• 대한족부족관절학회지
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• 제13권1호
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• pp.60-67
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• 2009

Purpose: This study was designed to investigate the usefulness of extensile lateral approach for accurate reduction and rigid internal fixation in comminuted intraarticular fractures of calcaneus. Materials and Methods: From October 2002 to May 2007, we managed 55 patients (62 cases) with open reduction and internal fixation using extensile lateral approach. Among these, 38 patients (43 cases) who underwent preoperative and postoperative CT scan were enrolled. All patients were evaluated over 24 months after surgery. Bohler angle and Gissane angle on plain X-ray, displacement and step-off of articular surface of calcaneus on CT scan were measured and we compared the difference between preoperative and postoperative value of them. Clinical results were assessed by using AOFAS Ankle-Hindfoot Scale. Results: The average Bohler angle was restored from $6.8^{\circ}$ to $23.5^{\circ}$ and Gissane angle was improved from $116.4^{\circ}$ to $113.5^{\circ}$ after operation. The average distance of displacement was restored from 4.2 mm to 1.4 mm and step-off of articular surface was recovered from 5.1 mm to 1.3 mm. Clinical results were excellent in 17 cases, good in 18 cases, fair in 3 cases, and poor in 5 cases. 10 cases developed postoperative complications such as skin necrosis, heel pain, limitation of motion of ankle and subtalar arthritis. Conclusion: The extensile lateral approach is valuable for the comminuted intraarticular fractures of calcaneus that enables accurate anatomical reduction and rigid internal fixation by providing direct exposure of subtalar joint.

• Food Science and Biotechnology
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• 제14권5호
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• pp.634-638
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• 2005

The effects of ingredients added (first cutting ingredients vs. both first and second cutting ingredients), and cooking method (smoking vs. boiling) on product quality and volatile compounds were examined for low-fat and regular-fat sausages. Regular-fat sausages had slightly higher pH values (6.2-6.3) than those (6.1-6.2) of low-fat counterparts. However, the pH values of the sausages were not significantly affected by the different ingredients and cooking methods (p>0.05). Approximately 30 volatile compounds were identified from these comminuted sausages. The headspace concentrations of 4-methyl-1-[1-methylethyl]-3-cyclohexen-1-ol, ${\alpha}$- terpenyl acetate, eugenol, trans-caryophyllene and myristicine were lower in low-fat and regular-fat sausages containing the first cutting ingredients alone, than in those with both cutting ingredients. The volatile compounds of the smoked comminuted sausages were mostly phenols and hetero-compounds, and a lot of volatile compounds were shown before the retention time (RT) of 30 min. However, not many volatile compounds were detected in the boiled sausages prior to the RT of 30 min.

• 대한족부족관절학회지
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• 제19권1호
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• pp.35-38
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• 2015

The checkrein deformity describes tethering of the flexor hallucis longus tendon, which mainly occurs after fracture of the distal tibia. The deformity increases with dorsiflexion of the ankle and decreases or disappears with plantarflexion of the ankle. In some cases, the deformity may occasionally include the second and third toes. In the current study, the authors experienced secondary checkrein deformity of all lesser toes after open reduction and plate fixation for comminuted fracture of the calcaneus. As a treatment, plate and screws were removed, followed by an additional medial incision which showed a partially ruptured flexor digitorum longus tendon with severe adhesion. Resection of the adhesed tendon and tenodesis of its distal portion to the flexor hallucis longus was performed for correction of the checkrein deformity. Then the lessor toe checkrein deformity recovered immediately. The authors report on this rare lessor toe checkrein deformity after calcaneal fracture fixation with a review of literature.

• 한국축산식품학회지
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• 제25권2호
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• pp.141-148
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• 2005

본 연구는 젖산나트륨과 자몽 종자 추출물의 첨가량을 달리하여 저지방 소시지에 첨가하여 제조한 후 냉장$(4^{\circ}C)$저장 중 이화학적 및 조직적 성상과 항균 효과에 미치는 영향을 관찰하기 위하여 실시하였다. 수분, 지방 그리고 단백질의 범위는 각각 $73.9\~75.9\%,\;1.3\~2.4\%$ 그리고 $15.8\~17.1\%$이었으며 pH는 $6.09\~6.26$의 범위로 젖산나트륨의 처리구가 저지방 대조구와 자몽 종자 추출물에 비해 비교적 높은 값을 보였다. 보수력과 진공감량은 젖산나트륨과 자몽 종자 추출물의 첨가에 따라 뚜렷한 변화를 보이지 않았다. 저장별 효과에서 보수력은 저장기간이 길어져도 차이를 보이지 않은 반면 진공감량은 저장기간이 길어질수록 증가하는 경향을 보였다. 보수력과 진공감량에서와 마찬가지로 젖산나트륨과 자몽종자 추출물의 첨가는 소시지의 보수력과 진공감량에 변화를 주지 못하였다. 명도와 적색도는 소시지의 제조시의 값이 10주차 때까지 유지되었으며 다만 황색도만 저장기간이 길어질수록 증가하였다. 젖산나트륨과 자몽 종자 추출물 첨가에 따른 조직감 검사에서 자몽 종자 추출물은 조직감에 뚜렷한 영향을 주지 않은 반면 젖산나트륨은 조직감에 영향을 주어 저지방 대조구에 비해 높은 경도와 저작성을 나타내었다. 조직감에 대한저장별 효과에서 다만 응집성만 저장기간이 길어짐에 따라 증가하는 경향을 보였을 뿐 나머지는 조직적 특성의 큰 변화를 보이지 않았다. 자몽 종자 추출물을 $0.2\%$ 첨가할 때부터 항균 효과를 보여 $0.3\%$의 자몽 종자 추출물 첨가로 10주 때까지 $10^3\;CFU/g$을 유지하여 젖산나트륨의 처리구와 유사한 항균효과를 보여주었다. 본 연구에서 얻은 결과를 종합해 보면 천연 식물 첨가물인 자몽 종자 추출물을 $0.3\%$ 정도 첨가하는 것이 천연의 젖산나트륨 $(3.3\%)$을 사용할 때와 비교하여 저지방 대조구와 유사한 물성을 가지며 항균효과를 보여 합성 보존료의 대체제로사용 할 수 있을 것으로 판단된다.

• Journal of Mechanical Science and Technology
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• 제20권1호
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• pp.19-28
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• 2006

This paper describes rapid prototyping (RP) and reverse engineering (RE) application for orthopedic surgery planning to improve the efficiency and accuracy of the orthopedic surgery. Using the symmetrical characteristics of the human body, CAD data of undamaged bone of the injured area are generated from a mirror transformation of undamaged bone data for the uninjured area. The physical model before the injury is manufactured from Poly jet RP process. The surgical plan, including the selection of the proper implant, pre-forming of the implant and decision of fixation positions, etc., is determined by a physical simulation using the physical model. In order to examine the applicability and efficiency of the surgical planning technology, two case studies, such as a distal tibia comminuted fracture and an iliac wing fracture of pelvis, are carried out. From the results of the examination, it has been shown that the RP and RE can be applied to orthopedic surgical planning and can be an efficient surgical tool.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제11권1호
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• pp.267-275
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• 1989

This is a report of cases that post-operative orocutaneous through & through open wounds are healed & closed by wound contraction if soft tissue drainage was well established, which seldom is interfered with by local or systemic abnormalities. Authors also found that the localization & seguestration of infected mandible are far better performed by natural mechanisms than by cutting across involved bone.

• 대한족부족관절학회지
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• 제17권3호
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• pp.174-181
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• 2013

Distal tibia fractures were mainly caused by high energy trauma and the lower legs were enveloped in poor soft tissue. Therefore, there are many open fractures and concomitant soft tissue injuries in distal tibia fractures. For the restoration of ankle function, the surgical treatment was performed in distal tibia fractures. However, it is difficult to treat the distal tibia fracture surgically. There are many complications in distal tibia fracture due to highly comminuted fracture and poor soft tissue condition. There are many surgical methods for distal tibia fractures, such as, external fixator, intramedulary nailling, open reduction & internal fixation, and minimally invasive plate osteosynthesis. We reviewed the surgical treatments of distal tibia fractures.

• Clinics in Shoulder and Elbow
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• 제1권1호
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• pp.12-18
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• 1998

To purpose of this study was to evaluate clinical results between rheumatoid arthritis shoulder cases and traumatic proximal humerus fracture cases. Fourteen patients who had been shoulder hemiarthroplasties between March 1991 to July 1996, six had rheumatoid arthritis and eight had comminuted proximal humerus fracture by the various trauma. Neer II prothesis were implanted in twenty cases and global prothesis were implanted in two cases. The follow up period was 15 months to 36 months. To evaluate this study, we used the UCLA shoulder rating. We were able to follow up thirteen cases for more than fifteen months, of which five cases had excellent, five cases had good, two cases had fair and one case had poor. And the results were better for patients with rheumaroid arthritis than for patients with trauma.

• 한국임상수의학회지
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• 제25권3호
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• pp.218-220
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• 2008

A 1.4 kg adult great homed owl was presented to the University of Missouri-Columbia Veterinary Teaching Hospital after being found by the side of the highway. Physical examination revealed soft tissue injuries to the left wing and leg, and good body condition (body score 4/5). The radiographs revealed comminuted fracture of the diaphysis of the left tibiotarsus (severe) and ulna (mild). Closed reduction of the fracture was performed to the left tibiotarsus and ulna. System combining an intramedually (IM) Kirschner pin, IM Kirschner pin for external skeletal fixation, and polymethylmethacrylate was used for fracture repair. At 13 weeks, radiographs revealed that bridging callus was well formed over cortices of the fracture area. No physical, behavioral, or other assessable impairment was found during the rehabilitation period.

• Journal of Yeungnam Medical Science
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• 제5권1호
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• pp.85-92
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• 1988

저자는 관골 골절 환자중 일부 안서 골절로 안와내용물의 탈출이 동반된 관골 골절, 경구개 골절이 동반된 관골 골절, 소아의 관골 골절을 제외한 대다수의 삼격면 관골 골절 환자 37례를 구강내 절개와 K-강선고정술을 이용하여 수술 하였던 바, 첫째, 안면부 반흔을 남기지 않고, 둘째, 간단하며, 셋째, 직시하 수술이 가능하며 만족할 만한 결과를 얻을 수 있었다.