• Title/Summary/Keyword: Joint preserving

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Surgical Tips to Preserve the Facet Joint during Microdiscectomy

  • Park, Man-Kyu;Kim, Kyoung-Tae;Cho, Dae-Chul;Sung, Joo-Kyung
    • Journal of Korean Neurosurgical Society
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    • v.54 no.4
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    • pp.366-369
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    • 2013
  • Lumbar microdiscectomy (MD) is the gold standard for treatment of lumbar disc herniation. Generally, the surgeon attempts to protect the facet joint in hopes of avoiding postoperative pain/instability and secondary degenerative arthropathy. We believe that preserving the facet joint is especially important in young patients, owing to their life expectancy and activity. However, preserving the facet joint is not easy during lumbar MD. We propose several technical tips (superolateral extension of conventional laminotomy, oblique drilling for laminotomy, and additional foraminotomy) for facet joint preservation during lumbar MD.

Posterior Cervical Inclinatory Foraminotomy for Spondylotic Radiculopathy Preliminary

  • Chang, Jae-Chil;Park, Hyung-Ki;Choi, Soon-Kwan
    • Journal of Korean Neurosurgical Society
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    • v.49 no.5
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    • pp.308-313
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    • 2011
  • Posterior cervical foraminotomy is an attractive therapeutic option in selected cases of cervical radiculopathy that maintains cervical range of motion and minimize adjacent-segment degeneration. The focus of this procedure is to preserve as much of the facet as possible with decompression. Posterior cervical inclinatory foraminotomy (PCIF) is a new technique developed to offer excellent results by inclinatory decompression with minimal facet resection. The highlight of our PCIF technique is the use of inclinatory drilling out for preserving more of facet joint. The operative indications are radiculopathy from cervical foraminal stenosis (single or multilevel) with persistent or recurrent root symptoms. The PCIFs were performed between April 2007 and December 2009 on 26 male and 8 female patients with a total of 55 spinal levels. Complete and partial improvement in radiculopathic pain were seen in 26 patients (76%), and 8 patients (24%), respectively, with preserving more of facet joint. We believe that PCIF allows for preserving more of the facet joint and capsule when decompressing cervical foraminal stenosis due to spondylosis. We suggest that our PCIF technique can be an effective alternative surgical approach in the management of cervical spondylotic radiculopathy.

Severe Ankle Osteoarthritis: Treatment with Total Ankle Arthroplasty (중증 족관절 관절염: 족관절 전치환술)

  • Jeong, Bi O;Jung, Hyuk
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.1
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    • pp.8-15
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    • 2018
  • Ankle osteoarthritis is a debilitating condition that causes severe pain associated with functional impairment and decreased activity. Ankle osteoarthritis, unlike that of the knee or hip joint, is rare in primary arthritis. Most cases are traumatic arthritis that occur after ankle sprain or fractures or chronic ankle instability. Although ankle fusion has been regarded as the standard treatment of ankle osteoarthritis in the past, total ankle arthroplasty (TAA) is increasing due to the development of the implant design and surgical techniques. TAA is biomechanically superior to ankle fusion by preserving the movement of the ankle joint. In particular, it is functionally superior to ankle fusion because it enables normal joint motion during gait. In addition, there is an advantage of preserving the movement of the hindfoot and reducing the abnormal stress applied to the adjacent joints after ankle fusion to prevent the occurrence of long-term adjacent joint arthritis. Although the short-term and mid-term results of TAA have been reported to be excellent, long-term follow-up has a relatively low survival rate and high complication rate compared to total knee or hip arthroplasty. Therefore, continuous and further research is needed.

Radiographic Characteristics and the Clinical Results of the Operative Treatment of M$\ddot{u}$ller-Weiss Disease (뮐러-와이스 병의 방사선학적 특징 및 수술적 치료의 결과)

  • Choi, Hong-Joon
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.2
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    • pp.100-105
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    • 2013
  • Purpose: To present radiographic characteristics and report the clinical results of the operative treatment of M$\ddot{u}$ller-Weiss disease. Materials and Methods: This is a retrospective study including 13 patients, 14 feet who had been operated for M$\ddot{u}$ller-Weiss disease between April 2006 and December 2011. Osteoarthritis of the peri-navicular joints were radiographically evaluated. Various range of peri-navicular fusion and joint-preserving surgeries according to patients' symptoms and radiographic findings were done. The clinical results were evaluated by American Orthopaedics Foot and Ankle Society (AOFAS) midfoot scale and visual analogue scale (VAS). Results: On radiographs, osteoarthritic changes were presented at talonavicular joint in 11 cases, calcaneocuboid joint in 7 cases, subtalar joint in 6 cases, naviculo-cuneiform joint in 1 case. The mean anteroposterior talocalcaneal angle was 16.6 degrees. On hindfoot alignment view, 6 cases were varus, 5 cases were neutral and 3 cases were valgus alignment. Fusion comprised 6 cases in triple fusion, 1 case in talonavicular-cuneiform fusion, 2 cases in talonavicualr fusion and 1 case in talonavicular & calcaneocuboid fusion. Joint-preserving surgeries were bony fragment excision of the lateral part of navicular & medial displacement calcaneal osteotomy in 1 case, bony spur excision of talonavicular joint in 1 case and medial displacement calcaneal osteotomy in 2 cases. The postoperative AOFAS and VAS score were improved significantly (p=0.000, p=0.000). Conclusion: In cases of M$\ddot{u}$ller-Weiss disease without osteoarthritic changes at peri-navicular joints, fragment excision of navicular, bony spur excision with or without medial displacement calcaneal osteotomy were effective operative treatments.

Treatment of Calcaneal Fracture Malunion Using Lateral Exostectomy and Corrective Osteotomy: A Report of Three Cases (외측벽 절제술과 교정 절골술을 이용한 종골 부정유합의 치료: 3예 보고)

  • Noh, Young Min;Kim, Yu Mi;Kim, Sang Yul
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.3
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    • pp.122-127
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    • 2015
  • Inappropriate treatment for calcaneus fracture may result in malunion causing long-lasting pain and functional deficits. When such complications occur, the ideal principle of management is preserving congruence and motion of adjacent joints. For three patients with calcaneus fracture malunion, subtalar joint-preserving surgery using exostectomy and corrective osteotomy was performed, and satisfactory outcomes were achieved postoperatively.

Joint Hierarchical Semantic Clipping and Sentence Extraction for Document Summarization

  • Yan, Wanying;Guo, Junjun
    • Journal of Information Processing Systems
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    • v.16 no.4
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    • pp.820-831
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    • 2020
  • Extractive document summarization aims to select a few sentences while preserving its main information on a given document, but the current extractive methods do not consider the sentence-information repeat problem especially for news document summarization. In view of the importance and redundancy of news text information, in this paper, we propose a neural extractive summarization approach with joint sentence semantic clipping and selection, which can effectively solve the problem of news text summary sentence repetition. Specifically, a hierarchical selective encoding network is constructed for both sentence-level and document-level document representations, and data containing important information is extracted on news text; a sentence extractor strategy is then adopted for joint scoring and redundant information clipping. This way, our model strikes a balance between important information extraction and redundant information filtering. Experimental results on both CNN/Daily Mail dataset and Court Public Opinion News dataset we built are presented to show the effectiveness of our proposed approach in terms of ROUGE metrics, especially for redundant information filtering.

Considerations in implant crestal module to preserve peri-implant tissue (임플란트 주위 조직 보존을 위한 임플란트 경부의 디자인에 관한 고찰)

  • Kim, Hong-Jun;Kim, Jee-Hwan;Kim, Sung-Tae;Lee, Jae-Hoon;Park, Young-Bum
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.4
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    • pp.346-353
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    • 2011
  • Purpose: The peri-implant soft tissue is remodeled by the initial marginal bone resorption affecting the prognosis and esthetic result of treatment. Thus various designs on implant neck design are studied to preserve peri-implant bone. The purpose of this study is to review on the causes of initial marginal bone resorption, the configuration of peri-implant soft tissue, and the implant crestal module favorable in preserving peri-implant tissue. Materials and methods: The studies on the causes of initial marginal bone resorption and the implant crestal modules are researched and reviewed using Pubmed database. The implant crestal modules including one piece and two-piece implant, internal and external hex abutment, taper and butt joint connection, scalloped design abutment, and platform switching concept are reviewed. Results: A number of clinical and experimental studies preferred one piece implant to two-piece in preserving initial peri-implant tissue. For two piece implants, internal hex abutment and taper joint connection appear more favorable than external hex abutment and butt joint connection relatively. Controversial issues still exist on scalloped design requiring more studies on it. Although the rationale is not certain, the concept of platform switching seems favorable in preserving initial peri-implant tissue based on clinical and experimental studies. Conclusion: Each implant crestal module contains its own advantages and disadvantages with various controversial issues. In the aspect of preservation of initial peri-implant tissue, however, one-piece implant seems beneficial. In cases when two-piece implant is more appropriate due to prosthodontic concerns or any other problems, the application of platform switching concept, internal connection abutment, and taper joint connection may be favorable for the preservation of peri-implant tissues.

A Study on the Development Type of Component Joint Design for Environment Friendly Multi Housing Remodeling (공동주택의 친환경 리모델링을 위한 부품접합부 개선방안의 유형화에 관한 연구 II;욕실 및 주방을 중심으로)

  • Lim, Seok-Ho;Kim, Soo-Am;Hwang, Eun-Kyoung;Yun, Mae-Han
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.370-373
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    • 2006
  • Lastly, the problem of filling occurs in the process of concealed joint of adjacent components and was seen in joints between the structure and an electrical or mechanical device. Therefore, the dry processing which replaces wet joint was seen in joints between the structure and a door, ones between the structure and a finishing materials, ones between a gypsum board and electrical device, and ones between a water pipe and a tile finishing. And a process of separating the area of jointed parts in order to eliminate the problem of overlap was seen in joints between a door and a finishing material and ones between a gypsum board on the ceiling and a light. Lastly, an analysis of a process of exposing concealed parts indicated that the problem of filling could be applied to joints between the structure and an electrical or mechanical device and ones between a finishing material and a mechanical device. This study sought out methods to apply Environment Friendly Multi Housing Remodeling that allow easy remodeling as part of environment- preserving policies. It also contains basic data useful to implement long-life houses in the future by presenting a comprehensive design standard for them

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Spatio-Temporal 3D Joint Noise Reduction Filter (시공간 3차원 결합 잡음제거 필터)

  • 홍성훈;홍성용
    • Journal of Korea Multimedia Society
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    • v.5 no.2
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    • pp.147-157
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    • 2002
  • Noise in image sequences is visually offensive and may mask important image detail. In addition to degradation of visual quality, the noise pattern increases the entropy of the image, and thus hinders effective compression. This paper proposes a spatial and a temporal joint filters to reduce the noise by jointly connecting two adaptive noise reducers with different characteristics, and we also propose an IIR-type 3D noise reduction litter scheme connecting the spatial and the temporal joint filters. The proposed 3D IIR filter not only strongly removes noise in uniform image regions while preserving edges and details but also effectively suppresses temporal flicker caused by noise. Experimental results show that the proposed scheme improves subjective quality as well as objective quality as compared with the various noise filtering techniques.

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