• Title/Summary/Keyword: Early fixation

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Studies on Nitrogen Fixation of Forage Legumes with 15N-Ammonium Sulfate (중질소(重質素)를 사용(使用)한 두과사료작물(豆科飼料作物)의 질소(窒素) 고정량(固定量) 측정(測定)에 관(関)한 연구(硏究))

  • Kim, Moo-Sung
    • Korean Journal of Soil Science and Fertilizer
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    • v.16 no.1
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    • pp.50-55
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    • 1983
  • Effects of nitrogen applied to grown alone and in mixture with grass and legumes of forage crops on the yield of dry matter, absorptivity, and the amount of nitrogen fixation were studied using $^{15}N$ ammonium sulfate. 1. The amount of nitrogen fixation in legume was decreased in order of alfalfa > red clover > birdsfoot trefoil, and red clover gave highest soil-nitrogen dependency. 2. Fertilizer nitrogen for the yield of dry matter was highly effective only in orchardgrass, and effective at the early stages of alfalfa and birdsfoot trefoil in case of a mixed sowing. 3. Alone and mixed sewings showed the yield of dry matter in decreasing order of alfalfa > red clover > orchardgrass > birdsfoot trefoil and orchardgrass + alfalfa > orchardgrass + red clover > orchardgrass + birdsfoot trefoil, respectively. 4. The plot of with nitrogen showed greater nitrogen uptake than the plot of without-nitrogen throughout the plots. In case of grown alone, however, difference in the absorptivity of various forage crops was decreased in order of alfalfa > red clover > orchardgrass > birdsfoot trefoil. 5. Regardless of nitrogen application, nitrogen uptake amount of orchardgrass was higher in the plot of mixture then in the plot grown alone, except the with nitrogen plot of red clover grown in mixture at the ratio of 3 : 7.

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Arthroscopic Treatment of Acute Acromioclavicular Dislocation using $TightRope^{(R)}$ ($TightRope^{(R)}$를 이용한 관절경적 급성 견봉쇄골 관절 탈구의 치료)

  • Kim, In-Bo;Shon, Myung-Hwan;Kim, Moon-Chan;Kim, Dong-Jun
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.1
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    • pp.13-18
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    • 2011
  • Purpose: The purpose of this study is to evaluate the radiologic and clinical results of the arthroscopic coracoclavicular fixation of the acute acromioclavicular dislocation using $TightRope^{(R)}$ (Arthrex, Inc, Naples, FL). Materials and Methods: We performed the arthroscopic coracoclavicular fixation using $TightRope^{(R)}$ in twenty patients with the Rockwood type III or V acute acromioclavicular dislocation between February, 2009, and February, 2010. Mean follow-up was 13.4(range 8~22) months. Radiologic results were evaluated by comparing the distances between the clavicle and the coracoid process with those in the contralateral sides using the acromioclavicular stress radiographs. Clinical results were made according to the KSS(Korean Shoulder Scoring System), and the cosmetic satisfaction of the patient was assessed. Results: Radiologically, 18 cases showed excellent, 1 case showed good and 1 case showed fair results. Clinically, KSS was mean 98.5 (range 92~100) points and all cases revealed satisfactory cosmetic results. Because one case complained of skin tenderness and discomfort of palpation, we closed the knot with surrounding muscle & fascia. Then local wound infection occurred, so we treated it by incision and drainage under local anesthesia and antibiotic therapy for 2 weeks. Conclusion: Arthroscopic coracoclavicular fixation using $TightRope^{(R)}$ for treating the Rockwood type III or V acute acromioclavicular dislocation showed satisfactory radiologic and clinical results. It seems to be a good treatment method that has little postoperative complication, provides an early rehabilitation and an excellent cosmetic result, and does not require secondary operation for removal of metal implant.

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Arthscopic Treatment of Osteochondritis Dissecans in Femoral Condyle (관절경을 이용한 대퇴골과 박리성 골연골염에 대한 치료)

  • Kim Sung-Jung;Kyung Hee-Soo;Ihn Joo-Chul;Lee Seong-Man
    • Journal of the Korean Arthroscopy Society
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    • v.4 no.2
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    • pp.138-143
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    • 2000
  • Purpose : We analyzed clinical and radiological results of the treatment of osteochondritis dissecans in the femoral condyle under arthroscopic guidance. Materials and Methods : The study group consists 19 cases in 17 patients. Average follow up period was 34 months and average age was 16 years. The cases were classified by 4 different groups, using the fellowing system: Group 1-stable lesion and no specific treatment after arthroscopic examination; Group 2-early separation and multiple drilling; Croup 3-unstable lesion and Herbert screw fixation; Croup 4-loose body removal and/or crater curettage. The results were analyzed by the criteria of Hughston which including clinical and radiologic outcomes. Results : There were 14 cases$(74\%)$ of good and excellent results in 19 knees in which, $75\%$(3/4) in Group 1, $75\%$(3/4) in Group 2, $86\%$(7/8) in Group 3 and $33\%$(1/3) in Group 4. The result of Herbert screw fixation group was better than that of other groups with statistically significant differences. Conclusion : In the treatment of osteochondritis dissecans of skekletally immature patients, arthroscopic finding was reliable guidance in decision of treatment method and active fixation was recommended in patients with large, unstable lesion.

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The Fate of Proximal Junctional Vertebral Fractures after Long-Segment Spinal Fixation : Are There Predictable Radiologic Characteristics for Revision surgery?

  • Jang, Hyun Jun;Park, Jeong Yoon;Kuh, Sung Uk;Chin, Dong Kyu;Kim, Keun Su;Cho, Yong Eun;Hahn, Bang Sang;Kim, Kyung Hyun
    • Journal of Korean Neurosurgical Society
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    • v.64 no.3
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    • pp.437-446
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    • 2021
  • Objective : To investigate the radiographic characteristics of the uppermost instrumented vertebrae (UIV) and UIV+1 compression fractures that are predictive of revision surgery following long-segment spinal fixation. Methods : A total 27 patients who presented newly developed compression fracture at UIV, UIV+1 after long segment spinal fixation (minimum 5 vertebral bodies, lowest instrumented vertebra of L5 or distal) were reviewed retrospectively. Patients were divided into two groups according to following management : revisional surgery (group A, n=13) and conservative care (group B, n=14). Pre- and postoperative images, and images taken shortly before and after the occurrence of fracture were evaluated for radiologic characteristics Results : Despite similar degrees of surgical correction of deformity, the fate of the two groups with proximal junctional compression fractures differed. Immediately after the fracture, the decrement of adjacent disc height in group A (32.3±7.6 mm to 23.7±8.4 mm, Δ=8.5±6.9 mm) was greater than group B (31.0±13.9 mm to 30.1±15.5 mm, Δ=0.9±2.9 mm, p=0.003). Pre-operative magnetic resonance imaging indicated that group A patients have a higher grade of disc degeneration adjacent to fractured vertebrae compared to group B (modified Pfirrmann grade, group A : 6.10±0.99, group B : 4.08±0.90, p=0.004). Binary logistic regression analysis indicated that decrement of disc height was the only associated risk factor for future revision surgery (odds ratio, 1.891; 95% confidence interval, 1.121-3.190; p=0.017). Conclusion : Proximal junctional vertebral compression fractures with greater early-stage decrement of adjacent disc height were associated with increased risk of future neurological deterioration and necessity of revision. The condition of adjacent disc degeneration should be considered regarding severity and revision rate of proximal junctional kyphosis/proximal junction failures.

Evaluation of the Femoral Stem Implant in Canine Total Hip Arthroplasty: A Cadaver Study

  • Cho, Hyoung Sun;Kwon, Yonghwan;Kim, Young-Ung;Kang, Jin-Su;Lee, Kichang;Kim, Namsoo;Kim, Min Su
    • Journal of Veterinary Clinics
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    • v.36 no.1
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    • pp.53-61
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    • 2019
  • Total hip arthroplasty (THA) is a successful surgical treatment for both patients with chronical lameness and dogs who are nonresponsive to medical treatments, providing excellent joint function for returning dogs to the normal gait in 80% to 98% of hip dysplasia (HD) patients. The THA surgical implant system manufactured by BioMedtrix and Kyon are today widely accepted. When comparing the BioMedtrix biological fixation (BFX) system to the BioMedtrix cemented fixation (CFX) system, the many advantages of BFX, which include longer potential implant life, decreased risk of postoperative or later infection, and better implant stability, become evident. However, BFX implies a greater risk of femoral fracture during reaming and requires a more precise surgical technique to achieve good implant fit, given the press-fit nature of cementless THA. The purposes of this study are to both describe the mistakes and complications during stem implantation for beginner surgeons with both the BFX and the CFX systems and to document the initial result of 12 implantations in canine cadavers. Given the detailed evaluations of 3 specialists, who are Diplomate American College of Veterinary Surgeons (DACVS), only 3 of 11 stems were appropriately sized. Specifically, 6 stems were anteverted rather than being retroverted; further, although 7 stems were coaxial with the femoral long axis in the frontal plane, the other stems were in the varus at the frontal plane, with the proximal medial stem adjacent to the medial femoral cortex. Moderate angulation from the cranial to the caudal directions was found in 4 cases in the sagittal plane. Additionally, 1 case of femoral fissure and 1 case of perforated femoral cortex were reported. It is not easy for surgeons performing cementless THA for the first time to achieve a good result, even though they completed an educational course about it and given that catastrophic complications often occurred during early surgical clinical cases. Therefore, ex-vivo studies are sincerely required to get an expertise by rehearsing the preparation of the femoral envelop in isolated bones. Further studies should be conducted to achieve both highly accurate implant size and correct orientation during the preoperative planning. Additionally, surgeons' learning curve should be examined in future investigations.

Current Trends in the Treatment of Syndesmotic Injury: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey (원위경비골인대 손상의 치료 동향: 대한족부족관절학회 회원 설문조사 분석)

  • Cho, Jaeho;Cho, Byung-Ki;Jeong, Bi O;Chung, Jin-Wha;Bae, Su-Young;The Academic Committee of Korean Foot and Ankle Society,
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.2
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    • pp.95-102
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    • 2022
  • Purpose: This study was based on the Korean Foot and Ankle Society (KFAS) member survey and aimed to report the current trends in the management of syndesmotic injuries over the last few decades. Materials and Methods: A web-based questionnaire containing 36 questions was sent to all KFAS members in September 2021. The questions were mainly related to the preferred techniques and clinical experiences in the treatment of patients with syndesmotic injuries. Answers with a prevalence ≥50% of respondents were considered a tendency. Results: Seventy-six (13.8%) of the 550 members responded to the survey. The results showed that the most preferred method to diagnose a syndesmotic injury was magnetic resonance imaging (MRI). Intraoperatively, the external rotation stress test and the Cotton test were most frequently used to confirm syndesmotic diastasis. The reduction was usually done by a reduction clamp. One 3.5-mm screw was used most frequently over three cortices at 2~4 cm above the ankle joint. The preferred ankle position during fixation was 0° dorsiflexion. Removal of the syndesmotic screw was routinely done by most surgeons, mainly because of the limitation of movement and risk of screw breakage. Factors that affect suture button selection included non-rigid fixation which enables adequate fixation, early weight-bearing, and an infrequent need to remove the hardware. Inadequate reduction was considered the main factor that affects poor prognosis. Conclusion: This study proposes updated information about the current trends in the management of syndesmotic injuries in Korea. Consensuses in both the diagnostic and therapeutic approach to patients with syndesmotic injury were identified in this survey study. This study may raise the awareness of the various possible approaches toward the injury and should be used to further establish a standard protocol for the management of syndesmotic injuries.

Studies on Varietal Differences in Growth, Nodulation and Nitrogen Fixation in Soybeans, Glycine max (L.) Merrill. III. Relationships between Nitrogen Fixation Activity and Nitrogen Content of Plant Organs during Grain Filling Period (콩의 생육, 근류형성, 질소고정에 있어서 품종간 차이 III. 등숙기간중 식물체 각 기관 질소함량의 경시적 변동과 질소고정활성과의 관계)

  • Kim, Seok-Dong;Ishizuka, Junji;Park, Rae-Kyeong
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.33 no.2
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    • pp.161-168
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    • 1988
  • Five soybean varieties of two early maturing ; Karikei 73 and ss 79168, and three late maturing ; Tohoku 76, Baegunkong and Jangbaegkong were used and evaluated in the study. Of the varieties examined, Karikei 73 was characterized by the delayed leaf senescence. To investigate the periodical trends of nitrogen in plant organs and their roles to the nitrogen fixing activity of root nodules, the concentrations of nitrogen in plant organs during the grain filling period were measured. High positive correlation was recognized between the amount of nitrogen in plant parts and p-ARA, suggesting the higher the activity of nitrogen fixation the greater the amount of nitrogen in plant. But the relationship between the concentration of nitrogen in plant and s-ARA was positive at R4. but negative at R6. This was inferred that the high concentration of nitrogen at R4 gave accelerating effects on s-ARA by increasing the activity of photosynthesis in leaf-blades, while the reduced activity of photosynthesis in leaf-blades at R6 resulted in continued degradation of nitrogenous compounds in plant, and then high concentration of nitrogen in plants brought reduced supply of sugars to nodules.

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Improvement of the Elbow Function with Early Mobilization and Rigid Fixation of Coronoid Fracture by Tension Band Technique (압박 긴장대 방법을 이용한 구상 돌기 골절의 견고한 고정과 조기 운동을 통한 주관절 기능의 향상)

  • Rhyou, In-Hyeok;Suh, Bo-Gun;Kim, Hyung-Jin;Chung, Chae-Ik;Kim, Kyung-Chul
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.159-166
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    • 2009
  • Purpose: We wanted to evaluate the surgical results of early mobilization after rigid fixation of small coronoid fracture using the tension band technique Materials and Methods: Eight cases of coronoid fracture were fixed with the tension band technique and using K-wire and wire through the medial approach. All the cases were Regan-Morrey type 2. According to O'Driscoll, they were classified as 5 cases of the tip type (subtype 2) and 3 cases of the anteromedial type (1 case of subtype 2, and 2 case of subtype 3). The associated collateral ligament injuries (6 cases) and radial head/neck fractures (4 cases) were managed simultaneously. After immobilization for 5~7 days, active ROM exercise with a fitted hinge brace started and continued till postoperative 6 weeks. The patients were assessed for pain, ROM and functional disability using the Mayo elbow performance score (MEPS) at an average of 11 months (range: 6~28 months). The ulnar nerve symptoms were also investigated. Results: We observed solid union in all the coronoid fractures without hardware failure. An average of 2.2 wires (range: 2~4) were used. The mean extension was $3^{\circ}$(range: $0^{\circ}\sim25^{\circ}$), the mean flexion was $137^{\circ}$(range: $130^{\circ}\sim140^{\circ}$), the mean pronation was $69^{\circ}$(range: $45^{\circ}\sim90^{\circ}$) and the mean supination was $78^{\circ}$(range: $45^{\circ}\sim90^{\circ}$). The mean MEPS was 96 (range: 65~100). Ulnar nerve symptoms occurred at postoperative one day and persisted in one patient with the terrible triad of taking radial head excision and residual medial instability. Conclusion: The tension band technique uses easily obtained, economic K-wires and the wire was strong enough to permit early elbow ROM exercise and the technique might improve the elbow function. It was especially useful for fixation of multiple small fragments.

Morphological Interpretation of the Transformation Process of Urban Form in Gosan-Up (형태학적 개념을 활용한 조선시대 고산현의 도시형태 변천과정 해석)

  • Lee, Kyung-Chan;Kang, In-Ae
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.32 no.4
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    • pp.37-49
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    • 2014
  • This paper aims to interpret the transformation process of town plan of Gosan-up(高山), which was provincial administrative focus town in Josun dynasty, basing on morphological viewpoint. Morphological concepts, such as morphological frame, urban plan, kernel, colonization, route system, fixation line, fringe belt, plan unit & plan division, morphological period derived from the study of Conzen, M.R.G. and Caniggia, G. epidome district, break point, broken plot, urban fallow, privatization are adopted for the interpretation of urban form. Morphological period of Gosan can be divided in four ; formation of kernel & morphological structure, disintegration & redevelopment of the kernel, augmentative development of the kernel & formation of modern epidome district, outwards expanding of urbanized area, transition & reorganization of epidome district. Especially public leading projects such as construction of new regional connection road and public facilities such as myeon(township) office, agricultural cooperatives federation office, market, are main factors of morphological transformation of townplan. In the early stage, under the Japanese imperialism, construction of the new matrix route(Gosan-ro) through the kernel and followed planned routes gave way to disintegrating traditional areal plan unit and forming small block plan units in administrative facilities area. And linear plan units with commercial buildings were formed along the new matrix route and planned route adjacent to periodical market. In the latter stage, with development of public facilities, private sectors' large circulation institution and terminal outside the kernel with planned routes formed areal block based plan units with commercial and public buildings. And part of the spatial area with the linear plan unit were turned into urban fallow. With the transformation of town plan, new roads outside the kernel have substituted for traditional fixation line of waterway with road and topographical feature. Fringe belts were made successively along the new road and around the major intersections outside of existing urbanized area. Land use in fringe belts, constituting of outer locational tendency early on formation, was gradually replaced with commercial & business buildings.

Surgical Treatment for Type 11 Distal Clavicle Fracture using Mersilene tape and K-wire (Mersilene tape와 K-강선을 이용한 제 II형 원위부 쇄골 골절의 수술적 치료)

  • Byun, Jae-Yong;Kim, Bo-Hyun;Kang, Shin-Taek;Whang, Chan-Ha;Hong, Chang-Wha;Lee, Bum-Sung
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.123-128
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    • 2006
  • Purpose: Surgical reconstruction is usually indicated for type II distal clavicle fracture due to high rate of nonunion and delayed union. We report the clinical outcome of a surgical technique for type II distal clavicle fracture using Mersilen tape and K-wire. Materials and Methods: From 1999 through 2003, this technique has been used on 11 patients with type II distal clavicle fracture. The procedure consist of fracture reduction with a Mersilene tape, repair of torn coracoclavicular ligament, and K-wire fixation of the fracture fragment. All patients with at least 12 months of complete postoperative follow-up were included for functional and radiographic evaluation. We used simple X-ray and UCLA scoring system and constant scoring system for evaluation at last follow up in OPD. Results: Solid union of the fracture could be achieved at 11 weeks after operation in all patients. All patients could return to the same level of preinjury activity. Good and excellent results were obtained in all patients according to UCLA system. Conclusion: This technique was simple procedure and allowed for stable fixation with early mobilization and early return to work and sports.

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