• Title/Summary/Keyword: Fixation factor

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Operative Treatment of Unstable Fracture of the Proximal Humerus (상완골 근위부 불안정성 골절의 수술적 치료)

  • Kim Young-Kyu;Jang Young-Hun;Kim Keon-Beom
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.198-204
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    • 1998
  • Unstable fractures of the proximal humerus continue to be difficult problems for orthopaedic surgeons. The optimum treatment of these fractures has remained a matter of controversy. We analyzed the clinical results of open reduction and plate fixation underwent for patients of unstable fractures of proximal humerus after minimum 12 months follow up. The purpose of this study is to evaluate the efficacy of open reduction and rigid plate fixation. Twenty-two patients were managed with open reduction and plate fixation. Mean follow up duration was 20.6 months(range, 12 to 28 mon.). Because the age of patient as a maker of degree of osteoporosis was considered the key factor in the success of anatomic reconstruction, we divided into two groups according to age. Group A was comprised of 12 cases with younger than 50 yrs of age. Ten cases of older than 50 yrs of age were Group B. According to Neer's classification, five cases(22%) were two part fracture, 12 cases(64%) were three part fracture, and three cases(14%) were four part fracture. We used the Neer rating system for evaluating the results. In Group A, overall scores were 79.1. In Group B, overall scores were 76.8. Overall scores in two part fracture were 85, overall scores in three part fracture 78.4 and overall scores in three part fracture 68.3. We achieved excellent or good results in nine cases(75%) of Group A and seven cases(70%) of Group B. Also, we obtained excellent or good results in all cases of two part fracture, ten cases(71%) of three fracture and one case(33%) of four part fracture. The complications were three metal loosening, one avascular necrosis of humeral head, one severe stiff shoulder, one superficial wound infection and one ectopic ossification. The results were excellent or good in 16 cases(73%) out of 22 cases. In conclusion, rigid fixation and supervised early exercise would be a good option for unstable fracture of the proximal humerus.

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Factors Associated with the Stability of Two-part Mini-implants for Intermaxillary Fixation

  • Kim, Seong-Hun;Seo, Woon-Kyung;Lee, Won;Kim, In-Soo;Chung, Kyu-Rhim;Kook, Yoon-Ah
    • Journal of Korean Dental Science
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    • v.2 no.2
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    • pp.24-30
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    • 2009
  • Two component orthodontic C-implants have been introduced as intermaxillary fixation (IMF) screws in cases of periodontal problems with bone loss, severely damaged teeth, or short roots. This retrospective research sought to investigate the complications and risk factors associated with the failure of two-part C-implants for IMF cases and to show the possible indications compared to one-component mini-implants. The study sample consisted of 46 randomly selected patients who had a total of 203 implants. Pearson chi-square tests of independence were used to test for associations among categorical variables. At least 19 of the total 203 implants failed (9.3%). There was no significant difference in implant failure due to gender, oral hygiene, and placement, although a significant difference due to soft tissue characteristics and root contact was observed. The two-component design of the mini-implant is reliable for difficult IMF cases. Note, however, that the factors influencing implant failure were found to be age, root damage, and condition of soft tissues.

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The Behavioral Analysis of Dance Sports Judge's Visual Searching Strategies: Focusing on the Skating System

  • Kim, Mi-Sun;Lee, Ki-Kwang;Kim, Kwantae
    • Korean Journal of Applied Biomechanics
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    • v.30 no.3
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    • pp.235-245
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    • 2020
  • Objective: The purpose of this study was to investigate the differences between visual search, eye fixation positions, and eye fixation position on whole body regions while judging final matches of dance sports. Method: Ten experienced judges (male 6, female 4) and six dance sports couples belonging to the top Korean leagues in the Korea Dance sports Federation were participated. Wearable eye trackers were used for data collection. The independent t-test was conducted to examine the effects of gender, and the two-way ANOVA was conducted to examine the effects of judges' gender, dance event, and ranking. Results: It was found that the movement of male contestants was preferred, and the gaze fixation was high for torso movements in the judges' evaluations. Moreover, attention was focused on the upper body rather than the lower body; this was maintained for about seven seconds to evaluate each couple. Conclusion: This find was the relative comparison between the two couples was the determining factor in winning or losing.

Eye Movement Analysis on Elementary Teachers' Understanding Process of Science Textbook Graphs (초등 교사들의 과학교과서 그래프 이해 과정에 대한 안구 운동 분석)

  • Shin, Wonsub;Shin, Dong-Hoon
    • Journal of Korean Elementary Science Education
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    • v.31 no.3
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    • pp.386-397
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    • 2012
  • The purpose of this study was to find a way to improve the science textbook graph through analyzing teachers' interpretation process with eye movement tracking when they try to read the science textbook graph. Participants in this project were 10 elementary school teachers while bar graphs, line graphs, pie charts in 2007 revision science textbooks were used as materials. SMI (SensoMotoric Instruments)' iView X TM RED 120 Hz was used in order to collect eye movement data. Although subjects paid attention to the title of the graph at first, the consequence of the eye fixation was changed by the composition of the graph in case of the rest of areas. In particular, the flow of visual attention and fixation time were affected by the form and configuration of the graph. The diversity of graph construction caused confusion in interpreting graphs; the manner of presenting title, the difference of background colors, size of characters, the name of X-axis and Y-axis. Out results showed that the conformation of graphs as well as the presentation of each factor should be composed in accordance with the educational purpose for helping users to easier understanding.

FREE SKIN GRAFTING WITH FIBRIN ABHESIVE - CLINICAL AND HISTOPATHOLOGIC REVIEWS - (조직 접착제를 이용한 유리 피부 이식술 - 임상적, 조직병리학적 고찰 -)

  • Min, Seung-Ki;Jin, Kook-Beum;Kang, Moon-Jeong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.1
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    • pp.81-88
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    • 1999
  • A fibrin adhesive have been widely used in oral and maxillofacial surgery for microvascular anastomosis, autogenous chip bone grafts, many kinds of soft tissue surgery (vestibuloplasty, bleeding control after extraction, primary healing by covering of suture of a gum after the extirpation of large cysts). There are two principal components in adhesive systems biologically: lyophilized human fibrinogen and bovine thrombin. The fibrinogen component contains coagulation factor XIII and enhance the initial wound healing, which polymerizes soluble fibrin monomers into an insoluble clot. The thrombin is dissolved in a solution of calcium chloride to provide the second component. We applied fibrin adhesive, Beriplast (Behring, Behringwerke AG, D-3350, Marburg, FRD), to 4 patients for fixation of free skin grafting donors who had facial scar around eye, nose, mouth corner which received from accidents, or burn. We have experienced initial accelerated graft fixation between donor and recipient sites with no additional fixation. And It's made easy bleeding control and easy manipulation during operation. But two cases showed partial hypertrophic scar engrowth in above 3 months follow up, but no significant. Histopathological reviews in general were showed similar scar findings such as abundant collagen bundles in H&E, M/T stain, but slight positive signs in elastic and collagen antibody immunopathologic findings in hypertrophic scar cases.

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Development of Cellulosic Woven Fabric for Digital Textile Printing (전처리약제에 따른 셀룰로오스 디지털텍스타일 프린팅소재의 개발에 관한 연구)

  • Son Eun Jong;Lee Young Mok;Jang Se Chan;Yi Sung Chul
    • Textile Coloration and Finishing
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    • v.17 no.6 s.85
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    • pp.20-26
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    • 2005
  • For developing digital printing textiles, special pretreatment processes are necessary. These processes include developing formulation of coating agent and coating processes. The pretreatment were investigated with the variation concentration of anti-migration agent, fixation chemical etc.. The printing qualities according to pretreatment conditions were studied with color yield, printed capital letter sharpness and washing fastness. It was observed that the concentration of anti-migration agent, fixation agent(alkali) was closely related to printing qualities. For developing industrial technology of cellulosic digital printing textiles, optimum viscosity of pretreatment coating formulation is very important factor.

Rationale for Small Glenoid Baseplate: Position of Central Cage within Glenoid Vault (Exactech® Equinoxe® Reverse System)

  • Oh, Joo Han;Lee, Sanghyeon;Rhee, Sung-Min;Jeong, Hyeon Jang;Yoo, Jae Chul
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.24-28
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    • 2019
  • Background: Glenoid baseplate location is important to good clinical outcomes of reverse total shoulder arthroplasty (RTSA). The glenoid vault is the determining factor for glenoid baseplate location, but, to date, there are no reports on the effect of central cage location within the glenoid vault on RTSA outcomes when using the $Exactech^{(R)}$ $Equinoxe^{(R)}$ Reverse System. The purpose of this study was to determine the appropriate cage location in relation to the glenoid vault and monitor for vault and/or cortex penetration by the cage. Methods: Data were retrospectively collected from the Samsung Medical Center (SMC) and Seoul National University Bundang Hospital (SNUBH). Patients who underwent RTSA between November 2016 and February 2018 were enrolled. Glenoid vault depth, central cage location within the vault were examined. Inferior glenoid rim-center distance, inferior glenoid rim-cage distance, and center-cage center distances were collected. Results: Twenty-two patients were enrolled. Three SNUBH patients had inappropriate central cage fixation (33.3%) versus 4 SMC patients (30.8%). All cage exposures were superior and posterior to the glenoid vault. Mean center-cage distance was 5.0 mm in the SNUBH group and 5.21 mm in the SMC group. Center-prosthesis distance was significantly longer in the inappropriate fixation group than in the appropriate fixation group (p<0.024). Conclusions: To ensure appropriate glenoid baseplate fixation within the glenoid vault, especially in a small glenoid, the surgeon should place the cage lower than usually targeted, and it should overhang the inferior glenoid rim.

Incidence and management of mandibular fractures in a low-resource health facility in Ghana

  • Frimpong, Paul;Nguyen, Truc Thi Hoang;Sodnom-Ish, Buyanbileg;Nimatu, Edinam Salia;Dampare, Nana Yaa Asantewaa;Rockson, Roberta;Awuah, Samuel Baffour;Amponsah, Emmanuel Kofi;Newton, Cardinal;Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.6
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    • pp.432-437
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    • 2021
  • Objectives: The mandible and other parts of the maxillofacial region suffer significant morbid injuries following road traffic accidents. Our study gives epidemiological description of mandibular fractures in Ghana and also evaluates the relevance of closed reduction and indirect fixation for managing mandibular fractures in low-resource health facilities in low-income countries like Ghana. Patients and Methods: This is a retrospective study involving 268 patients who reported to the Department of Oral and Maxillofacial Surgery of the Sunyani Regional Hospital with mandibular fractures from January 2010 to December 2019. Patient medical records were assessed for information on age, sex, fracture etiology, anatomic location of fracture, time of day of road traffic accident, and other associated injuries. Results: A total of 268 patients were included in this study (males, 216 [80.6%]; females, 52 [19.4%]). Motor vehicular accident (MVA) was the leading cause of mandibular fractures (202 injuries, 75.4%). Other etiologies included assault (39, 14.6%), gunshot (13, 4.9%), falls (12, 4.5%), and industrial accidents (2, 0.7%). Of the 161 male cases caused by MVA, 121 (75.2%) occurred at night and in the evening while the remaining 40 (24.8%) occurred in the morning and afternoon. Among all managed 222 patients, 212 (79.1%) were treated with closed reduction and indirect fixation technique while 10 (3.7%) were treated with open reduction and direct fixation. Conclusion: Closed reduction with indirect fixation could successfully be used to manage mandibular fractures in low resourced health facilities, especially in low-income countries. The poor lightening system on roads in Ghana is a major contributory factor to motor vehicular accidents.

Evaluation of the Efficiency of Use of Fixation Instruments in Computed Tomography-Guided Biopsy of Lung Lesions (전산화단층촬영 유도하 폐 병소의 생검시 고정기구 사용의 효용성 평가)

  • Kim, Dae-Guen;Lee, Joo-Ah
    • The Journal of the Korea Contents Association
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    • v.22 no.7
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    • pp.676-683
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    • 2022
  • Minimizing patient movement during CT-guided lung biopsy is an important factor in the procedure. To minimize movement, a vacuum cushion was used to evaluate its effectiveness. The subjects of this study were 116 patients aged 40 years or older who had good coordination with postural fixation and breathing control. Posture measurements were performed in the supine position, prone position, oblique position, and lateral position according to each position of the lung lesion biopsy lesion. Measurement positions were measured in the anterior, posterior, right, and left positions based on the anatomical posture. In the prone position, the mean difference between the non-use and the use of the posterior was 1.7905, and t=2.913 (p<0.01), and the mean difference between the non-use/use was statistically significant. The difference between the unused and used averages of left was 2.4105, and the difference between the left averages was also significant with t=3.684 (p<0.01). The difference between the unused and used averages of the right was 2.3263, with t=3.791 (p<0.01). The mean difference between unused and used is statistically significant. As a result of statistical analysis, the biopsy of the lung lesion using a fixation device showed less movement in all postures. It is considered that it is meaningful in that it is possible to conduct a more accurate biopsy procedure and minimize the patient's posture movement by using a fixation device during the CT-guided biopsy of the lung lesion.

A Study on Reinforcement Method of Concrete Block for Direct Fixation Tracks on Serviced Light Rail Transit (공용중인 경전철 직결 궤도 콘크리트 도상블록의 보강 방안 연구)

  • Jung-Youl Choi;You-Song Kang;Dae-Hee Ahn;Jae-Min Han;Jee-Seung Chung
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.633-640
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    • 2023
  • In this study, numerical analysis was performed based on field investigation to derive an appropriate reinforcement method by analyzing the displacement behavior characteristics of concrete blocks generated in the direct fixation track on the bridges of the serviced light rail transit. The track of this study was a direct fixation track on a sharp curved track, and the problem of movement of the concrete blocks installed on the bridge deck in the longitudinal and lateral directions occurred. In this study, based on the finite element model using 3D solid elements, the behavior of the direct fixation track that could be occurred under operating load conditions was analyzed. In addition, the reinforcement effect of various reinforcement methods was analyzed. As a result of analyzing the lateral displacement before and after reinforcement, it was analyzed that the maximum lateral displacement after reinforcement under the extreme lateral wheel loads significantly decreased to about 3% (about 0.1mm) compared to before reinforcement. In addition, as a result of examining the generated stress of the filling mortar, bridge decks, and reinforcing bar, it was analyzed that all of them secured a sufficient safety factor of 2.6 or higher, and the optimal conditions for the reinforcement method were derived. Therefore, it is judged that the number of anchoring reinforcements and symmetrical anchor placement reviewed in this study will be effective in controlling the occurrence of lateral displacement of concrete blocks and securing the structural integrity of bridges and concrete blocks.