• Physical Therapy Rehabilitation Science
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• 제11권3호
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• pp.279-284
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• 2022

Objective: This study was conducted to confirm the effect of physiotherapy on the balance and walking in dog with sciatic nerve injury and degenerative arthritis of stifle joints. Design: Single case study Methods: The dog walked abnormally for six months and was administrated in S animal hospital. The dog's right hindlimb was operated for cranial cruciate ligament repair and the dog had been taking a nonsteroidal anti-inflammatory analgesic before being refered. There was severe degenerated osteoarthritis in the right hindlimb. During stance and walking, the right hindlimb was often shown partial weight bearing. The dog's left hindlimb was shown plantigrade stance and walking. The radiograph was shown an intact calcaneal tendon in the left hindlimb. In the neurologic examination, sciatic nerve injury in the left hindlimb was confirmed. The dog was treated using muscle strengthening, proprioceptive exercise, underwater treadmill and Laser therapy two, or three times a week for 3 months. At the 10th and 17th treatment, it was evaluated through stance and gait analyzer system to measure dog's balance and walking. Results: 3 months following physiotherapy, the dog's balance was improved in center of pressure(COP). And peak vertical force(PVF), vertical impulse(VI) was increased in right hindlimb and double stance was decreased. Conclusions: Physiotherapy may have improved the prognosis in this dog with severe osteoarthritis and sciatic nerve injury. This study suggested that animal physiotherapy is a valuable way to improve balance and walking.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2009년도 제17차 학술대회
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• pp.21-21
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• 2009

There are some patients who have traumatic anterior shoulder instability due to minor injuries like overhead activities. The purpose of this study was to clarify characteristic features of traumatic anterior shoulder instability due to minor injuries. According to the mechanism of injury in an initial dislocation, 83 shoulders that underwent the stabilizing surgery for traumatic anterior shoulder instability were divided into two groups. Traumatic group included patients who suffered from a fall or a direct injury. Minor injury group included patients who suffered from the other injury like overhead activity. General joint laxity, range of motion and laxity under anesthesia, and intraarticular findings were compared between two groups. The morphology of superior and middle glenohumeral ligaments, Bankart lesion, Hill-Sachs lesion, and partial articular surface tendon avulsion lesion were observed in arthroscopy. Minor injury group consisted of 19 shoulders with 8 males, 11 females and the mean age of 22.5 years. Traumatic group consisted of 64 shoulders with 52 males, 7 females and the mean age of 24.3 years. Female in minor injury group was significantly more than that in traumatic group. There was no difference in general joint laxity and intraarticular findings between two groups. Range of external rotation in injured side in minor injury group was significantly more than that in traumatic group. Inferior laxity in both sides in minor injury group was more than that in traumatic group. In conclusion, the traumatic anterior shoulder instability due to minor injuries might incline to occur the shoulder in female and with inferior laxity of shoulder.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.175-182
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• 2013

Purpose: Crushing injuries by car tires result from a combination of friction, shearing, and compression forces and the severity of injury is influenced by the acceleration. Because car-tire injuries of the lower leg in children are common these days but they have received little attention; thus, our purpose was to look closely into this problem. Methods: A retrospective analysis was conducted of data from children under 15 years old age who visited an emergency department because of a car-tire-related crushing injury to the lower leg in pedestrian traffic accident from January 2008 to September 2012. The patient's age, sex, site of injury, degree of injury, associated injuries, type of surgery, and complications were reviewed. Results: There were 39 children, the mean age was 8.0 years, and 71.8% were boys. The dorsal part of the leg was involved most frequently. According to the severity classification, 15 children were grade I, 6 were grade II, and 18 were grade III. Among 24 patients, 13 were treated with skin graft and 3 were treated using a sural flap. Twelve patients developed complications, such as hypertrophic scarring, contractures, and deformities with significant bone loss. Conclusion: Various degrees of skin or soft tissue defects were caused in children by car tires. In this study, patients were often also had tendon or bone damage. Proper and timely initial treatments are needed to reduce the incidence of infection, the number of operative procedures, and the hospital stay.

• Archives of Plastic Surgery
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• 제46권3호
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• pp.228-234
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• 2019

Background The management of flexor tendon injuries has evolved in recent years through industrial improvements in suture materials, refinements of repair methods, and early rehabilitation protocols. However, there is no consensus on the ideal suture material and technique. This study was conducted to compare the tensile strength, repair time, and characteristics of 4-strand cruciate, modified Kessler, and 4-strand horizontal intrafiber barbed sutures for flexor tenorrhaphy with a 12-mm suture purchase length in an animal model. Methods The right third deep flexors of 60 adult Leghorn chicken feet were isolated and repaired with a 12-mm suture purchase length. The tendons were randomly assigned to three groups of equal number (n=20 each). Groups 1 and 2 received 4-strand cruciate and modified Kessler repair with conventional suture materials, respectively. A 4-strand horizontal intrafiber barbed suture technique was used in group 3. The repaired tendons were biomechanically tested for tensile strength, 2-mm gap resistance, and mode of failure. Repair times were also recorded. Results The maximum tensile strength until failure was $44.6{\pm}4.3N$ in group 1, $35.7{\pm}5.2N$ in group 2, and $56.7{\pm}17.3N$ in group 3. The barbed sutures were superior to the other sutures in terms of the load needed for 2-mm gap formation (P<0.05). Furthermore, the barbed sutures showed the shortest repair time (P<0.05). Conclusions This study found that 4-strand horizontal intrafiber barbed suture repair with a 12-mm purchase length in a chicken flexor tendon injury model showed promising biomechanical properties and took less time to perform than other options.

• Clinics in Shoulder and Elbow
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• 제25권1호
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• pp.36-41
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• 2022

Background: Distal biceps rupture is a relatively uncommon injury that can significantly affect quality of life. Early complications following biceps tendon repair are not well described in the literature. This study utilizes a national surgical database to determine the incidence of and predictors for short-term complications following distal biceps tendon repair. Methods: The American College of Surgeons' National Surgical Quality Improvement Program database was used to identify patients undergoing distal biceps repair between January 1, 2011, and December 31, 2017. Patient demographic variables of sex, age, body mass index, American Society of Anesthesiologists class, functional status, and several comorbidities were collected for each patient, along with 30-day postoperative complications. Binary logistic regression was used to calculate risk ratios for these complications using patient predictor variables. Results: Early postoperative surgical complications (0.5%)-which were mostly infections (0.4%)-and medical complications (0.3%) were rare. A readmission risk factor was diabetes (risk ratio [RR], 4.238; 95% confidence interval [CI], 1.180-15.218). Non-home discharge risk factors were smoking (RR, 3.006; 95% CI, 1.123-8.044) and ≥60 years of age (RR, 4.150; 95% CI, 1.611-10.686). Maleness was protective for medical complications (RR, 0.024; 95% CI, 0.005-0.126). Surgical complication risk factors were obese class II (RR, 4.120; 95% CI, 1.123-15.120), chronic obstructive pulmonary disease (COPD; RR, 21.981; 95% CI, 3.719-129.924), and inpatient surgery (RR, 8.606; 95% CI, 2.266-32.689). Conclusions: Complication rates after distal biceps repair are low. Various patient demographics, medical comorbidities, and surgical factors were all predictive of short-term complications.

• 대한관절경학회지
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• 제4권2호
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• pp.111-116
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• 2000

목적 : 저자들은 아킬레스 동종 이식건을 이용하여 관절경적 후방 십자 인대 재건술을 시행하였으며, 경골의 후방부 도달과 이식물의 통과 등에서 저자들이 개선한 시술방법의 유용성과 결과를 분석해 보고자 한다. 대상 및 방법 : 1997년 9월부터 1999년 9월까지 후방 십자 인대 파열로 진단받고 아킬레스 동종 이식건을 이용하여 재건술을 시행한 8명의 환자를 대상으로 하였으며, 추시 기간은 평균 21.7월 이었으며, 술전 Telos 스트레스 검사에서는 평균 14mm의 후방 불안정성을 보였다. 결과의 평가는 Telos 검사, Lysholm Knee Score 및 IKDC 판정기준을 이용하였다. 결과 : 술후 염증이나 신경 손상의 합병증은 없었으며, 술후 후방 불안정성은 Telos 스트레스 검사상 $0\~5mm$까지 6례, $6\~10mm$ 2례였다. 임상 평가결과 Lysholm knee score는 술전 평균 45점에서 술후 87점으로 향상을 보였으며 IKDC 판정상 A group이 2례, B group이 6례였다. 결론 : 아킬레스 동종 이식건을 이용한 후방 십자 인대 재건술은 충분한 이식건으로 안정성을 얻을 수 있고 공여부의 이환을 없앨 수 있으며 후격막 통과 도달법을 이용한 저자들의 개선된 술기는 수술시간의 단축과 정확한 경골 터널의 정립에 도움을 주었으나 안정성을 검증하기 위한 장기 추시가 필요하리라 생각한다.

• Journal of Yeungnam Medical Science
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• 제8권2호
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• pp.202-208
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• 1991

소아에 있어서 수부손상의 대부분은 가정이나 외부로부터의 위험인자에 대한 자기방어능력이 부족한데서 발생되는데, 핵가족화로 인해 자녀에 대한 부모의 관심이 줄어들면서 그 빈도가 더욱 증가되고 있는 추세이다. 본 영남대학교 의과대학 성형외과학교실에서는 1983년 6월부터 1991년 10월까지 수부손상으로 재건술을 받은 10세이하의 소아를 대상으로 조사를 시행하여, 주로 봄, 가을에 활동력이 주어지기 시작하는 2세-4세의 남아에서 수지 첨부와 zone II에 많이 발생하고, 문틈에 끼여서 손상을 입는 경우가 많았으며, 전충피부이식이나 복합조직이식에서 좋은 결과가 나타남을 알 수 있었다.

• 한국융합학회논문지
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• 제11권9호
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• pp.59-63
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• 2020

본 연구는 엘리트 레슬링선수들이 주로 발생하는 스포츠 손상유형을 알아보고, 그에 따른 시각적 상사 척도와 회복 기간 그리고 시각적 상사 척도와 회복 기간이 어떠한 관계가 있는지 알아보고자 하였다. 손상 유형별 발생률은 포아송 비로 계산하였으며, 손상유형에 따른 시각적 상사 척도와 회복 기간은 일원분산분석을 시행하였다. 또한, 시각적 상사 척도와 회복 기간의 관계를 알아보기 위해 단순선형 회귀분석을 시행하였으며, 모든 통계의 유의성은 α=.05로 하였다. 연구결과 인대 손상이 가장 높았으며, 그다음으로는 근육 손상, 연골 손상 그리고 힘줄 손상 순이었다. 손상유형에 따른 시각적 상사 척도는 통계적으로 유의하였으며(p=.001), 회복 기간에서도 통계적으로 유의하였다(p=.001). 또한, 시각적 상사 척도가 1씩 증가할 경우, 회복 기간은 약 1.89일씩 길어졌다(p=.001). 이러한 연구들은 선수들의 안전한 선수 생활과 스포츠 현장 복귀를 위한 유용한 이론적 배경으로 제공될 것이다.

• Clinics in Shoulder and Elbow
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• 제1권2호
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• pp.236-241
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• 1998

본 교실에서는 주관절에 발생한 후외측방 회전 불안정성에 의한 재발성 탈구 환자에 대해 Nestor 술식을 이용한 외측 척측부인대 재건을 1례 치 험하였다. 주관절의 재발성 탈구의 치료에 있어서는 병인중 가장 많은 후외측방 회전 불안정성에 대한 이해가 필요하며 그에 따른 외측 척측부인대 재건등의 수술적 수기와 술후 적절한 재활 치료가 치료결과에 큰 영향을 미치게 된다.

• 대한족부족관절학회지
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• 제25권1호
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• pp.10-16
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• 2021

Evidence-based papers on the treatment of some chronic tendinopathy or ligament lesions using an injection in foot and ankle disorders have been reported, but there are few reports on the treatment of acute ankle ligament injury. On the other hand, some papers have reported a faster return to play for injection therapy that combines RICE (Rest, Icing, Compression, and Elevation) treatment and rehabilitation. Injection therapy can be used as an additional treatment for ankle ligament injury. Rather than having narrow-minded thinking about these treatments, it is important to make efforts to verify the safety and precautions of treatment and recognize them as a category of normal treatment. Continuous analysis and monitoring of these treatments can satisfy patients whose needs are changing rapidly.