• 대한족부족관절학회지
• /
• 제18권1호
• /
• pp.29-35
• /
• 2014

Purpose: The purpose of this study is to compare the radiologic and clinical results of syndesmotic screw fixation and posterior malleolar fixation for syndesmotic injury in Lauge-Hansen classification pronation-external rotation (PER) stage IV ankle fractures with posterior malleolus fracture. Materials and Methods: We designed a retrospective study that included patients with Lauge-Hansen classification PER stage IV ankle fracture with posterior malleolus fracture. Of 723 patients who underwent ankle fracture surgery from March 2005 to November 2012, 29 were included in this study. In this study, syndesmotic injury was treated with syndesmotic screw fixation or posterior malleolus fixation. There were 15 cases of syndesmotic screw fixation and 14 cases of posterior malleolar fixation. We compared the radiologic and clinical results at one year postoperatively. Posterior malleolus fragment size on a pre-operative computed tomographic image, and tibiofibular overlap, medial clear space, articular step-off, Kellgren-Lawrence grade, and Takakura classification on a postoperative one year followup radiograph were used for comparison of the radiologic results. The clinical results were assessed using the American Orthopaedic Foot and Ankle Society score, visual analogue scale score, and patient subjective satisfaction score. Results: Posterior malleolar fragment size was $12.62%{\pm}3.01%$ of the joint space in the syndesmotic screw fixation group and $27.04%{\pm}4.34%$ in the posterior malleolar fixation group. A statistical difference was observed between the two groups. However, other results, including tibiofibular overlap, medial clear space, articular step-off, Kellgren-Lawrence grade, Takakura classification, and clinical scores showed no statistical difference. Conclusion: In the Lauge-Hansen classification PER stage IV ankle fracture with posterior malleolus fracture, if the posterior malleolus fracture can be reduced anatomically and fixated rigidly, syndesmotic screw fixation, which can cause several complications, is usually not required for achievement of a satisfactory syndesmotic stability; this would be a recommendable option for treatment of syndesmotic injury.

• Journal of Chest Surgery
• /
• 제17권2호
• /
• pp.299-304
• /
• 1984

Tumors of the mediastinum are usually classified according to their location in the anterior, middle, or posterior mediastinum. Mediastinal teratomas are characteristically located at anterior mediastinum with only rare incidence in the posterior mediastinum. Two cases of posterior mediastinal teratoma were experienced recently, in the department of thoracic surgery, Seoul National University Hospital. The incidence of posterior mediastinal teratoma was 4.2% among 48 mediastinal teratomas in our experience. Two cases are all benign teratoma located at right posterior costophrenic angle, and histologically showed tissues from three germ layers including bone and fat.

• Journal of Chest Surgery
• /
• 제11권2호
• /
• pp.165-169
• /
• 1978

Hemangiopericytoma is a rare tumor of vascular origin, first described by Stout and Murray in 1942. It is characterized by a proliferation of capillaries, surrounding by a mass of spindle shaped or round cells. A 55 year-old man was admitted with a 2 years history of dull pain on the right upper posterior chest and mild dyspnea on Feb. 1978. On admission, chest PA and right lateral x-ray showed a large well defined homogenous increased density in the right upper posterior chest. Yellowish to brownish colored huge firm mass, which occupied entirely the right superior posterior mediastinum, was removed. The tumor was dense adhesive with right upper & lower lobe and Rt. upper posterior chest wall. The origin of tumor was not obvious. The tumor was confirmed as hemangiopericytoma, locating at the right posterior mediastinum by histopathologic examination. The postoperative course was uneventful, and he was made irradiation therapy after discharge.

• 대한관절경학회지
• /
• 제2권1호
• /
• pp.97-100
• /
• 1998

The giant cell tumor of tendon sheath is very rarely present inside the knee joint. The authors report a case of intraarticular giant cell tumor of tendon sheath arising from posterior cruciate ligament which was successfully excised arthroscopically using posterior trans-septal portal at the time of arthroscopic reconstruction of anterior cruciate ligament.

• Journal of the Korean Statistical Society
• /
• 제16권2호
• /
• pp.92-101
• /
• 1987

Our interest is to access in some way teh relative odds or probability that a multivariate observation Z belongs to one of k multivariate normal populations with unequal covariance matrices. We derived the empirical Bayes posterior odds ratio for the classification rule when population parameters are unknown. It is a generalization of the posterior odds ratio suggested by Gelsser (1964). The classification rule does not have complicated distribution theory which a large variety of techniques from the sampling viewpoint have. The proposed posterior odds ratio is compared to the Gelsser's posterior odds ratio through a Monte Carlo study. The results show that the empiricla Bayes posterior odds ratio, in general, performs better than the Gelsser's. Especially, for large dimension of Z and small training sample, the performance is prominent.

• 대한관절경학회지
• /
• 제2권2호
• /
• pp.173-176
• /
• 1998

Isolated posterior cruciate ligament injuries are rare and their management is controversial. But, there is general concept that a bony avulsion of posterior cruciate ligament should be repaired. The treatments for the bony avulsion of posterior cruciate ligament were conservative treatment, open reduction and internal fixation and arthroscopic fixation. We report 2 cases of posterior cruciate ligament avulsion fractures, which were arthroscopically reduced and stabilized with cannulated screws and Kirschner wires, and introduce the arthroscopic fixation technique.

• 한국컴퓨터정보학회논문지
• /
• 제23권6호
• /
• pp.1-7
• /
• 2018

A multi-label classification is to find multiple labels associated with the input pattern. Multi-label classification can be achieved by extending conventional single-label classification. Common extension techniques are known as Binary relevance, Label powerset, and Classifier chains. However, most of the extended multi-label naive bayes classifier has not been able to accurately estimate posterior probabilities because it does not reflect the label dependency. And the remaining extended multi-label naive bayes classifier has a problem that it is unstable to estimate posterior probability according to the label selection order. To estimate posterior probability well, we propose a new posterior probability estimation method that reflects the probability between all labels and labels efficiently. The proposed method reflects the correlation between labels. And we have confirmed through experiments that the extended multi-label naive bayes classifier using the proposed method has higher accuracy then the existing multi-label naive bayes classifiers.

• Smart Structures and Systems
• /
• 제15권3호
• /
• pp.735-749
• /
• 2015

The major difficulty of using Bayesian probabilistic inference for system identification is to obtain the posterior probability density of parameters conditioned by the measured response. The posterior density of structural parameters indicates how plausible each model is when considering the uncertainty of prediction errors. The Markov chain Monte Carlo (MCMC) method is a widespread medium for posterior inference but its convergence is often slow. The differential evolution adaptive Metropolis-Hasting (DREAM) algorithm boasts a population-based mechanism, which nms multiple different Markov chains simultaneously, and a global optimum exploration ability. This paper proposes an improved differential evolution adaptive Metropolis-Hasting algorithm (IDREAM) strategy to estimate the posterior density of structural parameters. The main benefit of IDREAM is its efficient MCMC simulation through its use of the adaptive Metropolis (AM) method with a mutation strategy for ensuring quick convergence and robust solutions. Its effectiveness was demonstrated in simulations on identifying the structural parameters with limited output data and noise polluted measurements.

• 대한족부족관절학회지
• /
• 제18권3호
• /
• pp.87-92
• /
• 2014

Acquired adult flatfoot is a deformity characterized by a decreased medial longitudinal arch and a hindfoot valgus with or without forefoot abduction. The etiologies of this deformity include posterior tibial tendon dysfunction, rheumatoid arthritis, trauma, Charcot's joint, neurologic deficit, and damage to the medial spring ligament complex or plantar fascia. Among these, posterior tibial tendon dysfunction is the most well-known cause. Although posterior tibial tendon dysfunction has been regarded as a synonym of acquired adult acquired flatfoot, failure of the ligaments supporting the arch can also result in progressive deformity even without a posterior tibial tendon problem. The authors describe the pathophysiology, diagnosis, and nonoperative treatment of acquired adult flatfoot, focusing on posterior tibial tendon dysfunction.

• 국제물리치료학회지
• /
• 제9권3호
• /
• pp.1517-1520
• /
• 2018

It has been reported that gastrocnemius tightness and posterior talar glide are crucial factors influencing ankle dorsiflexion. However, the relationship of ankle dorsiflexion and these factors is not identified in previous studies. The purpose of this study was to identify the relationship of ankle dorsiflexion passive range of motion and gastrocnemius tightness and posterior talar glide. Twenty-five male subjects participated in this study. Bilateral weight-bearing ankle dorsiflexion passive range of motion and amount posterior talar glide of participants were measured using an inclinometer. Change in myotendinous junction of medial gastrocnemius was measured using ultrasonography to identify gastrocnemius tightness. Pearson product moment correlations were performed to examine correlations between ankle dorsiflexion passive range of motion and gastrocnemius tightness and posterior talar glide. Present findings revealed significant correlation between ankle dorsiflexion passive range of motion and gastrocnemius tightness (p=0.017, r=0.336). Also, ankle dorsiflexion passive range of motion was correlated with posterior talar glide (p=0.001, r=0.470). The present findings provide experimental evidence for factors influencing weight-bearing ankle dorsiflexion.