• Clinics in Shoulder and Elbow
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• 제1권2호
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• pp.212-220
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• 1998

Concomitant ipsilateral fractures of the humerus, radius and ulna are uncommon combined injury and are also called "floating elbow". It was found that this injury was usually a result of rather severe trauma and frequently associated injuries to other organ systems. It is controversial in the treatment of the "floating elbow", but the current treatment recommendations are open reduction and internal fixation of both the humerus and the forearm fracture with early initiation of range of motion exercises. The authors reviewed thirteen cases of ipsilateral fractures of the humerus, radius and ulna treated in our clinic from January 1992 to March 1997, and average follow-up period was over 18 months(range, 12 to 36 months). The results obtained were as follows; 1. The most common cause of injury was traffic accident and most common location of fractures was mid-third in both humerus and forearm. 2. The shape of fractures was transverse or comminuted in most cases. 3. The good clinical results were obtained by open reduction and internal fixation of both the humerus and the forearm fracture with early initiation of range of motion exercises. 4. The recovery was affected by the severity of the initial trauma and method of the treatment. 5. According to the Lange and Foster method, the functional result was good in 8 cases, fair in 4 cases and poor in 1 cases.

• Journal of Trauma and Injury
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• 제29권4호
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• pp.139-145
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• 2016

Purpose: The major pelvic trauma results in high mortality with associated fatal other injuries. During early stage of resuscitation, multidisciplinary approach is essential to improve the survival and outcomes. This study aims to report the effect and positive outcome of the trauma team approach on the management of hemodynamically unstable pelvic bone fracture. Methods: This retrospective review included all patients with hemodynamically unstable pelvic bone fracture admitted between March 2007 and December 2015. Patients were divided into group A, which comprised those admitted before the trauma team approach was started, and group B, which comprised those admitted after the approach was started. The advanced trauma life support protocol was followed for all patient. The comparisons between the two groups were based on medical records. Study variables included demographics, initial vital sign, injury severity score, fracture type, and injury mechanism. We analyzed the outcomes in each group with respect to the time interval for doctors' arrival, total length of stay in the emergency department (ED), time interval for computed tomography evaluation, 24-hour mortality, time interval for definitive fixation, and definitive fixation in the time-window of opportunity. Results: Fifty-three patients met the inclusion criteria. No statistically significant differences in demographic data existed between the two groups. The time interval for doctors' arrival (min, $63.09{\pm}50.48$ vs $21.48{\pm}17.75$; p=0.038) and total length of stay in the ED (min, $269.33{\pm}105.96$ vs $115.49{\pm}56.24$; p=0.023) were significantly improved. The 24-hour mortality was not significantly different between the two groups.(%, 14.3 vs 12.0; p=1.000) However, the time interval for definitive fixation and definitive fixation in the time-window of opportunity showed better results. Conclusion: The trauma team approach has positive effects, which include initial resuscitation through multidisciplinary approach and shortening the time interval to definitive fixation, on the management of hemodynamically unstable pelvic bone fracture.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제11권1호
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• pp.130-152
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• 1989

The purpose of this study was to observe the effect of intermaxillary fixation on the chondrocytes of the mandibular condyle under the light and the electron microscope. For this study, twenty rabbits were placed in maxillomandibular fixation, and two were used as a control group. The experimental group was subdivided into 3, 7, 14, 21 and 28 day group. After the experimental period of 3, 7, 14, 21 and 28 days, the animals were sacrificed with a vascular perfusion of 2.5% glutaraldehyde. The condylar processes were exenterated, and decalcified in 0.1M EDTA with 2.5% glutaraldehyde solution for two weeks. The specimens were rinsed with phosphate buffer solution and the post-fixation was carried out with 2% osmium tetroxide at $4^{\circ}C$ for two hours. Thereafter the specimens were dehydrated in alcohol series, cleared with propylene oxide and embedded in Epon 812 resin. Thin sections and ultra-thin sections were made, and the cellular structures of the condylar cartilages were observed with light and electron microscope. The results were as follows: 1. In the intermaxillary fixation group, the cartilaginous tissues of mandibular condyles showed a marked decrease in the thickness compared to the control group. 2. A remarkable change was noticed in the proliferating and the hypertrophic zone of the condylar cartilages in the experimental group. 3. An atrophic change of the condylar cartilage was appeared in the 3 day experimental group and degenerative change was observed in the 7 day experimental group, and recovery was seen in thereafter 14 day experimental group. 4. Calcification, degeneration and resorption of condylar cartilage were recognizable, and the cellular zone of the condylar cartilage was appeared indistinctly in 3 day and 7 day experimental group. The chondroblasts, however, were differentiated into chondrocytes and resumed mitosis, and then the cellular zones of the condylar cartilage were reorganized from the 14 day experimental group under the findings of light microscope. 5. Under the findings of electron microscope, atrophic changes and decrease in number of intracellular organelles, degenerative changes of cytoplasm, and pyknosis of nuclei were observed in early stage, however, a gradual regeneration and reorganization of the intracellular organelles were observed from 14 day experimental group.

• The Korean Journal of Ecology
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• 제22권3호
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• pp.131-137
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• 1999

금호강(영천, 침산교, 팔달교, 달서천, 금호교)에서 널리 군락을 이루고 있는 갈퀴나물의 무기물 및 중금속 함량과 질소고정 활성의 변화양상을 비교 분석하였다. 금호강변 토양은 하류로 갈수록 무기물과 중금속 함량이 증가되었고, 더불어 식물체에도 높은 축적량을 보였다. 갈퀴나물은 비오염지에 비해 오염지역에서 지하부에 비해 지상부가 크게 발달되어 높은 T/R비를 보이면서 군락을 형성하였다. 식물체의 함수량은 생육후기 지상부에서 다소 높게 나타났고, 단위 g당 엽록소함량이 비교적 높게 나타났다. 근류는 4월에 형성되어 6월에 비오염지의 0.3 g/plant에 비해 침산교, 팔달교, 달서천 및 금호교에서 각각 0.27, 0.24, 0.06 및 0.14 g/plant로 최대치를 보였고, 비오염지 영천에서 23.1 μmol. C₂H₄·g fw nodule/sup -1/·h/sup -1/을 보인 근류의 질소고정 활성도 각각 16.8, 15.4, 8.5 및 5.3 μmol. C₂H₄·g fw nodule/sup -1/·h/sup -1/로, 하류지역으로 갈수록 감소된 활성을 보였고, 달서천과 금호교에서 심각한 저해를 보였다. 갈퀴나물은 흡수한 중금속 (Zn, Cu, Fe, Pb 등)을 지하부에서 높은 함량을 유지하였고, 질소함량은 생육후기로 갈수록 초기에 비해 지상부는 감소되었으나 지하부에서 높은 값을 보였다. 한편, 식물체내 총중금속량은 높은 T/R비로 인해 지상부에서 높은 값을 보였다. 흡수한 Ca는 대부분 지상부로 이동시켜 지하부에서 높은 함량을 보인 금속류와는 대조를 이루었다. 결과적으로, 갈퀴나물은 지상부에 높은 Ca함량을 나타내고, 지하부에 높은 중금속함량과 함께 질소의 함량도 높게 유지하면서 오염된 지역에서 생장 적응하는 것으로 판단된다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권4호
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• pp.320-324
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• 2010

Introduction: The placement of a single miniplate is not sufficient to achieve rigid fixation in mandibular angle fractures. It often causes difficulties in reducing the intermaxillary fixation (IMF) period. Consequently, the placement of 2 miniplates is preferable. The intraoral approach in an open reduction and internal fixation (ORIF) of a mandibular angle fracture with 2 miniplates is often challenging. Accordingly, an alternative of transbuccal approach is performed. However, this method leaves a scar on the face and can result in facial nerve injury. This clinical study suggests a protocol that can maintain rigid fixation without a transbuccal approach in mandibular angle fractures. Materials and Methods: The subjects were 7 patients who sustained fractures of the mandibular angle and treated at Department of Oral and maxillofacial surgery, Sacred Heart Hospital, Hallym University. ORIF under general anesthesia was done using the intraoral approach. One miniplate was inserted on external oblique ridge of the mandible, and the other was placed on lateral surface of the mandibular body with contra-angle drill and driver. A radiographic assessment and occlusal contact point examination was carried out before surgery, and 2, 4 and 6 weeks after surgery. Results: The mean operation time was 80 minutes. Regarding the occlusion state, the number of contact points increased after surgery. Paresthesia and infection were reported to be complications before surgery. Conclusion: The placement of 2 miniplates using contra-angle drill for ORIF of mandibular angle fractures allows early movement of the mandible without IMF. We propose this approach to reduce the patients’discomfort and simplify the surgical procedure.

• The Korean Journal of Ecology
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• 제16권2호
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• pp.159-168
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• 1993

The seasonal changes of symbiotic nitrogen-fixation activity and environmental factors of autumn olive plant (Elaeagnus umbellata Thunb.), which is an important constituent species of temperate vegetation and a non-leguminous root nodule plant interacting with Frankia sp., were quantitatively analyzed inthe natural vegetations during hegrowing period. The acetylene redution April and showed two peaks of 133 and $145{\mu}M\;C_2H_4\;{\cdot}\;gfw^{-1}\;{\cdot}\;hr^{-1}$ in early June and mid September. The nitrogenase activity decreased to 10~30% during hot dry summer frommid June to the end of August, and disappeared during the dormant period of winter. The optimum rhizoshere. diurnal change showed the maximum activity in the mid-day and the minimum in the mid-night. The average contents of total nitrogen in each organ changed in the ranges of 42.5~40.1, 40.2~36.3, 30.3~28.6 and 18.4~16.2mgN $gdw^{-1}$ for nodule, leaf, root, and stem, respectively. The soil conditions of rhizosphere were weak acidic, ad seasonal variations of $NO_3^--N,\;NH_4^+-N,\;PO_4^{3-}-P$ and water contents were in the ranges of 48.3~79.5ppm,5.1~13.9ppm, 4.4~$9.9{\mu}M$ and 14.5~39.4%, respectively.

• Clinics in Shoulder and Elbow
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• 제1권1호
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• pp.66-71
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• 1998

The fractures of lateral end of clavicle can be treated by conservative or operative treatment, but many authors report the higher rate of non-union with conservative treatment and that the operative treatment is more effective for the type II fractures. The authors reviewed and analysed 15 cases of lateral end fracture of clavicle which had been treated at Department of Orthopedic Surgery, Kyungpook National University Hospital from 1991 to 1996. The results were as follows; 1. Among the 15 patients, male was 6,female 9 and the average age was 46.2 years ranged from 21 to 72 years. 2. According to the classification by Rockwood, type II a was 8 cases and II b was 7 cases. 3. We treated operatively 12 cases, 9 cases with tension band wiring and 3 cases with intramedul-Iary K-wire fixation. And we treated conservatively 3 cases with Velpeau cast, but I case of nonunion was treated with tension band wiring. 4. The average follow-up was 3.2 years ranged from 2.1 to 4.7 years. 5. The functional results were evaluated with Weitzman's classification. 6. In the operatively treated cases, there were 4 cases(30.7%) in excellent, 7 cases(53.8%) in good and 2 cases(15.3%) in fair result. But, in the conservatively treated cases, there were 2 cases in good and I case in poor result, and the poor case did not united and had open reduction and internal fixation. 7. In conclusion, the operative treatment revealed good functional results in most cases (10/12) and early open reduction and internal fixation was better method than conservative treatment.

• 한국초지조사료학회지
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• 제13권4호
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• pp.274-277
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• 1993

본 시험은 석회(0, 250, 500, 1,000kg/10a)와 인산(0, 17, 34kg/10a) 시용이 alfalfa(Medicago sativa L.)의 생장 및 질소고정에 미치는 영향을 구명하기 위해 전남대학교 농과대학내 온실에서 pot로 수행되었다. 파종후 9과에 alfalfa의 지상부와 지하부의 건물중 및 아세틸렌 환원력에 있어서 석회 및 인산시용효과가 나타났으며(p<0.05). 파종후 14과(개화초기)에는 alfalfa의 지상부와 지하부의 건물중에 있어서 석회시용 효과는 인정되지 않았으나 인산시용이 증가함에 따라서 건물중은 증가하였다(p<0.01). 또한 석회 및 인산시용이 증가함에 따라서 아세틸렌 환원력은 유의적으로 증가하였다(p<0.05). 파종후 9과에서 전 질소함량은 석회 및 인산 시용구에서 무시용구보다 감소되었으며(p<0.05), 파종후 14과에서는 석회 시용구는 무시용구보다 전 질소함량이 증가되었으나 인산 시용구는 무시용구 보다 낮아지는 경향을 보였다(p<0.05).

• Journal of Yeungnam Medical Science
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• 제5권1호
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• pp.17-22
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• 1988

1984년 6월 부터 1987년 8월까지 영남대학교 의과대학 부속병원 정형외과에서 체험한 9예의 대퇴골 결부골절에 대한 분석결과는 아래와 같다. 골절의 원인은 교통사고가 대부분(5예)이었으며, 성별로는 여자 6예, 남자 3예였다. 골절의 유형은 제 2형(transcervical)이 6예로 가장 많았다. 치료는 4예에서 도수정복후 내고정하였으며 3예에서는 관혈적정복 및 내고정했고, 2예에서 견인과 석고붕대 고정하였다. 치료결과는 6예에서 우수하였으나, 3예에서 불량하였다. 불량한 예는 모두 고관절, 대퇴경부 및 대퇴골두에 합병증이 생긴 경우였다. 교통사고 등 사고예방에 관심을 높여야 하고, 빠른 진단과 적절한 내고정방법들이 중요한 것으로 생각되었다.

• 대한관절경학회지
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• 제7권1호
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• pp.92-95
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• 2003

34세 남자 환자로 등산중 실족으로 발생한 전방십자인대의 완전파열로 자가 슬괵건을 이용한 경핀 고정법으로 전방십자인대 재건술을 시행하였다. 술후 경과는 양호하였으나 술후 3개월째 굴신 신전 운동 시 슬부 후측면의 동통과 지속적인 관절내 부종 소견을 보였으며 수차례의 관절천자와 약물투여에도 반응이 없었다. 컴퓨터 단층 촬영 상후방 피질 골의 천공이 관찰되어 술후 6개월째 이차관절내시경 수술을 시행하였다. 내시경 소견상 경핀고정물의 전방부 1/3에 일치되는 투명한 이물질과 대퇴경골관절면의 연골의 손상이 관찰되었으며 이물 제거 후 증세는 호전되었다. 경핀 터널의 잘못된 위치가 실패의 원인이라고 생각되었으며 경핀고정법을 이용한 전방십자인대 재건술시, 슬관절 과굴곡 상태에서 예각의 대퇴 터널을 만들어 후방 피질 골을 두껍게 남기고, 핀 홀을 만들 때 경핀가이드를 횡상과축보다 $10\~20$도 외회전시켜야 대퇴골 후방피질골의 천공을 방지할 수 있어 조기 실패를 예방할 수 있다고 생각된다.