• Title/Summary/Keyword: Pin Offset

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ACL Reconstruction using Transtibial Femoral Tunnel at 10 or 2 O'clock Position - Technical Note - (10시 혹은 2시 방향의 경경골 대퇴 터널을 이용한 전방 십자 인대 재건술 - 수술 수기 -)

  • Cho, Sung-Do;Ko, Sang-Hun;Park, Mun-Soo;Jung, Kwang-Hwan;Cha, Jae-Ryong;Gwak, Chang-Youl;Kim, Sang-Woo
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.209-213
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    • 2006
  • Purpose: Conventional transtibial approach for the anterior cruciate ligament (ACL) reconstruction tended to place the femoral tunnel in too vertical position (11 or 1 o'clock), which could provide the postoperative anteroposterior (AP) stability but not provided the rotational stability. Therefore we present a surgical technique to make the transtibial femoral tunnel at 10 or 2 o'clock position. Surgical approach: To make a transtibial femoral tunnel at the 10 or 2 o'clock position, the direction and position of the tibial drill guide was important. We set the tibial drill guide at $40{\sim}45$ degrees and the intraarticular guide tip was 1 mm anterior and medial to the conventional site. The starting point for the guide pin on the proximal tibia was proximal to the pes anserinus and anterior to the medial collateral ligament. The tibial tunnel was initially drilled 1mm less than the diameter of the graft. Then femoral offset guide could be easily placed at 10 or 2 o'clock position through the tibial tunnel. The tibial tunnel and the femoral tunnel of 30 mm in length were made with the reamer that was same size with the graft. Conclusion: We report a surgical technique to create a transtibial femoral tunnel at 10 or 2 o'clock position in ACL reconstruction to provide the rotational stability as well as the AP stability.

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Arbuscular Mycorrhizal Fungus Inoculation Effect on Korean Ash Tree Seedlings Differs Depending upon Fungal Species and Soil Conditions (아버스큘 균근균(菌根菌) 접종(接種)이 균종(菌種)과 토양상태(土壤狀態)에 따라 물푸레나무 묘목(苗木)의 생장(生長)에 미치는 영향(影響))

  • Koo, Chang-Duck
    • Journal of Korean Society of Forest Science
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    • v.86 no.4
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    • pp.466-475
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    • 1997
  • I examined arbuscular mycorrhizal(AM) fungus inoculation effects on the seedling growth of Korean ash tree(Fraxinus rhynchophylla Hance), which distributes in fertile mesic soils, under a seven-day watering cycle of water stress and compost-added fertile conditions. Three Korea-native AM fungi were inoculated : an unidentified Glomus species, Gigaspora margarita Becker & Hall and Scutellospora heterogama(Nicol. & Gerd) Walker & Sanders from disturbed forest soils. The effect of AM fungus inoculation on the seedling varied depending upon fungal species and soil conditions. AM formation was 27 to 65% by the Glomus without forming spores, 47 to 74% with about 10 spores per 20g soil by G. margarita and about 65% with 35 spores by S. heterogama. The soil conditions did not affect either AM or spore formation. The Glomus inoculation increased shoot N and P concentrations, but did not affect seedling growth. G. margarita increased shoot N and P, irrespective of soil conditions, in general, but S. heterogama increased N under water stress and Pin the control soil only. These two fungi significantly increased seedling growth in both control and water stress soils. Compost addition increased the growth of non-mycorrhizal seedlings and offset AM fungus inoculation effects. The relative field mycorrhizal dependency(RFMD) of the seedlings was significant only in control and water stress soils by over 40% in G. margarita or S. heterogama AM plants. Under water stress RFMD was the most evident in S. heterogama AM plants. I conclude that some AM fungi such as G, margarita and S. heterogama can broaden the niche of Korean ash seedlings to a water stress or nutrient poor site but less likely to more fertile sites.

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