• Title/Summary/Keyword: Plication

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Treatment of Patella Recurrent Dislocation Through Percutaneous Lateral Release and Arthroscopic Medial Reefing (슬개골 재발성 탈구에 대한 외측부 유리술 및 내측 중첩술을 이용한 치료)

  • Hwang, Byoung-Yoon;Choi, Chong-Hyuk;Yang, Ick-Hwan;Park, Yoon-Ghil
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.2
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    • pp.85-90
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    • 2010
  • Purpose: To evaluate the results of percutaneous lateral release and arthroscopic medial plication for patients with recurrent patella dislocation. Materials and Methods: This study includes the thirty-one cases of patients who have had a surgical operation from March 2001 to March 2008. All the patients had recurrent patella dislocation after trauma history. The average age was 24.2 years old and the average follow up was 47.4 months (minimum 24 months). Results: The preoperative congruence angle, lateral patellofemoral angle, Lysholm score was $24.8^{\circ}$, $-6.2^{\circ}$, 75 points on average respectively. However, the postoperative congruence angle, lateral patellofemoral angle, Lysholm score was improved to normal range: $-2.8^{\circ}$, $10.2^{\circ}$, 95 points on average. Five cases showed the recurrent dislocation after operation. Among them, three cases showed femoral trochlear dysplasia. Conclusion: Percutaneous lateral release and arthroscopic medial plication showed satisfactory results for recurrent patella dislocation with low complication rate. However, in cases with femoral trochlear dysplasia, another surgical treatment may be considered.

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Posterior Internal Impingement of the Shoulder in Baseball Players -Preliminary Report of 5 Cases Study- (야구 선수에서의 견관절 내부 후방 충돌 -5예에 대한 예비보고-)

  • Kim, Young-Kyu;Choi, Kwang-Woon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.1
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    • pp.36-42
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    • 2005
  • Purpose: To investigate the arthroscopic findings, and to evaluate the clinical outcomes of the treatment of posterior internal impingement of the shoulder in baseball players. Materials and Methods: We followed up 5 cases who were diagnosed as posterior internal impingement for the mean 15 months. All of the cases complained of the pain in the posterior shoulder at late cocking, and were positive in the relocation test added by hyper-horizontal abduction at $120^{\circ}$ abduction of the arm. We sutured posterior labral tear and SLAP lesion arthroscopically, and conducted debridement for rotator cuff. Three cases were performed of anterior capsular plication and the other two were performed of thermal capsular shrinkage. Pain, range of motion, and level of return to sports activity were assessed for the results. Results: As to the arthroscopic findings, all the five cases showed the fraying in posterosuperior labrum, and two of them was accompanied with the flap tear in posterosuperior labrum and the other one was accompanied with type 2 SLAP lesion. All the cases showed the fraying in supraspinatus, and one case showed partial tear. Meanwhile, in all the cases, the rotator cuff was impinged to the labrum at $90^{\circ}{\sim}120^{\circ}$ of abduction and external rotation. As to the postoperative results, all the cases did not complain of pain or instability while pitching, and the competition was recovered to be the mean 88%($80{\sim}100%$) of that before the injury. Conclusion: Definite diagnosis for the posterior internal impingement would be possible through arthroscopic examination. Favorable outcomes could be obtained with capsular plication or shrinkage for anterior microinstability and stretching exercise for posterior capsule tightness inducing the internal impingement.

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아르스 마그나와 프린키피아에 나오는 수치해석적 기법

  • 이무현
    • Journal for History of Mathematics
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    • v.15 no.3
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    • pp.25-34
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    • 2002
  • This paper explains methods of numerical analysis which appear on Cardano's Ars Magna and Newton's Principia. Cardano's method is secant method, but its actual al]plication is severely limited by technical difficulties. Newton's method is what nowadays called Newton-Raphson's method. But mysteriously, Newton's explanation had been forgotten for two hundred years, until Adams rediscovered it. Newton had even explained finding the root using the second degree Taylor's polynomial, which shows Newton's greatness.

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Congenital Diaphragmatic Eventration in Neonates -A Report of 3 cases- (신생아에서의 선천성 횡격막 내번증;치험 3례)

  • 최강주
    • Journal of Chest Surgery
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    • v.26 no.9
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    • pp.730-734
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    • 1993
  • Three neonates with congenital diaphragmatic eventration underwent intrathoracic operation had marked improvements in symptoms postoperatively. Two were one day of ages, one was 1 month of age, and they were all female and had other congenital abnormalities of lung hypoplasia, cleft palate, nasal polyps and neonatal hepatitis. The right diaphragm was more affected than left as 2:1. The repair for diaphragmatic eventration was performed successfully by plication of remnant diaphragm, and there were no complications postoperatively.

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Surgical Treatment of Ebstein`s Anomaly Report of a case (Ebstein 심기형의 개심술 1례)

  • Park, Guk-Yang;Lee, Jeong-Ho;Yu, Hoe-Seong
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.436-439
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    • 1985
  • A patient of Ebstein`s anomaly underwent surgical repair on Oct. 24th, 1984. Tricuspid valve was replaced by 31mm St. Jude mechanical valve without plication of atrialized right ventricle. The annulus has been placed below the coronary sinus, with care not to damage the conduction system. But postoperatively complete heart block developed. Permanent pacemaker was implanted on his 12th POD. Now he has been followed up for 9 months. There was no hemodynamic problems yet.

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The Analysis of Two Span Continuous Composite Plate Girder Bridge by ALFD (ALFD해석방법에 의한 2경간합성교 연구)

  • 한상철
    • Journal of the Korean Society of Safety
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    • v.7 no.4
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    • pp.115-128
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    • 1992
  • The main purpose of this study was to determine whether the inelastic moment-rotation character-istics defined by the lower-bound curve permit economical ALFD for noncompact plate gilders. The study was also intended to determine the benefits of improving the moment-rotation to illustrate the ar plication of the ALFD to noncompact plate girders and to show the Influence of various parameters on the design process. To accomplish these objectives, 34 preliminary designs were made by ALFD or LFD or WSD. In the study, this method of analysis is described first. Next, the design procedures are described. Finally, the resulting designs are presented and discussed.

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Thermocapsulorrhaphy for Shoulder Instability

  • 이광원
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.1
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    • pp.42-47
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    • 2003
  • 관절낭 열 수축술은 시술 자체가 쉽고 편리하게 적용할 수 있어 최근에 그 사용이 증가하는 추세이다. 최근에 발표되는 임상 결과를 볼 때 비교적 만족할 만한 성과를 얻는 것을 볼 수 있으나 그 결과 분석에 세심한 주의가 필요할 것이다. 또한 아직까지도 열 에너지를 이용한 상완 관절낭 수축술 후에 나타나는 관절낭의 생역학적 혹은 생화학적인 변화에 대한 연구가 진핼 중이며 항상 만족스러운 결과만을 예측할 수만은 없는 상황으로 단독적인 사용보다는 관절경적 plication이나 anchonr를 이용한 재건술과 함께 사용할 때 좋은 결과를 얼을 수 있을 것으로 사료된다.

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Arthroscopic Treatment in Multidirectional Instability of the Shoulder Joint (다방향성 불안정 견관절의 관절경을 이용한 치료)

  • Rhee Kwang-Jin;Byun Ki-Yong;Kwon Soon-Tae;Kim Sang-Bum
    • Clinics in Shoulder and Elbow
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    • v.1 no.1
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    • pp.40-45
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    • 1998
  • Multidirectional instability of the shoulder joint is an unusual entity which is not yet well understood. Traditionally recommended treatment is non-operative, but recently arthroscopic treatment has been performed. This is a retrospective review of 20 patients who had multidirectional instability, who had been treated with arthroscopic capsular shift(7 cases), and arthroscopic treatment using Ho:YAG laser(l3 cases) at Department of Orthopaedic Surgery, Chungnam National University Hospital from July, 1988to February, 1997. Results of this study were as follows: 1. In five patients who were treated with arthroscopic anterior capsular shift only, all cases had redislocation of the shoulder joint. But there was no redislocation in two patients who were treated with arthroscopic anterior and posterior capsular shift. 2. ln three patients who were treated with laser-assisted capsular shift only, all cases had redislocation of the shoulder joint. But there was only one redislocation in ten patients treated with laser-assisted capsular shrinkage and capsular plication. Ho: Y AG laser has been found to be a safe and efficacious adjunct to many arthroscopic shoulder procedures. We had satisfactory results by combining a transglenoid capsular shift with laser-assisted capsular shrinkage. Arthroscopic laser-assisted capsular shrinkage and capsular plication is a one of recommendable treatment options in multidirectional instability of the shoulder joint.

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Treatment of Painful Rotator Interval Widening After Subcoracoid Decompression in Elite Archer - Case Report - (양궁 선수의 오구 충돌 증후군의 치료 후 발생한 회전근 간격의 손상에 대한 치료 - 증례 보고 -)

  • Park, Jin-Young;Lee, Seung-Jun
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.280-285
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    • 2010
  • Purpose: Coracoid impingement syndrome refers to subscapularis impingement between the coracoid process and lesser tuberosity of the humerus, and pain may occur when the arm is positioned in forward flexion, internal rotation and adduction. This position is common for archers. Material and methods: A female archer with coracoid impingement syndrome that was uncontrolled by conservative therapy underwent arthroscopic subcoracoid decompression. At the 20th postoperative month of follow up, she complained of painful rotator interval widening and so she underwent arthroscopic rotator interval plication. Results: At the postoperative 6th month of follow up after the second operation, she showed no pain and good functional results, and she returned to competing as an archer. Conclusion: We have reported here on a case of successful treatment of painful rotator widening after subcoracoid decompression in an elite archer.

The Effect on Pulmonary Function after Abdominoplasty (복부성형술이 술후 폐기능에 미치는 영향)

  • Park, Jung Min;Ha, Sung Uk;Lee, Keun Cheol;Kim, Seok Kwun;Son, Choon Hee
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.733-738
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    • 2005
  • Theoretically one might suggest the abdominoplasty can cause respiratory decompensation resulting from musculofascial plication, which reduces the respiratory reserve by decreasing intra-abdominal volume and diaphragmatic excursion. This prospective study was perfomed to evaluate the effect of abdominoplasty and the change of intraoperative Paw on the pulmonary function of 20 consecutive otherwise healthy subjects. The pulmonary function test was performed preoperatively, and repeated 2 months after the operation. Additionally, we monitored intraoperative Paw. Comparison of the pulmonary function test showed a significant decrease(p<0.001) in the mean forced vital capacity(FVC) and the mean forced expiratory volume in one second($FEV_1$) throughout the study period. Postoperatively, the mean FVC decreased by 11.65% and the mean $FEV_1$ decreased by 16.15%. The mean Paw increased by $6.6cmH_2O$($3-12cmH_2O$) by musculofascial plication. And we found that the decrease in FVC and $FEV_1$ was significantly correlated with intraoperative changing of Paw in abdominoplasty(p<0.001). FVC and $FEV_1$ could be decreased by abdominoplasty due to decreasing intra-abdominal volume and diaphragmatic excursion, but there was no respiratory symptom clinically in all patients 2 months after the operation. In conclusion, We found that the decrease in FVC and FEV1 after 2 months of abdominoplasty was significantly correlated with intraoperative Paw change during operation. The intraoperative Paw was increased to $12cmH_2O$ without any respiratory symptom in this study. We suggested that the increase in intraoperative Paw less than about $10cmH_2O$ can not affect on respiratory function clinically.