• Title/Summary/Keyword: 전완부

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흥미로운 임상증례들

  • 강종일
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2002.11a
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    • pp.61-65
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    • 2002
  • 증례 1. 전지에 발생한 혈관주위세포종 절제 후 피부이식술 본 증례는 11년생 수컷 혼혈 포메라니언 종으로 6살 되던 해 좌측 주관절의 외측부위와 전완부 사이의 연부조직에서 종괴물을 확인한 후 1년여 동안에 탁구공 크기로 커져 인근 병원에서 이 종괴물 제거 수술을 받은 적이 있었다. 그 후 2년 반이 지나면서 종괴물은 다시 서서히 자라기 시작하여 약 2년 동안에 테니스공 크기로 커져 제거 수술을 받기 위해 모대학 병원에서 혈액 검사 실시하던 중 심장 사상충 감염 진단을 받고 본 병원 내원 3 개월 전에 심장 사상충 치료를 받았던 기왕력이 있었다. 환견의 종괴물은 육안적 소견으로 2개의 분엽화 형상을 나타내었다. 그 중 일부에서 괴사소견이 관찰되었다. (중략)

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Free Fillet Flap of the Forearm Amputee for Coverage of the Contralateral below Elbow Amputee and Restoration of the Flexion of the Elbow (절단된 반대측 수부의 재활용 피판을 이용한 전완부 절단단과 주관절의 기능재건 - 증례 보고 -)

  • Choi, Soo-Joong;Kwon, Bong-Cheol;Jung, Kyu-Hak
    • Archives of Reconstructive Microsurgery
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    • v.16 no.2
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    • pp.82-85
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    • 2007
  • Free vascularized tissue transfer to preserve upper extremity amputation level is uncommon but very useful procedure. To cover the below-elbow amputee stump and restore the function of the elbow, we have used a free flap as a spare part concept from the contralateral hand which was so severely damaged that amputation was inevitable.

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Distribution of Electrical Resistance in Medial Side of Forearm (인체(人體) 전완부(前腕部) 내측(內側)의 전기저항(電氣抵抗) 분포(分布)에 관(關)한 관찰(觀察) 보고(報告))

  • Kim Gi-Wang;Park Kyung-Mo
    • Korean Journal of Acupuncture
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    • v.17 no.1
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    • pp.173-177
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    • 2000
  • We have observed the electrical resistance of every point in a $16{\times}64$ matrix that is projected to the medial side of human forearm. The electrical resistance against the 1.25V directing current was rated in discrete scale and illustrated in contour maps. The characteristics of distribution of electrical resistance and it's relations to so called Meridians were also discussed.

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Analysis of the Recurrence after Surgical Treatment of the Hemangioma in the Extremities (사지에 발생한 혈관종의 수술적 치료 후 재발에 대한 분석)

  • Kim, Young-Sin;Choi, Hee-Lack;Lee, Jun-Mo;Lee, Hyung-Seok;Kim, Jung-Ryul
    • The Journal of the Korean bone and joint tumor society
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    • v.16 no.2
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    • pp.74-79
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    • 2010
  • Purpose: To analyse the risk factors for recurrence of hemangiomas in extremities after surgical treatment and to compare with those of trunk. Materials and Methods: 120 cases of hemangioma with surgical treatments from June 1998 to September 2009 were analysed. 53 cases with surgical treatment on trunk in the same period were set to be the control group. We analyze several factors: age, location, site, size, histologic types and correlation between recurrence and each risk factor using logistic regression analysis. Results: Recurrence rate was 11.7% in extremities and 9.4% in trunk. There were no correlation between recurrence and age, site, size, histologic type. But, there was stastically significant correlation between recurrence rate and location, especially hand, forearm, feet in extremities and head and neck in trunk. Conclusion: Recurrence after surgical treatment of hemangioma is highly prevalent in anatomical location such as, hand, foot and forearm those are difficult to achieve complete resection because of close to neurovascular structures. Careful observation should be needed owing to incomplete resection can occurs recurrence.

Treatment of Urethral Stricture using Sensated Ulnar Forearm Free Flap (척골측 전완부 감각유리 피판술을 이용한 요도협착의 치료)

  • Hur, Jae-Young;Lee, Hoon-Bum;Tark, Kwan-Chul
    • Archives of Reconstructive Microsurgery
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    • v.10 no.2
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    • pp.81-85
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    • 2001
  • In the treatment of urethral stricture, many problems still remain with the current methods making it a field of further exploration for reconstructive surgeon. Furthermore, when total or multiple strictures of the penile urethra exist, the methods of surgery become difficult due to a necessity for a long neourethra. Introduction of vascularized free flap has broadened the choice and improved the results of reconstruction for the urethra. The authors used a sensate ulnar forearm free flap in a patient with multiple penile urethral strictures for reconstruction. Uroflowmetry, 30 months after surgery, revealed that maximal flow rate was 15.5 ml/sec, average flow rate was 9.5 ml/sec, and voided volume was 157 ml. A urethrogram was performed 30 months postoperatively and a good result was achieved. The ulnar forearm free flap used by the authors are thin and pliable and is good for providing sufficient length to reconstruct the neourethra for a long urethral defect.

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Treatment of Forearm Deformity caused by Hereditary Osteochondromatosis using Free Vascularized Fibular Epiphyseal Transplantation (생비골 성장판 이식술을 이용한 선천성 다발성 골연골증에서 전완부 변형의 치료)

  • Han, Chung-Soo;Yoo, Myung-Chul;Chung, Duke-Whan;Han, Hyun-Soo;Han, Soo-Hong
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.1
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    • pp.60-67
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    • 1995
  • It is difficult to manage the growing deformity of forearm bone caused by hereditary osteochondromatosis in children, because deformity and discrepancy of limb length is progressive. The are many treatment methods of these problems including excisio of osteochondroma, lengthening of ulna, shortening of radius, corrective osteotomy with or without lengthening apparatus. Among many treatment methods, we tried free vascularized epiphyseal transplantation with the proximal fibular epiphysis in 3 patients of hereditary osteochondromatosis for inducement of continuous bone growth and deformity correction. The average duration of follow up was 7 years and 1 month, the shortest duration being to 4 years and 5 months and the longest 10 years and 8 months. Serial radiologic and clinical evaluation were carried out during follow up and there were satisfactory length gain, deformity correction and improvement of adjacent joint motion in 2 cases. According to our follow up evaluation, free vascularized epiphyseal transplantation is valuable procedure in forearm deformity of hereditary osteochondromatosis although it needs skillful and experienced operative technique.

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Epithelioid Sarcoma in Lower Eextremity - A Case Report - (하지에 발생한 유상피 육종 - 증례 보고 -)

  • Chun, Young-Soo;Kim, Sang-Hwan
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.2
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    • pp.172-177
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    • 2008
  • The epithelioid sarcoma is a rare high grade soft tissue sarcoma that affects young usually male, adults or adolescents. The most common localization is the hand and the forearm, followed by the leg and the foot. In most cases, the sarcoma grows slowly, involves the dermis, subcutis, or deeper soft tissues in the distal extremities. Epithelioid sarcoma is a slowly growing tumor with a high propensity for local recurrences and lymph node metastases. This neoplasm is likely to be confused with a variety of benign and malignant conditions. The treatment consists of wide surgical excision, chemotherapy and radiotherapy. We report the cases of 16-year-old girl with an epithelioid sarcoma on the lower extremity.

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Foot Reconstruction using Radial Forearm Free Flap - Review of 21 Cases - (요측 전완부 피판을 이용한 족부 재건 - 21례에 대한 임상적 고찰 -)

  • Lee, Kwang-Suk;Lee, Seoung-Joon;Song, Hyung-Suk;Kim, Sang-Bum
    • Archives of Reconstructive Microsurgery
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    • v.12 no.2
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    • pp.119-124
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    • 2003
  • Introduction : The purpose is a retrospective evaluation of the clinical results of the radial forearm flap transfer for foot reconstruction. Materials and methods : We evaluated 21 cases with medical records including etiology, wound dimension, presence of infection, associated fracture, ischemic time of free flap, complication of donor and recipient site. The final results were evaluated with our clinical score (walking, shoe-in, cosmetic). Results : Defects were located on the heel (12 cases), dorsum of foot (4 cases) and sole (5 cases). Mean wound dimension was $7.56{\times}6.0cm$, and mean ischemic time of free flap was 94.5minute. There were superficial skin necrosis (1 case), recurrent ulceration (2 cases) in recipient site, and no complication in donor site but complaint about cosmetic problem (3 cases). The clinical score showed excellent in 14 cases, good in 4 cases, fair in 1 case and poor in 2 cases. Conclusion : We consider the radial forearm flap could provid the stable and durable restoration of normal foot contour without debulking in the foot reconstruction and achieved normal ambulation and cosmetic satisfaction.

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Treatment of Talipes Equinus Deformity Using Free Radial Forearm Flap and Achilles Tendon Lengthening (아킬레스건 신장술과 유리 전완부 피판술을 이용한 첨족 장애의 치료)

  • Kim, Dae Seung;Lee, Jong Wook;Ko, Jang Hyu;Seo, Dong Kook;Choi, Jai Ku;Jang, Young Chul;Oh, Suk Joon
    • Archives of Plastic Surgery
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    • v.34 no.5
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    • pp.593-598
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    • 2007
  • Purpose: Talipes equinus deformity is defined as impossibility of heel weight-bearing and lacking of improvement of toe-tip gait despite sufficient duration of conservative treatment. The incidence of equinus deformity induces post-traumatic extensive soft tissue defect and subsequently increases it. Severe equinus deformities of the foot associated with extensive scarring of the leg and ankle were corrected using achilles Z-lengthening and free-tissue transfer. Methods: Free radial forearm flap was done in nine cases of eight patients from January 2000 to November 2006. Causes of deformity were post-traumatic contracture (one patient) and post-burn scar contracture (seven patients). Seven patients were male, one patient was female. Mean age was 32.1 (range, 10-57). Flap donors were covered with artificial dermis ($Terudermis^{(R)}$) and split thickness skin graft (five cases), and medium thickness skin graft only (four cases). Results: The size of flaps varied from $6{\times}12$ to $15{\times}12cm$ (average, $12{\times}7.8cm$). Achilles tendon was lengthened 4.2cm on average. Free radial forearm flap was satisfactory in all cases. All patients could ambulate normally after the surgery. Cases having donor coverage with $Terudermis^{(R)}$ were aesthetically better than those having skin grafts only. Conclusion: This study suggested that severe equinus deformities associated with extensive scarring of the leg and ankle can be corrected effectively free radial forearm flap and Achilles tendon lengthening.

The Correlation Analysis and Correction factor of BMD in Forearm and Lumbar with DXA (DXA를 이용한 전완부와 요추부 골밀도 검사의 보정계수 및 상관관계 연구)

  • Han, Man-Seok
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.551-556
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    • 2013
  • The Forearm and the lumbar spine bone mineral density bone mineral density values obtained through, T-score and Z-score correlation between numerical and calibration function obtained as a result of any one part to another part of the results is intended to infer. Groups of 66 patients, 11 patients by age 20-70 were composed of patients measured with the forearm and lumbar spine bone mineral density T-score and Z-score of the survey for each of the three factors that correlated to assess the correlation Find the correction factor to obtain the relationship. Bone mineral density of the correlation coefficient R = 0.769 correction factor is Y = 1.541X + 0.133. T-score of correlation coefficient R = 0.768 and the correction factor Y = 0.715X - 0.4 is Z-score of the correlation coefficient R = 0.635 correction factor Y = 0.751X - 0.162. It is regarded that there will be a clinical availability which can analogize the result of a part by using the result of the other part.