• Title/Summary/Keyword: 십자석

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ACL Reconstruction: Bone-Patellar Tendon-Bone Autograft (전방 십자 인대 재건술: 골-슬개건-골 자가이식물)

  • Koh, Hae-Seok
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.102-108
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    • 2005
  • The incidence of anterior cruciate ligament tears is increasing as a result of the increasing participation of individuals of all ages in high-risk sports. Endoscopic anterior cruciate ligament reconstruction using autogenous central third bone-patellar tendon-bone graft is the most commonly used method. With regard to BPTB graft as the go]d standard in ACL reconstruction, there are no data that refute this claim to date. Author reviewed the biomechanical properties, donor site morbidity and selection of the bone-patellar tendon-bone graft and described the surgical technique of endoscopic ACL reconstruction using BPTB autograft.

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변성암석학과 구조지질학에서 석류석 반상변정의 중합적인 의의: 조산운동의 온도-압력-변형-시간 경로 해석

  • Kim, Hyeong-Su
    • 한국지구과학회:학술대회논문집
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    • 2005.02a
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    • pp.138-144
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    • 2005
  • 석류석은 변성 온도와 압력을 계산하는 지온지압계에 널리 사용되며, 또한 이들 내부엽리와 외부엽리와의 접촉 관계를 이용하여 상대적인 변형작용의 시기를 밝히는 데 이용되어져 왔다. 석류석 반상변정 내의 내부 엽리 조직에 대한 정량적인 해석과 내부 미세 구조와 화학적 누대구조와의 관계에 대한 접근 방법은 석류석이 형성되는 동안에 온도-압력-변형작용의 진화 과정을 보다 정량적으로 해석할 수 있을 뿐만 아니라, 절대 연령 자료와 결합은 조산 운동 동안 발생하는 다변성/다변형 작용의 특징 보여주는 온도-압력-변형-시간 경로를 규명할 수 있다. 미국 메사추세츠 주 북중부 지역에서 십자석, 남정석과 함께 산출되는 석류석 반상변정은 온도-압력이 증가(540-570 $^{\circ}C$, 4.0-5.0 kbar에서 620-637 $^{\circ}C$, 7.9-8.8 kbar 까지) 하면서 성장하였다. 또한 이와 같은 변성작용 동안 압축 변형 방향은 다음과 같은 순서로, NE-SW, NW-SE, N-S 그 다음 E-W 방향으로 변화하였다. 결론적으로 이와 같은 변성작용과 변형작용은 주로 고생대 중기 데본기 동안에 일어났던 아카디안 조산운동으로 특징 지워 지며, 후기 알레게니안 조산운동에 부분적으로 영향을 받은 것으로 판단한다.

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Arthroscopic Treatment of an Anterior Cruciate Ligament Avulsion Fracture: Physeal-Sparing, All-Inside Suture Bridge Repair (전방십자인대 견열 골절의 관절경적 치료: 성장판을 보존한 All-Inside 교량형 봉합술)

  • Park, Byeong-Mun;Lee, Seung-Hwan;Yang, Bong-Seok;Kim, Ji-Hyeon
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.444-449
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    • 2020
  • An anterior cruciate ligament (ACL) avulsion fracture is an uncommon injury that occurs predominantly in the pediatric and adolescent population. Accurate reduction and fixation of an avulsed fragment are necessary to restore and maintain the length of the ACL and normal knee biomechanics. Several techniques are available to repair an ACL avulsion fracture. On the other hand, treatment is controversial in skeletally immature patients due to risk of physeal injury. This paper reports a case of an ACL avulsed fracture in a skeletally immature patient treated with arthroscopic all-inside suture bridge repair, in which an excellent result and firm stability were obtained without physeal injury.

Revision of Failed ACL Reconstruction - Early Result - (전방 십자 인대 재 재건술 단기 추시 결과)

  • Ahn Jin-Hwan;Cho Yong-Jin;Lee Yong-Seuk;Shin Seong-Kee
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.2
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    • pp.169-175
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    • 2003
  • Purpose : The purpose was to evaluate the early result of revision of failed anterior cruciate ligament (ACL) reconstruction. Materials and Methods : From August 1997 to February 2002, this report presents the findings of 18 patients who had revision surgery for failed ACL reconstruction. There was an average of 39 $(7\~120)$months from index procedure to the time of revision. Allografts were used in 14 $(78\%)$cases and autografts were used in 4 $(22\%)$cases and the revision procedures were assisted by arthroscopic technique. The majority of chief complaints were instability in 16 $(89\%)$cases. Sixteen $(89\%)$ cases had 1 previous reconstruction, 2 $(11\%)$ cases had 2. Before and after revision, patients were evaluated by Lachman test, pivot shift test, KT 2000, radiographs, Lysholm score and HSS score and subjective satisfaction. Results : Average length of followup was 27 $(12\~60)$months. Preoperatively, all cases were positive in Lachman test and pivot shift test. After revision the majority of cases were negative. Objectively improving stability was confirmed by KT 2000 and all average KT 2000 was 7.75 $(3.5\~12.5)$mm preoperatively and 2.36 $(1.0\~6.0)$mm at final followup. Lysholm score and HSS score were also improved from 72.6 $(66\~77)$ and 72.5 $(68\~78)$ preoperatively to 89.2 $(80\~92)$ and 88.2 $(81\~92)$ at final followup. Most $(89\%)$ of patients were satisfied with their results. The most common causes of failed ACL reconstruction were malposition of femoral tunnel in 11 $(61\%)$cases. Conclusion : Arthroscopic revision ACL surgery with adequate graft for failed ACL reconstruction was successful in objectively and subjectively improving stability. However, considering the most common causes of failure after ACL reconstruction were errors in surgical technique, it is important that the primary ACL reconstruction should be performed with correct surgical technique.

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