• Title/Summary/Keyword: Early weight bearing

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Reconstruction of Tibia Defect with Free Flap Followed by Ipsilateral Fibular Transposition (유리 피판술과 동측 비골 전위술을 이용한 경골 결손의 재건)

  • Chung, Duke-Whan;Park, Jun-Young;Han, Chung-Soo
    • Archives of Reconstructive Microsurgery
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    • v.14 no.1
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    • pp.42-49
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    • 2005
  • Between June 1989 and may 2004 Ipsilateral vascularized fibular transposition was performed on nine patients with segmental tibial defects combined with infection following trauma. Ipsilateral vascularized fibular graft was performed on two or three stage according to the degree of infection. Initially free vascular pedicled graft was done followed by ipsilateral vascularized fibular graft. Type of free flap used is scapular free flap 3 cases, latissimus dorsi free flap 5 cases and dorsalis pedis flap 1 cases. The patients were followed for an average of 3.4 years. the average time to union was 6.7 months, and in all patients the graft healed in spite of complication. Complication was free flap venous thrombosis in 1 cases, persistent infection in 1 cases, delayed bony union at the distal end of fibular graft in 2 cases. The results showed that more faster bony union was seen in which cases firmly internally fixated and more faster hypertrophy of graft in which cases was permitted to ambulate on early weight bearing and more faster healing in which cases debrided more meticulously. Reconstruction of tibia defect with free flap followed by Ipsilateral fibular transposition is a useful and safe method to avoid the potential risk of infection for patients with tibial large bone defect and soft tissue defect associated with infection.

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Effect of Low Frequency Electrical Stimulation on VEGF Expression of Suspension Induced Atrophic Muscle (뒷다리 현수 유도 위축근에 대한 저빈도 전기자극의 VEGF 발현에 미치는 영향)

  • Kang, Jong-Ho;Han, Jong-Man
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.273-280
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    • 2010
  • Purpose : The purpose of this experiment was to evaluate the pre-application effect of low frequency electrical stimulation(LFES) on VEGF expression of atrophic muscle and to determine the optimal pre-application period of LFES for prevent muscle atropy Methods : Twenty-five adult sprague-dawley rats were randomly assigned to weight bearing group, hindlimb suspension for 14 days group, hindlimb suspension with pre-application of LFES for 14 days group, hindlimb suspension with pre-application of LFES for 11 dsys group and, hindlimb suspension with pre-application LFES for 7 dsys group. 16Hz of Biphasic pulse current was applied to gastrocnemius for 15min per days. Results : VEGF were decreased expression in HSG groups, whereas VEGF were significantly increased in HS+ES14G, HS+ES11G, HS+ES7G groups Conclusion : LFES during the hindlimb suspension showed a positive effect in VEGF induction and early application is strongly encourage VEGF induction. This indicated that pre-application of LFES could prevent muscle atrophy.

Evidence-Based Physical Therapy for Anterior Cruciate Ligament Injury: Literature Review

  • Lim, Hyoung won
    • The Journal of Korean Physical Therapy
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    • v.31 no.4
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    • pp.161-168
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    • 2019
  • Most athletes with anterior cruciate ligament (ACL) ruptures undergo a surgical ACL reconstruction (ACLR) and rehabilitation. On the other hand, controversy still exists because neither a reconstruction nor rehabilitation have been proven to be superior in the management of ACL injury. This study reviewed the success rates of interventions to provide recommendations for the optimal management after an ACL injury. One of the most important considerations after an ACL injury is the timing and type of intervention. At the early stages, which involve the loss of volume and strength of quadriceps femoral muscle, weight bearing (closed kinetic chain) exercises with pain management followed by high velocity resistance exercises in an open kinetic chain environment are recommended to improve the quadriceps function. After that, it is important to apply intensive isokinetic exercise with a lower extension rate. In this case, it is important to apply overload to the muscles and to simultaneously lead the co-contraction of the hamstrings. Standards are essential because the timing and type of interventions are crucial to prevent re-injury and complications, such as osteoarthritis, as well as to confirm the successful outcome of the treatment. Different interventions recommended for ACL damage have yet to reach consensus. Further studies will be needed to observe the effects of the intervention through multidisciplinary approaches.

A Study on the Interface Micromotions of Cementless Artificial Hip Replacement by Three-Dimensional FEM (무시멘트형 인공고관절 대치술후 초기의 경계면 미세운동의 3차원 FEM 연구)

  • Kim, S.K.;Chae, S.W.;Choi, H.Y.
    • Proceedings of the KOSOMBE Conference
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    • v.1994 no.12
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    • pp.71-74
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    • 1994
  • In cementless total hip arthroplasty(THA), an initial stability of the femoral component is mandatory to achieve bony ingrowth and secondary long term fixation. Bone ingrowth depends strongly on relative micromotion and stress distributions at the interface. Primary stability of the femoral component can be obtained by minimizing the magnitude of relative micromotions at bone-prosthesis interface, Hence an accurate evaluation of interface behavior and stress/strain fields in the bone implant system may be relevant for better understanding of clinical situations and improving THA design. However, complete evaluation of load transfer in the bone remains difficult to assess experimentally, Hence, recently finite element method (FEM) was introduced in orthopaedic research field to fill the gap due to its unique capacity to evaluate stress in structure of complex shape, loading and material behavior. The authors developed the 3-dimensional numerical finite element model which is composed of totally 1179 elements off and 8 node blick. We also analyzed the micromotions at the bone-stem interface and mechanical behavior of existing bone prosthesis for a loading condition simulating the single leg stance. The result indicates that the values of relative motion for this well fit Multilock stem were $150{\mu}m$ in maximum, $82{\mu}m$ in minimum, and the largest relative motion developed in medial region of proximal femur with anterior-posterior direction. The proximal region of the bone was much larger in motion than the distal region and the stress pattern shows high stress concentration on the cortex near the tip of the stem. These findings indicates that the loading in the proximal femoral bone in the early postoperative situation can produce micromotions on the interface and clinically cementless TEA patient should not be allowed weight bearing strictly early in the postoperative period.

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Effective Tillering Pattern and Grain Yield on Different Seeding Dates in Barley (보리 파종기에 따른 유효분벽의 양상과 수량)

  • 신만균
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.40 no.4
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    • pp.460-472
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    • 1995
  • This study was aimed to provide understanding on the eco-physiological response of barley tillers as affected by difference in seeding date. Yield and yield contribution rates of tillers were investigated with the data of field experiments in the former Wheat and Barley Research Institute of Suwon, Korea from September 1982 to July 1984. When barley was sowed 15 days earlier than or at the locally recommended sowing date (i.e. October 5), it produced more mainstem leaves than the that sowed 15 days later than the local recommendation. The effective tillers (i.e. ear-bearing tillers) were observed in concurrently occurring leaves up to 10/0 (abbreviation of the 10th mainstem leaf) from early and optimum sowed crops, while 9/0 from late sowed crops. Tillering followed the production rule of Gatayama(l952) which has the linear leaf appearance pattern. Early sowing produced more effective tillers, but the highest production of effective ears (i.e. ears heavier than 0.505g) was noticed in sowing at the recommended date. The tillers in the axil of first leaf in mainstem (abbreviated as 1) produced more effective ears than other mainstem tillers (i.e. primary tillers such as C, 2, 3 and 4). The tillers from the axil of first leaf, whether they were primary or secondary, always performed better in the production of effective tillers, grains per ear, grain weight, and grain yield per ear than those from the axil of coleoptile or prophyll. Other tillers from subsequent leaves were also inferior in production with the order of their appearance, thus making first leaf tillers as the best performer(e.g. 1 against C, 2, 3, 4 of primary tillers, 11 and 21 against 1P, 12, 13, 2P, 22 of secondary tillers). Even though the first leaf tiller from the first mainstem leaf(i.e. 11) emerged at a same time with the fourth mainstem leaf tiller(i.e. 4), it was always a better producer of ears and grains. The above observations of hierarchy among tillers were persistent irrespective of cropping conditions and treatments. Sowing at the recommended date produced more effective tillers and grains per ear than early or late sowing. In early and late sowings, more grains per effective ear were observed by early sowing, whereas more grains per ear were produced by late sowing. The order of performance in production of effective tillers and ears per plant was as follows: optimum > early > late sowings. In optimum sowing the mainstems were the highest in grain weight per ear, while the first leaf tillers were the ones in early sowing probably due to winter damage on mainstem ears. Yield contribution by the tillers was greater with the following order irrespective of sowing dates: mainstem, 1, 2, 3, C, 11, 12 and Cl. The contribution of CP, 2P, 21 and 31 varied with sowings.

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Prediction Model for Reduced Bone mass in Women using Individual Characteristics & Life Style Factors (여성의 개인적 특성과 생활양식요인을 이용한 골량감소 예측모형)

  • Lee, Eun-Nam;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.5 no.1
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    • pp.83-109
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    • 1998
  • This study was carried out to identify the Important modifiable risk factors for reduced bone mass and to construct prediction model which can classify women with either low or high bone mass. Through the literature review, individual characteristics such as age, body weight, height, education level, family history, age of menarche, postmenopausal period, gravity, parity, menopausal status, and breast feeding period were identified and factors of life style such as past milk consumption, past physical activity, present daily activity, present calcium intake, alcohol intake, cigarette smoking, coffee consumption were identified as influencing factors of reduced bone mass in women. Four hundred and eighty women aged between 28 and 76 who had given measurement bone mineral density by dual energy x-ray absortiometry in lumbar vertebrae and femur from July to October, 1997 at 4 general hospitals in Seoul and Pusan were selected for this study. Women were excluded if they had a history of any chronic illness such as rheumatoid arthritis, diabetes mellitus, hyperthroidism, & gastrointestinal disorder and any medication such as calcium supplements, calcitonin, estrogen, thyroxine, antacids, & corticosteroids known affect bone. As a result of these exclusion criteria, four hundred and seventeen women were used for analysis. Multiple logistic regression model was developed for estimating the likelihood of the presence or absence of reduced bone mass. A SAS procedure was used to estimate risk factor coefficient. The results are as follows For lumbar spine, the variables significant were age, body weight, menopause status, daily activity, past milk consumption, and past physical activity(p<0.01), while for femoral Ward's triangle, age, body weight, level of education, past milk consumption, past physical activity(p<0.001). Past physical activity, present daily activity and past milk consumption are the most powerful modifiable predictors in vertebrae and femur among the predictors. When the model performance was evaluated by comparing the observed outcome with predicted outcome, the model correctly identified 74.1% of persons with reduced bone mass and 84.5% of persons with normal bone mass in the lumbar vertebrae and 82.9% of persons with reduced bone mass and 75.0% of persons with normal bone mass in the femoral Ward's triangle. On the basis of these results, a number of recommendations for the management of reduced bone mass may be made : First, those woman who are classified as high risk group of the reduced bone mass in the prediction model should examine the bone mineral density to further examine the usefulness of this model. Second, the optimal amount of milk consumption and a regular weight bearing exercise in childhood, adolescence, and early adult should be ensured.

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USE OF NEAR-INFRARED SPECTROSCOPY TO PREDICT OIL CONTENT COMPONENTS AND FATTY ACID COMPOSITION IN OLIVE FRUIT

  • Lorenzo, Leon-Moreno;Ana, Garrido-Varo;Luis, Rallo-Romero
    • Proceedings of the Korean Society of Near Infrared Spectroscopy Conference
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    • 2001.06a
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    • pp.1512-1512
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    • 2001
  • The University of Cordoba conducts since 1991 a breeding program to obtain new olive cultivars from intraspecific crosses. The objective is to obtain new early bearing and high-quality cultivars. In plant breeding, many seedlings must be tested to increased the chance of getting desirable genotypes. Therefore, fast, cheap and accurate methods of analysis are necessary. The conventional laboratory techniques are costly and time-consuming. Near Infrared Spectroscopy (NIRS) can satisfy the characteristics requested by plant breeders and offers many advantages such as the simultaneous analysis of many traits and cheap cost. The objective of this work was to asses the performance of NIRS to estimate oil fruit components (fruit weight, flesh moisture, flesh/stone ratio and oil flesh content in dry weight basis) and fatty acid composition in olive fruit. Genotypes from reciprocal crosses between ‘Arbequina’, ‘Frantoio’ and ‘Picual’ cultivars have been used in this study. A total of 287 samples, each from a single plant, were scanned using a DA-7000 Diode Array VIS/NIR Analysis System (Perten Instruments), which covers the visible and NIR range from 400-1700 nm. All samples were analysed for fatty acid composition (gas chromatography) and 220 for oil fruit components (oil content by nuclear magnetic resonance), 70% and 30% of samples were randomly assign for the calibration and validation sets respectively. The preliminary results shows that calibration for palmitic, oleic and linoleic acids were highly accurate with calibration and validation values of $r^2$ from 0.85 to 0.95 and 0.76 to 0.91 respectively. Calibration for palmitoleic and estearic acids were less accurate, probably because of the narrow range of variability available for these fatty acids. For the oil fruit components, calibration were high accurate for flesh moisture and oil flesh content in dry weight basis ($r^2$ higher than 0.90 in both calibration and validation sets) and less accurate for the other characteristics evaluated. The first results obtained indicate that NIRS analysis could be an ideal technique to reduce the cost, time and chemical wasted necessary to evaluate a large number of genotypes and it is accurate enough to use for pre-selecting genotypes in a breeding program.

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Growth Analysis of Maize with Tillers (분얼형 옥수수의 생장분석)

  • Kang, Kwon-Kyu;Lee, Hee-Bong;Lee, Won-Ku;Choe, Bong-Ho
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.34 no.3
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    • pp.280-287
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    • 1989
  • In order to know growing habit of the maize bearing tillers, IK//IRI/B68 with tillers was grown and compared with Jinjoo Ok which is not tillering, and several parameters were measured for analysis. The results obtained were summarized as follows. 1. The plant height and fresh weight of IK//IRI/B68 were lower than those of Jinjoo Ok until the tasseling stage of IK/ /IRI/B68, while then plant height and fresh weight of IK//IRI/B68 were higher than those of Jinjoo Ok after the tasseling stage of IK//IRI/B68. 2. The average number of tillers per plant of IK//IRI/B68 at maturity was 3.7 and the average tiller height of IK//IRI/B68 was almost the same as the height of the main stem. 3. The dry weight of IK//IRI/B68 at the early growing stage was lower than the check hybrid Jinjoo Ok, while it was higher than Jinjoo Ok at the later growing stage. 4. The LAI of IK//IRI/B68 after full expansion of the leaves was greater than that of Jinjoo Ok The LAIs of IK//IRI/B68 and Jinjoo Ok were 12.6 and 5.8, respectively. 5. The CGR of Jinjoo Ok was greater than that of IK//IRI/B68 until earey July while the CGR of Jinjoo Ok was lower than that of IK//IRI/B68 as the tillers of IK//IRI/B68 were fully developed. 6. The LAR and RGR of IK//IRI/B68 were greater than those of Jinjoo Ok until mid-July. The RGR of IK//IRI/B68 seemed to be affected by both NAR and LAR. The RGR of Jinjoo Ok seemed to be affected by LAR.

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Treatment of Fracture and Dislocation of Lisfranc joint with Limited Open Reduction, Pin Fixation and Ilizarov External Fixation (제한적 관혈적 정복술, 금속 핀 고정술 및 일리자로프 외고정 기구를 이용한 리스프랑 관절 골절 및 탈구의 치료)

  • Ahn, Gil-Yeong;Yoo, Yon-Sik;Yun, Ho-Hyun;Yun, Ki-Pyo;Nam, Il-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.2
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    • pp.182-190
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    • 2004
  • Purpose: To evaluate the clinical feature and the results of the treatment of Lisfranc joint fracture/dislocation with limited open reduction, pin fixation and Ilizarov external fixation. Materials and Methods: From June 2001 to May 2003, six patients with Lisfranc fracture/dislocation were treated. The average periods of follow-up was 23 months. After limited open reduction on the second tarso-metatarsal joint, we performed pin fixation of the above joint. On the other Lisfranc joint fracture/dislocation, closed reduction and the application of Ilizarov external fixator was done. This rigid system produced the early partial weight bearing and joint motion of the injured foot and ankle joint. The parameters used were radiographic evaluation, patient's clinical assesment and the AOFAS midfoot score. Results: We used the Myerson's criterier to evaluate the radiographic result. All cases could be achieved more than nearly anatomical reduction. Three cases of excellent and 3 cases of good result could be obtained in the evaluation of the patient's clinical assesment. The average AOFAS midfoot score was 87.2 ($76{\sim}95$) points. Conclusion: The treatment using Ilizarov external fixation on Lisfranc joint fracture/dislocation can be another useful method.

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Use of Minimally Invasive Plate Osteosynthesis for Tibial Diaphyseal Fracture in Three Dogs (경골 골간 골절에서의 최소 침습적 금속판 고정술의 이용 3례)

  • Heo, Su-Young;Lee, Ki-Chang;Lee, Hae-Beom
    • Journal of Veterinary Clinics
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    • v.29 no.4
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    • pp.339-343
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    • 2012
  • Three dogs were presented with diaphyseal fracture of the tibia following separate motor vehicle accidents. On physical and orthopedic examinations, the dogs were noted to have soft-tissue swelling and a closed fracture in these tibia sites. Radiographs revealed a simple, short oblique fracture (case 1), a comminuted, spiral fracture (case 2), and a simple, spiral fracture (case 3) in tibia. Minimally invasive percutaneous plate osteosynthesis (MIPO) using a veterinary cuttable plate or locking plate was applied for the treatment of these fractures. The surgery was successful, and the fractures healed without any complications by 7 weeks (case 1), 10 weeks (case 2) and 8 weeks (case 3) after surgery. Our patients showed fast bone healing times and early weight-bearing during the treatment of their tibia fractures. Therefore, MIPO was a useful procedure for diaphyseal fracture of the tibia in veterinary orthopedics.