• Title/Summary/Keyword: Anatomical plate

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Operative Treatment with the Plate Fixation in Intraarticular Calcaneal Fractures (관절 내 종골 골절에서 금속판 고정을 이용한 수술적 치료)

  • Hong, Ki-Do;Kim, Jae-Young;Ha, Sung-Sik;Sim, Jae-Chun;Kang, Jung-Ho;Park, Kwang-Hee
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.86-90
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    • 2007
  • Purpose: We evaluated the results of operative treatment with F or H plates and screws using extensile lateral approach in intraarticular calcaneal fractures. Materials and Methods: From August 2003 to July 2006, twenty intraarticular calcaneal fractures which were operated with open reduction and internal fixation with F or H plates and screws were evaluated retrospectively. According to the Essex-Lopresti classification, 3 cases were tongue type and 16 were joint depression type. With the Sanders classification, 2 cases were IIA type, 7 were IIB, 5 were IIIAB, 2 were IIIAC and 3 were IV. We have analysed the $B{\ddot{o}}hler$ angle, Gissane angle, and calcaneal width in radiologic evaluation, and evaluated clinical result according to the Creighton-Nebraska Health Foundation Score. Results: Radiologic changes showed as follows: $B{\ddot{o}}hler$ angle improved from $5.8^{\circ}$ to $25.9^{\circ}$, Gissane angle from $119.0^{\circ}$ to $113.3^{\circ}$, and calcaneal width from 50.4 mm to 37.8 mm. In the clinical results, excellent cases were noted in 8 cases, good in 8 cases, fair in 2 cases, poor in 1 case. Conclusion: Operative treatment with F or H plates and screws using extensile lateral approach in intraarticular calcaneal fractures was thought to be a useful operative method allowing anatomical reduction.

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Functional Outcomes of Subaxial Spine Injuries Managed With 2-Level Anterior Cervical Corpectomy and Fusion: A Prospective Study

  • Jain, Vaibhav;Madan, Ankit;Thakur, Manoj;Thakur, Amit
    • Neurospine
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    • v.15 no.4
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    • pp.368-375
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    • 2018
  • Objective: To evaluate the results of operative management of subaxial spine injuries managed with 2-level anterior cervical corpectomy and fusion with a cervical locking plate and autologous bone-filled titanium mesh cage. Methods: This study included 23 patients with a subaxial spine injury who matched the inclusion criteria, underwent 2-level anterior cervical corpectomy and fusion at our institution between 2013 and 2016, and were followed up for neurological recovery, axial pain, fusion, pseudarthrosis, and implant failure. Results: According to Allen and Ferguson classification, there were 9 cases of distractive extension; 4 of compressive extension; 3 each of compressive flexion, vertical compression, and distractive flexion; and 1 of lateral flexion. Sixteen patients had a score of 6 on the Subaxial Injury Classification system, and the rest had a score of more than 6. The mean follow-up period was 19 months (range, 12-48 months). Neurological recovery was observed in most of the patients (78.21%). All patients experienced relief of axial pain. None of the patients received a blood transfusion. Twenty-one patients (91.3%) showed solid fusion and 2 (8.69%) showed possible pseudarthrosis, with no complications related to the cage or plate. Conclusion: Two-level anterior cervical corpectomy and fusion, along with stabilization with a cervical locking plate and autologous bone graft-filled titanium mesh cage, can be considered a feasible and safe method for treating specific subaxial spine injuries, with the benefits of high primary stability, anatomical reduction, and direct decompression of the spinal cord.

Application and anatomical considerations of skeletal temporary anchorage devices (TADs) in contemporary orthodontics (임상가를 위한 특집 1 - 최신 교정치료에서의 Skeletal Temporary Anchorage Devices (TADs)의 적용과 해부학적 고려사항)

  • Han, Seong Ho;Shin, Hyerin;Park, Young-Seok
    • The Journal of the Korean dental association
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    • v.52 no.9
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    • pp.532-540
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    • 2014
  • In contemporary orthodontic treatment skeletal temporary anchorage devices (TADs) are routinely used as an anchorage reinforcement to provide improved anchorage control with reduced requirement for patient's compliance. For past few decades, various types of TADs have been explored and their clinical application has been expanded. Therefore, the purpose of this article is to present three major types of orthodontic skeletal anchorage devices and discuss their rationale, clinical procedure, insertion site, and potential complications as well as their management.

Systematic Studies on Some Korean Woody Plants - A Comparative Wood Anatomy of Magnoliaceae, Winteraceae and Schizandraceae - (한국산 목림식물에 대한 계통분류학적 연구 - 목련과, 붓순나무과 및 오미자과의 비교목부해부 -)

  • 소웅영
    • Journal of Plant Biology
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    • v.28 no.4
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    • pp.271-284
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    • 1985
  • Anatomical characters of secondary xylem in the trunk of Magnoliaceae, Winteraceae and Schizandraceae, including six genera and eleven species grown naturally in Korea, were studied to elucidate the relationship between genera or families. It is considered that among these families specialization in the perforation plate, the angel of end wall to the vessel axis, and diameter of vessel element, is in the order of Winteracae, Magnoliaceae, and then Schizandraceae. In Winteraceae, vessel elements have wholly scalariform perforation plates with very numerous bars. Among Magnoliaceae the peroration plates are scalariform with very numerous bars in Michelia, with few bars in Liriodendron, and with few bars or simple in Magnolia. In Schizandraceae, Schizandra shows scalariform perforation plates with few bars or simple perforation plates, and Kadsura shows almost simple ones.

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Revisited Straight Line Technique for Unilateral Cleft Lip (구순구개열 환자에 있어 직선봉합법의 역할)

  • Seo, Byoung-Moo
    • Korean Journal of Cleft Lip And Palate
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    • v.11 no.1
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    • pp.31-36
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    • 2008
  • The variations of cleft lip deformities imposed the difficulty to the surgical correction for them. Straight line technique for cleft lip surgery has been ignored quite long since other techniques were developed. Initially the straight line technique was introduced and widely accepted because it is simple and easy to perform during the period of no adequate anesthetics. But it was abandoned for its several shortcomings such as tighten lip, vermilion notching, anatomical distortion, and wound contractures. Recently, some groups advocated the usefulness of straight line technique which has a significant modification from its original form. Additionally the variable degree of cleft lip deformity allows simple straight line closure for those patients. Here a case of simple straight line technique was presented and discussed for its reliability and plausible results as well.

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Morphological Variations of Male Genitalia in Northeast Asian Wood-eating Cockroaches, Cryptocercus spp. (Insecta: Blattodea)

  • Park, Yung-Chul;Kim, Joo-Pil;Choe, Jae-Chun
    • Animal Systematics, Evolution and Diversity
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    • v.22 no.1
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    • pp.23-27
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    • 2006
  • Subsocial woodroaches of Cryptocercus occur in high mountainous forests in temperate regions and they live in a family in complicated galleries of rotten logs. A prominent feature of the geographical distribution of Cryptocercus is the wide disjunction between the eastern and western species in North America, and between West China and Northeast Asia. Recently, five species of the genus were added from Asian areas and two of them are distributed in Northeast Asian areas. We examined morpho-anatomical structures of male genitalia in Manchurian and Korean Cryptocercus, focusing on male genital hooks and subgenital plates.

A Study on Estimation of Numbers of Motor Unit related to the Widths and Distribution of Endplate in Neuromuscular Junction (신경근육 접합부의 종판 폭과 분포에 따른 운동단위 수의 추정에 관한 연구)

  • Lee, Ho-Yong;Kim, Duck-Young;Park, Jung-Ho;Jung, Chul-Ki;Kim, Sung-Hwan
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.5
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    • pp.81-92
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    • 2011
  • In this paper, a new method to estimate the number of MU (motor unit) related to the widths and distribution of end plate in NMJ (neuromuscular junction) of biceps brachii is proposed by varying muscle parameter statistically in EMG model. This work is done by designing MU-simulator and EPZ-simulator. The proposed method was compared with the results of previous researchers. The proposed MU-simulator generates SMUAP (single motor unit action potential) and CMAP (compound muscle action potential) signal similar to detected SMUAP and CMAP signal obtained from muscle. The EPZ-simulator estimate the numbers of MU by varying the widths and distribution of end plate in neuromuscular junction of muscle. The results shows that the numbers of MU was estimated about 450 ea. and muscle fibers was about 340 ea., end plate widths was about 6 mm, and end plate was randomly distributed. The proposed method may be comparable with the method of anatomical studies.

REGIONAL THICKNESS OF PARIETAL BONE IN KOREAN ADULTS (한국인 성인에서 두정골의 부위별 두께에 대한 연구)

  • Cha, In-Ho;Kim, Hee-Jin;Jeong, Young-Soo;Yi, Choong-Kook;Chung, In-Hyuk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.3
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    • pp.269-273
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    • 1998
  • To clarify the clinical utility of the calvarial bone graft in the maxillofacial reconstruction, we performed on anatomical study by measuring the regional thickness of the parietal bone on 17 Korean adult dry skulls. Before the sectioning the calvarium, the anatomical landmarks were marked on each specimens. And then we measured the total thickness of the parietal bone, the thickness of the outer and inner cortical plates on various points in each sections of parietal bones using a digital caliper under the stereomicroscope. The total thickness of the parietal bone was ranged from 5.17mm to 7.50mm, and there were no statistical difference in the total thickness of the parietal bone on the same points bilaterally. But there was a tendency that the thickness of the parietal bone was thicker toward to the lambda point than the coronal suture area. At the other hand, the thickness of the outer and inner plate of the parietal bone was the thickest at the first point of the right aspect on the line 1, the first point of the left aspect on the line 5, respectively. In conclusion, this study showed that the donor site of the parietal bone for the maxillofacial reconstruction should be located at more posterior and medial area of the parietal bone than the prevalent known donor site.

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Autogenous Low Heat Treated Bone Graft for Bone Reconstruction in Bone and Soft Tissue Tumors (골연부 종양에서 저온 열처리한 자가골을 이용한 재건술)

  • Jeon, Dae-Geun;Lee, Jong-Seok;Kim, Sug-Jun;Cho, Wan-Hyeong;Kwag, Bong-Jun;Lee, Soo-Yong
    • The Journal of the Korean bone and joint tumor society
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    • v.4 no.2
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    • pp.81-87
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    • 1998
  • Although autoclaved autogenous bone reconstruction is one of the established procedures, it may have some problems in bone regeneration and mechanical property. The purpose of this study is to evaluate the efficacy of more biologic and anatomical reconstruction where allograft is not readily available. From Aug.1991 to Feb. 1996 the authors analyzed 32 cases of reconstruction with autogenous low heat treated bone. Autogenous graft sites were humerus 4, tibia 4, pelvis 9, and 15 femur. Average follow-up period was 23(range;12-51) months. There were 49 graft-host junctional sites. Diaphysis was 22, metaphysis 10, and flat bone 17. Average duration of healing for the 38 united sites was 7 months. Average union time for each anatomical area 8 months in 19 diaphysis, 12 months in 7 metaphysis, and 12.7 months in 12 flat bone(pelvis). Eleven nonunion sites consisted of 3 diaphysis(3/22), 3 metaphysis(3/10), and 5 flat bone(5/17). Complications other than nonunion were local recurrence(4), bone resorption(3), graft fracture(2), osteomyelitis(1), metal failure(2), and wound infection(1). Initial bone quality and stable fixation technique was important for union rate. Plate and screw is a good method for diaphyseal lesion. Metaphyseal and flat bone are weak area for rigid fixation and one stage augmentation with iliac bone graft can be a salvage procedure.

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Microplate Fixation without Maxillomandibular Fixation in Double Mandibular Fractures

  • Song, Seung Wook;Burm, Jin Sik;Yang, Won Yong;Kang, Sang Yoon
    • Archives of Craniofacial Surgery
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    • v.15 no.2
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    • pp.53-58
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    • 2014
  • Background: Maxillomandibular fixation (MMF) is usually used to treat double mandibular fractures. However, advancements in reduction and fixation techniques may allow recovery of the premorbid dental arch and occlusion without the use of MMF. We investigated whether anatomical reduction and microplate fixation without MMF could provide secure immobilization and correct occlusion in double mandibular fractures. Methods: Thirty-four patients with double mandibular fractures were treated with open reduction and internal fixation without MMF. Both fracture sites were surgically treated. For bony fixations, we used microplates with or without wire. After reduction, each fracture site was fixed at two or three points to maintain anatomical alignment of the mandible. Interdental wiring was used to reduce the fracture at the superior border and to enhance stability for 6 weeks. Mouth opening was permitted immediately. Results: No major complications were observed, including infection, plate exposure, non-union, or significant malocclusion. Five patients experienced minor complications, among whom the only one patient experienced a persistant but mild malocclusion with no need for additional management. Conclusion: This study showed that double mandibular fractures correction with two-or three-point fixation without MMF simplified the surgical procedure, increased patient comfort, and reduced complications, due to good stability and excellent adaptation.