Evaluation of Fracture Detection Function for the Concrete by Self-Diagnosis CPGFRP (자기진단 CPGFRP의 파괴예측기능 평가를 위한 콘크리트 적용실험)

  • Choi, Hyun-Soo;Park, Jin-Sub;Jnng, Min-Soo;Kang, Byeung-Hee
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2003.11a
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    • pp.27-31
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    • 2003
  • To maintain serviceability of concrete structure more than proper it is necessary not only predict service life through periodical monitor but also need monitoring system to recognize optimal time and method for repair. Recently, CPGFRP, replacing some GFRP with CF, is developed and used for monitoring concrete fraction. But dramatic resistance change of CPGFRP is showed below 0.5% strain and it is not small strain in terms of monitoring micro crack in concrete. In other word, monitoring with CF is not suitable in low stress hut hight stress. In this study, we accessed applicable possibility and reliability of CPGFRP composite as monitoring sense that is proved very sensitive to stress through domestic and oversea previous study. CPGFRP composite plays a role in specimen like steel and increases flexural strength. CPGFRP composite shows resistance increasement in micro crack. In particular, CPUFRP is more sensitive than strangage in low stress. Resistance change ratio curve is very similar to strain curve so sensitivity and reliability is very excellent to monitor concrete fracture.

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The Effects of Low-intensity Ultrasound on TGF-$\beta$1 Expression and Healing of Rat Femur Fracture (저강도 초음파가 흰쥐 대퇴골 골절치유와 TGF-$\beta$1의 발현에 미치는 영향)

  • Nam, Ki-Won
    • The Journal of Korean Physical Therapy
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    • v.21 no.4
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    • pp.97-102
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    • 2009
  • Purpose: The purpose of this study was to investigate the effects of low intensity pulsed ultrasound on TGF-$\beta$1 expression and healing of rat femur penetrating fractures. Methods: Rats were anesthetized with ketamine and xylazine. Using aseptic technique, we exposed the lateral right femoral diaphysis with removal of the periosteum. We made one hole along its long axis with an electrically-driven 1.8 mm diameter drill bit. Postoperatively, rats were divided into two groups (a control group, n=15; an experimental group, n=15). The experimental group was treated with low intensity pulsed ultrasound (pulse rate: 1:4, 0.5 W/$cm^2$, 10 minutes, 1 time per day) for 3 weeks. The control group was treated with sham ultrasound (with the US unit turned off). Results: The experimental group achieved more callus formation and TGF-$\beta$1 expression than the control group at the $7^{th}$, $14^{th}$ and $21^{st}$ days after low intensity pulsed ultrasound treatment. Conclusion: This study suggests that low intensity pulsed ultrasound facilitates bone fracture repair, possibly via increased TGF-$\beta$1 expression.

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Simulation of dynamic fracture and fluid-structure interaction in solid propellant rockets : Part 1 (theoretical aspects) (고체추진로켓 내부에서 발생하는 동적 파괴 현상과 유체-고체 상호작용의 시뮬레이션 - Part 1 (이론적 측면))

  • Hwang, Chan-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.9 no.2
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    • pp.286-290
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    • 2008
  • This paper summarizes the components of an explicit aeroelastic solver developed especially for the simulation of dynamic fracture events occurring during the flight of solid propellant rockets. The numerical method combines an explicit Arbitrary Lagrangian Eulerian (ALE) version of the Cohesive Volumetric Finite Element (CVFE) scheme, used to simulate the spontaneous motion of one or more cracks propagating dynamically through a domain with regressing boundaries, and an explicit unstructured finite volume Euler code to follow the flow field during the failure event. A key feature of the algorithm is the ability to adaptively repair and expand the fluid mesh to handle the large geometrical changes associated with grain deformation and crack motion.

Evaluation of Fracture Detection Function for the Concrete by Self-Diagnosis CPGFRP (자기진단 CPGFRP의 파괴예측기능 평가를 위한 콘크리트 적용실험)

  • 최현수;박진섭;정민수;강병희
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2003.05a
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    • pp.27-31
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    • 2003
  • To maintain serviceability of concrete structure more than proper it is necessary not only predict service life through periodical monitor but also need monitoring system to recognize optimal time and method for repair. Recently, CPGFRP, replacing some GFRP with CF, is developed and used for monitoring concrete fraction. But dramatic resistance change of CPGFRP is showed below 0.5% strain and it is not small strain in terms of monitoring micro crack in concrete. In other word, monitoring with CF is not suitable in low stress but hight stress. In this study, we accessed applicable possibility and reliability of CPGFRP composite as monitoring sense that is proved very sensitive to stress through domestic and oversea previous study. CPGFRP composite plays a role in specimen like steel and increases flexural strength. CPGFRP composite shows resistance increasement in micro crack. In particular, CPGFRP is more sensitive than strangage in low stress. Resistance change ratio curve is very similar to strain curve so sensitivity and reliability is very excellent to monitor concrete fracture.

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Bony Fragment Excision Followed by Multiple Drilling and Fragment Fixation Using Bio-absorbable Pins for Bilateral Osteochondral Fracture of the Lateral Talar Dome: A Case Report (양측 족관절에 발생한 외측 거골원개 골연골의 골절에 대한 골편제거 후 다발성 천공술 및 생흡수성 핀을 이용한 골편고정: 증례 보고)

  • Lee, Yong Jae;Suh, Jin Soo;Choi, Jun Young
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.201-207
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    • 2019
  • An osteochondral fracture is considered to be an injury involving the cartilage and subchondral bone. Acute traumatic osteochondral fractures can be related to joint instability because abnormal joint motion causes shearing and rotatory stress. Acute osteochondral fractures are frequently missed or misdiagnosed as a pure soft tissue injury. Thus, surgeons' proactive attention is highly required as articular cartilage has limited potential for self-repair and these lesions may develop osteoarthritis. In order to minimize the progression of post-traumatic osteoarthritis, it is important to properly identify and treat osteochondral fractures. Yet, little is known about the operative management of acute osteochondral fractures of the talus. We report here on a case of a middle-aged male with acute osteochondral fractures of the bilateral lateral talar dome. We applied different operative methods on each side with regard to fragment size and stability. A favorable clinical outcome was obtained at 18 months follow-up.

Reconstruction of Triceps Tendon Avulsion Using Mesh Graft and Krackow Suture in a Border Collie

  • Hyeon-Jong Choi;Jong-Hoon Kim;Eunchae Yoon;Tae-Sung Hwang;Hee-Chun Lee;Dongbin Lee;Jae-Hoon Lee
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.378-383
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    • 2022
  • A 3-year-old, 24-kg intact female Border Collie was referred for a toe-touch weight-bearing stance, intermittent weight-bearing lameness, and moderate pain reaction of the right forelimb on physical examination and right humerus olecranon avulsion fracture on diagnostic imaging examination. Surgical repair was performed using tension band wiring to re-attach the triceps tendon and distal olecranon. Migration of the distal olecranon fragment was observed due to comminuted fracture of the fragment 5-days after surgery, and revision surgery was performed. The tension-relieving sutures were passed through the pre-drilled hole in the olecranon, and the polyester mesh was augmented to the suture region, covering the triceps tendon and olecranon drilling hole using the Krackow suture pattern. The elbow joint was immobilized using a type IA transarticular external fixator, which was removed 8 weeks after surgery. Fourteen weeks after surgery, no lameness was observed on gait evaluation. At follow-up after 7 months, the distal olecranon fragment had stabilized, and no lameness was observed.