• Journal of Korean Neurosurgical Society
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• v.30 no.12
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• pp.1369-1374
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• 2001

Objectives : The rates of pseudarthrosis for two- and three level fusion have been reported to be 17-63 and 50% without anterior cervical plating. The purpose of this study is to assess the effects of anterior cervical plating in the treatment of multilevel degenerative cervical disease such mostly the additional risks associated with hardware implants and its benefits, fusion rate and radiographic results, and clinical outcomes. Methods : Forty-seven patients who underwent operations between 1993 and 1997 were retrospectively reviewed. The technique for operation was same for both groups(Smith Robinson with autologous iliac bone graft). Group I consisted of 35 consecutive patients treated with anterior cervical decompression and fusion with anterior cervical plate fixation. Group II consisted of 12 consecutive patients treated without plate fixation. We compared clinical outcomes by Prolo score, radiographic results in the rate of fusion, cervical lordosis by Gore angle, disc height by Farfan method, and surgical complications between two groups. Results : The favorable clinical outcomes(excellent and good) by Prolo score were observed with the use of anterior cervical plate fixation(89% vs 75%). The successful fusion rate of multilevel cervical fusion was as seen with anterior cervical plate fixation(97% vs 75%). The overall graft complication rate in multilevel fusions was decreased, with anterior cervical plate fixation, and the hardware related complications were relatively minimal without serious consequences. Conclusion : Anterior cervical plate fixation in the treatment of multilevel cervical disorders is an effective stabilizing method which provides increased bony fusion rate, decreased graft complications, maintained cervical lordosis, early mobilization of the these patients without serious hardware related complications.

• The Korean Journal of Ecology
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• v.18 no.3
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• pp.323-332
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• 1995

Effects of wintering and temperature on nitrogen fixation activity of nodules of Melilotus suaveolens Ledeb. grown in the field and growth chamber conditions were investigated. The biennial plants transfered to the growth chamber from winter field recovered the activity in 3 weeks of incubation and attained the maximum rate of $153{\mu}mol\;C_2H_4{\cdot}g$ fr wt $nodule^{-1}{\cdot}h^{-1}$ in 5 weeks. When root nodules which adapted to different temperatures, were pretreated with 10, 20 and $30^{\circ}C$ for 1 hour, and then transfered to $30^{\circ}C$, nitrogen fixation activity was promoted in the nodules exposed to lower field temperature ($12^{\circ}C$) with 1$0^{\circ}C$ pretreatment. M. suaveolens maintained nitrogen fixation activity in the wide range of temperatures, and was more tolerant to lower temperature than those of other woody leguminous plants, Diurnal changes of nodule activity showed increase with sunrise and decrease with sunset during spring and autumn, but the activity was inhibited during July and August because of high temperature with stron irradiation. Nitrogen fixation activity of annual plant appeared in mid-April, and showed two peaks (104 and 43 mol $C_2H_4{\cdot}g$ fr wt $nodule^{-1}{\cdot}h^{-1}$) in July and September, and then disappeared after October. Nitrogen fixation activity of biennial plant reappeared in mid-March after wintering and attained two peaks (102 and 82 ${\mu}mol\;C_2H_4{\cdot}g$ fr wt $nodule^{-1}{\cdot}h^{-1}$) in April and June of flowering period, and then disappeared after July due to plant withering by severe drought.

• Journal of Korean Foot and Ankle Society
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• v.15 no.3
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• pp.149-152
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• 2011

Purpose: The Akin osteotomy which is a closing wedge osteotomy of the proximal phalanx widely used for the correction of hallux valgus has several methods of fixation. we tried to report the effects of the fixation using an absorbable suture material during the Akin osteotomy for the hallux valgus. Materials and Methods: This study was based on 448 cases of 346 patients who were able for follow-up more than 12 months among the patients who had an Akin osteotomy together with the surgery of hallux valgus between March of 2006 and May of 2010. Absorbable suture material had been used in all cases. Radiologically displacement and union of osteotomy site were observed after the surgery, and clinically postoperative complication such as skin irritation, pain and satisfaction were investigated. Results: Radiologically all cases had showed complete union and no case had the loss of an correction due to loss of fixation. Also, any case had no skin irritation due to a knot. Three cases had a medial cortical breakage due to a strong knot, and the initial one case among them had additionally fixed the osteotomy site for four weeks using K-wire, and the remaining two cases had fixed a suture on an articular surface without any fixation of an additional wire. If a medial cortical bone was lost by carrying out an ostectomy due to proximal protrusion of proximal phalanx, three cases could show union through the fixation of suture on an articular surface. Conclusion: This study considers that the fixation of the osteotomy site using an absorbable suture material in an Akin osteotomy was effective method and the advantage of this procedure was unnecessity of the material removal and no skin irritation.

• Archives of Craniofacial Surgery
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• v.9 no.2
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• pp.55-61
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• 2008

Purpose: The purpose of this study is to evaluate the effectiveness of internal fixation method of $Medpor^{(R)}$ implant with $BioSorb^{TM}FX$ screw which is used for prevention of enophthalmos in posteriorly extended large orbital floor fracture. Methods: From Jun. 1997 to Dec. 2007, 21 patients who were diagnosed with posteriorly extended large orbital floor fractures were classified into two groups. One group(n=11) had undergone reduction surgery with regular $Medpor^{(R)}$ sheets without any fixation method, while the other group(n=10) had their $Medpor^{(R)}$ sheets fixed with the $BioSorb^{TM}FX$ screws. The two groups were evaluated by comparison of their enophthalmos degree and effectiveness. Results: In the non-fixation group, six patients had enophthalmos preoperatively and three of them showed persistent enophthalmos postoperatively. In postoperative CT examination, displacement of $Medpor^{(R)}$ implant with soft tissue impaction into maxillary sinus was observed in the patients. In the screw fixation group, three patients had enophthalmos preoperatively, but none of them suffer from complication such as residual enophthalmos, soft tissue impaction, muscle entrapment or optic nerve compression postoperatively. Conclusion: Internal fixation method of $Medpor^{(R)}$ implant with $BioSorb^{TM}FX$ screw on the medial surface of orbital floor provides firm stabilization of implants and surrounding soft tissues and can be an effective option especially when postoperative implant displacement or malposition was expected.

• Journal of the Korean Society of Clothing and Textiles
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• v.13 no.4
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• pp.357-369
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• 1989

The purpose of this study was to investigate the effects of treatment temperature and time on the, of easy-care and strength properties of the wet fixation processed rayon fabrics. Viscose rayon fabrics were treated with mixed resins of melamine formaldehyde (MF) and DMDHEU by one bath and two bath wet fixation processes. The MF/DMDHEU mixed resin concentrations were 50/100, 50/150, 100/100 and 100/150(g/1). Magnasium chloride was used as a catalyst. The wet fixation conditions were 24hrs at room temperature,20 mins at $75^{\circ}C$ and 5 mins at $105^{\circ}C$ Wet fixation processed fabrics did not show the difference in the resin add-one, DP ratings and wrinkle recovery angles by the different treatment temperatures and times. DP ratings were in the order of $105^{\circ}C>75^{\circ}C>room$ temp, in one bath and two bath wet fixation. Breaking and tearing strength of one bath processed fabrics showed in the order of $75^{\circ}C>room\;temp>105^{\circ}C$ The breaking strength of two bath processed fabrics showed in the order of $105^{\circ}C>75^{\circ}C>room$ temp. Tearing strength showed in the order of $75^{\circ}c>105^{\circ}C>room$ temp. Abrasion resistances were in the order of $75^{\circ}C>105^{\circ}C>room$ temp. in one bath and two bath processes.

• Textile Coloration and Finishing
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• v.7 no.3
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• pp.22-30
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• 1995

The effects of agents in padding liquor on the fixation of vinylsulfonyl reactive dye of ground color and on the resist-dischargeability in resist-discharge printing of cotton fabrics with reactive/reactive dyes were investigated. Alkalis, such as sodium bicarbonate, sodium carbonate, sodium acetate and trichloro sodium acetate, were used to fix the dye for ground color on cotton fabrics. Sodium bicarbonate and sodium carbonate showed a good fixation of the dye for ground color, but they were ineffective to the white and the colored resistdsichargeabilities, which were caused by the fast fixation of the dye for ground color before its reaction with resist agent in printing paste. Therefore these are not suitable for the agent to fix the dyes for ground color because they deteriorate the resist-dischargeability. In case of sodium acetate, as the fixation yield of the dye for ground color was remarkably low. and the white resistdischargeability was not good, it had better not be used for the agent to fix the dye for ground color. However, the addition of sodium trichloroacetate to padding liquor gave a very good fixation yield of ground color, and showed an excellent resist-dischargeability. The effects of acetic acid in padding liquor on the fixation of the dye for ground color and on the resist-dischargeability were studied in case of immediate printing of resist-discharge pastes after padding and drying and in cases of printing after 1∼3 day-storage of padded goods. By the addition of 2% of 48% acetic acid aqueous solution to padding liquor, the white and the colored resist-dischargeabilities were improved and the fixation of the dye for ground color was good without any troubles. Especially, when the padded goods were stored for 2 or 3 days and printed with resist-discharge printing pastes, its addition was very effective on the resist-dischargeability.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.7 no.1
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• pp.38-43
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• 2011

Treatment of the mandibular fracture consists of reduction and fixation. Primary wire & Arch bar are perhaps the ideal method for intermaxillary fixation. But, daily feeding, swallowing, speech, and in some instances, respiration is difficult to maintain during the period of intermaxillary fixation, owing to muscle weakness, emotional disorder and poor oral hygiene in a position of the long-term bed disabled patient with multiple injuries. Therefore, Intermaxillary fixation is not applied in the disabled bed patient, the alternative methods must be obtained. In the case of the mandibular fracture, because of the absence of weight bearing, osseous union may eventually occur even without immobilization if the patient is maintained without wound infection on a controlled soft diet. For the purpose of the prevention of the wound infection, the establishment of an drainage on the oral lacerated wound is necessary for the removal of the hematoma & seroma in the fracture site. This is the report of a case that was managed conservatively without the intermaxillary fixation in the long-term disabled bed patient with a mandibular compound fracture.

• Clinics in Shoulder and Elbow
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• v.18 no.2
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• pp.75-79
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• 2015

Background: This retrospective comparative study aims to evaluate the surgical outcomes and complications of two surgical methods for simple fractures of the humeral shaft; minimally invasive anterior plating and open reduction combined with internal fixation. Methods: A total of 26 patients with humeral shaft simple fractures, who had surgery between June 2009 and September 2013 and were followed-up at least 12 months, were included in our analysis. They were divided into two groups; group 1 comprised of 12 patients who underwent minimally invasive anterior plating and group 2 comprised of 14 patients who underwent an open reduction and internal fixation. The clinical outcomes, radiological results, and complications were compared and analyzed. Results: We found that bone union was achieved in all patients, and the mean union periods were $20.7{\pm}3.34$ and $20.3{\pm}3.91$ weeks for groups 1 and 2, respectively. In most patients, we found that shoulder and elbow functions were recovered. At 12 months post-operation, we found that the Korean Shoulder Scoring system, the University of California at Los Angeles score and Mayo elbow performance score were $91.4{\pm}7.97$, $33.4{\pm}1.15$, and $90.8{\pm}2.23$ for group 1, and $95.2{\pm}1.53$, $33.3{\pm}1.43$, and $90.17{\pm}1.85$ for group 2. In terms of complications, we found that 2 patients had radial nerve palsy after open reduction and internal fixation, but all cases spontaneously resolved within 6 months. Complications such as infection and loss of fixation were not reported. Conclusions: Both minimally invasive anterior plating and open reduction with internal fixation produced satisfactory outcomes in the treatment of simple fractures of the humeral shaft.

• Clinics in Shoulder and Elbow
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• v.8 no.1
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• pp.19-22
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• 2005

Purpose: The causes of twelve cases of the mid-shaft clavicle nonunion and the results of internal fixation with plate and bone graft were investigated. Materials and method: From August 1997 to March 2003, twelve cases of the mid-shaft clavicle nonunion were operated with internal fixation with plate and bone graft. The duration of follow-up was average 13 months. Results: The causes of the mid-shaft clavicle nonunion included severe associated injury, severe initial displacement of the fracture fragments and insecure fixation. All cases were operated with internal fixation with plate and bone graft. According to the factor for evaluations of results, using a rating scale of excellent (no apparent factors), good (one factor), fair (two factors), poor (more than three factors), the results showed 10 excellent, 1 good and 1 poor. Screw loosening was developed in only one case . Conclusion: The internal fixation with plate and bone graft of the mid-shaft clavicle nonunion after failed conservative treatment achieved excellent results and seemed to be the procedure of choice for mid-shaft clavicle nonunion.

• Journal of Korean Foot and Ankle Society
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• v.7 no.2
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• pp.151-156
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• 2003

Purpose: Proximal crescentic metatarsal osteotomy(PMO) is one of the most common procedures for correcting moderate to severe degree hallux valgus deformity. Although screw fixation is used for osteotomy site stability, loss of reduction can occur. The purpose of this study is to compare the sagittal plane stability of the conventional crescentic PMO fixed with a single screw with that of the crescentic PMO fixed with 1 screw and 2 supplemental K -wires. Material and Methods: Ten matched pairs of cadaveric foot specimens were used for the proximal crescentic metatarsal osteotomy. For one foot specimen of each pair, crescentic osteotomy was fixed with 4mm long threaded cannulated screw, while the matched pair was prepared by adding two axial 1.6mm K-wires to the conventionally fixed 4mm screw. The extensometer was used to measure the osteotomy gap as the metatarsal head was loaded continuously until failure using a servohydraulic MTS Mini Bionix test frame. The strength of fixation was normalized with the bone mineral density (BMD) of the paired specimen $(N{\times}cm^{2}/gm)$, Result: The average strength of the crescentic PMO with axial K-wire fixation ($458.8cm^{2}/gm$, S.D. 434.3) was significantly higher than the standard crescentic PMO ($367.5cm^{2}/gm$, S.D. 397,9) (p=0.05). Conclusion: Supplemental fixation with two axial K-wires can be added to the crescentic PMO to enhance the initial fixation stability to prevent the loss of reduction or dorsal malunion.