• 제목/요약/키워드: Malalignment

검색결과 69건 처리시간 0.033초

골반의 기능평가 및 치료에 관한 고찰 (A Study on Pelvic Girdle Function Assessment and Treatment)

  • 구희서
    • 대한정형도수물리치료학회지
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    • 제1권1호
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    • pp.37-48
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    • 1995
  • The correlation between mobility abnormalities and positional findings(pelvic asymmetry) is essential for complete pelvic girdle evaluation. For mobility tests, there are four tests include : 1. Standing forward bending test. 2. Seated forward bending test. 3. Posterior anterior sacral pressures. 4. Kinetic test. To determine specific pelvic dysfunction, positional findings should bo assessed with bony landmarks. According to the assessment findings, the suggested order of treatment is as follows. 1. Pubic malalignment. 2. Sacroiliac dysfunction. 3. Iliosacral dysfunction. Many of the pelvic dysfunctions will respond to the simplified approach as shown in this paper but some dysfunctions will require more specific treatment.

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거골 골연골병변의 자연 경과 (Natural History of Osteochondral Lesion of the Talus)

  • 경민규;이동오;이동연
    • 대한족부족관절학회지
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    • 제24권2호
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    • pp.37-41
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    • 2020
  • Many articles on operative treatment strategies for osteochondral lesions of the talus (OLT) have been published. On the other hand, there are only a few reports on the conservative treatment of OLT. Understanding the natural history of OLT is essential to establishing the correct treatment. Conservative treatment might lead to comparable clinical outcomes compared to the current options of the operative treatment in isolated OLT lesions. OLT lesions can be divided into two (or possibly three) types. Hence, the prognosis and outcome of certain operative treatments should be evaluated further. The prognosis of OLT combined with instability or malalignment appears poorer than that of isolated OLT lesions. Therefore, concomitant pathologies should be evaluated together when treating patients with OLT.

골반의 기능평가 및 치료에 관한 고찰 (A Study on Pelvic Girdle Function Assessment and Treatment)

  • 구희서
    • 대한물리치료과학회지
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    • 제2권1호
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    • pp.431-443
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    • 1995
  • The correlation between mobility abnormalities and positional findings(pelvic asymmetry) is essential for complete pelvic girdle evaluation. For mobility tests, there are four tests include : 1. Standing forward bending test. 2. Seated forward bending test. 3. Posterior anterior sacral pressures. 4. Kinetic test. To determine specific pelvic dysfunction, positional findings should bo assessed with bony land-marks. According to the assessment findings, the suggested order of treatment is as follows. 1. Pubic malalignment 2. Sacroiliac dysfunction. 3. Iliosacral dysfunction. Many of the pelvic dysfunctions will respond to the simplified approach as shown in this paper but some dysfunctions will require more specific treatment.

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연골판 이식술의 적응증과 수술 전 계획 (Indication and Pre-operative Planning of Meniscal Allograft Transplantation)

  • 김태형;최남홍
    • 대한관절경학회지
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    • 제15권1호
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    • pp.32-35
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    • 2011
  • 연골판 절제술로 인한 슬관절의 퇴행성 변화와 이로 인한 임상적 증상을 예방하기 위해 연골판의 기능을 수복할 동종 연골판 이식술이 필요하다. 환자들에게 만성 전방십자인대 파열이나, 연골 손상, 내반 변형 등 동반되는 상황이 있을 수 있으므로 이에 대한 적절한 수술 전 준비가 필요하고, 동종 연골판 이식술 후 좋은 결과를 얻기 위해 적절한 환자의 선택이 중요하다.

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개에서 외부고정법을 이용한 양측성 하악골절의 치유 일례 (A Case of External Skeletal Fixation for Treatment of Bilateral Mandibular Fracture in a Dog)

  • 구자민;김현희;박대식;장홍희;이효종;이후장;송해룡;이용훈;정종태
    • 한국임상수의학회지
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    • 제20권1호
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    • pp.134-137
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    • 2003
  • A 5-year-old, male mixed breed dog was presented to Gyeongsang National University Animal Hospital for bilateral mandibular open fracture by bite. The dog had loss of the teeth and injury of the oral mucosa. Radio-graphic and blood examinations were conducted. Fracture lines were observed between first premolar and second premolar, but temporomandibular luxation was not observed on radiographs. In serum analysis, elevated levels of CPK and LDH were found. The dog was anesthetized and prepared for aseptic surgery. Acrylic external skeletal fixator with Kirschiner wire was applied. Pin loosening and malalignment of the right fracture line was observed at 7 weeks after surgery. We applied Kirschner-Ehmer fixator and half pins during the second surgical procedure. At 4 weeks after a second surgical procedure, the fixator and pins were removed from mandible. The fractures were healed with no complications.

개에서 대퇴골 골절의 치유를 위한 Joshi External Fixator의 적용 예 (Application of Joshi External Fixator for Treatment of Femoral Fracture In a Dog)

  • 연성찬;손해룡;이효종
    • 한국임상수의학회지
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    • 제17권2호
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    • pp.505-509
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    • 2000
  • A five-month old female dog was presented to Teaching Anilmal Hospital, Gyeongasng National University for femur fracture. Previously the dog had been presented to a local hospital. Orthopedic and blood examinations were conducted. There was absent response of conscious propri- oception. The dog stood knuckled onto the digits and had hock dropped, but showed no117a1 values in WBC.RBC, Hb, PCV, BUN, Creatine, Glucose, Cholesterol, AST and ALT. Plain radioaraphs were taken and there were abundant periosteal reaction and malalignment of fragments. The dog was anesthetized and prepared for aseptic surgery. Joshi external fixator and half pins were applied(uni lateral). AT 8 weeks after surgery, the pins were removed from the bone. The fracture was well healed wish no evidence of original fracture line. but mild muscle atropy and shortening of femur were found.

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성인 구순구개열환자의 교정치료 및 관리 (Orthodontic treatment and management of adult patient with cleft lip and palate)

  • 김성식
    • 대한치과의사협회지
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    • 제53권7호
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    • pp.457-467
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    • 2015
  • Patients with cleft lip and palate require interdisciplinary treatment to achieve successful rehabilitation. However, there are special difficulties in orthodontic treatment of adult cleft lip and palate patients: 1. Lack of Tissue, Bone, and Soft tissue; 2. Heavy Scar Tissue, Vestibule, and Palate; 3. Severe Anteroposterior discrepancy and Impaired Maxilla; 4. Distortion of Alveolar Ridge; 5. Abnormal Eruption Path and Malalignment of Tooth. Solving these problems, orthodontist should have differential diagnosis on extent of cleft site and residual deformities of adult cleft lip and palate patient. The tooth missing area in cleft site was commonly treated with a removable or fixed prosthesis, but this method is not stable to retain maxillary arch shape. To establish the more stable arch shape in cleft lip and palate, endosseous implants in the alveolar clefts with bone graft is helpful for management of adult cleft lip and palate patient.

교정치료에서의 제2대구치 (THE SECOND MOLARS IN ORTHODONTICS)

  • 김정기;홍성준
    • 대한치과교정학회지
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    • 제19권3호
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    • pp.49-58
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    • 1989
  • The permanent second molars, erupted about 12-13 years old, are finally erupted except wisdom teeth. Although they are likely to be excluded in the orthodontic treatment because located in the most posterior area of the dentition, about twenty percents of the orthodontic patients have abnormal occlusion of the permanent second molars, and we usually observed the malalignment of the permanent second molars in the finished case without including this teeth. These permanent second molars should be necessarily corrected by orthodontic appliances for the dynamic-normal occlusion. Moreover, according to the previously mentioned treatment philosophy, there are clear advantages in the cases which the permanent second molars were used for anchorage source, and this has been proposed convincingly by many authers. Therefore it is reasonable that orthodontists determine to include the permanent second molars among orthodontic treatment, but particular cases.

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저위 경골 절골술 (Low Tibial Osteotomy)

  • 최준영;서진수
    • 대한족부족관절학회지
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    • 제18권4호
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    • pp.141-146
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    • 2014
  • Low tibial osteotomy is an extra-articular procedure that realigns the mechanical axis, restoring ankle function. It is also an alternative surgical procedure to manage early osteoarthritis of the ankle joint. This can mainly address ankle varus/valgus, as well as procurvatum/ recurvatum, internal/external rotation, equinus, calcaneus, and limb length discrepancy. The authors describe the history, mechanism, indications, and limitations of low tibial osteotomy focused on osteoarthritis of the ankle with varus malalignment reviewing several articles published thus far.

관상면 변형이 동반된 족관절염에서의 인공관절 치환술 (Total Ankle Arthroplasty in Ankle Arthritis with Coronal Plane Deformity)

  • 윤여권;박광환;박재용
    • 대한족부족관절학회지
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    • 제26권4호
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    • pp.157-162
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    • 2022
  • Total ankle arthroplasty has become a viable motion-preserving alternative to ankle arthrodesis, especially in the last two decades. Recent improvements have been achieved in the strength of implant design and surgical technique. Nevertheless, addressing preoperative deformities is essential for successful outcomes of total ankle arthroplasty. Residual malalignment can produce instability and edge loading, causing acceleration of polyethylene wear, followed by osteolysis and an increased risk of revision surgery. Therefore, the accompanying deformities and their correction techniques need to be comprehensively elucidated and understood. In this article, we provide a review of the application of total ankle arthroplasty in arthritis with coronal plane varus and valgus deformities.