• Journal of Korean Foot and Ankle Society
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• v.7 no.2
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• pp.238-249
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• 2003

Purpose: To report the clinical result of the intraarticular calcaneus fracture after open reduction and internal fixation with plate by lateral approach. Materials and Methods: Thirty-six calcaneal fractures of 33 patients(29 men and 4 women) were treated by open reduction and internal fixation using an lateral approach from March, 1997 to May, 2002 and were followed more than one year. The autogenous iliac bone graft was done in 2 cases but the others didn't. Radiographically B?hler angle and Gissane angle on simple lateral radiograph were measured and in the 15 cases, the step-off(gap) of posterior facet joint on post-operative CT images were followed. The Salama method was used for evaluation of clinical results. Results: According to Sanders classification, 19 cases of the 36 cases were classified as type II. Type III fracture were found in 12 cases and type IV in 5 cases. The following results were obtained: twenty-two cases(61.1%) out of 36 cases were estimated as good or excellent. The good results or more were obtained in 15 cases(78.9%) in type II and 7 cases(58.3%) in type ill, but no case in type IV. B?hler angles were improved from preoperative average 1.6?to postoperative average 23.4?, Gissane angle was improved from preoperative 107.2?to postoperative 122.8?, respectively. Among 36 cases, Computed tomography was carried out in 15 cases. The postoperative step-off (gap) of posterior facet joint on computed tomography was filled with cancellous bone. Satifactory results was obtained in 7 cases with 2mm gap or less and in 6 cases of 2-5mm. There were no satifactory results in 2 cases with 5mm gap or more. Conclusion: Open reduction and internal fixation for intra-articular fracture of calcaneus was thought to be a good treatment modality. It is thought that the lateral approach is one of the good one for surgical treatment, and that accurate reduction of the posterior facet, acceptable recovery of B?hler angle are more important to obtain best results.

• Clinics in Shoulder and Elbow
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• v.10 no.2
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• pp.199-203
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• 2007

Purpose: It is very important to evaluate and fix coronoid process fractures because they are a critical element for a stable, effective elbow function. The lateral view of the elbow joint is used for a radiographic evaluation of the coronoid but an understanding of the fracture pattern is often difficult because of overlap of the radial head and obliquity of the fracture line. We developed the coronoid view, which is a new radiograph for an evaluation of the coronoid process fracture, and discuss its advantages for a postoperative follow-up. Materials and Methods: The coronoid view was designed for an evaluation of the anteromedial fragment of the coronoid process. After the patient sat on his side, the shoulder was abducted $45^{\circ}$ and the elbow was flexed $90^{\circ}$. The X-ray beam was shot perpendicular to the table. Since shoulder was abducted $45^{\circ}$ the fracture line of the coronoid process can be parallel to the X-ray beam, and the radial head can be cleared. Conclusion: The coronoid view can be a good alternative radiograph for an evaluation of a coronoid process fracture because the beam is parallel to the fracture line. The coronoid view can be particularly useful in postoperative patient follow-up where computed tomography is impractical due to metal implants and cost.

• Clinics in Shoulder and Elbow
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• v.10 no.2
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• pp.220-226
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• 2007

Purpose: The distal clavicle has a biomechanical structure different from that of the proximal or middle 1/3 clavicle, and delayed union or nonunion occurs frequently in a distal clavicle fracture. The authors obtained favorable results from an open reduction and bone grafting of the distal clavicle nonunion. We report the results together with review of the relevant literature. Materials and Methods: The subjects were 8 patients(average age, 38.9) who had undergone surgery for distal clavicle nonunion from August 2003 to May 2006. Nonunion occurred after surgical treatment in 4 cases, and after conservative treatment in the other 4. In all cases, the patients complained of pain. Results: The mean follow-up duration was 14 months, and radiological union was observed in 8 weeks on average. In all cases, the range of shoulder joint motion was normal at the end of the follow-up observation. In the functional evaluation, 7 cases showed excellent results and 1 case showed good results. Conclusion: Surgical treatment is a safe and reliable treatment for distal clavicle fracture nonunion because it can achieve early rehabilitation and union.

• Journal of the Korean Orthopaedic Association
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• v.54 no.3
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• pp.211-218
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• 2019

Herniation of the intervertebral disc is a medical disease manifesting as a bulging out of the nucleus pulposus or annulus fibrosis beyond the normal position. Most lumbar disc herniation cases have a favorable natural course. On the other hand, surgical intervention is reserved for patients with severe neurological symptoms or signs, progressive neurological symptoms, cauda equina syndrome, and those who are non-responsive to conservative treatment. Numerous surgical methods have been introduced, ranging from conventional open, microscope assisted, tubular retractor assisted, and endoscopic surgery. Among them, microscopic discectomy is currently the standard method. Biportal endoscopic spinal surgery (BESS) has several merits over other surgical techniques, including separate and free handling of endoscopy and surgical instruments, wide view of the surgical field with small skin incisions, absence of the procedure of removing fog from the endoscope, and lower infection rate by continuous saline irrigation. In addition, existing arthroscopic instruments for the extremities and conventional spinal instruments can be used for this technique and surgery for recurred disc herniation is applicable because delicate surgical procedures are performed under a brightness of 2,700 to 6,700 lux and a magnification of 28 to 35 times. Therefore, due to such advantages, BESS is a novel technique for the surgical treatment of lumbar disc herniation.

• Restorative Dentistry and Endodontics
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• v.24 no.1
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• pp.116-128
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• 1999

치근흡수 연구에서 치아재식을 위한 적당한 동물모델을 찾는일은 대단히 중요하다. 본 실험에서는 쥐 대구치의 발치 및 재식을 통해서 치근흡수가 발현되는 모양을 관찰했다. 모두 20마리의 쥐(30일생)에게 0.4% ${\beta}$-APN(aminoproprionitrile)가 포함된 분말용쥐사료를 5일간 먹인후 케타민 마취후 상악좌우측 제일대구치를 손상을 최소화하여 발치 하였다. 발거된 쥐치아는 0.02M Tris-HCl로 표면처리하여 부착치근막을 제거한후 파라핀팍스로 치근단을 밀폐 하여 재식하였다. 재식후 1, 2, 4, 6, 8 및 12일이 경과된 후 심장관혈을 통하여 쥐를 희생시킨후 3% glutaraldehyde가 포함된 EDTA에서 탈회한후 Epon 포매 하였다. 모든 시편은 유리칼을 사용하여 1미크론 두께로 절편한후 veronal acetate buffer에 녹인 1% toluidine blue로 염색하였다. 파치세포양 세포에 의한 치근흡수는 재식 5-7일후 처음 관찰되었다. 재식 12일후에는 치근 전체에 걸친 광범위한 치근흡수가 관찰되었다. 이상의 결과 ${\beta}$-APN을 포함한 쥐사료 식이요법은 쥐 상악제일대구치의 발치와 재식을 용이하게 하여 일정한 치근흡수를 발현시키는데 많은 도움이 된 것으로 판단되었다.

• Journal of Chest Surgery
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• v.43 no.2
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• pp.208-211
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• 2010

An occurrence of hemangioma in the mediastinum is a very rare, accounting for less than 0.5% of mediastinal tumors. Capillary hemangiomas and cavernous hemangiomas consists of over 90% of mediastinal hemangiomas. However, venous hemangioma has never been reported in South Korea and has also very rarely been reported worldwide. We found mediastinal solid mass, as an incidental finding during a follow-up chest CT scan of a 44-year-old female patient who had undergone colon cancer surgery. We performed a mediastinoscopic biopsy. We did a thoracotomy to remove this mass because hemorrhage and found a totally resected venous hemangioma.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1978.06a
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• pp.3.3-3
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• 1978

Foreign bodies in the esophagus are common in the field of otolaryngology. They are usually due to ingestion of a coin or two, especially in the cases of children. Almost always, a coin in the esophagus can be easily removed under esophagoscope. However, untoward complications have not infrequently ensued. The authors have recently experienced an interesting case of foreign body in the mediastinum. It was found to be a 50-Hwan coin that had remained between the tracheal bifurcation and the esophagus for 13 years without causing any serious complication. At age of 17 years, he visited ENT department of our hospital, where the coin was removed safely by trans- thoracic approach under general anesthesia. So we report this case along with literature review.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1981.05a
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• pp.5.1-5
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• 1981

We have recently removed five interesting foreign bodies successfully. Case 1. A broken tracheostomy outer cannular tube in the right main bronchus of a 7 year old boy. Case 2. An acupuncture needle in the trachea of a fifty-one year old man. Case 3. A fish hook with thread in the second isthmus of esophagus of a 10 month old girl. Case 4. An opened safety pin (sharp point toward cephalad) in the third isthmus of esophagus of a sixteen year old boy. Case 5. A big lead bullet which went through soft tissue below right mastoid tip and lodged at the mid-point between right mastoid process and foramen magnum(skull base) of a twenty year old boy, was removed surgically uneventfully.

• Journal of Biomedical Engineering Research
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• v.20 no.5
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• pp.573-579
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• 1999

본 논문은 2채널 센서를 이용한 펄스 옥시메터의 산소포화도 계산 모델의 설계 및 분석에 관한 것이었다. 또한 Beer Lambert 법칙에 의거하여 기존 알고리즘 및 새로운 알고리즘들을 이론적으로 분석하였다. 제안된 알고리즘은 손가락을 투과한 2개의 채널에서 나온 광신호를 각각 직류성분 Adc 와 맥동성문 Aasin wt. 잡음성분 Ahnoise , ALnoise 등으로 모델링한다. 모델링 되어진 광신호를 맥동성분이 적분비를 사용하여 고주파 동잡음인 AHnoise 를 제거한 후 각각 산소포화도 계산을 위한 상관계수 그래프를 구한다. 또한 2개의 채널에서 적분비를 사용하여 구해진 상관계수 그래프를 사용하여 산소농도를 추출하는 방법에 관하여 기술하였다. 맥동성분비와 관혈적인 측정에 의한 혈중 산소포화도와의 상관관계 그래프의 선형성을 확보하기 위하여 펄스 옥시메터 시뮬레이터 오차범위를 고려해 75~100%상이의 산소포화도를 중점적으로 관측하였고, 4주기로 면적계산주기를 결정하여 실험하였다. 본 연구에서 제안된 알고리즘의 성능평가는 맥동성분의 적분비를 이용한 방법과 비교하였다. 비교결과는 4주기의 면적계산 주기를 가졌을 때 기존의 방식보다 평균오차가 0.7%정도 향상되었으며, 회귀적선의 신뢰도를 보여주는 결정계수 ${\gamma}$$^2$도 0.995로 기존의 방식에서 나온 0.979보다 더 좋은 결과를 얻을 수 있었다. 따라서 2채널을 이용한 방법이 A Lnoise 제거와 성능면에서 우수하다는 결론을 얻을 수 있었다.

• Journal of Yeungnam Medical Science
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• v.5 no.1
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• pp.17-22
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• 1988

Fractures of the femoral neck in children are rare and usually the result of severe trauma. The femoral necks in children, in contrast to those of adults, have many anatomic and physiologic differences. Among the late complications encountered are avascular necrosis, coxa vara, premature closure of the proximal capital femoral epiphysis and nonunion. In spite of careful management, significant complication rate often results. Nine cases of fractures of the femoral neck in children which were treated at Yeungnam University Hospital from June 1984 to August 1987 were reviewed. The results obtained are as follows: 1. The main causes of fractures were traffic accidents(5 cases). 2. Among 9 patients, 6 were girls and 3 were boys. 3. According to the classification of Delbet and Colonna, the transcervical fracture(6 cases) was the commonest type. 4. 4 cases were treated by closed reduction and internal fixation, 3 cases were treated by open reduction and internal fixation. 2 cases were treated by skin traction and cast. 5. The results were analyzed according to Ratliff's assessment. 6 cases showed good results, and 3 cases showed poor results. 6. Early diagnosis and good fixation method seemed to be vital to prognosis.