• Title/Summary/Keyword: fractures

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Treatment of Bilateral Hawkins Type II Talar Neck Fractures (양측성 Hawkins 제 2형 거골 경부 골절의 치료)

  • Kim, Jee Hoon;Kim, Jung Rae;Park, Chul Hyun
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.124-127
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    • 2013
  • Talus fracture is less common than most fractures, and bilateral talar neck fracture is extremely rare. Complications associated with talus fractures are generally deemed common because of the anatomical characteristics of the talus, but few reports have described the methods of treating such complications and the results of bilateral talar neck fracture. We report here a case of bilateral Hawkins type II talar neck fracture that had good clinical results without complications after early surgical treatment.

Surgical Experience of Neglected Lower Cervical Spine Fracture in Patient with Ankylosing Spondylitis

  • Jo, Dae-Jean;Kim, Sung-Min;Kim, Ki-Tack;Sea, Eun-Min
    • Journal of Korean Neurosurgical Society
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    • v.48 no.1
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    • pp.66-69
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    • 2010
  • The management of lower cervical fractures in patients with ankylosing spondylitis (AS) differs from normal cervical fractures. Patients with AS are highly susceptible to extensive neurologic injuries and spinal deformities after cervical fractures from even minor traumatic forces. These injuries are uniquely complex, require careful imaging assessment, and aggressive surgical management to optimize spinal stability and functional outcomes.

TREATMENT OF INFECTED MANDIBULAR FRACTURES (감염된 하악골 골절의 치험)

  • Kim, Hyoun-Chull
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.2
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    • pp.41-47
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    • 1990
  • Treatment of infected mandibular fractures is confronted with various difficult problem, e.g. eradication of infection and osseous union even in the presence of devastating infection. To solve this problem various methods were proved including exteranal fixation, IMF and plating with some success. Author treated 3 cases of infected mandibular fractures with champy's miniplate. 1. Satisfactory union was obtained in 3 cases. 2. In One case, pus drainage continued even after internal fixation with miniplate, but it was easily controlled using proper antibiotic therapy & drainage. 3. In Case 3, autogenous bone graft was implanted into the infected fracture site to fill defect.

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Solute Transport in Rock Fractures

  • Yeo, In-Wook
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2001.04a
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    • pp.89-92
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    • 2001
  • This study aims at investigating the relationship between dispersion coefficient ratio to molecular diffusion coefficient (D$_{l}$ /D$_{m}$) and Peclet number (Pe) for multi-solute system in non-Darcian flow regime. Existing understanding on solute dispersion is primarily derived from one-solute system in Darcian flow regime. We found that solute dispersion in rock fractures can be characterized by the mechanism of both macrodispersion and Taylor dispersion, even for non-Darcian f]ow domain. For the Darcian flow regime even different solutes lead to the same D$_{l}$ /D$_{m}$ at same Pe. However, as the flow becomes non-Darcian, solute with a higher molecular diffusion coefficient result in higher D$_{l}$ /D$_{m}$ at tile same Pe than that with a lower diffusion coefficient.cient.

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THE CORONAL APPROACH;ANATOMY, TECHNICAL CONSIDERATIONS AND MORBIDITIES (관상피판술;해부학, 수술시 고려사항, 병적인 상태)

  • Lee, Gi-Hyug;Yeo, Hwan-Ho;Kim, Young-Kyun;Kim, Su-Gwan;Park, No-Seung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.4
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    • pp.615-620
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    • 1996
  • The coronal approach is a versatile surgical technique. This method becomes particulary useful for exposure and internal fixation of midfacial fractures and the harvest of calvarial bone graft to manage the complex facial bone fractures. The rectrospective clinical study on the use of this technique in 10 patients was performed. The result shows that this technique provides the excellent exposure of fractures site, the ability to reduce the fragment accurately and good cosmetic results in incision area. We discussed with literatures review that anatomy, technique, indications, and potential complications of the coronal approach.

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Bone mineral density deficits in childhood cancer survivors: Pathophysiology, prevalence, screening, and management

  • Kang, Min Jae;Lim, Jung Sub
    • Clinical and Experimental Pediatrics
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    • v.56 no.2
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    • pp.60-67
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    • 2013
  • As chemotherapy and other sophisticated treatment strategies evolve and the number of survivors of long-term childhood cancer grows, the long-term complications of treatment and the cancer itself are becoming ever more important. One of the most important but often neglected complications is osteoporosis and increased risk of fracture during and after cancer treatment. Acquisition of optimal peak bone mass and strength during childhood and adolescence is critical to preventing osteoporosis later in life. However, most childhood cancer patients have multiple risk factors for bone mineral loss. Cancer itself, malnutrition, decreased physical activity during treatment, chemotherapeutic agents such as steroids, and radiotherapy cause bone mineral deficit. Furthermore, complications such as growth hormone deficiency and musculoskeletal deformity have negative effects on bone metabolism. Low bone mineral density is associated with fractures, skeletal deformity, pain, and substantial financial burden not only for childhood cancer survivors but also for public health care systems. Thus, it is important to monitor bone health in these patients and minimize their risk of developing osteoporosis and fragility fractures later in life.

Orthogonal versus Parallel Plating for Distal Humeral Fractures

  • Moon, Jun-Gyu;Lee, Ji-Ho
    • Clinics in Shoulder and Elbow
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    • v.18 no.2
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    • pp.105-112
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    • 2015
  • In orthopedic trauma surgery, treatment of intraarticular distal humerus fractures is a challenge. With development of implants and biomechanical studies, surgical strategies with recommendations including preoperative computed tomography images, proper approaches and open reduction and internal fixation with dual plates have emerged. In addition, as an effort to provide stable fixation to permit early elbow motion, different methods of internal fixation, particularly plate configuration, have evolved. Using dual plates, either oriented parallel to each other or orthogonal, stable fixation has been achieved and satisfactory clinical outcomes have been reported. With rationales and advantages/disadvantages of each plate configuration, both techniques are selected according to surgeons' preference, and, in specific cases, one could be preferred over another. The key to successful fixation by either technique is obtaining anatomical reduction with restoration of two stable columns of the distal humerus.

Fatal Pulmonary Thromboembolism after a Pelvic Ring Injury: A Case Report (골반환 손상 후 발생한 치명적인 폐색전증: 증례보고)

  • Kim, Joon-Woo;Oh, Chang-Wug;Kim, Hyung-Sub;Kim, Hee-June
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.224-228
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    • 2014
  • Pelvic ring and acetabular fractures are major high-energy trauma injuries and are often associated with other injuries or fractures. In particular, a venous thromboembolism is an important common complication in trauma patients with pelvic or acetabular fractures. We report a case of a fatal pulmonary thromboembolism after a pelvic fracture in a 60-year-old female patient.

Surgical Treatment of Ipsilateral Multi-Level Femoral Fracture Treated Using Antegrade Intramedullary Nail

  • Kim, Beom-Soo;Cho, Jae-Woo;Yeo, Do-Hyun;Oh, Jong-Keon
    • Journal of Trauma and Injury
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    • v.31 no.2
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    • pp.96-102
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    • 2018
  • Ipsilateral fractures of proximal femur with shaft and condylar region are very rare. Current concept of management is based on fixation of each fracture as independent entity using separate fixation modalities for proximal and distal parts of femur. However, we considered that antegrade femoral nailing with cephalomedullary screw fixation is a good option for ipsilateral multi-level femoral fractures. Here, we present an experience of satisfactory treatment for ipsilateral femoral neck fracture, subtrochanteric fracture, comminuted shaft fracture with supracondylar fracture following road traffic accident.

Spontaneous Height Restoration of Vertebral Compression Fracture - A Case Report-

  • Joo, Young;Lee, Pyung-Bok;Nahm, Francis Sahngun
    • The Korean Journal of Pain
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    • v.24 no.4
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    • pp.235-238
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    • 2011
  • Vertebral compression fractures result in vertebral height loss and alter sagittal spinal alignment, which in turn can lead to increased morbidity and mortality. Acute osteoporotic vertebral compression fractures are known to increase mobility and instability of the spine. There are limited published data correlating the degree of dynamic mobility and the efficacy of kyphoplasty on vertebral compression fractures. Here we report a 73-year-old female with a severe acute osteoporotic L2 compression fracture who obtained total vertebral height restoration following kyphoplasty, with resolution of back pain.