• Title/Summary/Keyword: Surgical traction

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Comparison of Effects of Non-surgical Continuous and Intermittent Traction on Pain, Balance and Physical Function in the Treatment of Knee Osteoarthritis

  • Lee, Dong-Kyu;Jeong, Jin-Gyu
    • The Journal of Korean Physical Therapy
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    • v.32 no.6
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    • pp.348-353
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    • 2020
  • Purpose: This study examined the comparison of effects of non-surgical continuous and intermittent traction on pain, balance and physical function in the treatment of knee osteoarthritis. Methods: A total of 30 knee osteoarthritis patients were recruited and randomized to a continuous traction group (n=10), an intermittent traction group (n=10), and a control group (n=10). The continuous traction group and intermittent traction group received a non-surgical continuous and intermittent knee joint traction workout five times a week, for 4 weeks. All subjects were assessed with the numeric rating scale (NRS), timed up and go test (TUGT), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) before and after the 4-week treatment. Results: As a result of comparison within groups, the continuous traction group, intermittent traction group, and control group showed a significant difference for NRS, TUGT, and WOMAC after the experiment (p<0.05). According to the comparison of the three groups, the continuous traction group showed a more effectively significant difference than the intermittent traction group and the control group in the balance and physical functions before and after the experiment (p<0.05). Conclusion: This study showed that non-surgical continuous traction treatment was effective in improving pain, balance ability, and physical function in knee osteoarthritis patients.

Orthodontic Traction of Impacted Teeth with Modified Nance Appliance : Case Reports (Modified Nance Appliane를 이용한 매복치의 교정적 견인 치료 증례 보고)

  • Park, Sehee;Choi, Namki;Kim, Seonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.4
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    • pp.454-462
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    • 2020
  • Proper treatment of an impacted tooth is required as it causes functional and esthetic disharmony, as well as it can cause root absorption of adjacent teeth. Treatment options for impacted teeth include periodic observation, surgical exposure, orthodontic traction followed by surgical exposure, tooth transplantation, and extraction. Modified Nance appliance, used for orthodontic traction, is clinically useful because it does not require patient cooperation. Through orthodontic traction combined with surgical exposure of impacted maxillary incisors, canines, and molars using modified Nance appliance, adequate results can be obtained.

Reduction of Chronic Temporomandibular Joint Dislocation by Surgical Traction: Two Cases Report

  • Lim, Hye-Youn;Park, Sang-Jun;Jung, Tae-Young
    • Journal of Oral Medicine and Pain
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    • v.42 no.2
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    • pp.44-48
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    • 2017
  • Chronic temporomandibular joint dislocation is defined as an acute dislocation that cannot be reduced or that recurs for more than one month. The management of dislocation depends on patient status and the duration of dislocation and ranges from conservative reduction to a surgical approach. In the present cases, a 64-year-old male was referred to our department for treatment of chronic dislocation for 6 weeks. The dislocation might be occurred by endotracheal intubation. A 70-year-old female was referred to our department with repeat right condyle dislocation after reduction of dislocation at a local clinic. When she visited for later treatment of new dentures, her condyle had been dislocated again for several weeks. In both cases, we tried to treat the dislocation with several manipulations, which were unsuccessful. Finally, chronic dislocation was successfully treated by surgical traction under general anesthesia without relapse. Surgical traction is a simple, effective option with the lowest morbidity of surgical procedures for chronic dislocation when conservative reduction is unsuccessful.

Orthodontic Traction and Decompression Method in Treating Impacted Permanent Mandibular First Molars : Case Reports (교정적 견인과 감압술에 의한 매복된 하악 제1대구치의 치험례)

  • Jih, Myeongkwan;Lee, Sangho;Lee, Nanyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.257-263
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    • 2015
  • Impacted teeth occur at higher frequencies in permanent than primary dentition. The most frequently affected teeth are the maxillary and mandibular third molars, whereas it is quite uncommon for the mandibular first molar to be impacted. Treatment methods for impacted teeth include continuous examination for independent eruption, surgical exposure, subluxation after surgical exposure, orthodontic traction, and surgical repositioning. If all of these treatments fail, tooth extraction may be considered. In the first case study, an 8-year-old boy was treated with surgical exposure, after which he was fitted with an obturator. His mandibular first molar then erupted successfully. In the second case, we treated a 12 year-old boy using orthodontic traction. This study describes children with tooth eruption disorders of the mandibular first molar in mixed dentition, and reports acceptable results regarding treatment of the impacted teeth.

TUNNEL TRACTION OF IMPACTED MAXILLARY CANINES (매복된 견치의 Tunnel을 통한 교정적 견인)

  • Jeon, Jeong-Hoon;Oh, You-Hyang;Lee, Nan-Young;Lee, Sang-Ho;Lee, Chang-Seop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.33-39
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    • 2005
  • The impacted maxillary canine is a common problem of which all dental practitioners should be aware. The surgical orthodontic treatment of impacted canines is replaced correction position in dental arch without periodontal damage. Many treatment possibilities have been considered for this goal; window procedure, apically positioned flap, closed eruption technique and tunnel traction. Prognosis for these treatment may be very uncertain in many case(infraosseous impacted tooth). Other steps are required to achieve a satisfactory periodontal outcome. Satisfactory results could be expected if the physiologic eruption pattern is restored by tunnel traction, because permanent tooth erupts through the gingiva near the crest of the ridge so that periodontal damage is reduced. This article report that the surgical orthodontic treatment using tunnel traction is obtained proper position and reduced periodontal damage in facially impacted maxillary canines.

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TREATMENT OF A PERMANENT INCISOR COMPLETELY INTRUDED BY TRAUMA : A CASE REPORT (외상으로 완전 함입된 영구전치의 치험례)

  • Hyun, Hong-Keun;Kim, Jung-Wook;Hahn, Se-Hyun;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.3
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    • pp.431-437
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    • 2000
  • Traumatic intrusive luxation, an occurrence common in the primary dentition but one that occurs rarely in the permanent dentition, has a poor prognosis. There have been many treatment approaches such as allowing the tooth to reerupt spontaneously, surgical repositioning and immediate luxation, surgical luxation, and orthodontic repositioning; but all have their own drawbacks. Meanwhile, Turley et al. (1987) have proposed surgical and orthodontic combination therapy to treat intrusion. Surgical and orthodontic combination therapy means to apply the orthodontic traction force immediately after surgical luxation. If ankylosis occurs, orthodontic force may be applied after re-luxation repeatedly. But in cases of complete intrusive luxation, it would be not feasible to bond an orthodontic button or bracket on the tooth directly. Thus, in this case, traction of the tooth was attempted after surgically repositioning it close to the probable original socket site to promote better healing.

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CASE REPORTS OF SURGICAL EXPOSURE AND ORTHODONTIC TREATMENT OF IMPACTED PERMANENT TEETH (매복된 미맹출 영구치의 외과적 노출후 교정력을 이용한 치험례)

  • Kim, Chang-Bum;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.3
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    • pp.628-636
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    • 1997
  • Impacted or unerupted permanent teeth have many problems in making a diagnosis and treatment plan in dental clinic. There are several methods to treat impacted teeth. The combination of surgical exposure and orthodontic traction is usually the treatment of choice in cases with impacted teeth. Two cases are reported, which were treated with surgical intervention and orthodontic movement. and one case is treated with orthodontic movement alone. To improve esthetic problem and maintain periodontal health, We should avoid loss of attached gingiva in surgical exposure, and excessive orthodontic force during the traction of the impacted tooth.

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Traction Effects for the Treatment of Scoliosis (척추 측만증에 대한 견인 치료의 효과)

  • Shim, Jae-Hun;Oh, Duck-Won
    • Physical Therapy Korea
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    • v.3 no.3
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    • pp.12-23
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    • 1996
  • The purpose of this research is to identify traction effects for the treatment of scoliosis and compare the effects among patients as their own physical characters. In this research, the patients with scoliosis hospitalized for ten days have treated in the way of the static traction for twenty hours a day, and alternating lumbar and cervical traction for twenty minutes two times a day in the department of rehabilitaton of Yong-Dong Severance Hospital. The followings are the conclusions of this research: 1) The traction for the patients with scoliosis is effective treatment method to reduce the curved angle (p<0.001). 2) Statistically there is no significant difference of the reduced curved angle between male and female after the traction (P>0.05). 3) Statistically there is significant difference of the reduced curved angle among age groups after the traction (P<0.05). 4) Statistically there is significant difference of the reduced curved angle among curved angle groups after the traction (p<0.001). 5) Statistically there is no significant difference of the reduced curved angle among shapes of curved angle after the traction (P>0.05).

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A Theoretical Study and Implementation of Spinal Traction System (척추견인 시스템의 인체 역학적 견인력에 대한 이론적 고찰 및 구현에 관한 연구)

  • Chang, Hojong;Lee, Song Jae
    • Journal of Biomedical Engineering Research
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    • v.35 no.2
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    • pp.19-25
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    • 2014
  • According to recent data more than 80% of people suffer from back pain, due to an aging and a poor posture, at least once in their life time, and 7~10% of them have chronic spine illness. Researchers over the years have studied on various spinal traction devices that utilize the force of traction, and have also reported clinical test results. However, most existing devices are too complicated and too expensive. In order to solve these problems, we have developed a new device in which the frame moves up and down and at the same time tilting angle of the frame is adjusted. We have analyzed the forces applied on the body as a function of tilting angle. And the result shows that the new device has achieved the force of traction, which is known to be effective for spinal rehabilitation.

AUTOTANSPLANTATION OF IMPACTED MAXILLARY CANINES: CASE REPORTS (자가 이식을 이용한 매복 견치의 치험례: 증례보고)

  • Ko, Yoon-Sik;Kim, Ji-Yeon;Park, Ki-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.4
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    • pp.435-440
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    • 2011
  • Maxillary canine impaction is a common eruption problem in children. Impaction frequently involves further complications such as root resorption of adjacent teeth, cyst formation and migration of the neighboring teeth, etc. Various treatment modalities include extraction of preceding deciduous canine, orthodontic traction, and surgical extraction followed by immediate replantation of the extracted tooth at the proper position(autotransplantation). Autotransplantation is considered as the treatment of choice when surgical exposure and subsequent orthodontic traction are difficult or impossible due to unfavorable impacted position. The prognosis of autotransplantation is affected by the degree of apex formation, surgical procedures performed, timing of root canal treatment, and length of stabilization period. In these two cases presented, the patients with unerupted maxillary canine were treated with autotransplantation. One case was thought that guidance of eruption by orthodontic traction was difficult because of its unfavorable impacted position. In the other case, parents didn't agree to treat by orthodontic traction, therefore autotransplantation was done. In both cases, autotransplantation was carried out following root canal treatment and orthodontic treatment, and both cases have demonstrated to be successful to this day.