• 제목/요약/키워드: Graft

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전방 십자 인대 재건술에서 이식건 선택 (Graft Selection in ACL Reconstruction)

  • 이동철
    • 대한정형외과스포츠의학회지
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    • 제2권2호
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    • pp.92-99
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    • 2003
  • 스포츠 활동과 사고로 인하여 전방십자인대 재건술이 많이 증가하고 있으며 여러 종류의 자가 및 동종이식건이 많이 사용되어지고 있다. 자가 골-슬개건-골을 이용한 전방십자인대 재건술이 제일 대표적인 이식건으로 사용되고 있으나 공여부의 합병증과 전방슬관절통 등의 문제가 발생될 수 있으며 환자에 따라서 이러한 문제를 줄일 수 있는 다른 이식건의 사용도 필요할 수 있다. 여러 이식건의 생역학적인 특성, 장점 및 단점, 합병증을 충분히 이해함으로써 환자 개인에 맞는 적절한 이식건을 선택할 수 있으며 수술후 환자의 만족도를 높일 수 있을 것으로 생각된다

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위장 이식편을 이용한 식도 재건술에서 위장 배출 지연 현상의 가시화 (Visualization of Delayed Gastric Emptying Flows After Esophageal Reconstruction Using a Gastric Graft)

  • 전혜진;박희진;성재용;이재익
    • 한국가시화정보학회지
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    • 제7권2호
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    • pp.22-27
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    • 2010
  • The delayed gastric emptying flows have been visualized in this study when a gastric graft replaced an esophagus after esophagectomy. To construct visualization models for gastric grafts, the path data of gastric graft were extracted from the CT images for real patients and then the experimental models were made from silicone tube by considering elasticity of real stomach. During experiments, 200 ml of water or glycerin was poured into the gastric graft model and the gastric emptying time for total volume of fluid to pass pylorus was measured from the successive images captured by a high speed CCD. The gastric emptying time was compared according to the change of diameter and path (front or rear path) of gastric graft, and pyloroplasty or not. In case that the pyloroplasty was not conducted, the smaller was the diameter of gastric graft, the shorter was the gastric emptying time. However, if the pyloroplasty was conducted, the larger diameter of gastric graft was better for the gastric emptying. Although the rear path gave rise to longer gastric emptying time than the front path, it did not matter, if the pyloroplasty was conducted.

관상동맥우회술시 부적절한 좌내흉동맥의 변형 활용에 대한 경험 (Reconstruction of Injured or Inadquate Left Internal Thoracic Artery in Cornonary Artery bypass Graft)

  • 이영탁
    • Journal of Chest Surgery
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    • 제32권10호
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    • pp.897-902
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    • 1999
  • Use of the left internal thoracic artery(ITA) to bypass the left anterior descending(LAD) coronary artery has become the standard of care based on its superior graft patency, reduced cardiac events, and enhanced survival. But rarely we encountered with injury to the artery during harvesting which leads to loss of the merits of surgery. We reconstructed inadequate ITAa with other arterial conduits so proximal stump to be a blood source if possible. Maternal and method: Between January 1996 and March 1999, 12 patients received bypass with the reconstructed left internal thoracic artery grafts to left anterior descending artery because of an injury(n=8), short or small(n=4). Right or left ITA was used to LAD as a free graft(n=2). And the other 10 left ITAs were extended with radial artery(n=6), right ITA(n=3), saphenous vein(n=1). Composite "T" graft was made with other arterial conduits in these extended graft(n=5). Result: There was only one morbidity of minor would problem, and no mortality. The patency of extended graft to LAD was complete in 5 patients who received angiography during the period of 2wks to 2 years postoperative, but one of side branch of "T" graft occluded. All of these patients were well. Conclusion: Reconstructive extension with the use of other arterial conduit for the injured proximal ITA is warranted in any patients with acceptable results. acceptable results.

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메타과요오드산소다에 의한 알긴산소다의 MMA graft 중합 (Graft Polymerization of MMA onto Sodium Alginate by Sodium Metaperiodate)

  • 박천욱
    • Elastomers and Composites
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    • 제14권1호
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    • pp.7-12
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    • 1979
  • Graft copolymerization of methlymethacrylate(MMA) onto sodium alginate(SA) aqueous solution by sodium metaperiodate$(NaIO_4)$ as an initiator was carried out with the variation of the reaction time, the reaction temperature and the concentrations of initiator and monomer. The results obtained were as follows: 1. SA was easily separated from the reaction mixture of homopolymer, graft polymer and sodium alginate ungrafted by the treatment of concentrated boiling $Na_3PO_4$, solution with the small amount of $Na_2SO_3$ to the mixture and then isolated as the acid form by acidifying the salts solution containing SA. 2. The amount of graft polymer was larger than that of homopolymer below $70^{\circ}C$ whereas above $70^{\circ}C$ the amount of homopolymer was larger. 3. The sum of each amount of graft polymer ana homopolymer was always increased with increase of the reaction time, the reaction temperature and the concentrations of initiator and monomer. 4. With increase of the concentration of initiator, the graft efficiency was increased below $70^{\circ}C$ while decreased above $70^{\circ}C$. 5. Graft copolymerization of MMA onto SA in aqueous solution was carried out without initiator.

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발치와 보전술식시 변형 유리 결체조직 이식술을 이용한 일차 페쇄술식 : 익이식술 (Socket Preservation Utilizing Modified Free Connective Tissue Graft for Primary Closure : Wing Graft)

  • 민경만;한수부;이철우;김동균;임상훈
    • Journal of Periodontal and Implant Science
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    • 제28권3호
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    • pp.409-418
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    • 1998
  • The socket preservation technique is very effective in preventing alveolar ridge collapse after tooth extraction. Many technigues have been proposed for the primary closure of the flap and we tested a new graft design, "wing graft", which is a modification of free connective tissue graft in this case report. With this technique, primary closure was achieved without shallowing the vestibule. Additionally some vertical ridge augmentation effect could be observed and therefore good esthetic and functional results were obtained from this technique even in the case where severe bone loss and gingival recession was present. Finally we observed good healing appearance in the donor site after 2weeks. The results from this report suggest that this "wing graft" can be used successfully as an adjunctive procedure with socket preservation technique.

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Strip 치은자가이식술후 이식편의 수축률에 관한 임상적 연구 (The Clinical Study on ShrinKage Rate of Graft following Strip Gingival Autografts)

  • 정해수;임성빈;정진형
    • Journal of Periodontal and Implant Science
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    • 제27권3호
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    • pp.549-559
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    • 1997
  • The purpose of this study was to evaluate clinical changes in graft size after treatment with strip gingival autograft in human. 57 premolar teeth in 27 patients having the following mucogingival problems were selected. The width of extension, attached gingiva including free marginal gingiva, width of transplant and clinical sulcus depth were measured at the initial examination, 2, 12 and 24 weeks following the strip gingival autograft and free gingival autograft. The change of width of extension, attached gingiva including free marginal gingiva, width of transplant and clinical sulcus depth according to healing process in both graft procedures was statistically analyzed by repeated measure ANOVA test and independent t-test using SPSS program. The results were as follows : 1. The change of keratinized gingiva in both graft procedures was increased significantly at 24 weeks post-op. 2. The clinical sulcus depth exhibited no marked changes throughout the entire investigation in both graft procedures. 3. No dimensional variation was seen in graft size in both graft procedures. 4. Shrinkage did not differ significantly in both graft procedures. From the day of grafting to 24 weeks after surgery the percentages of shrinkage were : strip gingival autograft 28% and free gingival autograft 29%.

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자가 정맥 이식을 이용한 수지 접합술 (Digital Replantation Using Autogenous Vein Graft)

  • 김용진;김형건;김형주;박진철
    • Archives of Reconstructive Microsurgery
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    • 제7권1호
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    • pp.73-79
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    • 1998
  • We carried out 107 replantations of amputated digits since last 1988. Among them, clean Gillotine amputation was 19 digits, mild crush amputation was 51 digits, severe crush amputation was 28 digits and avulsion type amputation was 9 digits. Vein grafts were used on 24 of these cases. The donor site of the vein graft was the volar aspect of the ipsilateral wrist or lower forearm. The average length of the vein graft was 1.8cm(1.0-3.0cm) and the average diameter of the vein graft was 1.5mm(1.0-2.0mm). Sixty-one of 107 digits were successfully replanted for an 57% success rate. The survival rate of the replantation using the vein graft was 66.7%. We analysed the functional results of the successfully replanted digits according to Nakamura and Tamai's criteria. The functional results of the replantated digits using vein graft were better than that of without using vein graft(more than fair results, 81.2% vs 73.3%). We conclude that the jucidious use of autogenous vein grafts in digital replantation surgery will improve the survival rate and promote the functional result.

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구순구개열 환자에서의 이종골 이식재를 통한 견치의 맹출 (CANINE ERUPTION THROUGH BIO-$OSS^{(R)}$ GRAFT IN PATIENTS WITH CLEFT LIP & PALATE)

  • 김지훈;최병호;장채리
    • 대한장애인치과학회지
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    • 제6권2호
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    • pp.105-111
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    • 2010
  • 이종골의 치아맹출에 대한 기존 문헌 및 동물실험 연구를 바탕으로, 자가골 및 동종골 이식이 어려운 구순구개열 환자에서 이종골(Bio-$Oss^{(R)}$)을 이식하여 성공적으로 매복된치아의 맹출을 유도하였고, 치근의 형성 및 치아의 골내 이동도 정상적으로 이루어졌다.

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Frequency of bone graft in implant surgery

  • Cha, Hyun-Suk;Kim, Ji-Wan;Hwang, Jong-Hyun;Ahn, Kang-Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제38권
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    • pp.19.1-19.4
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    • 2016
  • Background: Implant surgery has become popular with the advance of surgical techniques such as sinus lifting, guided bone regeneration, and block bone graft. However, there were no data about the frequency of bone graft during implant surgery. The purpose of this study was to report the frequency and types of bone graft depending on dental implant patients' profile to complement the database regarding implant surgery. Methods: The implant operations had been performed from January 2006 to October 2014. The upper and lower jaws were divided into six sextants. A total of 792 sextants were included in this study. Patient information including sex, age, sites, bone graft, and types of bone were investigated. Results: A total of 1512 implants had been placed. Male and female sextants were 421 and 371, respectively (M:F = 1:0.88). Average age was 54.3 (ranging from 20 to 88 years old). Implants were placed in the posterior maxilla (322 sextants, 40.7 %), posterior mandible (286 sextants, 36.1 %), anterior maxilla (127 sextants, 16.1 %), and anterior mandible (57 sextants, 7.2 %). Bone graft was performed in 50.3 % of the sextants. Among the bone grafted sites, sinus lifting with lateral approach (22.1 %) and guided bone regeneration (22.7 %) were performed most frequently. Conclusions: Bone graft in implant surgery was necessary to augment defects. More than half of the sextants needed bone graft for implant installation.

보철 치료시 전치부 치조제 결손부의 처치 (Correction of anterior ridge defect for conventional prosthesis)

  • 정재은;김태일;설양조;이용무;구영;류인철;정종평;한수부
    • Journal of Periodontal and Implant Science
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    • 제38권4호
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    • pp.729-736
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    • 2008
  • Purpose: Anterior ridge defect after tooth extraction results in unfavorable appearance. Ridge augmentation procedures should be preceded by careful surgical-prosthetic treatment planning, and various techniques can be used in anterior ridge augmentation. Materials and Methods: Three patients showed deformed ridges after tooth extraction. Three different techniques ; onlay-interpositional connective tissue graft; bovine hydroxyapatite graft with free connective tissue graft; bovine hydroxyapatite graft with resorbable collagen membrane following free connective tissue graft; were used for anterior ridge augmentation. Result: Soft tissue graft can be used in small amount of ridge defect, hard tissue graft combined with soft tissue graft can be used in large amount of ridge defect. After ridge augmentation, about three months of healing period, augmented tissue was stabilized. The final restoration was initiated after this healing period, and the tissue form was maintained stable. Conclusion: Careful diagnosis and surgical-prosthetic treatment planning with joint consultation prior to surgery should be performed in order to attain an optimal esthetic results.