• Title/Summary/Keyword: All-inside

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All-Inside Meniscal Repair (All-Inside 반월연골판 봉합술)

  • Choi, Nam-Hong;Kim, Byeong-Yeon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.12 no.1
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    • pp.8-15
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    • 2013
  • Although total meniscectomy had been performed as a treatment of meniscal tear, many published articles reported progression of the degeneration process in the articular cartilage and development of the osteoarthritis after meniscectomy. With the increased knowledge of the biomechanical properties of the meniscus, meniscal repair has been performed increasingly to maintain the important functions of the meniscus. Outside-in, inside-out, all-inside technique have been used as meniscal repair methods. In this review, indications, operative technique, and outcomes of the all-inside meniscal repair are discussed.

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All-Inside Meniscal Repair Using FasT-Fix (FasT-Fix를 이용한 All-Inside 반월연골판 봉합술)

  • Jung, Yu-Hun;Choi, Nam-Hong;Kim, Byeong-Yeon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.12 no.1
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    • pp.24-28
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    • 2013
  • Purpose: All-inside meniscal repair using FasT-Fix (Smith & Nephew Endoscopy, Andover, Massachusetts, USA) is a popular method for the meniscal tear. However, there was no report after all-inside repair using FasT-Fix for the meniscal tear in Korea. Therefore, the purpose of this retrospective study was to report clinical outcomes after all-inside meniscal repair using FasT-Fix. Materials and Methods: 25 consecutive patients underwent meniscal repairs using FasT-Fix for tears of the posterior horn of the medial or lateral menisci combined with hamstring anterior cruciate ligament (ACL) reconstructions. Postoperative evaluations included Lysholm knee score and Tegner activity scale. Using clinical criteria, a repaired meniscus was considered healed if there was no effusion or joint line tenderness, negative McMurray test, and no sense of giving way. Results: The average follow-up was 47.9 months (range, 40 to 61 months). At follow-up, the mean Lysholm score was 91.8 and the mean Tegner activity scale was 5.6. According to clinical criteria, 20 (80%) menisci was healed, and 5 (20%) failed. Conclusion: All-inside meniscal repair using FasT-Fix showed satisfactory results in patients with hamstring ACL reconstructions.

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Thermal Environment Transition of Response Climate Change and Heat Wave Application Evaporative Cooling System (기후변화 및 폭염대응 증발냉각시스템 적용에 따른 내·외부 열환경 변화 연구)

  • Kim, Jeong-Ho;Kim, Hak-Gi;Yoon, Yong-Han;Kwon, Ki-Uk
    • Journal of Environmental Science International
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    • v.25 no.9
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    • pp.1269-1281
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    • 2016
  • This study evaporative cooling system a heat wave climate change and reduction of the inside and outside thermal environment change research. Measurement items included micro meteorological phenomena and measured comfort indices. A micro meteorograph of temperature, relative humidity, surface temperature, and the comfort indices of WBGT, UTCI, and PMV were measured. The difference in inside and outside temperatures were compared for different land types, with the largest difference found in Type A ($4.81^{\circ}C$), followed by Type B ($4.40^{\circ}C$) and Type C ($3.12^{\circ}C$). Relative humidity was about 10.43% higher inside due to water injection by the evaporative cooling system. Surface temperature was inside about $6.60^{\circ}C$ higher than the outside all types. WBGT were Type A ($3.50^{\circ}C$) > Type B ($2.71^{\circ}C$) > Type C ($1.88^{\circ}C$). UTCI was low heat stress inside than outside all types. PMV was analysed Type C for inside predicted percentage of dissatisfied 75%, other types was percentage of dissatisfied 100% by inside and outside. Correlation analysis between land cover type and temperature, surface temperature, pmv, utci. T-test analysed inside and outside temperature difference was significant in all types of land.

All-inside Arthroscopic Capsular Imbrication and Lateral Release in Patellofemoral Instability (Operative technique) (슬개대퇴관절 불안정성에서의 관절경적 All-inside 관절막 중첩술 및 외측 지대 유리술 (수술 술기))

  • Kim, Jae-Hwa;Cho, Duck-Yun;Yoon, Hyung-Ku;Kim, Jung-Ryul
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.118-122
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    • 2006
  • Purpose: We introduce a technique of all inside arthroscopic capsular imbrication and lateral release used to treat patellofemoral instability. Methods: With the arthroscope in the anteromedial portal for best viewing, the arthroscopic scissor is placed through superolateral portal for proximal to distal release. The release performed 5mm to 1cm from the edge of the patella. After completion of the procedure, with the arthroscope in anterolateral portal, we inserted 5mm cannula in superolateral portal and made working portal from superomedial portal. Medial reefing was performed with all inside technique by using curved needle of the spectrum suturing system and No. 1 monofilament PDS suture is passed through the superomedial portal percutaneously and retrieved through a superolateral portal. Conclusion: Several methods for arthroscopic patella realignment have been proposed, but they have consisted primarily of arthroscopically assisted techniques using a medial incision. We believe that our procedure is preferable to arthroscopically assisted methods commonly used, in that an incision is avoided and the vastus medialis obliqqus is not violated. Our technique is minimally invasive and is easy to control the tightness of the medial patellofemoral ligament (MPFL) under direct vision.

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Arthroscopic All Inside Repair of Lateral Meniscus Root Tear -Technical note- (외측 반월상 연골 경골 후방 부착부 파열의 관절경적 All-Inside 봉합술 - 수술술기 -)

  • Ahn, Jin-Hwan;Lee, Dong-Hoon;Chang, Moon-Jong
    • Journal of the Korean Arthroscopy Society
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    • v.11 no.1
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    • pp.63-68
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    • 2007
  • Purpose: The authors introduce a new technique of arthroscopic all inside repair using anterolateral and anteromedial portals for lateral meniscus root complete radial tear in patients who underwent concurrent anterior cruciate ligament (ACL) reconstruction. Operative technique: Arthroscope is placed through anteromedial portal and suture hook ($Linvatec^{TM}$, Largo, Florida, USA) is delivered through anterolateral portal. By rotating the suture hook, it penetrates posterior horn of the torn meniscus from femoral to tibial surface for vertical orientation. PDS No. 1 ($Ethicon^{TM}$, Somerville, NJ, USA) is delivered through the suture hook, and then it is withdrawn. Both end of PDS No. 1 are taken out through the anterolateral portal. MAXON 2-0 ($Syneture^{TM}$, Norwalk, Connecticut, USA) is used to penetrates remnant of tibial attachment of the torn meniscus from tibial to femoral surface in a same manner. MAXON 2-0 is changed for PDS No. 1 from tibial to femoral surface by shuttle relay technique. PDS No. 1 is tied using SMC (Samsung Medical Center) knot. Conclusion: All inside repair is a useful technique to achieve anatomical repair and to restore the hoop tension in lateral meniscus root complete radial tear.

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Arthroscopic All-Inside Repair of Medial Meniscus Root Tear Using 18 Gauge Spinal Needle and Suture Anchor -A Report of Surgical Technique- (18 Gauge 척수 주사 바늘과 Suture Anchor를 이용한 내측 반월상 연골 경골 후방 부착부 파열의 관절경적 All-Inside 봉합술 - 수술 술기 보고 -)

  • Kim, Jong-Min;Jung, Sung-Hoon;Lee, Sang-Ho;Park, Byeong-Mun;Lee, Kil-Hyeong;Jeon, Ho-Seung
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.1
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    • pp.66-71
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    • 2012
  • The posterior root of medial meniscus maintains normal meniscal function by circumferential hoop tension and prevents extrusion of meniscus and progression of osteoarthritis. A complete tear of posterior root of medial meniscus leads to loss of hoop tension, it is important to repair it and preserve the function of the medial meniscus. Recently, a variety of arthroscopic assisted reduction and repair techniques have been used. We create an arthroscopic all-inside suture technique using a 18 gauge spinal needle and suture anchor that is easier and more convenient compared with the previous techniques. So we report this technique with a review of current literatures.

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All-Inside Technique of Anterior Cruciate Ligament Reconstruction using Central Quadriceps Tendon and Patella Bone Block (관절강 내에서 모든 수술 과정을 시행하는 관절경적 전방십자인대 재건술)

  • Jeong, Hwa-Jae
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.66-71
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    • 1997
  • The all inside anterior cruciate ligament reconstruction technique places an anterior ligament substitutes within two bony sockets rather than hone tunnel. This approach is accomplished through arthroscopic three portal which avoids the surgical exposure and morbidity associated with creating traditional bone tunnel. This technique has several distinct advantages when compared with the traditional ACL reconstruction through the bone tunnels. It offers the surgeon a less morbid method for ACL reconstruction that positions an ACL substitute at the anatomic attachment sites of the original ACL with two bone sockets, obviating the need for traditional bone tunnels. Graft fixation at or near the anatomic attachment points of the original ACL minimizes creep with early range of motion and reduces the abrasive 'wind-shield wipe' motion of the graft which occur with bone plugs positioned inside bone tunnels. The sagittal posterior angle to the tibial socket increases fixation strength to pullout with anterior translation force for the tibia on the femur. This technique is not graft specific and can accomodate any graft in which graft length can be customized to the intraarticular native ACL length.

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Characteristics on Evaporating Pressure Drop of HCs Refrigerants inside a horizontal tube (수평관내 HC계 냉매의 증발 압력강하 특성)

  • Choi, Jun-Hyuk;Lee, Ho-Saeng;Kim, Jae-Dol;Yoon, Jung-In
    • Proceedings of the Korean Society of Marine Engineers Conference
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    • 2006.06a
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    • pp.63-64
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    • 2006
  • Chracteristics on evaporating pressure drop of HCs refrigerants inside a horizontal tube were studied experimentally. Experimental results were presented for pressure drops of hydrocarbon refrigerants R-290, R-600a, R-1270 and HCFC refrigerant R-22 inside a horizontal double pipe heat exchanger. Three tubes with a tube diameter of 12.70mm, 9.52mm and 6.35mm were used for this study. Hydrocarbon refrigerants showed higher evaporating pressure drop than that of R-22 in all tubes. The highest pressure drop was founded in R-600a. The highest evaporating perssure drop of all refrigerants was shown in a tube diameter of 6.35mm with same mass flux. The results can be used as the basic data for the design of heat exchanger using hydrocarbon refrigerants as an alternatives.

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OBJECTIVE-PRISM SEARCH OF EMISSION-LINE GALAXIES INSIDE THE HYDRA VOID

  • KIM CHULHEE
    • Journal of The Korean Astronomical Society
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    • v.33 no.2
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    • pp.75-80
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    • 2000
  • In order to identify the candidates of emission-line galaxies inside the southern Hydra Void, photo-graphic objective-prism observations with the UK Schmidt Telescope were carried out using the Tech-Pan films for five fields. All observed prism plates were scanned with the APM Facility and the scanned data was processed to determine the APM plate parameters and to draw spectra. For all galaxy spectra, the emission features, the distance between emission features of H$\beta$4861, [OIII]${\lambda}{\lambda}$ 4959, 5007 and the overlapping by nearby objects were investigated by eyeballing. A total of 7 candidates of emission-line galaxies inside the Hydra Void were identified.

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