• Title/Summary/Keyword: 재건

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Lateral Ulnar Collateral Ligament Reconstruction for Posterolateral Rotatory Instability of the Elbow Joint - A Case Report - (주관절의 외측방 회전 불안정성에 대한 외측 척측부인대 재건술-1례보고-)

  • Moon Eun-Sun;Lee Swung-Gi;Park Chol-Hong
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.236-241
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    • 1998
  • Recurrent dislocation of elbow joint occurs relatively rarely by the injury of the collateral ligament which contributes elbow joint stability. Among them, posterolateral rotatory instability occurs by the injury to the lateral ulnar collateral ligament. We experienced a case of recurrent dislocation of elbow joint due to posterolateral rotatory instability. We treated operatively with lateral ulnar collateral ligament reconstruction using the palmaris longus tendon by technique of Nestor et al. We report it with literature analysis.

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Recurrent Traumatic Glenohumeral Instability associated with Glenoid Bone Defect (관절 와 골 결손이 동반된 재발성 견관절 외상성 불안정증 - 3례 보고 -)

  • Tae, Seok-Gi;O, Jong-Su;Im, Mu-Jun
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2009.03a
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    • pp.224-224
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    • 2009
  • 견관절 전방 외상성 불안정증에서 관절 낭-순 재건술은 재발성 불완정증 예방 및 기능 회복에 있어 매우 성공적인 술식이다. 그러나 관절 와의 30 % 이상의 심한 골 결손이 존재 할 때 관절 낭-순 재건술 만으로는 성공적인 결과를 가져오기 힘들다. 본 연구는 관절 와의 심한 골 결손을 가진 재발성 전방 외상성 불안정성 견관절에서 관절외 자가 장골 이식으로 보강한 관절 낭-순 재건술의 술기와 결과를 보고하고자 한다.

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욕창의 외과적 치료

  • Lee, Dae-Hun;Jeong, Yeong-Sik;Choe, Si-Ho;Seol, Jeong-Hyeon
    • Journal of Yeungnam Medical Science
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    • v.2 no.1
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    • pp.31-37
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    • 1985
  • 욕창의 발생부위에 따른 수술방법 중 천골부 욕창의 치료에는 천골절골이 필요한 깊은 경우에는 대둔근피판술이, 갚지는 앓으나 광범위한 욕창일 경우에는 하둔대퇴피판술이 가장 성적이 좋았다. 대전자부 욕창의 치료에는 대퇴근막장근근피판술이 가장 성적이 좋았으며, 슬관절부 욕창의 치료에는 비복근판술 후 피부이식방법이 좋은 결과를 초래하였으며, 종골부 창상치료에는 발꿈치의 외후면 재건시는 lateral calcaneal flap이 좋으며, 종골절골이 필요치 않은 heel pad 재건시는 족저부 근막피판술이, 종골절골이 필요한 heel pad 재건에는 족지단골근근판술이 가장 좋은 성적을 가져 왔기에 문헌고찰과 함께 보고하는 바이다.

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AN EXPERIMENTAL STUDY ON TRACHEAL RECONSTRUCTION USING RIB CARTILAGE AND PERICHONDRIUM IN RABBITS (가토의 자가 늑연골 및 늑연골막을 이용한 기관재건술에 대한 실험적 연구)

  • 채우석;김경래;이형석;안경성;김선곤
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.24-24
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    • 1991
  • 기관협착증은 이비인후과 영역에 있어서 치료가 어려운 질환중의 하나로 이의 재건에는 여러가지 자가조직이 각각의 장점에 따라 사용되어 왔지만 완전하고 만족할만한 결과를 얻지 못하는 실정이다. 저자들은 가토의 자가 늑연골 (1군) 및 늑연골막 (2군)을 이용한 기관 재건술을 시행하여 다음과 같은 결과를 얻었다. 1) 이식편은 술후 10주 (1군) 및 12주 (2군)에 흡수나 섬유조직으로의 대치는 없었으며, 기관강의 크기는 직상 하부의 정상기관과 큰 차이가 없었다. 2) 늑연골을 이식한 부위는 연골막의 내세포층에서 연골세포가 분화, 이동되어 절단된 연골사이로 이동하여 새로운 연골을 형성하였다. 3) 늑연골막을 이식한 부위는 연골막에서 형성된 연골세포 및 연골기질이 절단된 연골사이로 이동하여 새로운 연골을 형성하였다. 4)) 이식한 부위의 점막층은 점막재생이 이루어져 원주상피로 피복되었다. 5) 기관 전벽의 결손부위는 늑연골 및 늑연골막을 이용하여 성공적으로 재건되었다.

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Accidental Trichloroacetic Acid Burn Injuries on Genital Area during Gynecological Procedures (부인과적 시술 중 발생한 생식기 부위의 Trichloroacetic Acid 화학 화상)

  • Lee, Chong Kun;Yu, Sung Hoon;Kim, Dong Chul
    • Journal of the Korean Burn Society
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    • v.24 no.1
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    • pp.18-20
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    • 2021
  • TCA is widely used in cosmetic treatments such as chemical peels, tattoo removal, and also in gynecological procedures for managing cervical intraepithelial neoplasia. However, storage of high concentration of TCA in a gynecology office is a potential hazard, as it may accidentally cause severe chemical burns. We report a case of deep dermal TCA chemical burn on genital area, which occured accidentally and resulted from misuse of high concentration (90%) of TCA coated vaginal gauze packing dressing during gynecological procedures.

AI로 반토막 난 오리산업 재건을 위한 기지개를 펴다

  • 한국오리협회
    • Monthly Duck's Village
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    • s.249
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    • pp.8-15
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    • 2024
  • 지난해말부터 올해까지 고병원성 조류인플루엔자(AI)는 지난 3월 말 기준 가금농장 31건으로 지난해 75건에 비해 절반가량 줄어들었다. 살처분 규모도 69호 360만5,000마리로 2008년 이후 가장 작은 규모인 것으로 나타났다. 지난해 중국을 비롯한 동남아에서 AI가 지속적으로 발생하면서 AI 발생의 위험도가 높아졌던 것을 감안하면 정부의 방역과 농가의 차단 방역이 어느 정도 선방을 한 것 아니냐는 의견도 조심스럽게 나오고 있다. 문제는 지금까지 발생한 AI로 반토막이 나버린 오리 산업을 어떻게 재건할 것인가이다. 겨울철 오리사육제한으로 오리 농가는 반으로 줄어버렸고오리 사육 마릿수도 대폭 줄어들었다. 그사이 오리가격은 폭등하면서 소비자피해로까지 이어진 상황이다. 이에 한국오리협회는 새로운 수장을 맞고 오리 산업 재건을 위한 행보를 재촉하고 있다. 기지개를 펴고 있는 오리 산업, 재도약 할 수 있을까. 오리 산업의 현재를 들여다본다.

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The Result of the Arthroscopic Reconstruction of Posterior Cruciate Ligament with Autogenous or Allogenous Graft (자가 또는 동종 이식물을 이용한 후방 십자 인대 재건술 후의 결과)

  • Chon Je-Gyun;Kim Eui-Soon;Choi Bo-Yeul;Yoon Chang-Hoon;Lee Jeong-Woung;Sun Doo-Hoon;Moon Myung-Sang
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.74-79
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    • 2001
  • Purpose : The purpose of this study is to evaluate the clinical results after arthroscopic PCL reconstruction and to compare the clinical results after arthroscopic PCL reconstruction using BPTB(bone patellar tendon bone) autograft(Group I : 11 cases), Achilles tendon allograft(Group II : 7 cases) and BPTB allograft(Group 111.6 cases). Materials and Methods : We reviewed the result of 24 patients who had been managed with arthroscopic reconstruction using different graft materials such as BPTB autograft, Achilles tendon allograft and BPTB allograft. Twenty-four patients(average age, 37 years) with PCL rupture were retrospectively evaluated more than one year(average, 31 months) after having arthroscopic posterior cruciate ligament reconstruction. The clinical results were evaluated by IKDC ligament standard evaluation form, using $KT-2000^{TM}$ knee ligament arthrometer and also evaluated Lysholm knee scoring scale. Results : The final evaluation was nearly normal in 11 patients($45\%$ in Group I, $43\%$ in Group II, $50\%$ in Group III). The corrected posterior sagging was abnormal(side to side difference more than 6mm) in 8 patients($36\%$ in Group I, $29\%$ in Group II, $33\%$ in Group III). We could not find significant difference among three groups by IKDC scale. Conclusion : Comparing with other reports, our overall results were not satisfactory. And also, we could not find any remarkable difference among the three groups. Further research is necessary to evaluate new surgical approaches as well as improved techniques for capsular and collateral ligament injuries.

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Reconstruction and building plan of Buyeo Muryangsa Temple in the 17th century (부여 무량사(無量寺)의 17세기 재건(再建)과 조영 계획(造營 計劃))

  • Oh, Se-deok
    • Korean Journal of Heritage: History & Science
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    • v.48 no.3
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    • pp.60-79
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    • 2015
  • The study examined reconstruction and building plan of Buyeo Muryangsa Temple in the 17th century and reviewed its construction process and supporting power since the Imjin War of 1592. In addition, The architectural features and design plan of Geukrakjeon that is the most important position in the reconstruction were examined. The reconstruction process of Muryangsa Temple is as follows. Firstly, the study reviewed the reconstruction order of Muryangsa Temple that was progressed in a short period of time from 1624 to 1636. In doing so, the reconstruction period was adjusted from 1633 to 1624 so that the construction order of Muryangsa Temple might be the reconstruction of Geukrakjeon in 1624, Gwaebul in 1627, Sojosamjonbul in 1636 and Beomjong in 1636. Secondly, as the reconstruction of Muryangsa Temple was progressed in a short period of time of 13 years, it was assumed there was great supporting power. In particular, it was found that Jinmukdaesa who lead the construction of Wanju Songgwangsa Temple had an impact on the construction of Muryangsa Temple.It was conjectured that Shin family of the royal family as the supporting power of Songgwangsa through the support of Jinmukdaesa had an impact on Muryangsa Temple. Thirdly, the study reviewed architectural features of Geukrakjeon which has the most important meaning of the reconstruction of Muryangsa Temple. By comparing other reconstructed temples, the architectural style of Muryangsa Temple was examined. In particular, features of Gongpo and furniture were reviewed. In doing so, Muryangsa Temple, the study proposed a possibility that Geukrakjeon would be constructed by an artisan in the same genealogy of Wanju Hwasamsa Temple Geukrakjeon. Finally, the design plan of the building was reviewed with Yongcheok of 309mm used for the construction of Geukrakjeon. Geukrakjeon had perfect proportion compared with other reconstructed temple in the late Joseon period, and golden ratio of 1:1.41 was applied in many areas of building. the study also proposed that the stable design of Geukrakjeon was carried out by the building plan of overall Garam at the time of reconstruction of Muryangsa Temple in the late Joseon period.

Clinical Results of Footprint Restoration Anterior Cruciate Ligament Reconstruction with Remnant Preservation (잔여부 보존술식을 이용한 고유부착부 재현 전방십자인대 재건술의 임상결과)

  • Chung, Hyun-Min;Seo, Young-Jin;Song, Si Young;Cha, Myoungsoo
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.6
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    • pp.537-546
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    • 2019
  • Purpose: Anteromedial (AM), posterolateral (PL), anterior, and posterior remnant preserving anterior cruciate ligament (ACL) reconstructions were conducted on patients with partial ACL tears based on the arthroscopic findings. The clinical results of the four groups were compared. Materials and Methods: This study included 98 patients who underwent a remnant preserving ACL reconstruction from January 2013 to June 2016 and could be followed-up for at least two years. The subjects were categorized into four groups according to the selective bundles reconstructed: group A, anteromedial selective bundle reconstruction; group B, posterolateral selective bundle reconstruction; group C, anterior bundle reconstruction; and group D, posterior bundle reconstruction. The preoperative and postoperative anterior translation from the stress X-ray, International Knee Documentation Committee Subjective Knee Form (IKDC SKF) score, Lysholm score, and hospital for special surgery (HSS) score were compared. Results: All four groups showed significant improvement in anterior translation on the stress X-ray conducted with knees at 15° flexion, IKDC SKF score, Lysholm score, and HSS score postoperatively (in all groups, p<0.001). No intergroup differences were observed in terms of the functional outcomes except that preoperative IKDC SKF score was higher in the C group than in the A group (p=0.021), and the preoperative Lysholm score was higher in the B group than in the A group (p=0.03). Conclusion: After the AM, PL, anterior, and posterior remnant preserving ACL reconstructions, all four groups showed satisfactory results in terms of the anteroposterior stability and functional knee scores with no significant intergroup differences.

Treatment of Distal Clavicular Fracture by Reconstruction Plate and Wire Fixation (쇄골 원위부 골절에 대한 재건 금속판과 강선 고정술을 이용한 치료)

  • Suh, Mu-Sam;Kim, Sang-Hyo;Park, Hyeong-Taek
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.1
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    • pp.58-62
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    • 2006
  • Purpose: To evaluate the result of operative treatment with plate and wire fixation for fractures of the distal clavicle. Materials and Methods: We assessed 9 cases of fractures of the distal clavicle that were treated by plate and wire fixation from March 2001 to July 2003 and followed up over 1year. We used the reconstruction plate as a buttress and performed cerclage wiring to fix comminuted fracture site. The functional result of shoulder was evaluated by the scoring system of Rowe. Results: The average periods of bony union was 9 weeks in all cases. According to Rowe scoring system, the functional result was exellent in 7 cases and good in 2 cases. There was no LOM of shoulder and traumatic arthritis in AC joint. But there was skin irritation in 1 case. Conclusion : The operative method by reconstruction plate and wire fixation for distal clavicular fracture was useful when there were comminuted fracture. This method seems to be simple and satisfactory in terms of improvement of range of motion of shoulder, restoration of function and rare complication.

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