• Title/Summary/Keyword: Conservative Treatments

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Treatment of flat foot with Kalix implant - case report - (Kalix implant를 이용한 편평족의 치료 - 증례보고 -)

  • Lee, Kyung-Tai;Young, Ki-Won;Bae, Sang-Won;Tak, Sang-Bo;Lee, Seung-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.238-241
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    • 2002
  • There are two types of flat foot, the one is congenital type and the other is acquired type. The treatments of flat foot are various and conservative treatment is general, except such as congenital talus. But, operative method is needed for treatment of failure of conservative method, severe deformity in X-ray, with tenderness in a juvenile period. We reported using Kalix implant for flat foot with pain and severe deformity.

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Current concepts in the treatment of midshaft clavicle fractures in adults

  • Song, Hyun Seok;Kim, Hyungsuk
    • Clinics in Shoulder and Elbow
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    • v.24 no.3
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    • pp.189-198
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    • 2021
  • Midshaft clavicle fractures are the most common fracture of the clavicle accounting for 80% of all clavicle fractures. Traditionally, midshaft clavicle fractures are treated with conservative treatment even when prominent displacement is observed; however, recent studies revealed that nonunion or malunion rate may be higher with conservative treatment. Moreover, recent studies have shown better functional results and patient satisfaction with surgical treatment. This review article provides a review of clavicle anatomy, describes the current clavicle fracture classification system, and outlines various treatment options including current surgical options for clavicle fracture in adults.

Rare complication of skin necrosis after endoscopic debridement and cutaneo-fascial suture for a massive Morel-Lavallée lesion in Korea: a case report

  • Youngmin Kim;Jayun Cho;Myung Jin Jang;Kang Kook Choi
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.304-309
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    • 2023
  • A Morel-Lavallée lesion (MLL) is a pathologic fluid collection within an abnormally formed space, resulting from an internal degloving injury between the muscle fascia and subcutaneous fat layer. Due to its resistance to conservative treatments such as drainage or compression dressing, various therapeutic methods have been developed for MLL. However, no standardized guidelines currently exist. Recently, endoscopic debridement and cutaneo-fascial suture (EDCS) has been introduced for the treatment of MLL, particularly for large lesions resistant to conservative approaches. While this procedure is known to be effective, limited reports are available on potential complications. The authors present a case of skin necrosis following EDCS for a massive MLL.

The effect of reinforcing methods on fracture strength of composite inlay bridge (강화재의 사용 방법이 복합 레진 인레이 브릿지의 파괴 강도에 미치는 영향)

  • Byun, Chang-Won;Park, Sang-Hyuk;Sang-Jin, Park;Choi, Kyoung-Kyu
    • Restorative Dentistry and Endodontics
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    • v.32 no.2
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    • pp.111-120
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    • 2007
  • The purpose of this study is to evaluate the effects of surface treatment and composition of reinforcement material on fracture strength of fiber reinforced composite inlay bridges. The materials used for this study were I-beam, U-beam TESCERA ATL system and ONE STEP(Bisco, IL, USA). Two kinds of surface treatments were used; the silane and the sandblast. The specimens were divided into 11 groups through the composition of reinforcing materials and the surface treatments. On the dentiform, supposing the missing of Maxillary second pre-molar and indirect composite inlay bridge cavities on adjacent first pre-molar disto-occlusal cavity, first molar mesio-occlusal cavity was prepared with conventional high-speed inlay bur. The reinforcing materials were placed on the proximal box space and build up the composite inlay bridge consequently. After the curing, specimen was set on the testing die with ZPC. Flexural force was applied with universal testing machine (EZ-tester; Shimadzu, Japan). at a cross-head speed of 1 mm/min until initial crack occurred. The data was analyzed using one-way ANOVA/Scheffes post-hoc test at 95% significance level. Groups using I-beam showed the highest fracture strengths (p<0.05) and there were no significant differences between each surface treatment (p>0.05) Most of the specimens in groups that used reinforcing material showed delamination. 1. The use of I-beam represented highest fracture strengths (p<0.05) 2. In groups only using silane as a surface treatment showed highest fracture strength, but there were no significant differences between other surface treatments (p>0.05). 3. The reinforcing materials affect the fracture strength and pattern of composites inlay bridge. 4 The holes at the U-beam did not increase the fracture strength of composites inlay bridge.

THE EFFECT OF SURFACE TREATMENTS ON THE SHEAR BOND STRENGTH OF REPAIRED COMPOSITES (광중합형 복합레진 수리시 표면처리가 전단결합강도에 미치는 영향)

  • Moon, Jang-Won;Lee, Kwang-Won;Park, Soo-Joung
    • Restorative Dentistry and Endodontics
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    • v.24 no.1
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    • pp.156-165
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    • 1999
  • The purpose of this study was to evaluate the effect of surface treatments on the shear bond strength between new and old composites. Circular cavities prepared on the center of acrylic resin mold and the prepared cavities were filled with composite resin. They randomly assigned into control group and 8 groups according to the difference in surface treatments of old composites; Control group: no surface treatment, Group 1: surface treated with #120 SiC paper & bonding agent, Group 2: surface treated with #400 SiC paper & bonding agent, Group 3: surface treated with #120 SiC paper, 32% $H_3PO_4$ & bonding agent, Group 4: surface treated with #400 SiC paper, 32% $H_3PO_4$ & bonding agent, Group 5: surface treated with #120 SiC paper, primer & bonding agent, Group 6: surface treated with #400 SiC paper, primer & bonding agent, Group 7: surface treated with #120 SiC paper, 32% $H_3PO_4$, primer & bonding agent, Group 8: surface treated with #400 SiC paper, 32% $H_3PO_4$, primer & bonding agent. New composites were applicated on the old composites of experimental groups. The shear bond strengths for the experimental specimen were measured and the results were analyzed by using one way ANOVA. The observations of surface morphology after SiC paper roughening and debonded surface morphology after shear bond strength test were done by SEM. The results were as follows; 1. Shear bond strengths for specimens roughened with #120 SiC paper matching with the particle size of coarse diamond bur were significantly higher than those for the specimens with #400 SiC paper(P<0.05). By SEM, the surface of the specimens roughened with #120 SiC paper was more irregular than the specimens with #400 SiC paper. 2. Shear bond strengths for specimens treated with 32% $H_3PO_4$ etchant, primer, bonding resin were significantly higher than those for specimens treated with 32% $H_3PO_4$ and bonding resin(P<0.05). 3. Shear bond strengths for the specimens treated with 32% $H_3PO_4$ etchant and bonding resin were significantly higher than those for specimens treated with only bonding resin(P<0.05). There was no remarkable change of surface morphology after 32% $H_3PO_4$ etching. 4. It was possible to observe mixed fracture patterns (the cohesive fracture of old composite and the adhesive fracture between old and new composite) in the specimens roughened with #120 SiC paper, but almost adhesive fracture in the specimens roughened with #400 SiC paper.

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A STUDY OF SHEAR BOND STRENGTH AND SURFACE CONDITION BETWEEN SURFACE TREATED PORCELAIN AND RESIN CEMENT (도재의 표면처리에 따른 레진시멘트와의 전단결합강도 및 표면상태에 관한 연구)

  • Park, Sang-Hyuck;Park, Sang-Jin
    • Restorative Dentistry and Endodontics
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    • v.22 no.1
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    • pp.144-155
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    • 1997
  • This study evaluated shear bond strength between porcelain and resin cement according to various surface treatments of porcelain, and surface condition of debonded porcelain. 50 porcelain specimens(Celay block A2M7) and composite resin specimens(Clearfil Photo-Bright) were prepared, and divided into 5 experimental groups according to the treatment method of porcelain surface. 5 experimental groups by surface treatments were as follows; CONTROL Group : No surface treatment was done on the surface of porcelains. SAND Group : The surface of porcelains were sandblasted with $50{\mu}m$ aluminum oxide for 5 seconds. HF Group: The surface of porcelains were etched with 8% Hydrofluoric acid for 4 minutes. SIL Group: The surface of porcelains were coated with silane coupling agent and heated at $100^{\circ}C$ for 5 minutes. SAND+HF+SIL Group : The surface of porcelains were sandblasted with $50{\mu}m$ aluminum oxide for 5 seconds and etched with 8% Hydrofluoric acid for 4 minutes, and coated with silane coupling agent and heated at $100^{\circ}C$ for 5 minutes. After surface treatments on the prepared porcelain surface two pastes of Panavia 21$^{(R)}$ were mixed, they were applied between composite resin block and porcelain surface, and then excessive resin cements were removed, and its margin was surrounded with Oxyguard II. All specimens were stored for 24 hours in water at $37^{\circ}C$ and tested with Instron testing machine between porcelains and resin cements, and debonded porcelain surfaces were observed under Scanning Electon Microscope(Hitachi S-2300) at 20kvp. The values from each group were compared statistically by Student's t-test. The obtained results were as follows; 1. The shear bond strength without surface treatment of porcelain was the lowest among all experimental groups(p<0.05). 2. The detached porcelain surface with sandblasting alone had more remarkable cracks than with only Hydrofluoric Acid or Silane coupling 2gent, but showed the lowest value of shear bond strength among surface treated groups(p<0.05), 3. When porcelain surface was treated by hydrofluoric acid, it affected shear bond strength more than silane coupling agent, but there were no significant statistical differences(p>0.05). 4. When three methods were combined to increase shear bond strength between porcelains and resin cements, its value was the highest than the others(p<0.05). 5. In Scannig Electron Micrograph of detached porcelain surface with no treatment, the sample revealed adhesive failure between the porcelain and resin cement whereas detached porcelain surface with combination of three method cohesive failure on the porcelain.

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Diagnosis and treatment of positional plagiocephaly

  • Jung, Bok Ki;Yun, In Sik
    • Archives of Craniofacial Surgery
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    • v.21 no.2
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    • pp.80-86
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    • 2020
  • Positional plagiocephaly is increasing in infants. Positional plagiocephaly is an asymmetric deformation of skull due to various reasons; first birth, assisted labor, multiple pregnancy, prematurity, congenital muscular torticollis and position of head. Positional plagiocephaly can mostly be diagnosed clinically and by physical examinations. The simplest way to assess the severity of plagiocephaly is to use a diagonal caliper during physical examination, which measures the difference between the diagonal lengths on each side of the head. Plagiocephaly can be treated surgically or conservatively. Positional plagiocephaly, which is not accompanied by craniosynostosis, is treated conservatively. Conservative treatments involve a variety of treatments, such as change of positions, physiotherapy, massage therapy, and helmet therapy. Systematic approaches to clinical examination, diagnosis and treatment of positional plagiocephaly can be necessary and the age-appropriate treatment is recommended for patients with positional plagiocephaly.

CONSERVATIVE FINITE VOLUME METHOD ON BOUNDARY TREATMENTS FOR FLOW NETWORK SYSTEM ANALYSES (유동망 시스템 해석을 위한 경계처리에 대한 보존형 유한체적법)

  • Hong, S.W.;Kim, C.
    • 한국전산유체공학회:학술대회논문집
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    • 2008.03a
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    • pp.19-26
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    • 2008
  • From numerical point of view on flow network system analyses, stagnation properties are not preserved along streamlines across geometric discontinuities. Hence, GJM and DTM using ghost cell and thermodynamic relations are developed to preserve the stagnation enthalpy for the boundaries, such as the interfaces between junction and branches and the interface between two pipes of different cross-sections in serial pipelines. Additionally, the resolving power and efficiencies of the 2nd order Godunov type FV schemes are investigated and estimated by the tracing of the total mechanical energy during calculating rapid transients. Among the approximate Riemann solvers, RoeM is more suitable with the proposed boundary treatments especially for junction than Roe's FDS because of its conservativeness of stagnation enthalpy across geometric discontinuities.

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CONSERVATIVE FINITE VOLUME METHOD ON BOUNDARY TREATMENTS FOR FLOW NETWORK SYSTEM ANALYSES (유동망 시스템 해석을 위한 경계처리에 대한 보존형 유한체적법)

  • Hong, S.W.;Kim, C.
    • 한국전산유체공학회:학술대회논문집
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    • 2008.10a
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    • pp.19-26
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    • 2008
  • From numerical point of view on flow network system analyses, stagnation properties are not preserved along streamlines across geometric discontinuities. Hence, GJM and DTM using ghost cell and thermodynamic relations are developed to preserve the stagnation enthalpy for the boundaries, such as the interfaces between junction and branches and the interface between two pipes of different cross-sections in serial pipelines. Additionally, the resolving power and efficiencies of the 2nd order Godunov type FV schemes are investigated and estimated by the tracing of the total mechanical energy during calculating rapid transients. Among the approximate Riemann solvers, RoeM is more suitable with the proposed boundary treatments especially for junction than Roe's FDS because of its conservativeness of stagnation enthalpy across geometric discontinuities.

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Percutaneous Cervical Discectomy using Dekompressor® to the Patient with Posterolateral Extrusion Disc -A case report- (후측면으로 거대 탈출된 경추부 추간판 탈출증 환자에게 Dekompressor®를 이용한 경피적 수핵 감압술 -증례보고-)

  • Jo, Daehyun;Kim, Sangjin;Kim, Myounghee
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.253-256
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    • 2006
  • Cervical disc herniation is one of the most common causes of neck, shoulder and arm pain. There are many treatments for a cervical disc herniation, such as rest, physical therapy, medication, epidural steroid injection and surgery. However, conservative treatments sometimes have limited effectiveness, and a surgical discectomy is often associated with numerous complications. Nowadays, a percutaneous discectomy, using a $Dekompressor^{(R)}$, has been used in herniated disc patients, but a posterolateral extruded disc is not an indication. Herein, our experience using a 19 G $Dekompressor^{(R)}$, on a 52 year-old male patient with a left C6-⁣7 posterolateral extruded disc, is reported. Decompression was successfully performed, and the pain and range of motion was immediately improved.