• Title/Summary/Keyword: Ligament

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반복된 후방 십자 인대 재건술 후 발생한 구획 증후군 및 심부 정맥 혈전증 (Compartment Syndrome and Deep Vein Thrombosis after Repetitive Posterior Cruciate Ligament Reconstruction)

  • 김진구;이수원;최홍준
    • 대한관절경학회지
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    • 제12권1호
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    • pp.58-62
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    • 2008
  • 후방 십자 인대 재건술은 신경혈관 합병증 발생 위험율이 높은 수술 방법이다. 하지만 후방 십자 인대 재건술 후 발생한 심부 정맥 혈전증 및 그와 관련된 구획증후군에 대한 보고는 없다. 본 교실에서는 후방 십자 인대 파열로 반복적인 수술을 시행 받은 환자에서 경골 inlay 방법을 이용한 후방 십자 인대 재재건술 후 발생한 신경혈관 합병증의 증례를 보고하고 이의 중요성에 대한 고찰을 하고자 한다.

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후방십자인대 재건술 후 사체 아킬레스 이식건의 초기연신거동 (Initial Lengthening Behavior of Cadaveric Achilles Tendon Graft After Posterior Cruciate Ligament Reconstruction)

  • 김철웅;배지훈;이호상;왕준호;박종웅;오동준
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1461-1466
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    • 2008
  • In the case of Posterior Cruciate Ligament (PCL), the most frequent mechanism is the dashboard injury, which is directly pressurized to the anterior of the proximal tibia in the state of the knee hyperflexion. The PCL associated ligament damage happens when the posterior injury, the varus, the valgus, the hyperextension and the severe vagus torque are out of the critical value of PCL. After the successful operation cases of Anterior Cruciate Ligament (ACL) reconstruction using the allograft were informed from 1986, a number of results kept over the maximum 10 years were reported. Unfortunately, PCL reconstruction are crowded the surgery techniques such as the graft, the tibia fixing method, the fixation device, the location of the femoral tunnel, the number of the graft bundles and PCL reconstruction to access to the stability of the normal joint is being developed. Therefore, this study is the basic research of these above facts. The current transtibial tunnel surgery using the cadaveric Achilles tendon grafts is chosen for the various PCL reconstruction. The initial extension of the Achilles tendon by the fixing device and its location under the cyclic loading, were observed.

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Numerical simulation of hydraulic fracturing in circular holes

  • Haeri, Hadi;Sarfarazi, Vahab;Hedayat, Ahmadreza;Zhu, Zheming
    • Computers and Concrete
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    • 제18권6호
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    • pp.1135-1151
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    • 2016
  • For investigating the effect of the pre-existing joints on the initiation pattern of hydraulic fractures, the numerical simulation of circular holes under internal hydraulic pressure with a different pattern of the joint distributions are conducted by using a finite element code, FRANC2D. The pattern of hydraulic fracturing initiation are scrutinized with changing the values of the joint length, joint offset angle. The hydraulic pressures with 70% of the peak value of borehole wall breakout pressure are applied at the similar models. The simulation results suggest that the opening-mode fracture initiated from the joint tip and propagated toward the borehole for critical values of ligament angle and joint offset angle. At these critical values, the crack grow length is influenced by joint ligament length. When the ligament length is less than 3 times the borehole diameter the crack growth length increases monotonically with increasing joint length. The opening-mode fracture disappears at the joint tip as the ligament length increases.

X선조사가 발육치근막에 미치는 영향에 관한 실험적 연구 (EXPERIMENTAL STUDY ON THE EFFECT OF X-IRRADIATION IN THE RAT PERIODONTAL LIGAMENT)

  • 조원표
    • 치과방사선
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    • 제10권1호
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    • pp.9-14
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    • 1980
  • The author studied on the effects of X-ray irradiation to the development of periodontal ligament in gestation rats. They were irradiated in their abdomen with 100, 200 and 300 rads respectively in one shot irradiation with deep radiation therapy equipment (MAXIMAR 250-Ⅲ), In 7th, 14th, 21th and 28th day after delivery, those new born rats were respectively sacrificed with ether anesthesia and removed of their mandibles. After removal, those mandibles were fixed in 10% neutral buffer formalin, decalcified with 5% trichloroacetic acid for 5 days and embedded with paraffine. Staining was performed with H-E, Van Gieson, Mallory azan, Bielshowsky-Gomori silver stain and Halmi's oxytalan fiber stain. The results were as follows: 1. Before tooth eruption, all the fiber: components in dental sac were almost always oriented near the outer enamel epithelial \layer. But in irradiated new born rats, those collagen fiber orientation was more irregular than those of control groups, and this phenomenon was more severe in proportion to the amount of irradiation in the gestation period. 2. Before tooth eruption, the connective tissue fibers in periodontal ligament were stained with lighter in the irradiated groups than those of control groups. Oxytalan fibers of irradiated groups were thin and splitting pattern of their fiber morphology to compare with those of control groups. 3. After tooth eruption, the periodontal ligament fibers of irradiated groups were oriented functionally and their morphology was thick, fine and heavy staining. Oxytalan fibers were revealed with oblique parallel arrangement in the periodontal ligament of irradiated groups.

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한방 치료와 연속 수동 운동(CPM)을 병행한 전방 십자인대 파열 환자의 수술 후 재활 치료에 대한 증례 보고 (The Clinical Case Report about Postoperative Rehabilitation for the Tear of Anterior Cruciate Ligament Treated with Korean Medical Treatment and Continuous Passive Motion)

  • 박창현;송윤경
    • 척추신경추나의학회지
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    • 제11권1호
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    • pp.97-107
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    • 2016
  • Objectives : The objective of this study is to report the effect of Koran medical treatment and CPM exercise on recovery after reconstruction surgery of torn anterior cruciate ligament Methods : A 27-year-old male patient who had anterior cruciate ligament reconstruction surgery was treated by Korean medical treatment and CPM exercise from March 24th 2015 to April 16th 2015. Results : After treatments, VAS were generally decreased, ROM of Lt. knee got better from $95^{\circ}/10^{\circ}$(flexion/extension) to $120^{\circ}/-5^{\circ}$ (flexion/extension), Lysholm Score increased from 26 to 63. Conclusions : This study showed that Korean medical treatments and CPM exercise has meaningful effect on recovery after reconstruction surgery of anterior cruciate ligament. And it is considered that we need to apporoach recovery of these kinds of operation with more active Korean medical treatment, and further researches should be done steadily.

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NACA 처리에 따른 치주줄기세포 사멸 억제 효과 (Protective Effect of NACA on Periodontal Stem Cell)

  • 이경희
    • 대한통합의학회지
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    • 제8권3호
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    • pp.53-62
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    • 2020
  • Purpose :Periodontal ligament stem cells maintain tissue homeostasis in periodontal ligament. The purpose of this study was to determine the characteristics of periodontal ligament stem cells isolated from premolar teeth and observe protective effects against oxidative damage caused by Triethylene glycol dimethacrylate (TEGDMA) following treatment with N-acetylsysteine amide (NACA) drug known as enzymatic antioxidants. Methods : Primary periodontal ligament stem cell (PDSC) culture was performed from simply extracted human premolar of orthodontic patients. The characteristics of the primary cultured PDSCs was analyzed using the FACS system. PDSCs was incubated with TEGDMA and NACA. The cell proliferation and survival was determined using WST-1 assay. Collected data were analyzed using SPSS Window 20. Results : Primary cultured PDSCs grow on the floor and develop rapidly in a cluster form from up to 14 days. The morphology of PDSCs showed the spindle-shaped cells and grew directionally. FACS analysis, In addition, positive expression of visible cells were observed in mesenchymal stem cell biomarkers. PDLSCs cell viability was significantly decreased at high concentration in both 3 and 6 hours after TEGDMA treatment. We observed a decrease in the number of cells as well as a morphological change of PDLSCs. Antioxidative effect was notable since the death of PDLSC death was significantly inhibited compared to the control group at 24 and 48 hours after NACA treatment. Conclusion : Therefore, based on the results of this study, further research should be encouraged considering the development of clinical treatment methods using various antioxidants as well as regenerative engineering techniques utilizing periodontal ligament stem cells.

LIGASTIC 인공인대를 이용한 급성 견봉 쇄골 탈구의 수술적 치료 (Surgical Treatment of the Acute Acromioclavicular Joint Dislocation with a LIGASTIC Artificial Ligament)

  • 최선진;김상효;박한성
    • Clinics in Shoulder and Elbow
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    • 제8권2호
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    • pp.135-140
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    • 2005
  • Purpose: To find out the early results after surgical treatment of the acute acromioclavicular dislocation with LIGASTIC artificial ligament. Material and Method: 6 patients who were diagnosed as acute acomioclavicular joint dislocation and treated with LIGASTIC artifical ligament through March 2005 to July 2005. The radiologic and clinical results using Imatani evaluation system were analyzed. Results: By clinical evaluation, 4 cases(67%) were excellent and 2 cases(33%) were good. By radiologic evaluation, 3 cases(50%) were excellent and 3 cases(50%) were good. All cases showed satisfactory results. Till the final follow up, there were no complication. Conclusion: Surgical treatment of the acute acromioclavicular dislocation with LIGASTIC articifial ligament is simple, but provides enough stability for early postoperative rehabilitation, decreases arthritis of acomioclavicular joint and there is no burden of removal of the fixture, so it is thought as a very effective surgery.

전열침(가칭)이 급성 족관절 염좌로 인한 전거비 인대 손상에 미치는 임상적 효과 (The Clinical Effects of Heating-Conduction Acupuncture Therapy(tentatively called) for Anterior Talofibular Ligament Injury Induced by Acute Ankle Sprain)

  • 안순선;장효길;허동석
    • 한방재활의학과학회지
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    • 제19권4호
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    • pp.127-134
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    • 2009
  • Objectives : The purpose of this study is to investigate the clinical effects of heating-conduction acupuncture therapy on anterior talofibular ligament injury induced by acute ankle sprain. Methods : From October 31, 2008 to July 21, 2009, the 11 outpatients who had admitted to department of oriental rehabilitation medicine, Dae-Jeon oriental medicine hospital, Dae-Jeon university with acute ankle sprain were performed heating-conduction acupuncture therapy on anterior talofibular ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with Pressure algometer and visual analogue scale(VAS) were applied before treatment and after 1st, 2nd treatment. Results : 1. The pain threshold score and the VAS score showed statistical significant improvement after 1st treatment. 2. The pain threshold score and the VAS score showed improvement but had no statistical significance after 2nd treatment. 3. The difference between left and right were not statistical significant in pain threshold score and VAS score. Conclusions : Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with anterior talofibular ligament injury induced by acute ankle sprain.

삼각 인대 파열을 동반한 족근 관절 내과 골절 - 1예 보고 - (Medial Malleolar Fracture Combined with Deltoid Ligament Rupture - one case report -)

  • 주인탁;박성진;김양수;김영훈;이준석
    • 대한족부족관절학회지
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    • 제6권2호
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    • pp.178-180
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    • 2002
  • Authors report one patient of concurrent fracture of medial malleolus and rupture of deltoid ligament. To the author's knowledge, combined failure of both structures has not been previously reported in Korea. Injury mechanism was classified into pronation -abduction type according to Lauge-Hansen classification. Plain radiograph revealed trimalleolar fracture and posterior ankle dislocation. MRI showed complete rupture of both deep and superficial layer of the deltoid ligament. In conclusion, therefore, concurrent rupture of deltoid ligament should be considered for the surgical treatment in trimalleolar ankle fracture with posterior ankle dislocation resulted from pronation-adduction injury.

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전열침이 장요인대 염좌로 인한 요통에 미치는 임상적 효과 (The Clinical Effects of Heating-Conduction Acupuncture Therapy for Lumbago Induced by Iliolumbar Ligament Sprain)

  • 장효길;안순선;허동석;홍권의
    • 한방재활의학과학회지
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    • 제20권3호
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    • pp.109-117
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    • 2010
  • Objectives : The purpose of this study is to investigate the clinical effects of heating-conduction acupuncture therapy on lumbago induced by iliolumbar ligament sprain. Methods : From September 25 to December 30, 2009, the 8 outpatients who had admitted to department of oriental rehabilitation medicine, Dae-Jeon oriental medical hospital, Dae-Jeon university, with acute lumbago were performed heating-conduction acupuncture therapy on iliolumbar ligament sprain. To evaluate the efficiency of heating-conduction acupuncture therapy, visual analogue scale(VAS) and short-form McGill pain questionnaire(SF-MPQ) were applied before treatment and after 1st, 2nd treatment. Results : 1.The VAS and SF-MPQ scores showed statistically significant improvement after 1st treatment. 2. The VAS and SF-MPQ scores after 2nd treatment showed better improvement than those of before and 1st treatment, but had no statistical significance compared with those of before and 1st treatment. Conclusions : Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with acute lumbago induced by iliolumbar ligament sprain.