• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2009년도 제17차 학술대회
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• pp.162-162
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• 2009

After preparation of the bone bed, two doubly loaded suture anchors with suture eyelets are inserted at the articular margin of the greater tuberosity. A retrograde suture-passing instrument penetrates the rotator cuff to retrieve the sutures through the modiWed Neviaser or subclavian portal. An ipsilateral pair of suture eyelets in the suture anchor is passed through the margins of the rotator cuff tear. The blue suture of the second and third pair is pulled out of the lateral cannula, and the threaded blue suture of the third pair in the needle is passed through the blue suture of the second pair. After retrieving the blue suture of the firrst pair through the anterior portal, it is pulled out to pass the blue suture of the third pair through the eyelet of the anteromedial anchor. The blue suture is linked between two anchors. The medial row of suture bridge is repaired with a sliding knot, and the sutures are not cut. Once the rotator cuff repair using the suture-bridge technique has been performed, the two blue strands in the anterior portal are tied. We describe our technique that possesses the advantages of both the double-pulley and suturebridge techniques, which improves the pressurized contact area and maximizes compression along the medial row.

• 한국임상수의학회지
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• 제39권6호
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• pp.353-359
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• 2022

Several suture patterns can be used for cystotomy closure, and a continuous suture pattern is the most commonly used. In this study, the fluid-tight ability and other suitabilities of continuous appositional sutures, such as the simple continuous suture pattern (SC), running suture pattern (RN), and Ford interlocking suture pattern (FI), were compared for cystotomy closure. Cystotomy closure was performed using each suture method in 10 cases of ex vivo swine bladders in each group. Suture time, leakage site, suture length, bursting pressure (BP), bursting volume (BV), and circular bursting wall tension (CBWT) were measured. Suture time and suture length were the shortest in RN and the longest in FI. Leakage occurred in two places: the incision line directly and the hole made by the suture. Leakage occurred through the incision line in 4 bladders of the RN group and 2 bladders of the FI group, but not in the SC group, and in the rest of the bladders, leakage occurred through the suture hole. The values of BP, BV, and CBWT increased in the order of FI, SC, and RN. Suture time and suture length can be considered as factors related to healing and side effects. In this study, leakage through the incision was found in a less appositional area; therefore, leakage through the hole could be considered an indicator of better apposition. Good apposition is one of the conditions required for ideal cystotomy closure. The bursting strength representing the fluid-tight ability can be expressed as the CBWT. RN is expected to be efficient and cause a small degree of foreign body reaction; however, it is expected to be less stable. FI has the greatest fluid-tightness ability, but it has been proposed that side effects due to foreign body reactions most frequently occur in FI. In conclusion, SC, which is expected to have a sufficient degree of fluid-tightness and appropriate recovery, is preferable to other continuous appositional suturing methods for cystotomy closure.

• 대한정형외과스포츠의학회지
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• 제1권2호
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• pp.118-123
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• 2002

목적: 저자들은반월상연골후내각부에사용되던기존의inside-out 의수술수기를변형하여수직봉합이가능하면서충분한고정력을얻을수있는수술수기를보고하는바이다. 수술수기: 관절경을전외측도달법으로위치시키고봉합용갈고리를전내측도달법으로위치시켜봉합용갈고리를돌려서내측반월상연골후내각부에파열된부분의내측의대퇴골쪽표면에서경골쪽표면으로통과시킨다. 갈고리내로PDS $\#0$을통과시킨후봉합용갈고리를빼내고전내측도달법입구로PDS$\#0$의양끝을뽑아낸다. 전내측도달법입구에관절경을위치시킨후전외측도달법입구로Zone specific cannula를통과시켜반월상연골파열면의경골면에위치시키고저자가고안한Looped Needle을통과시킨 후 경골면의PDS $\#0$을Looped Needle의loop 사이를통과시킨후관절밖으로빼낸다.대퇴골면의PDS $\#0$도같은방법으로관절밖으로빼낸다. 2개의PDS 봉합사가나온입구근처에약1cm가량의incision 을넣고PDS 봉합사사이에연부조직이끼지않음을확인하고결찰을시행한다. 고찰: 변형된inside-out 봉합술은기존의inside-out 봉합술에비해수술시간의지연이있을수있으나, 수직봉합을할수있고견고한고정력을얻을수있으며해부학적인정복으로파열부위의접촉면을증가시켜후내각반월상연골의파열을봉합하는우수한방법으로판단되어보고하는바이다.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2008년도 제16차 학술대회
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• pp.179-179
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• 2008

For a partial tear of the subscapularis tendon, the presenting technique requires only the anterior portal for preparing the footprint and suture management, as well as the subclavian portal for placing the suture anchor and suture hook without inserting a cannula. It provides both a good angle for anchor placement and sufficient space for managing the upper portion of a subscapularis tendon tear. A spinal needle was inserted through the subclavian portal in order to identify the appropriate angle for placing the suture anchor. A 3-mm incision was made for the subclavian portal and a biosuture anchor was placed on the footprint portion of the subscapularis tendon. In order to avoid crowding, each limb of both strands of the biosuture anchor were passed through the tendon- posteromedial side first, and anterolateral side second, using a switching technique with suture hook embedded with no.1 PDS. A suture tie was applied in a reverse sequence (the lateral strand first and the medial strand second) through the anterior cannula using a sliding technique.

• Clinics in Shoulder and Elbow
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• 제22권3호
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• pp.146-148
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• 2019

We report a simple technique for repairing capsular tear, using only a hook-like, cannulated instrument and braided sutures without relaying steps. A No. 2 braided suture is passed through the lumen of the instrument. Under direct arthroscopic view, the tip of the instrument is passed through the side of the capsule that has previously been separated with the probe. One end of the suture is retrieved with a grasper through a separate portal. The tip is moved back without withdrawing through the skin, and reinserted into the other side of the capsule. Holding the end retrieved earlier, the other end of the suture is retrieved with a suture retriever. After complete removal of the instrument, the suture is tied through a cannula using the standard knot tying techniques. The same procedures are repeated for other required knots.

• 대한관절경학회지
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• 제13권3호
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• pp.280-284
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• 2009

목적: 버팀테응력 회복을 위한 아탈구 된 내측 반월상 연골의 봉합나사(suture anchor)를 이용한 관절경적 정복술을 보고하고자 한다. 수술 수기: 전외측, 전내측, 중슬개골 도달법을 기본으로 사용하였다. 전외측 도달법으로 관절경을 삽입하여 내측 반월상 연골판의 아탈구를 먼저 확인 하였으며, 내측 반월상 연골판의 방사선 파열이 있는 경우에는 이번 연구에서 제외 하였다. 전내측 삽입구를 통하여 내측 반월상 연골판의 전방부를 유리 시킨 후, 봉합 나사가 삽입 될 곳의 피질골을 전동식 연마기를 이용하여 제거하였다. 중슬개골 도달법을 이용하여 봉합 나사(suture anchor)를 삽입 하였으며, 90도의 봉합 갈고리와 2.0 Nylon을 이용하여 봉합 나사의 봉합사를 연골판에 통과 시킨 후, Sliding knot-tying technique을 사용하여 연골판을 고정시켰다. 환자들은 술 후 6주간 체중 부하를 금지 하였다. 결론: 내측 반월상 연골의 아탈구에 있어 최소한의 손상으로 버팀테응력 회복을 통하여 슬관절의 안정성을 증진시킬 수 있는 술식으로 봉합 나사(Suture Anchor)를 이용한 관절경적 정복술을 소개한다.

• Archives of Plastic Surgery
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• 제36권3호
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• pp.322-326
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• 2009

Purpose: Severe type of inverted nipple (cannot be pulled out above the areola plane by manipulation, grade III) usually cannot be corrected by a relatively simple purse - string suture technique. Most patients want to avoid visible scars. To treat the severe case and avoid visible stigma, we introduce this invisible dermal flap method. Methods: This new surgical procedure makes bilateral incisions on the sidewall of nipple and dissections vertically to free the ducts from the contracted tissues. After dissection, the tunnel is formed. We insert "dermal flaps" into the tunnel underneath nipple base. Then through - and - through sutures are performed vertically (6 o'clock and 12 o'clock positions) and the purse - string suture is added with 4 - 0 nylon. Results: We had treated 35 primary inverted nipples (grade III) in 27 patients and 13 recurrent nipples in 7 cases. The results were excellent in 45 nipples (93.7%). All but 3 recurred cases was fully or very satisfied with the results. Conclusion: This technique is effective for the correction of severe inverted nipples and recurrent cases. We can avoid the visible scars on the areola surface.

• 대한두개안면성형외과학회지
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• 제23권6호
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• pp.269-273
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• 2022

Naso-orbito-ethmoidal (NOE) fractures are complicated fractures of the mid-face. The treatment of NOE fractures is challenging and a comprehensive treatment strategy is required. We introduce a case of NOE fracture treated with open reduction and suspension sutures. A 28-year-old woman presented with a unilateral NOE fracture. To reduce the frontal process of the maxilla, a suspension suture was made by pulling the fragment using a double arm suture via a transcaruncular incision. The suture thread was placed in the horizontal plane. Another suspension suture on the inferior orbital rim assisted reduction procedure, and they passed through the overlying skin. The reduction alignment could be finely adjusted by tightening the transcutaneous suture threads while checking the degree of bone alignment through the subciliary incision. The two suture threads were suspended using a thermoplastic nasal splint. An additional skin incision on the medial canthal area, which would have resulted in a scar, could be avoided. Four months postoperatively, computed tomography showed an accurate and stable reduction. The patient was satisfied with her aesthetic appearance, and functional deficits were not present.

• 대한치과교정학회지
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• 제47권6호
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• pp.384-393
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• 2017

Fusion of teeth is a developmental anomaly. It occurs at the stage of tooth formation, which determines the shape and size of the tooth crown, when one or more teeth fuse at the dentin level during the morphodifferentiation of the dental germs. Such teeth show macrodontia and may cause crowding, as well as esthetic and endodontic problems. In this article, we report a rare case of a maxillary central incisor fused to a supernumerary tooth showing labial and palatal talon cusps, which was orthodontically moved across the midpalatal suture. A 13-year-old Caucasian boy sought treatment for the unesthetic appearance of his maxillary central incisor and anterior crowding. He was rehabilitated successfully via a multidisciplinary approach involving orthodontic, nonsurgical endodontic, periodontal, and prosthodontic treatments. After a 26-month treatment period, the patient's macroesthetics and microesthetics were improved. The overall improvement of this macrodontic tooth and its surrounding tissues through multidisciplinary treatment was documented using cone-beam computed tomography.

• Journal of Chest Surgery
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• 제51권4호
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• pp.277-279
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• 2018

A 68-year-old man presented with a posterior tracheal wall injury caused by percutaneous dilatational tracheostomy. The wound was immediately covered with an absorbable polyglycolic acid sheet. Ten days after the injury, the perforation was closed with knotless sutures using a Castroviejo needle-holder through the tracheostomy. The successful repair in this case indicates the feasibility of the knotless suture technique for perforations. The technique is described in detail in this report. The patient was weaned from the mechanical ventilator on postoperative day 25. In cases of posterior tracheal posterior wall perforation, every effort should be made to repair the perforation through an existing opening.