• Title/Summary/Keyword: 대퇴부

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Replantation of a Traumatically Amputated Penis in a Dog (외상에 의해 절단된 음경의 재접합술 1례)

  • Park, Jin-Uk;Cho, Ki-Rae;Han, Tae-Sung;Choi, Seok-Hwa;Kim, Gon-Hyung
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.627-630
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    • 2007
  • A mixed-breed hunting dog suffered penile amputation and lacerations in the femoral and inguinal areas while hunting wild boar. The penis was replanted by anastomoses of the urethra, cavernous body, and the left and right dorsal veins of the penis. The transected penis recovered anatomically and functionally. No evidence of postoperative necrosis or edema was detected at the distal portion of the penis. In addition, fistulas and stenosis were not found on urethrogram 20 days after the surgery. Aside from surgery, we performed experimental cavernosography to identify the importance of the anastomosis of the dorsal veins of the penis in three beagle dogs. The cavernosograms revealed that, the contrast medium, which was injected into the bulbus glandis, drained by the left and right dorsal veins of the penis, then converged into one vessel at the ischial arch and diverged into the left and right internal pudendal veins. Thus, reanastomosis of the left and right dorsal veins of the penis in cases of transected canine penis appears to be important for positive postoperative prognosis.

EVALUATION OF ECTOPIC BONE FORMATION EFFECT BY DECALCIFIED DEGREE OF ALLOGRAFTS (동종이식골의 탈회정도가 이소성 골형성유도에 미치는 영향)

  • Yun, Hong-Sik;Chin, Byung-Rho;Shin, Hong-In
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.2
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    • pp.139-147
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    • 1998
  • This study has been performed to evaluate the relationship between the remained mineral components in a decalcified bone matrix and an ectopic bone formation efficiency. The freezed rat diaphyseal cortical bones measuring 0.5cm in length were demineralized in heated 0.6N HCl at $60^{\circ}C$ for 5, 10, 15, 20, 25, 30, 35, 40 minutes, respectively, using a controlled heat ultrasonic cleaner. Each 1cc of decalcifying solution taken during decalcification procedure was used to calculate calcium content using calcium dignostics kit under 600nm of spectrophotomer. After decalcification, each specimen was also weighed. Then each prepared specimen was implanted into the dorsal pouch of 24 Sprague-Dawley rats divided into 8 groups by time course. The implants were harvested at 1, 2, and 3 weeks and prepared for routine H-E stain specimens to evaluate osteogenic activity. The results are as follows: 1. There was statistical significant difference in change of calcium concentration up to demineralization of 30 minutes and each allogenic bones decalcifed up to 20 minutes revealed 99.65% of decalcification in average. 2. There was statistical significant difference in change of weight in demineralized allogenic bone up to 20 minutes treatment but, no significant change was noted after that time. 3. The histologic analysis revealed active ectopic bone formation in the implanted allografts demineralized for 20, 25, 30 minutes, respectively. However, the other groups of allografts showed relatively poor osteoinductive activity. These findings suggest that complete decalcification with a minimized degeneration of collagen matrix is necessary to induce maximal osteogenesis by decalcified bone allograft.

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Treatment of Giant Cell Tumor Around Knee - by Intralesional Excision Using High Speed Burr and Methylmethacrylate - (슬관절 주변에 발생한 거대세포종의 치료 - 고속 바(High-Speed Burr)와 골 시멘트를 이용한 병소 내 절제술 -)

  • Park, Jong-Hoon;Lee, Soo-Yong;Jeon, Dae-Geun;Cho, Wan-Hyung;Song, Won-Seok;Kim, Jin-Wook;Koh, Han-Sang
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.2
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    • pp.160-167
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    • 2005
  • Purpose : Distal femur and proximal tibia are the common sites affected by giant cell tumor of bone. There are a variety of treatment modality including wide excision and intralesional curettage. We evaluated the local recurrence rates and the post-operative functional scores of giant cell tumors around knee joint and investigated the identification of possible prognostic factors for recurrence. Materials and Methods: We reviewed 41 patients pathologically confirmed as giant cell tumors around knee joint that have undergone intralesional curettage using high-speed burr and methylmethacrylate. We evaluated the recurrence rate and post-surgical functional score and possible prognostic factors for recurrence, such as, gender, age, tumor location, size, subchondral invasion, intra-articular invasion and the Campanacci Grades. Mean follow up period was 50 (12-122) months. Results: The recurrence rate was 17% and mean recurrence onset was 10 months postoperatively. According to Musculoskeletal Tumor Society (MSTS) functional evaluation system, the average score was 27.8(93%) and 78% had excellent function. According to our study, suspected prognostic factors revealed not significant for recurrence. Conclusion: We found no significant recurrence related factors. Intralesional excision with high-sped burring and PMMA provides a low recurrence rate, similar to others in the literature, and good functional scores.

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Computed tomographic evaluation of experimental hydronephrosis treated with transarterial embolization of renal artery in Beagle dogs (신장동맥 색전술을 실시한 실험적 수신증의 전산화 단층촬영)

  • Chang, Dongwoo;Yoon, Junghee
    • Korean Journal of Veterinary Research
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    • v.41 no.3
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    • pp.421-427
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    • 2001
  • This study was performed to evaluate the embolized kidney and contralateral normal kidney using computed tomography (CT) and enhanced computed tomography. Experimental hydronephrosis was induced by ligation of unilateral ureter in Beagle dogs. Renal artery embolization was performed using selective catheterization in the hydronephrotic kidney of seven dogs and EKG, $SpO_2$, body temperature, pulse, and repiratory rate were within normal ranges during procedures. Iohexol-ethanol solution was used as embolic material. There were no dogs expired after TAE-Ra and no side effects associated with regurgitation of iohexol-ehtanol solution. Revascularization of renal artery was not found in angiography in dogs treated by TAE-RA at immediately after TAE-RA and 14 days after TAE-RA. CT showed dilation of urinary collection system and ventral displacement of spleen at 14 days after TAE-RA in one dog not treated by TAE-RA and experimental group treated by TAE-Ra. CT two month after TAE-RA showed the shrunken embolized kidney in experimental group. Transverse CT with contrast enhancement demonstrated the increase of signal intensity at thinned renal cortex in control group not treated by TAE-Ra at 30 days and 60 days, however, there was no increase of signal intensity at shrunken embolized kidney at 60 days after TAE-RA. CT was useful modality for evaluation of the morphology and the size of embolized kidney and contralateral normal kidney. Enhanced CT was availabel for the detection of revascularization of renal artery after TAE-RA in dogs with hydronephrosis. It is conclued that CT is useful modality for the monitoring of the revascularization of the renal artery after TAE-RA.

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Saddle Prosthesis (안장형 인공 고관절 전치환술)

  • Park, I.H.;Ihn, J.C.;Lee, J.M.
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.2
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    • pp.133-144
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    • 1995
  • After resection of intraarticular, periacetabulum(P2) and pubic rami(P23) and extraarticular, proximal femur(P2-H12) by Enneking classification, reconstruction is very difficult. We experienced three cases of saddle prostheses for reconstruction after P2, P23, and P2-H12 resection in pelvic malignancies. Case 1 was a high grade chondrosarcoma in 36 year-old-man and P2 resection was done. But he died of disease 19 months after operation. Case 2 was a malignant giant cell tumor in 32 year-old-woman. P23 resection was given and she is disease-free 32 months after operation. Case 3 was an osteosarcoma of 27-year-old-man and P2-H12 resection was performed and he is disease-free postoperative 12 months now. According to MSTS functional evaluatin system, all three patients showed no pain(5), intermediate function(2), emotinally satisfied(3), one cane or crutch supported(1), limited walking(3), and minor cosmetic gait(3). There was no significant complication and no dislocation except intermittent inguinal hernia in case 2. All patients started crutch walking 3 weeks after operation. Around 6 months postoperatively, the preserved iliac wing(P1 component) was hypertrophied enough to endure the full weight bearing. All could have squating and kneeling positions. In conclusion, saddle prosthesis would be a very useful method of reconstruction after P2, P23, and/or H1-2 resection to shorten the operation time and to reduce the infection rate without significant loss of function.

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Assessment of Working Posture Using RULA and REBA in Small Plants with Agricultural Products (소규모 작업장 작업자들의 인간공학적 평가 및 정량적 부하 평가 -한과작업장을 중심으로-)

  • Koo, Hye Ran;Kim, Hyo Cher;Shin, Yong Seok;Lee, Kyung Suk
    • Journal of Agricultural Extension & Community Development
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    • v.19 no.4
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    • pp.1021-1039
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    • 2012
  • Based on the ergonomic evaluation of workers in the domestic traditional Korean sweet manufacturer, one of the small scale agricultural product manufacturers, the purpose of this study is on estimating the specific works and muscles that have possibility of musculoskeletal disorder through an EMG experiment for quantitative evaluation. The method followed in an order: works that have musculoskeletal disorder risk were extracted through ergonomic assessment tools, RULA and REBA, and then EMG experiment on the postures was carried out with six healthy adult male patients. As an ergonomic evaluation result, work posture during the drying process had the greatest musculoskeletal disorder risk, and EMG activity in the cleansing work posture scored the highest among the drying, cleansing, and coating work postures. In particular in the drying work, relatively high EMG activities were shown in the two muscles in the lower body: biceps femoris muscle, and gastrocnemius, than any other muscles. Therefore, during the traditional Korean sweet workplace design in future, the workplace requires a posture that deeply bow wrist for a long time should be avoided.

Comparison of Survival Prediction of Rats with Hemorrhagic Shocks Using Artificial Neural Network and Support Vector Machine (출혈성 쇼크를 일으킨 흰쥐에서 인공신경망과 지원벡터기계를 이용한 생존율 비교)

  • Jang, Kyung-Hwan;Yoo, Tae-Keun;Nam, Ki-Chang;Choi, Jae-Rim;Kwon, Min-Kyung;Kim, Deok-Won
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.2
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    • pp.47-55
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    • 2011
  • Hemorrhagic shock is a cause of one third of death resulting from injury in the world. Early diagnosis of hemorrhagic shock makes it possible for physician to treat successfully. The objective of this paper was to select an optimal classifier model using physiological signals from rats measured during hemorrhagic experiment. This data set was used to train and predict survival rate using artificial neural network (ANN) and support vector machine (SVM). To avoid over-fitting, we chose the best classifier according to performance measured by a 10-fold cross validation method. As a result, we selected ANN having three hidden nodes with one hidden layer and SVM with Gaussian kernel function as trained prediction model, and the ANN showed 88.9 % of sensitivity, 96.7 % of specificity, 92.0 % of accuracy and the SVM provided 97.8 % of sensitivity, 95.0 % of specificity, 96.7 % of accuracy. Therefore, SVM was better than ANN for survival prediction.

Surgical Treatment of Langerhans Cell Histiocytosis in the Rib - Two cases report - (늑골에 생긴 랑거한스세포 조직구증식증의 외과적 치료-치험 2예-)

  • Kang Do-kyun;Park Jae-min;Han Il-Yong;Jun Hee-jae;Yoon Young-chul;Hwang Yun-ho;Cho Kwang-hyun;Lee Yang-haeng
    • Journal of Chest Surgery
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    • v.38 no.11 s.256
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    • pp.799-802
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    • 2005
  • Langerhans cell histiocytosis (LCH) involves disorders previously referred as 'histiocytosis X' (including eosinophilic granuloma, Letterer-Siwe, and Hand-Schuller syndrome). Its clinical patterns are various and it is a basically benign tumoral condition but with a strong tendency toward dissemination and destruction. Its natural history is unpredictable. But, in solitary bone lesion, wide resection with tumor-free margin is required in order to provide the best chance for a cure. In the majority of patients LCH is a osteolytic lesion with a predilection for calvarium and is rarely seen in the skull base and the femur. LCM of rib, especially if solitary, is relatively rare. We report two rare cases of solitary LCH developed in the rib, which were successfully treated by surgical resection.

Relationship between Restoring Force and Typical Stroke with SMA Coil Spring in Electrosurgical Knee Wand (슬관절 수술용 전기소작완드에 적용되는 형상기억합금 코일스프링의 회복력 및 행정거리의 관계)

  • Yang, Young-Gyu;Han, Gi-Bong;Kim, Cheol-Woong
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.12
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    • pp.1301-1307
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    • 2011
  • Electrosurgical knee wand (EKW) is a high-frequency thermocautery instrument and is often used for coagulation, ablation, excision, and extirpation of knee ligaments and tissues. In order to maximize the success rate, ease, and safety of knee surgery using EKW and radiofrequency ablation, it is necessary to ensure that the EKW selectively approaches the lesion with utmost accuracy and safety. The key feature of this instrument is its excellent maneuverability. Hence, the authors constructed a tensile spring model based on a shape memory alloy (SMA), which exhibits the shape memory effect. This model can be used in knee surgery as it is considered the most biocompatible femorotibial surgical actuator. The changes in external temperature with current and the thermoelectric characteristics of the SMA were investigated. The relationship between the restoring force and the typical stroke (TS) in response to the conditions in the SMA tensile spring design were evaluated. In conclusion, as the diameter of the SMA tensile spring decreased, the maximum temperature increased. The strain in the actuator caused a stable and proportional increase in the force and induced current for up to 15s, but this increase became very unstable after 30s. Moreover, the relationship between the current and the TS was more stable than that between the current and the restoring force.

The Heel Reconstruction by Microsurgery (미세수술을 이용한 발뒤꿈치 재건)

  • Lee, Kwang-Suk;Huh, Chang-Young;Kim, Hak-Yoon;Suh, Jeong-Dae
    • Archives of Reconstructive Microsurgery
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    • v.3 no.1
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    • pp.24-31
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    • 1994
  • The heel, with its specialized fat for shock absorption at heel strike and large surface area for balance and weight bearing, is a important component of normal ambulation. Despite of distinguished improvement in the field of microsurgical free flaps, the choice of reconstruction of the heel has been remained controversial. We reviewed 22 cases of the heel reconstruction using vascularized free flaps from January, 1980 through May, 1993 at the Department of Orthopedic Surgery of Korea University Hospital. The results were as follows: 1. The etiology was traumatic in 21 cases, and chronic ulceration due to burn in 1. 2. The arteries used in free flaps were 11 dorsalis pedis arteries, 2 deep circumflex iliac arteries, 2 supeficial iliac arteries, 2 branches of lateral femoral circumflex iliac arteries, 2 radial arteries, and 3 thorcodorsal arteries. 3. The mean size of the vascularized bone was $4.5cm{\times}3.5cm$, and that of skin flap was $12.1cm{\times}9.2cm$. 4. Of the 22 cases, 19 had a successful outcome and 3 in failure, the causes of failure were thrombosis and infection.

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