• Title/Summary/Keyword: Lengthening technique

Search Result 34, Processing Time 0.024 seconds

Limb-Salvage Surgery using Ilizarov Technique - Report of 2 cases - (Ilizarov술식을 이용한 사지 구제술 - 2례 보고 -)

  • Cho, Duck-Yun;Koh, Eun-Sung;Lee, Ji-Sup
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.1 no.2
    • /
    • pp.226-232
    • /
    • 1995
  • Survival rate of osteosarcoma has been improved recently due to the neoadjuvant and adjuvant chemotherapy. Limb-salvaging operation(LSO) has replaced the amputation technique without' lowering the survival rate. And there occurred a lot of patients who are suffering from the high cost of artificial implants and forced to choose amputation due to economic problem. In LSO, usually relatively high cost artifical implant is needed. When a patient and not afford such an expensive implant he had to choose an inexpensive way, amputation. Authors tried bone lengthening by adopting Ilizarov technique after wide resection of tumor in two patients. Bone transportation was successful in one patient and less successful in the other. One case in CDF(continuosly disease free since the surgical procedure) state at follow-up 3 year 4 months after knee joint fusion. And the other was given lobectomy for lung metastasis at postop. 1 year and 9 months, and given osteosynthesis for infected nonunion at the docking site. Bone transportation was thought to be a good method for the bony coverage of dead space caused by wide resection. Bone transportation technique was economical as well as biological We present two osteosarcoma patient who treated with Ilizarov bone transportation.

  • PDF

Treatment of crown-root fracture with a modified crown fragment reattachment technique (변형된 치관부 파절편 재부착술식을 이용한 치관치근파절의 치료)

  • Song, Chang-Won;Song, Min-Ju;Shin, Su-Jung;Park, Jeong-Won
    • Restorative Dentistry and Endodontics
    • /
    • v.35 no.5
    • /
    • pp.395-400
    • /
    • 2010
  • The development of adhesive dentistry has allowed that the crown fragment reattachment can be another option in the treatment of crown fracture. However, additional crown lengthening procedure or extrusion of the tooth may be necessary in the treatment of crown root fracture because subgingival fracture line in close proximity to the alveolar bone leads to challenges for restorative procedure and the violation of the biologic width. This case report presents a modified crown fragment reattachment technique of crown root fracture with pulp exposure, which was done without additional crown lengthening procedures. After the endodontic treatment, the patient was treated using a post insertion and the fragment reattachment technique, which made it possible to preserve the space for the biologic width and maintain a dry surgical field for adequate adhesion through the modification of the fractured coronal fragment. Since a coronal fracture was occurred and reattached afterward, it was observed that the coronal fragment was well maintained without the additional loss of periodontal attachment through 2-year follow up.

DISTRACTION OSTEOGENESIS IN PATIENTS WITH HEMIFACIAL MICROSOMIA (반안면 왜소증 환자에서의 골신장술)

  • Baek, Jin-A
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.31 no.6
    • /
    • pp.526-531
    • /
    • 2005
  • Distraction osteogenesis is a technique of bone lengthening by gradual movement and subsequent remodeling. Distraction forces applied to bone also create tension in the surrounding soft tissues, distraction histiogenesis. Distraction osteogenesis is used to correct facial asymmetry, such as patients with hemifacial microsomia, maxillary or mandibular retrusion, cleft lip & palate, alveolar defect and craniofacial deficiency. Hemifacial microsomia is characterized by unilateral facial hypoplasia, often with unilateral shortening of the mandible and subsequent malocclusion. This report describes two cases of hemifacial microsomia(type IIB). In these two cases, distraction osteogenesis was used to correct a facial asymmetry. Two patients underwent unilateral mandibular distraction osteogenesis of ascending ramus of the mandible with extraoral devices. Successful distraction osteogenesis was achieved in the patients with hemifacial microsomia.

A novel modification of Bardach's two-flap palatoplasty for the repair of a difficult cleft palate

  • Mir, Mohd Altaf;Manohar, Nishank;Chattopadhyay, Debarati;Mahakalkar, Sameer S
    • Archives of Plastic Surgery
    • /
    • v.48 no.1
    • /
    • pp.75-79
    • /
    • 2021
  • Bardach described a closure of the cleft utilizing the arch of the palate, which provides the length needed for closure and is most effective only in narrow clefts. Herein, we describe a case where we utilized Bardach's two-flap technique with a vital and easy modification, done to allow closure of a wide cleft palate and to prevent oronasal fistula formation at the junction of the hard and soft palate, which are otherwise difficult to manage with conventional flaps. The closed palate showed healthy healing, palatal lengthening, and no oronasal regurgitation. We advise using this modification to achieve the goals of palatal repair in difficult cases where tension-free closure would otherwise be achieved with more complex flap surgical techniques, such as free microvascular tissue transfer.

Application of Supercharge End-to-Side (SETS) Obturator to Femoral Nerve Transfer in Electrical Injury-Induced Neuropathy to Improve Knee Extension

  • Katie Pei-Hsuan Wu;Li-Ching Lin;Johnny Chuieng-Yi Lu
    • Archives of Plastic Surgery
    • /
    • v.49 no.6
    • /
    • pp.769-772
    • /
    • 2022
  • Femoral nerve injuries are devastating injuries that lead to paralysis of the quadriceps muscles, weakening knee extension to prohibit ambulation. We report a devastating case of electrical injury-induced femoral neuropathy, where no apparent site of nerve disruption can be identified, thus inhibiting the traditional choices of nerve reconstruction such as nerve repair, grafting, or transfer. Concomitant spinal cord injury resulted in spastic myopathy of the antagonist muscles that further restricted knee extension. Our strategy was to perform (1) supercharge end-to-side technique (SETS) to augment the function of target muscles and (2) fractional tendon lengthening to release the spastic muscles. Dramatic postoperative improvement in passive and active range of motion highlights the effectiveness of this strategy to manage partial femoral nerve injuries.

Novel Estimation Technique for the State-of-Charge of the Lead-Acid Battery by using EKF Considering Diffusion and Hysteresis Phenomenon (확산 및 히스테리시스 현상을 고려한 확장칼만필터를 이용한 새로운 납축전지의 충전상태 추정방법)

  • Duong, Van-Huan;Tran, Ngoc-Tham;Park, Yong-Jin;Choi, Woojin
    • The Transactions of the Korean Institute of Power Electronics
    • /
    • v.19 no.2
    • /
    • pp.139-148
    • /
    • 2014
  • State-of-charge (SOC) is one of the significant indicators to estimate the driving range of the electric vehicle and to control the alternator of the conventional engine vehicles as well. Therefore its precise estimation is crucial not only for utilizing the energy effectively but also preventing critical situations happening to the power train and lengthening the lifetime of the battery. However, lead-acid battery is time-variant, highly nonlinear, and the hysteresis phenomenon causes large errors in estimation SOC of the battery especially under the frequent discharge/charge. This paper proposes a novel estimation technique for the SOC of the Lead-Acid battery by using a well-known Extended Kalman Filter (EKF) and an electrical equivalent circuit model of the Lead-Acid battery considering diffusion and hysteresis characteristics. The diffusion is considered by the reconstruction of the open circuit voltage decay depending on the rest time and the hysteresis effect is modeled by calculating the normalized integration of the charge throughput during the partial cycle. The validity of the proposed algorithm is verified through the experiments.

Delayed bipedicled nasolabial flap in facial reconstruction

  • Goh, Cindy Siaw-Lin;Perrett, Joshua Guy;Wong, Manzhi;Tan, Bien-Keem
    • Archives of Plastic Surgery
    • /
    • v.45 no.3
    • /
    • pp.253-258
    • /
    • 2018
  • Background The nasolabial flap is ideal for reconstruction of the nasal alar subunit due to its proximity, color and contour match, and well-placed donor scar. When raised as a random-pattern flap, there is a risk of vascular compromise to the tip with increased flap length and aggressive flap thinning. Surgical delay can greatly improve the chances of tip survival, allowing the harvest of longer flaps with greater reach. Methods We describe our technique of lengthening the nasolabial flap through multiple delay procedures. A bipedicled flap was first raised and then transferred as a unipedicled flap with a 6:1 length-to-width ratio. During the delay process, the flap tip was thinned to the subdermal layer. Results In our case series of seven patients, defects as far as the medial canthal area and contralateral ala were reconstructed successfully with no incidence of tip necrosis or flap loss. The resultant flaps were thin enough to be folded over for the reconstruction of alar rim defects. Conclusions We highlight the success of our surgical technique in creating thin and robust nasolabial flaps for the reconstruction of full-thickness defects around the nose.

Full mouth rehabilitation of a severely worn dentition using intraoral scanner and the CAD/CAM double scanning technique (중증도의 치아 마모 환자를 구내 스캐너와 이중스캔을 이용해 수복한 완전구강회복 증례)

  • Yoon, Se-Na;Han, Jung-Suk;Yeo, In-Sung;Yoon, Hyung-In
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.58 no.1
    • /
    • pp.67-76
    • /
    • 2020
  • With the evolution of the computer-aided design/computer-aided manufacturing (CAD/CAM) technology, the intraoral scanners are playing an increasingly important role, as they are the first step towards a completely digital workflow. The CAD/CAM double scanning technique has been used to transfer the information from provisional restorations to definitive restorations. In this case, a 67-year-old male with esthetically compromised anterior teeth, generalized severe attrition of teeth, and reduced vertical dimension was treated with full mouth rehabilitation including a re-establishment of the lost vertical dimension of occlusion assisted by the crown lengthening procedure. The provisional restorations were fabricated using an intraoral scanner and the CAD/CAM double scanning technique. After the period of adaption, the definitive monolithic zirconia restorations were delivered. The CAD/CAM double scanning technique successfully transferred the occlusal and morphological characteristics, obtained from the provisional restorations, to the definitive restorations.

One Stage Metatarsal Lengthening of Brachymetatarsia Involving Both 1st and 4th Metatarsal Bone (A case report) (양측 제 1,4 단중족증의 자가골을 이용한 일단계 골연장술(1예 보고))

  • Kim, Dong-Hee;Chung, Duke-Whan;Han, Chung-Soo;Lee, Jae-Hoon;Park, Jae-Yong;Oh, Kyung-Il;Tak, Dae-Hyun
    • Journal of Korean Foot and Ankle Society
    • /
    • v.14 no.2
    • /
    • pp.182-185
    • /
    • 2010
  • 19 years old girl presented with bilateral 1, 4th brachymetatarsia. We have used an autograft interposition technique to lengthen the brachymetatarsia involving first and fourth metatarsal. The technique was to graft the bone fragment from the relatively long second and third metatarsal bone to be used as an autograft to the short first and fourth metatarsal bone. The method is superior in not having the necessity of a long term external fixator which is needed using callotasis method and in also avoiding the inconvenience of performing an allograft. Absence of donor site complication during autograft from iliac bone is also an advantage to be mentioned. Our technique can therefore be ascertained as a successful method in both cosmetic results and improvement of symptoms including reduction in length of recovery.

VERTICAL DISTRACTION OF ALVEOLAR BONE FOR PLACEMENT OF DENTAL IMPLANT (치과 임플란트 식립을 위한 치조골의 수직적 신장술)

  • Oh, Jung-Hwan;Lazar, Frank;Zoeller, Joachim E.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.28 no.4
    • /
    • pp.326-329
    • /
    • 2002
  • Adequate alveolar bone height and width are required for the successful placement of dental implants. Conventional therapeutic regimens for alveolar atrophy are bone grafts or augmentation using allografts and membrane (GBR). Conventional graft techniques have some limitations and complications such as infection, soft tissue problem and high resorption rate. Recently, distraction osteogenesis of alveolar bone is considered as a new alternative for ridge augmentation. Distraction osteogenesis was originally defined and popularized by Ilizarov for lengthening of long bone. Some clinicians have tried to apply distraction osteogenesis in treatment of maxillofacial discrepancies. It was also used to augment alveolar bone. Cologne study group successfully applied the technique for augmentation of alveolar bone and designed several miniplate-distractor systems fabricated by Martin Medizintechnik GmbH in Germany. Vertical distraction of alveolar bone was successfully completed in 104 patients with miniplate-distractor systems. The mean distance of distraction was 10.2mm (range: 6-15 mm) and the mean length of segment was 45 mm (range: 6-127 mm). 162 dental implants in 54 patients were placed immediately or 4 weeks later after removal of the distractor. The results of our study show that vertical distraction of alveolar bone is an effective and reliable technique to restore alveolar atrophy and alveolar vertical defect caused by trauma or tumor.