• Title/Summary/Keyword: Partial Repair

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Arthroscopic Repair of Traumatic Subscapularis Tendon Tear (외상성 견갑하건 파열의 관절경하 봉합술)

  • Cho, Su-Hyun;Cho, Hyung-Lae;Ku, Jung-Hoei;Hwang, Tae-Hyok;Park, Man-Jun;Choi, Jae-Hyuk
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.3
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    • pp.180-187
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    • 2010
  • Purpose: Rotator cuff tears involving the subscapularis are less common than those involving the superior and posterior rotator cuff. The purpose of the present study was to report the clinical results of repair of isolated traumatic tears of the subscapularis tendon. Materials and Methods: Fifteen patients (13 males, 2 females; mean age 46.2 years; range 35 to 52) with unilateral ruptures of the subscapularis tendon after trauma who underwent arthroscopic repair between February 2003 and October 2008 were reviewed retrospectively. All the cases were isolated tears of the subscapularis without the involvement of any other rotator cuff tendon and were followed for at least two years (mean 28 months). The entire subscapularis was involved in 9 cases and the tear was localized to the upper two thirds in 6 cases. The preoperative and postoperative status of patients with isolated subscapularis tears were analyzed using the Constant Score, American Shoulder and Elbow Society Index (ASES Index) and postoperative integrity was determined through magnetic resonance imaging. Results: The average clinical outcome scores and strength were all improved significantly at the time of the final follow-up. The constant shoulder score improved from 41.5 to 81.3 points (P<0.05) compared to before surgery and ASES index improved from 46.4 to 89.6 points (P<0.05) postoperatively. Thirteen patients (87%) were satisfied with the result of the treatment. The total tears were significantly more improved by surgery than the partial tears. In 12 of 15 patients (80%) were judged to reveal healed tendon on magnetic resonance imaging at a mean of 13 months postoperatively. The postoperative score was significantly lower for the patients with a failed repair than it was for those with an intact repair (P<0.05). Conclusion: Repair of traumatic isolated subscapularis tears through arthroscopic techniques effectively restores patient function with regard to pain, mobility, strength and postoperative tendon integrity. The postoperative integrity of the repair correlates with the functional results and the total tears were more improved by surgery than the partial tears, but future studies may be needed.

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Design of Built-In-Self-Repair Circuit for Embedded Memory Using 2-D Spare Memory (2차원 여분 메모리를 이용한 내장메모리의 자가치유회로 설계)

  • Choi, Ho-Yong;Seo, Jung-Il;Cha, Sang-Rok
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.44 no.12
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    • pp.54-60
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    • 2007
  • This paper proposes a built-in-self-repair (BISR) structure using 2-dimensional spare memory to effectively self-repair faults of an embedded memory. In case of multiple faults in the same row (column) of an embedded memory, the previous method using 1-D spare column (row) memory needs the same number of spare memory columns (rows) as the number of faults to self-repair them. while the new method using 2-D spare memory needs only one spare row (column) to self-repair them. Also, the virtual divided memory is adopted to be able to self-repair using not a full spare column memory but the only partial spare column memory corresponding to the faults. A self-repair circuit with $64\times1-bit$ core memory and $2\times8$ 2-D spare memory is designed. And the circuit includes a built-in-self-test block using the 13N March algorithm. The circuit has been implemented using the $0.25{\mu}m$ MagnaChip CMOS process and has $1.1\times0.7mm^2$ chip area with 10,658 transistors.

Massive Rotator Cuff Tear Repair (광범위 회전근 개 파열의 봉합술)

  • Shin, Sang-Jin
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.167-174
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    • 2010
  • Purpose: Anatomical repair of massive rotator cuff tear has been technically challenging because of medial retraction, muscle atrophy and fatty degeneration. Among several treatment options for massive rotator cuff tear, we reviewed rotator cuff repairs and investigated modalities for improvement of clinical outcomes, decreasing the re-tear rate, and increasing healing. Materials and Methods: Patient-related factors and rotator cuff-related factors were the two major groups of factors we considered when choosing a treatment plan. Results: Mobilization of a massive rotator cuff tear was increased by soft tissue release and by the interval slide technique. After meticulous soft tissue release, anatomical repair could be achieved. If the injury was not amenable to anatomical repair, alternative treatment options such as partial repair, the margin convergence technique and augmentation with a tenotomized biceps tendon were considered. Many reports of massive rotator cuff repair demonstrated satisfactory clinical outcomes, decreased pain, recovery of shoulder functions, and increases in muscle strength. However, the re-tear rate had been reported to be relatively high in long-term follow-up. Conclusion: Despite a high re-tear rate after massive rotator cuff repair, a better understanding of the pathogenesis, progression and clinical symptoms of massive rotator cuff tear and improved surgical materials and techniques will lead to satisfactory clinical outcomes.

Repair of Fractured Tusk in an Asian Elephant By Pulp Capping (치수충진술에 의한 아시아 코끼리의 상아골절 치료)

  • 황범태;권수완;이기환;정희경;신남식;최종호;권오경;이흥식
    • Journal of Veterinary Clinics
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    • v.13 no.2
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    • pp.208-211
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    • 1996
  • The left tusk of Asian elephant (Elephas maximus) was splitted longitudinally and its middle portion avulsed by slip. The pulp was exposed and bled. A loosened tusk fragment continued to irritate its sulcus. We performed a partial pulpotomy and pulp capping. We filled the wide space between the loosened tusk fragment and the counterpart with zinc oxide eugenol and zine phophate cement but it was failed, and then we fastened the loosened tusk fragment to the counterpart by gauze and plaster. The ollsened tusk fragment grew to drop 100 days after the insult and main portion with pulp capping was healthy.

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Cor Triatriatum Associated with Atrial Septal Defect and Partial Anomalous Pulmonary Venous Return: Report of A Case (부분 폐정맥 환류이상과 심방중격 결손증을 동반한 삼중방심의 치험 1례)

  • 이철주
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.440-445
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    • 1985
  • Cor triatriatum is a variant of abnormal connection between the pulmonary vein and true left atrium, which is separated from accessory left atrium receiving pulmonary venous blood flow by fibromuscular diaphragm. Usually it is diagnosed after operation because difficulty in visualization of the diaphragm by conventional diagnostic tools. We experienced a rare entity of congenital heart disease diagnosed as car triatriatum with atrial septal defect and partial anomalous pulmonary venous return after completing operation, which was diagnosed as ASD with PAPVR preoperatively. Anomalous right pulmonary venous opening was located at right atrium, secundum type defect of atrial septum was present, and dual chambered left atrium without connection was also seen. Excision of the diaphragm and wide patch repair of ASD including right pulmonary vein were performed with good postoperative results. Herewith, we report this case with review of literatures.

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Surgical Treatment of Atrioventricular Septal Defect (방실중격결손증의 외과적 치료)

  • Yun, Yeong-Cheol;Lee, Sin-Yeong;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.904-908
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    • 1993
  • Twelve patients had undergone repair of atrioventricular septal defects. Age at operation ranged from 2.4 years to 17 years[mean, 8.25 years]. Five patients were male and seven were female. Three patients had complete atrioventricular septal defect[Rastelli type A] associated with Down`s syndrome. One of the three patient with complete atrioventricular septal defect had tetralogy of Fallot. Three patients had the intermediate form and seven patients had the partial form. The primum atrial septal defect was closed with pericardial patch. The atrioventricular valve septal commissure[mitral cleft] was closed with pledgeted sutures. Three complete atrioventricular septal defect were undergone by two-patch technique. A crescent-shaped Dacron patch was used to occlude the ventricular septal defect. One patient of partial form was sudden death 5 days postoperatively. There were no another complications after surgery. One patient underwent reoperation for opened mitral cleft 2.5 years postoperatively. New York Heart Association functional class of patients was improved postoperatively.

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Interfacial Elemental Change When Soldering the Nico-crally and Fe-Cr-Ni Alloy (국소의치금속상과 Fe-Cr계 wire를 soldering 할때 발생한 계면의 성분변화)

  • Cho, Sung-Am;Ko, Hyun-Kwon
    • The Journal of Korean Academy of Prosthodontics
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    • v.27 no.1
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    • pp.49-54
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    • 1989
  • The purpose of this study was to investigate the interfacial elemental change when solding the Ni-Co-Cr dental removable partial denture alloy and Fe-Cr-Ni wrought wire alloy with Ag-Cu-Zu Silver solder, by EDXA, EPMA, to investigate the appropriateness of clinical usefullness for repair the fractured clasps of removable partial dentive. The result of this study was as follows: 1. The Ni element of major component of Ticonium penetrate into the silver solder 2. The movement Age element of silver solder into Fe-Cr-Ni wire was not significant, by EDXA and EPMA.

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Traumatic descending aortic aneurysm -Report of one case- (외상성 하행대동맥류 수술치험 1례)

  • 이신영
    • Journal of Chest Surgery
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    • v.24 no.5
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    • pp.505-509
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    • 1991
  • Rupture or laceration of the aorta is a more common result of nonpenetrating traumatic injury than is generally appreciated. If the lesion is promptly diagnosed, a appropriate surgical treatment may be life-saving. Diagnosis may be difficult and at times the rupture may remain clinically silent for variable period.< A 34 - year old male patient had sustained steering wheel injury to his chest during automobile accident 8 weeks prior to admission. The diagnosis of traumatic aneurysm of the aorta was delayed as he was asymptomatic. Surgical repair of false aneurysm of the descending aorta was successfully performed by partial cardiopulmonary bypass through the femoral artery and vein.

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Closed Digital Reduction of Posttraumatic Lung Hernia (외상 후 폐장탈출의 폐쇄손가락정복)

  • Park, Ki-sung
    • Journal of Trauma and Injury
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    • v.25 no.3
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    • pp.91-93
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    • 2012
  • Postraumatic lung hernia is a rare occurrence. A number of cases reported in the literature have been treated with early thoracotomy to repair partial protruded lung and pleura to prevent strangulation and incarceration. We present a case of a 45-year-old patient of left posttrumatic lung hernia, in which closed digital reduction was successful. The strategy of the management approach could be established by further accumulated experience.

THE BICEPS : TREATMENT AND CONTROVERSIES

  • Rhee Yong Girl
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2001.03a
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    • pp.123-128
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    • 2001
  • in young, active, strenuous patients $\blacksquare$ stabilization for unstable SLAP lesion $\blacksquare$ tenodesis for ruptured biceps tendon above the groove $\blacksquare$ repair for ruptured biceps tendon below the groove $\blacksquare$ relocation for biceps instability in old, inactive patients $\blacksquare$ no need stabilization for unstable SLAP lesion $\blacksquare$ debride/tenotomy for partial ruptured biceps tendon $\blacksquare$ leave alone/trimming of stump for complete ruptured biceps tendon $\blacksquare$ tenodesis/in-site fixation for biceps instability

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