• Title/Summary/Keyword: 진구성 파열

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Arthroscopic Repair of the Postero-medial or Postero-lateral Capsule Tear in the Knee Joint - Technical Note - (슬관절 후내측 혹은 후외측 관절막 파열의 관절경적 봉합술 - 수술 수기 -)

  • Ahn Jin-Hwan;Cho Yang-Bum;Lee Yong-Seuk
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.135-139
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    • 2001
  • Purpose : Repair of the posterior capsule tear at the time of the operation for the chronic postero-lateral or postero-medial rotary instability has not been reported. We describe the arthroscopic repair of the posterior capsule tear using the posterior trans-septal portal. Method : After conducting basic arthroscopic examination of the knee, postero-medial and postero-lateral portals are secure to make the posterior trans-septal portal, through which the postero-medial and postero-lateral capsule tears are repaired using the suture hook under the arthroscopic guidance. Conclusion : When arthroscopic reconstruction of PCL insufficiency or postero-lateral rotaty instability that accompanies postero-medial or postero-lateral capsular tears. rising the posterior traits-septal portal could ensure better visualization of the capsule and a subsequent more accurate repair of the capsule. Since it significantly lessened instability, it could contribute to an achievement of successful clinical results.

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Reconstruction of Chronic Achilles Tendon Rupture Using Interposed Scar Tissue (A Report of Two Cases) (진구성 아킬레스건 파열에 대한 파열 단 사이의 반흔 조직을 이용한 재건술 (2예 보고))

  • Cho, Hyun-Jong;Yeo, Je-Hyoung;Lee, Keun-Bae
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.4
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    • pp.316-320
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    • 2013
  • It has been reported that the gap between the tendon stumps in chronic Achilles tendon rupture is filled with interposed scar tissue. If it was available to use the interposed scar tissue for reconstruction or augmentation of Achilles rupture, possible damage of normal tissues could be avoided. Our results show that direct repair method using interposed scar tissue for chronic Achilles tendon rupture can successfully relieve pain and restore function of the ruptured Achilles tendon in carefully selected patients.

Chronic Varus Instability of the Hallux Interphalangeal Joint in College Taekwondo Athelete - A Case Report - (대학 태권도 선수의 족무지 지간 관절의 만성 내반 불안정성 - 1례 보고-)

  • Jung, Hong-Geun;Park, Sin-Hyoung
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.2
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    • pp.142-145
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    • 2008
  • Forefoot injuries are common in runners or martial art athletes, but due to the anatomical stability, collateral ligament injury of the hallucal interphalangeal joint has been rarely reported. We report a college Taekwondo athlete with chronic varus instability of the hallucal interphalangeal joint due to chronic lateral collateral ligament rupture. The patient had been treated with lateral ligament reconstruction and achieved good clinical outcome.

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Neglected Achilles Tendon Rupture V-Y Tendinous Flap Reconstruction and Isokinetic Plantarflexion Torque Evaluation - Report of 3 Cases - (진구성 아킬레스 건 파열 V-Y 건판 재건술과 등속성 족저 굴곡력 분석 - 3례 보고 -)

  • Jung, Hong-Geun;Kim, Myung-Ho;Kim, Gun-Nam
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.2
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    • pp.87-92
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    • 2000
  • The tendinous ends of neglected achilles tendon rupture tend to retract and separate with atrophy due to gastrosoleus muscle contracture, leaving a wide gap occupied with fibroadipose scar tissue. It is almost impossible to perform simple end-to-end anastomosis after the intervening scar tissue being excised. Therefore many surgical procedures have been proposed to reconstruct the large gap. We treated three such cases by V-Y advancement flap and double Krackow suture technique, and their postoperative strength of triceps surae were evaluated with Cybex isokinetic strength testing. All patients returned to preinjury activities with satisfaction, but the ankle plantar flexor power showed about 20-30% deficit.

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Acoustic Analysis of the Differences of Fricatives and Affricates between Normal Children and Cleft Palate Children (구개파열 아동과 정상 아동의 마찰음과 파찰음의 음향음성학적 특성 비교)

  • You, Young-Sin;Jang, Seung-Jin;Bak, Seung-Jae;Choi, Yae-Lin
    • The Journal of the Korea Contents Association
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    • v.10 no.5
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    • pp.285-295
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    • 2010
  • The frequency in which noise energy is generated, that is, the point where the preceding vowel ends is the cut-off frequency. Thereupon, this study intends to examine the correlations between, cut-off frequencies, cut-off frequencies changed by the following vowel, and cut-off frequencies and nasalance score, of fricatives and affricates with the subjects of children with the cleft palate and normal children. The subjects of this study are total 12 children residing in Seoul and Gyeonggi area. Six are the children diagnosed to have the cleft palate and whose chronological age are more than six, and another six are the normal children who are also more than six and whose chronological age and sex correspond to those of the former. Each subject was presented with nonsyllable environment and sentence environment(50 environment) of fricatives and affricates. Regarding meaningless syllable environment and sentence environment of fricatives and affricates, children with the cleft palate had lower cut-off frequencies than normal children. As a result of comparative study on correlations between cut-off frequencies and nasalance score of children with the cleft palate and normal children, it doesn't show statistically significant correlations in both meaningless syllable environment and sentence environment of normal children, but it has statistically significant correlations in sentence environment of children with the cleft palate.

A Development of the Balloon Pressure Analysis System for the Diagnosis of Esophageal Ruptures (풍선 확장술에서 식도파열의 진단을 위한 압력분석 시스템의 구성)

  • Shin, D.I.;Song, H.Y.;Huh, S.J.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.428-431
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    • 1997
  • This study is the basic research on esophageal balloon dialation with automatic detection of the pressure change in the balloon and analysis using personal computer. In conventional method, the esophageal stricture is cured by surgically. Recently, balloon dialation method has been proposed and is popularized. In balloon dialation, detecting esophageal rupture is very important. When using radiological investigation, the leak of contrast medium is very dangerous. In proposed method, the detection of esopageal rupture can be peformed by detecting and analyze the pressure change of dialation balloon. Experimental system is composed of balloon catheter, pressure pump, pressure sensor, A/D converter and PC.

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A Study on Characteristic of Extinguishment for Solid Propellants Composition by Rapid Depressurization (압력 강하에 따른 추진제 조성별 소화 특성 분석)

  • Choi, Jaesung;Lee, Choonghee;Lim, Jaeil;Lee, Hyoungjin
    • Journal of the Korean Society of Propulsion Engineers
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    • v.21 no.5
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    • pp.37-45
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    • 2017
  • Extinguishment of a burning solid propellant is difficult, however, dynamic extinction can be induced by fast depressurization in combustion chamber. This paper describes experimental results for the characteristics of extinguishment for composite solid propellants by rapid depressurization. For various composition of solid propellants, depressurization ratio which can induce extinguishment of combustion was obtained using experimental apparatus with rupture disk. Experimental results showed that particle size of oxidizer, mixing ratio of oxidizers with different particle size and contents of metal fuel can affect on the characteristics extinguishement for solid propellant.

Treatment of Old Achilles Tendon Rupture using Modified Flexor Hallucis Longus Tendon Transfer (변형된 장 족무지 굴건 이전술을 이용한 진구성 아킬레스 건 파열의 치료)

  • Kim, Hyong-Nyun;Suh, Il-Woo;Park, Yong-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.133-137
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    • 2009
  • Purpose: The purpose of this study was to evaluate the clinical results of the old Achilles tendon rupture treated with modified flexor hallucis longus (FHL) tendon transfer. Materials and Methods: Seventeen patients with old Achilles tendon rupture treated with modified FHL tendon transfer between March 2004 and February 2008 were enrolled in this study. Technically FHL was pass through the distal portion of the ruptured tendon instead of the drilled hole made on the calcaneus. The mean age of the patients was 37 years (range, 22~67 years), mean follow-up period was 28 months (range, 12~30 months). Patients' subjective satisfaction, calf circumferential diameter, range of motion of ankle and AOFAS ankle-hind foot score and Arner-Lidholm score was evaluated. Results: The average gap between the ruptured tendon was 52 mm (range, 47~56 mm). The AOFAS score improved from 47 pre-operatively to 91 points at the last follow-up. Sixteen patients were satisfied with the result free from discomfort, a patient had mild discomfort who had DM. fourteen patients had decreased range of motion less than 5 degrees while 2 patients had more than 7 degrees decrease compared to the intact side but had no discomfort in daily activities. Nine patients had less than 1 cm calf circumferential diameter difference and 7 patients had 1 to 3 cm diameter difference compared to the intact side. One who had more than 3 cm diameter difference had deteriorated muscle strength. Conclusion: Modified FHL tendon transfer can be a useful technique for the treatment of old Achilles tendon rupture when the gap is with large gap placed too proximal.

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