• Title/Summary/Keyword: Bone lengthening

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Limb-Salvage Surgery using Ilizarov Technique - Report of 2 cases - (Ilizarov술식을 이용한 사지 구제술 - 2례 보고 -)

  • Cho, Duck-Yun;Koh, Eun-Sung;Lee, Ji-Sup
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.2
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    • pp.226-232
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    • 1995
  • Survival rate of osteosarcoma has been improved recently due to the neoadjuvant and adjuvant chemotherapy. Limb-salvaging operation(LSO) has replaced the amputation technique without' lowering the survival rate. And there occurred a lot of patients who are suffering from the high cost of artificial implants and forced to choose amputation due to economic problem. In LSO, usually relatively high cost artifical implant is needed. When a patient and not afford such an expensive implant he had to choose an inexpensive way, amputation. Authors tried bone lengthening by adopting Ilizarov technique after wide resection of tumor in two patients. Bone transportation was successful in one patient and less successful in the other. One case in CDF(continuosly disease free since the surgical procedure) state at follow-up 3 year 4 months after knee joint fusion. And the other was given lobectomy for lung metastasis at postop. 1 year and 9 months, and given osteosynthesis for infected nonunion at the docking site. Bone transportation was thought to be a good method for the bony coverage of dead space caused by wide resection. Bone transportation technique was economical as well as biological We present two osteosarcoma patient who treated with Ilizarov bone transportation.

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Development of a Functional External Fixator System for Bone Deformity near Joints in Legs (족관절 근위부 골교정용 기능성 체외고정장치 개발)

  • Lee Ho-Jung;Chun Keyoung-Jin
    • Journal of the Korean Society for Precision Engineering
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    • v.22 no.3 s.168
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    • pp.162-169
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    • 2005
  • The functional external fixator system fur bone deformity near joints in legs using the worm gear was developed for curing the difference angles in fracture bone and the lengthening bar for curing the difference length in fracture bone. Both experiments and FE analysis were performed to compare the elastic stiffness in several loading modes and to improve the functional external fixator system for the bone deformity. The FE model using the compressive and bending FE analysis was applied to the FE analysis due to the angle differences. The results show that the compressive stiffness value in experiment was 175.43N/mm; the bending stiffness value in experiment was 259.74N/mm; compressive stiffness value in FEM was 188.67N/mm; bending stiffness value in FEA was 285.71N/mm. The errors between experiments and FEA were less than 10%. The maximum stress (157MPa) to the angle of clamp was lower than the yield stress (176.4MPa) of SUS316L. The stiffnesses in both axial compressive and bending of the new fixator are about 2 times higher than other products except EBI (2003).

Development of a Functional External Fixator System for Bone Deformity near Joints in Legs (족관절 근위부 골교정용 기능성 체외고정장치 개발)

  • 전경진;이호중
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.1248-1251
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    • 2004
  • The functional external fixator system for bone deformity near joints in legs using the worm gear was developed for curing the difference angles in fracture bone and the lengthening bar for curing the difference length in fracture bone. Both experiments and FE analysis were performed to compare the elastic stiffness in several loading modes and to improve the functional external fixator system for bone deformity near joints in legs. The FE model using the compressive and bending FE analysis was applied the FE analysis due to the angle differences. The results show that the compressive stiffness value in experiment was 175.43N/mm, the bending stiffness value in experiment was 259.74N/mm, compressive stiffness value in FEM was 188.67N/mm, bending stiffness value in FEA was 285.71N/mm. The errors between experiments and FEA were less than 10%. The maximum stress (157MPa) to the angle of clamp was lower than the yield stress (176.4MPa) of SUS316L. The stiffnesses in both axial compressive and bending of the new fixator are about 2 times higher than other products except EBI (2003).

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VERTICAL DISTRACTION OF ALVEOLAR BONE FOR PLACEMENT OF DENTAL IMPLANT (치과 임플란트 식립을 위한 치조골의 수직적 신장술)

  • Oh, Jung-Hwan;Lazar, Frank;Zoeller, Joachim E.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.4
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    • pp.326-329
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    • 2002
  • Adequate alveolar bone height and width are required for the successful placement of dental implants. Conventional therapeutic regimens for alveolar atrophy are bone grafts or augmentation using allografts and membrane (GBR). Conventional graft techniques have some limitations and complications such as infection, soft tissue problem and high resorption rate. Recently, distraction osteogenesis of alveolar bone is considered as a new alternative for ridge augmentation. Distraction osteogenesis was originally defined and popularized by Ilizarov for lengthening of long bone. Some clinicians have tried to apply distraction osteogenesis in treatment of maxillofacial discrepancies. It was also used to augment alveolar bone. Cologne study group successfully applied the technique for augmentation of alveolar bone and designed several miniplate-distractor systems fabricated by Martin Medizintechnik GmbH in Germany. Vertical distraction of alveolar bone was successfully completed in 104 patients with miniplate-distractor systems. The mean distance of distraction was 10.2mm (range: 6-15 mm) and the mean length of segment was 45 mm (range: 6-127 mm). 162 dental implants in 54 patients were placed immediately or 4 weeks later after removal of the distractor. The results of our study show that vertical distraction of alveolar bone is an effective and reliable technique to restore alveolar atrophy and alveolar vertical defect caused by trauma or tumor.

A SUTDY ABOUT THE SHAPE OF THE FRAMEWORK OF THE FIXED BONE ANCHORED BRIDGE USING DENIAL IMPLANTS (임프란트를 이용한 고정성 계속가공의치의 FRAMEWORK 형태에 관한 연구)

  • Kim, Te-Gyun;Lee, Young-Soo;Yoo, Kwang-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.1
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    • pp.104-119
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    • 1998
  • The purpose of this study was pertinent design of the framework of the fixed bone anchored bridge using implants in the edentulous mandible through analysis of stress distribution by the three dimensional finite element analysis method. The results were as follows: 1. The L-shaped framework was favorable in restoring the edentulous mandible by implants and fixed bone anchored bridge. 2. The structure of the framework should be designed to endure the occlusal load because of stress concentration at the most distal abutment of the framework. 3. The stress at the distal implant where cantilever starts was twice as much as that of other portions. 4. Compressive stress was generated on the framework of the mesial side of the distal implant and extrusive force was induced to the mesially positioned implants. 5. The height of vertical plate was high as possible as can be to distribute stresses concentrating bucco-lingually and labio-lingually in the framework between abutments, 6. Reinforcement of the horizontal plate thickness was needed because stress was loaded more on the horizontal plate than on the vertical plate of the framework. 7. Lengthening of the vertical plate can compensate for any limitations in horizontal plate width.

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SOLUTIONS AND PREVENTION OF PROBLEMS ARISING FROM ALVEOLAR DISTRACTION OSTEOGENESIS : 4 CASE REPORTS (치조골 신장술 후 발생한 문제점의 해결책 및 예방법 : 증례보고)

  • Kim, Young-Ran;Kim, Yeo-Gab;Lee, Baek-Soo;Kwon, Yong-Dae;Yoon, Byung-Wook;Choi, Byung-Joon;Yu, Yong-Jae;Oh, Jung-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.5
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    • pp.495-499
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    • 2008
  • For the successful placement of dental implants, adequate alveolar bone height and width are required. Alveolar distraction osteogenesis is an effective method that resolves insufficient alveolar bone height for dental implant placement, and thus has been clinically applied with satisfactory results. But, minor and major problems may occur during the treatment. In the following report, we studied for such problematic cases. The problems are as follows: 1) sharp edges of the transport segment, 2) infection, 3) soft tissue dehiscence, 4) limitation of distraction, 5) numbness, 6) insufficient bone formation. But, most of them were answered by simple solutions and did not jeopardize the final outcomes. Distraction osteogenesis can be considered a safe and predictable procedure for lengthening the alveolar bone.

Development of a Functional Fixator System for Bone Deformity Near Joints

  • Chun, Keyoung-Jin;Lee, Ho-Jung
    • Journal of Mechanical Science and Technology
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    • v.20 no.2
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    • pp.234-241
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    • 2006
  • A functional external fixator system for bone deformity near the joints using worm gear was developed for curing the angle difference in fracture bones while the lengthening bar was developed for curing the differences in length, also in fracture bones. Both experiments and FE analysis were performed to compare the elastic stiffness in several loading modes and to improve the functional external fixator system for bone deformity near joints. The FE model using compressive and bending FE analysis was applied due to the angle differentiations. The results indicate that compressive stiffness value in the experiment was 175.43N/mm, bending stiffness value in the experiment was 259.74 N/mm, compressive stiffness value in the FEA was 188.67 N/mm, and bending stiffness value in the FEA was 285.71 N/mm. Errors between experiments and FEA were less than $10\%$ in both the 'compressive stiffness and the bending stiffness. The maximum stress (157 MPa) applied to the angle of the clamp was lower than the yield stress (176.4 MPa) of SUS316L. The degree of stiffness in both axial compression and bending of the new fixator are about 2 times greater than other products, with the exception of EBI (2003).

Esthetic Crown Lengthening

  • Kim, Kwang Hyo
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.26 no.2
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    • pp.84-100
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    • 2017
  • The causes of excessive gingival display vary, and treatment methods differ depending on the cause. Here, we will discuss how to treat gingiva and alveolar bone in the event of excessive covering of the tooth surface. This is the most common cause of gummy smile and I will systematically explain the treatment protocol and guideline based on my clinical experience.

DISTRACTION OSTEOGENESIS IN PATIENTS WITH HEMIFACIAL MICROSOMIA (반안면 왜소증 환자에서의 골신장술)

  • Baek, Jin-A
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.6
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    • pp.526-531
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    • 2005
  • Distraction osteogenesis is a technique of bone lengthening by gradual movement and subsequent remodeling. Distraction forces applied to bone also create tension in the surrounding soft tissues, distraction histiogenesis. Distraction osteogenesis is used to correct facial asymmetry, such as patients with hemifacial microsomia, maxillary or mandibular retrusion, cleft lip & palate, alveolar defect and craniofacial deficiency. Hemifacial microsomia is characterized by unilateral facial hypoplasia, often with unilateral shortening of the mandible and subsequent malocclusion. This report describes two cases of hemifacial microsomia(type IIB). In these two cases, distraction osteogenesis was used to correct a facial asymmetry. Two patients underwent unilateral mandibular distraction osteogenesis of ascending ramus of the mandible with extraoral devices. Successful distraction osteogenesis was achieved in the patients with hemifacial microsomia.

OSTEOCHONDROMA OF THE MANDIBULAR CONDYLE: A CASE REPORT (하악 과두부에 발생한 골연골종의 치험례)

  • Kim, Min-Chul;Min, Sung-Yoon;Joo, Bum-Ki;Huh, Jong-Ki;Kim, Hyung-Gon;Park, Kwang-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.3
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    • pp.283-287
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    • 2005
  • Osteochondroma is one of the most common benign tumors of the axial skeleton, but is rarely found in the facial bones. Osteochondroma shows an irregular radiopaque lesion and chondromatic area surrounded by osteoma. It may appear different findings as calcification levels. When it develops in the long bone, it has a marked tendency in the ages from 10 to 20 years and ceases with the end of pubertal growth. However, when it develops in the condyle, it is prevalent in the third decades (average 39.2 years) and continues to develop. Lesions developed in the long bone have a predilection for men (M:F = 2:1), but for women in the mandible. Osteochondroma is differentiated from chondroma, osteochondromatosis and osteoma. Mandibular condyle osteochondroma presents asymptomatic facial swelling, rarely posterior openbite, pain during mouth opening and internal derangement of the temporomandibular joint disc due to condylar lengthening and condylar hyperplasia. The first choice of treatment of the massive osteochondroma is the surgical removal. We report osteochondroma of the mandibular condyle showing good result to treat the lesion.