• Title/Summary/Keyword: Tension band

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Treatment of Surgical Site Infection and Delayed Union in Fetlock Arthrodesis of a Mare

  • Lee, Sang-Kyu;Kim, Jinyoung;Seo, Jong-pil;Lee, Inhyung;Kang, Byung-Jae
    • Journal of Veterinary Clinics
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    • v.37 no.3
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    • pp.157-162
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    • 2020
  • A 6-year-old Thoroughbred mare presented to the Korea Racing Authority Equine Hospital with dropping of the left front fetlock due to an injury sustained while racing. Radiographic examination revealed a comminuted fracture of both proximal sesamoid bones of the affected fetlock. Arthrodesis of the fetlock joint using a broad dynamic compression plate with a tension band wire was performed as a salvage procedure for the future use as a broodmare. After surgery, however, a delayed union of the bones and surgical site infection was present for a prolonged period. Staphylococcus aureus was persistently identified from the surgical site, and antimicrobial therapies were based on antibiotic sensitivity tests, including regional perfusions. The removal and replacement of surgical implants associated with seropurulent discharge was based on coordinating the development of fetlock ankylosis and infection control over 13 months. Firstly, seven screws associated with surgical drainage were replaced and bone morphogenetic protein-2 (BMP-2) and local antibiotics were placed into the surgical site to accelerate bone fusion at postoperative month 7. Further six screws, along with drainage, were removed at postoperative month 10. The plate and screws were removed from the limb due to the progression of bone fusion at postoperative month 13; BMP-2 and local antibiotics were also used. Delayed healing of arthrodesis due to surgical site infection and implant instability were treated by implant removals and antibiotic therapies, and the horse eventually showed improved weight-bearing ability of the affected limb.

Fifth Metatarsal Stress Fracture (운동선수의 제5 중족골 피로골절)

  • Lee, Kyung-Tai;Park, Young-Uk;JeGal, Hyuk;Kim, Jun-Beom
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.2
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    • pp.87-93
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    • 2012
  • Fractures located at the metaphyseal/diaphyseal junction at the base of the fifth metatarsal were first described by Sir Robert Jones in 1902. However, ever since, there has been disagreement and debate regarding the diagnosis, classification, pathomechanics, the incidences, and potential causes of delayed unions and nonunions, and the optimal method of treatment. It appears to be widely agreed that proximal fractures of the metaphyseal/diaphyseal region of the fifth metatarsal are prone to delayed union or even nonunion. Several classifications of proximal fifth metatarsal stress fractures have been devised. Torg et al. classified fractures involving the proximal part of the diaphysis of the fifth metatarsal into three types. The Torg classification is a good grading system that can be used to determine the type of surgery needed as well as for the prediction of prognosis. The ''plantar gap'' might add to the decision-making process for surgery and improve the prediction of patient prognosis. In addition, the new classification using 'plantar gap' might be used for classification of fifth metatarsal stress fracture. Fifth metatarsal stress fractures can be treated conservatively or surgically, and excellent results have been reported for surgery with rapid recovery in athletes. Intramedullary screw fixation has become a popular form of fixation for fifth metatarsal stress fractures. Bone grafting presents the problems of a longer recovery time and additional skin incision for harvesting. The modified tension band wiring is an useful and simple option for surgical treatment of challenging fifth metatarsal stress fractures.

The Treatment of One-Part Fractures of the Greater Thberosity of the Proximal Humerus (상완골 대결절 일분 골절의 치료)

  • Park Tae-Soo;Kim Tae-Seung;Park Ye-Soo;Kim Do-Hyeung;Kang Chang-Nam;Whang Kuhn-Sung
    • Clinics in Shoulder and Elbow
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    • v.2 no.1
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    • pp.21-27
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    • 1999
  • Purpose : The purpose of this study was to evaluate the functional outcomes of one-part fracture of the greater tuberosity that had been treated either by a conservative treatment or an operative approach. Materials and Method: Eighteen shoulders in 18 patients who had an one-part fracture of the greater tuberosity of the proximal humerus were managed, and the average follow-up period was 4 years and 10 months (range, 1 year to 8 years 6 months). Results: According to Neer's criteria for evaluation of results, in the group of 13 patients managed nonoperatively, the results were good or excellent in ten patients, fair in one, and poor in two. In the group managed operatively, the results were excellent in all five patients. Conclusion: If the displacement of the fragment is more than 5mm in young active patients, and more than 3mm especially in athletes and heavy laborers involved in overhead activity, the fragment should be mobilized, repaired and fixed into its original bed or a little bit inferolaterally with multiple heavy non-absorbable sutures, tension band technique, or cancellous screws and washers. We would suggest that the patients showing one-part fracture of the greater tuberosity of the proximal humerus should be evaluated individually.

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Mondor's Disease after Bilateral Mastectomy in Both Breast Paraffinoma Patient (양측 유방의 파라핀종 환자에서 양측 유방절제술 후 발생한 Mondor병(표재성 혈전정맥염) 1례)

  • Oh, Hyun-Soo;Chung, Seung-Il;Yang, Won-Yong;Kang, Sang-Yoon
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.699-701
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    • 2010
  • Purpose: Mondor's disease is a rare benign condition which involves thrombophlebitis of the superficial veins of the breast and anterior chest wall after breast surgery, breast tissue biopsy, inflammatory reaction, breast cancer, trauma. The affected veins include the lateral thoracic, axillary veins, thoracoepigastric veins and superior epigastric veins. Methods: A 49-year-old woman presented to the outpatient department with complaints of the sudden appearance of a subcutaneous cord just under the skin at left lower lateral abdominal wall 1 month later of bilateral mastectomy due to both severe breast paraffinoma. The cord was initially red and tender and subsequently became a painless, tough, fibrous band that was accompanied by tension and skin retraction. Results: On ultrasonographic findings, palpable threadlike structures at both lateral superficial abdominal wall after bilateral mastectomy were noted. Superficial short elongated hypoechoic tubular structures were noted just under the skin at palpable lower lateral abdominal wall. It was compatible to Mondor's disease of thoracoepigastric vein. Conclusion: The increase in breast surgery will give rise to the increase in the frequency of Mondor's disease clinically. Mondor's disease can be diagnosed with clinical symptoms and image findings and the disease has proved to be benign and self-limited.

Dynamic Behavior of Unsaturated Decomposed Granite Soils under Low Shear Strain Amplitude (저전단변형율에서의 불포화화강풍화토의 동적 거동)

  • Huh, Kyung-Han;Baek, Joong-Yuk
    • Journal of the Korean Society of Hazard Mitigation
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    • v.5 no.2 s.17
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    • pp.57-63
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    • 2005
  • In case of general structures, it has been known that the strain amplitude band experienced by the base in a state of service load is less than 1% and most of the base show low, strain amplitude behavior less than 0.01%. In this study examining the influence affected to dynamic behavior in a condition of the low strain amplitude of unsaturated decomposed granite soils, the resonant column test, using some samples in Su-won area, has been performed for each degree of saturation resulted from different void ratios and confined stress. It is found out that the minimum value of the damping ratio occurred in roughly $17{\sim}18%$ according to void ratios regardless of confined pressure in the same manner with the case of the maximum shear elastic modulus; and it is estimated that for the influence of surface tension in the optimum degree of saturation, the damping ratio appears to be least.

Stability of PS Opals in Supercritical Carbon Dioxide and Synthesis of Silica Inverse Opals

  • Yu, Hye-Min;Kim, Ah-Ram;Moon, Jun-Hyuk;Lim, Jong-Sung;Choi, Kyu-Yong
    • Bulletin of the Korean Chemical Society
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    • v.32 no.7
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    • pp.2178-2182
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    • 2011
  • Recently, the synthesis of ordered macroporous materials has received much attention due to its potential use as photonic band gap materials.$^1$ In this study, we have used the three-dimensional (3D) latex array template impregnated with benzenesulfonic acid (BSA), which is capable of catalyzing the reaction using tetraethyl orthosilicate (TEOS) as a precursor and distilled water. The polystyrene (PS) templates were reacted with TEOS in $scCO_2$ at 40 $^{\circ}C$ and at 80 bar. In the reactor, TEOS was filtrated into the PS particle lattice. After the reaction, porous silica materials were obtained by calcinations of the template. The stability test of the PS template in pure $CO_2$ was conducted before the main experiment. Scanning electron microscopy (SEM) images showed that the reaction in $scCO_2$ takes place only on the particle surface. This new method using $scCO_2$ has advantages over conventional sol-gel processes in its capability to control the fluid properties such as viscosity and interfacial tension. It has been found that the reaction in $scCO_2$ occurs only on the particle surface, making the proposed technique as more rapid and sustainable method of synthesizing inverse opal materials than conventional coating processes in the liquid phase and in the vapor phase.

A Case Report of Referral Pain on Mandibular Toothache Originated from Myofascial Pain (근막동통으로 인한 하악 구치부 연관통의 임상증례)

  • Kang, Jin-Kyu
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.455-460
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    • 2007
  • Majority of toothache is caused by abnormality of pulpal or periodontal tissues. However, there are numerous nonodontogenic sources that may be responsible for pain felt in the tooth. Nonodontogenic toothache may result from muscle, maxillary sinus, neuropathic, neurovascular, even cardiac and psychogenic problems. Myofascial pain is one of the most common abnormality characterized by palpation of a hard band which acts as the trigger point that causes stiffness and fatigue of the muscle, referral pain in tooth, tension-type headache, and hyperalgesia. Masseter muscle particularly induce referral pain in maxillary and mandibular molars. This case reported the treatment of the pain in right mandibular molar originated from myofascial pain of the right masseter. The pain is improved by general and reversible treatments such as muscle exercise, physical therapy, and medication. Nonodontogenic toothache should undergo proper differential diagnosis in order to avoid unnecessary dental treatments, such as endodontic, periodontic treatment, and tooth extraction, which would fail to alleviate the symptom of the patient.

Reinforcing Effect of Pre-Tensioned Rock Bolts in the Jointed Rocks Condition (록볼트 긴장에 의한 수평절리암반의 보강효과)

  • An, Joung-Hwan;Lee, Sang-Duk
    • Tunnel and Underground Space
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    • v.19 no.5
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    • pp.388-396
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    • 2009
  • Rock bolt is one of the most important supports for tunnelling to prevent excessive ground relaxation at the primary tunnel excavation stage. It forms a ground arch band by confining the ground around a tunnel. Rock bolt has various effects, such as support or hanging effect, internal pressure effect, arching effect, ground improvement effect etc. Most studies on rock bolt focused on the concept of support, but only a few researches on the ground reinforcing effect by pre-tensioning a rock bolts. In this study, large scale model tests are performed to investigate the ground reinforcing effect of rock bolts for regularly jointed rocks. Simple beam model was built to find out the reinforcing effect of jointed rocks, which was reinforced by pre-tensioned rock bolts. Settlement of model beam was analyzed through measuring its sagging for various installation intervals.

Electromyographical Analyses of Muscle Activities of Upper Trunk for Ssireum Dutguri Technique (Electromyography 기법을 이용한 씨름 덧걸이 기술의 상체 근 동원 비교분석)

  • Shin, Sung-Hyu;Lim, Young-Tae;Kim, Tae-Hwan;Park, Ki-Ja;Kwon, Moon-Suk
    • Korean Journal of Applied Biomechanics
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    • v.13 no.1
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    • pp.95-108
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    • 2003
  • The purposes of this study were to analyze the muscle activities and the characteristics of muscle recruiting patterns of upper trunk for Ssirum dutguri technique using three top-ranked elite Ssirum players. The EMG technique was used to record muscle activities of both right and left sides of latissimus dorsi, biceps brachii, and erector spinae. Six surface electrodes were placed on the surface of the selected muscles and one ground electrode was also attached on the back of neck(C7). One video camera was also used to record the Ssirum motion to define 4 events and 3 phases for further analysis. The raw EMG data were filtered with band pass filter (50-400 Hz) to remove artifacts and then low pass filtered (4 Hz) to find the linear envelope which resemble muscle tension curve. This filtered EMG data were normalized to MVIC for the purpose of comparion between the subjects. The results were indicated that each subject with different physical characteristics showed very different muscle activity patterns. Although Ssirum dutguri is considered as foot technique the player grasped opponent's satba(belt) with both hands when they play. Because of this reason, activities of upper trunk muscles were relatively high. However, direct comparison between upper and lower body muscles was not possible due to the lack of the data in present study. Interestingly, all threes subjects showed that erector spinae muscle activity was comparatively higher than those of latissimus dorsi and biceps brachii. This implies to reinforce back muscle as a routine of training to improve performance or to prevent back injury.

Comparison of Fatigue Damage Models of Spread Mooring Line for Floating Type Offshore Plant (부유식 해양플랜트 다점 계류라인의 피로손상모델 비교)

  • Park, Jun-Bum;Kim, Kookhyun;Kim, Kyung-Su;Ko, Dae-Eun
    • Journal of Ocean Engineering and Technology
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    • v.27 no.5
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    • pp.63-69
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    • 2013
  • The mooring lines of a floating type offshore plant are known to show wide banded and bimodal responses. These phenomena come from a combination of low and high frequency random load components, which are derived from the drift-restoring motion characteristic and wind- sea, respectively. In this study, fatigue models were applied to predict the fatigue damage of mooring lines under those loads, and the result were compared. For this purpose, seven different fatigue damage prediction models were reviewed, including mathematical formula. A FPSO (floating, production, storage, and offloading) with a $4{\times}4$ spread catenary mooring system was selected as a numerical model, which was already installed at an offshore area of West Africa. Four load cases with different combinations of wave and wind spectra were considered, and the fatigue damage to each mooring line was estimated. The rain flow fatigue damage for the time process of the mooring tension response was compared with the results estimated by all the fatigue damage prediction models. The results showed that both Benasciutti-Tovo and JB models could most accurately predict wide banded bimodal fatigue damage to a mooring system.