• Title/Summary/Keyword: 골 유합

Search Result 111, Processing Time 0.023 seconds

Intercalary Tricortical Iliac Bone Graft in the Surgical Treatment of Nonunion of Midshaft Clavicular Fractures (쇄골 간부 불유합에서의 개재 삼면피질 장골 이식술)

  • Cho, Chul-Hyun;Jang, Hyung-Gyu
    • Clinics in Shoulder and Elbow
    • /
    • v.15 no.1
    • /
    • pp.32-36
    • /
    • 2012
  • Purpose: The purpose of this study was to evaluate the radiologic and clinical outcomes after intercalary tricortical iliac bone graft with plate fixation for the nonunion of midshaft clavicular fractures. Material and Methods: Between September 2007 and May 2011, 10 patients who were treated by the intercalary tricortical iliac bone graft, with plate fixation for clavicle nonunion, were studied. The mean follow-up period was 30.7 (12~57) months. After the sclerotic bone was excised to the bleeding cortical bone, we interposed the tricortical iliac bone to provide structural support and restore clavicle length, and then fixed the plate and screws. The radiologic outcomes on the serial plain radiographs and clinical outcomes, according to UCLA, ASES and Quick DASH scores, were analyzed. Results: Bony union was obtained in all cases (100%) and the average union time was 18.4 (14~24) weeks. The average respective UCLA and ASES scores improved from 16.7 and 52.1 preoperatively to 27.4 and 83.6 postoperatively (p<0.05). The average Quick DASH score was 40.5, at the final follow-up. Complications were 2 shoulder stiffness, and one case had removal of device and arthroscopic surgery at 11 months, postoperatively. There were no implant failure or infection. Conclusion: Intercalary tricortical iliac bone graft, with plate fixation for the nonunion of midshaft clavicular fractures, is a good option that can provide structural support and restore clavicle length, as well as high union rate.

Evaluation of the Biocompatibility of Cuttlebone in Mouse (쥐에서 오적골 생체적합성 평가)

  • Won, Sangcheol;Lee, Joo Myoung;Cheong, Jongtae;Park, Hyunjung;Seo, Jongpil
    • Journal of Veterinary Clinics
    • /
    • v.32 no.5
    • /
    • pp.417-421
    • /
    • 2015
  • Bone grafting is widely used to bridge major bone defects or to promote bone union. Natural calcium carbonate (CC) has been used as a bone substitute material and used to scaffold for bone morphogenetic protein (BMP). The aims of this study is to evaluate the biocompatibility of cuttlebone (CB) and hydroxyapatite from CB (CBHA). Each material was shaped into disks (5 mm in diameter and 2 mm in thickness). To test biocompatibility, the disks were implanted into the dorsal subcutaneous tissue in mice. Fibrous capsule thickness around each disk was evaluated histologically at 2 and 4 weeks after implantation. Concerning biocompatibility, fibrous capsule thickness of CBHA was significantly thinner than that of CB and CHA (p < 0.05) at 2 and 4 weeks after implantation. Based on the clinical and histological results, CBHA would be a safe material for use inside the body and has more effective osteoconduction than CB.

Development of Appendicular Skeleton in Rivulus ocellatus marmoratus (teleostomic: Aplocheilidae) (점박이송사리 Rivulus ocellatus marmoratus (진구아강 : 점박이송사리과)의 부속지골격 발생에 관하여)

  • 이승휘;복완근박은호
    • The Korean Journal of Zoology
    • /
    • v.34 no.1
    • /
    • pp.69-80
    • /
    • 1991
  • 점박이송사리에 관한 해부학적 자료축적의 일환으로 부속지골격의 형댈 발생 및 골화 진전양상을 조사하였다. 각 부속지의 구성골은 전피성골이 연골성골보다 먼저 골화되었다. 부속지의 기조는 가슴지느러미, 구리지느러미, 등 및 됫지느러미, 그리고 배지느러미의 순으로 골화되었다. 골화 진전에 따라 초기 자어시 유함되어 있던 수직지느러미의 기골은 방사기골과 중담기골로, 가슴지느러미의 오초-견갑골은 오훼골과 견갑골로 분리, 분화되었다. 그러나 골화진전에 따른 구성 골간의 유합은 나타나지 않았다. 5가지 부속지의 골화 완성은 가슴지느러미, 꼬리지느러미, 등지느러미, 됫지느러미 그리고 배지느러미의 순으로 이루어졌다.

  • PDF

Radiographic Evaluation of Limb Bone Development in Miniature Porcine (미니돼지의 팔다리 뼈 성장에 대한 방사선학적 평가)

  • Chang, Jin-Hwa;Jung, Joo-Hyun;Choi, Min-Cheol
    • Journal of Life Science
    • /
    • v.17 no.10
    • /
    • pp.1315-1320
    • /
    • 2007
  • Epiphyseal development in the long bones was studied radiographically in minipigs. Radiographs of the proximal and distal epiphyses of humerus, radius, ulna, femur and tibia were obtained at 4, 8, 12, 20, 40, 48, 96 and 144 weeks of age in total 58 minipigs. The assessment of maturity process was made in accordance with the criteria proposed by Owada and Sutow. The secondary ossification centers developed rapidly from 4 weeks of age to 40 weeks of age, and gradually thereafter until 96 weeks of age. The earliest epiphyseal fusion was apparent in the proximal radius, proximal and distal femur at 96 weeks of age. The complete fusion of the epiphyseal line in the long bones was evident on 144 weeks of age and was observed in most long bones such as the proximal humerus, the proximal and distal ulna and the distal radius, and the proximal tibia in minipigs.

Result in Tibial Stress Fracture Treatment in a Elite Soccer Player -A Case Report- (축구 선수에서 발생한 경골 피로 골절 치료에 대한 결과 -1예 보고-)

  • Lee, Kyung-Tai;Kim, Ki-Chun;Park, Young-Uk;Kim, Jun-Beom
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.9 no.2
    • /
    • pp.114-120
    • /
    • 2010
  • Anterior tibial diaphyseal stress fracture have a propensity for delayed union or nonunion and have risk of complete fracture after minor trauma. So, careful evaluation and optimal management are mandatory to succeed in treatment. It is also important to decide the point of time of return to full activity. We report experience of treatment for complete fracture of the delayed union of anterior tibial diaphyseal stress fracture as an athletic injury.

  • PDF

Derodidymus in Korean-Native Calf (한우 송아지의 이두이안체)

  • 강문일;박영석;한동운
    • Korean Journal of Animal Reproduction
    • /
    • v.23 no.1
    • /
    • pp.69-73
    • /
    • 1999
  • A calf with derodidymus was delivered from a 3-year old Korean-native cow with abortion last ime at Jangheong area in Chonnam Province. The anomaly with body weight of 35 kg was born t the normal time of parturition. During the parturition, however, the calf with twin head was onfirmed and the complete amputation between fore and hind limb was inevitably carried out or safety of the dam. The calf had normal skeleton and extremities but had two heads and cervical vertebrae divided from upper thoracic part. At necropsy, there were found totally 3 pairs of ore limbs including two pairs of hypoplastic ones hided in the thoracic limb and also found one air of sternum. One head had incomplete torsion or unilateral hypoplasia of mandible with artly hypoplastic skull. There were marked fusion and torsion from cervical to 3rd thoracic vertebra. No abnormality was found on all organs in the pleural and abdominal cavities except a rectal stricture formed at 5 cm away from the atresia ani.

  • PDF

Effects of Safflower (Carthamus tinctorius L.) Seed Powder on Fracture Healing in Rats (홍화(Carthamus tinctorius L.)씨 분말의 랫드 골절에 대한 치유 효과)

  • Park, Chang-Hyun;Uhm, Chang-Sub;Bae, Chun-Sik
    • Applied Microscopy
    • /
    • v.31 no.4
    • /
    • pp.307-314
    • /
    • 2001
  • Safflower (Carthamus tinctorius L.) is a thistle-like annual plant mainly grown in dry hot climates as an oilseed or birdseed. Traditionally, the oil has mainly been sold in the health food market because it is unsaturated having high linoleic and oleic acid levels. With increased health consciousness in recent years, the oil quality has become a more general health issue. This study was designed to understand whether safflower seed powder has positive effects on the fracture healing in rats. Simple transverse fracture of rat fibula was made with a rotating diamond disc saw. The histologic changes of rats were observed with a scanning electron microscope. The fractured fibulae showed a complete fusion at the fracture site in the 4th to 5th week after a simple transverse fracture. Administration of safflower seed powder facilitated the speed of histologic changes without affecting qualitative changes. These results suggest that safflower seed powder nay have substances that help the fracture healing process.

  • PDF

Operative Treatment with Locking Compression Plate (LCP) in Proximal Humerus Fracture (잠김 압박 금속판을 이용한 상완골 근위부 골절의 치료)

  • Ha, Sung-Sik;Kim, Jae-Young;Hong, Ki-Do;Sim, Jae-Chun;Kang, Jung-Ho;Park, Kwang-Hee
    • Clinics in Shoulder and Elbow
    • /
    • v.11 no.2
    • /
    • pp.137-142
    • /
    • 2008
  • Purpose: To evaluate the clinical and radiographic results of the treatment of a proximal humerus fracture with a locking compression plate(LCP). Materials and Methods: This study reviewed the results of 24 cases of a proximal humerus fracture treated with a LCP from January 2005 to April 2007, after a follow up of more than 12 months. There were 8 males and 16 females with a mean age of 68.9(33-90) years. The clinical results were evaluated using the Neer's evaluation criteria, and the radiographic results were evaluated using the bone union time and Paavoleinen method. Results: The mean time for bone union was 11.9 weeks. Using the Neer's functional evaluation, 21 cases of the 24 patients (87%) showed excellent or satisfactory results. Twenty two cases (91%) showed good results according to the Paavoleinen method. The complications encountered were metal failure (1 patient), AVN of the humeral head (1 patient) and joint stiffness (1 patient). Conclusion: The LCP demonstrated good results in the treatment of a proximal humerus fracture and has relatively fewer complications than other internal fixators.

Evaluation of the Bone Defect Regeneration after Implantation with Cuttlebone in Rabbit (토끼에서 오적골 이식 후 골 결손부 재생 평가)

  • Won, Sangcheol;Lee, Joo-Myoung;Park, Hyunjung;Seo, Jongpil;Cheong, Jongtae
    • Journal of Veterinary Clinics
    • /
    • v.32 no.5
    • /
    • pp.410-416
    • /
    • 2015
  • Bone grafting is widely used to bridge major bone defects or to promote bone union. In the evaluation of bone defect regeneration, 5 mm-diameter defects were created in rabbit calvaria. Concerning biocompatibility, fibrous capsule thickness of CBHA (hydroxyapatite from cuttlebone) was significantly thinner than that of CB (cuttlebone) and CHA (hydroxyapatite from coral) (p < 0.05) at 2 and 4 weeks after implantation. Concerning 12-week total changes of radiologic gray-level histogram, CBHA was significantly higher than CHA (p < 0.05). In the evaluation of bone defect regeneration, bone formation of CHA was significantly higher than that of CB and CBHA (p < 0.05). Based on the clinical and histological results, CBHA would be a safe material for use inside the body and has more effective osteoconduction than CB. It is suggested that CBHA is a valuable bone graft material.