• 한국임상수의학회지
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• 제39권4호
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• pp.149-155
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• 2022

The aim of this study was to compare the mechanical properties of 0.6 and 0.8 mm cerclage wires with the 1.0 mm cerclage wire in the twist, single-loop, double-loop, double-wrap, and loop/twist knot methods. Six stainless steel cerclage wires of various diameters in different knot methods were tied round a customized jig mounted on a load testing machine. The initial tension, initial stiffness, and yield load were evaluated. The failure mode of each cerclage was observed. For each wire size, the double-loop, double-wrap, and loop/twist knots showed significantly greater initial stiffness, and yield load than those seen with twist and single-loop knots. The single-loop knot showed the least initial stiffness regardless of the diameter. As the cerclage wire diameter increased, the cerclage tended to show significantly greater initial stiffness, and yield load. Failure modes varied depending on the knot configurations. Single-loop knots of smaller-diameter wires less than 1 mm had similar or lower initial tension, initial stiffness, and yield load than a twist knot. Owing to the variance in mechanical properties, the clinical application of the knot type should depend on the diameter of the cerclage wire.

• 한국임상수의학회지
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• 제24권4호
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• pp.622-626
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• 2007

1년 6개월령의 수컷 비글견이 3일간의 연하통증과 식욕부진으로 내원하였다. 환축은 병력청취와 방사선학적 검사결과 낚시바늘에 의한 식도와 위내 이물로 진단되었다. 위식도 내시경을 시행한 결과 하나의 낚시바늘은 흉부식도의 심장기저 부에 나머지 하나의 낚시바늘은 위 분문부에 위치하고 있었다. 그리고 두 낚시바늘은 하나의 낚싯줄로 서로 연결되어 있었다. 연결된 낚싯줄을 끊고 위내 낚시바늘을 제거하기 위해 위 절개술을 시행하였다. 위 절개술 후 식도내 바늘을 제거하기 위해 세 갈래, 다섯 갈래 내시경 포셉과 생검 포셉을 이용한 내시경적 제거를 시도하였으나 낚시바늘이 식도의 점막에 깊게 박혀있어 견인에 실패하였다. 낚시바늘을 더욱 단단히 잡아줄 수 있는 장치를 위해 정형외과용 스테인리스 와이어(16G)를 올가미 포셉 형태로 제작한 뒤 내시경을 통한 시야가 확보된 상태에서 바늘에 걸어 제거하는데 성공하였다. 시술 10일 후 환축은 회복되어 퇴원조치 되었다.

• Clinics in Shoulder and Elbow
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• 제4권1호
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• pp.17-23
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• 2001

1990년부터 2000년까지 본원에서 modified Phemister 방법과 cerclage wiring 방법으로 치료하고 1년이상 추시가 가능했던 견봉쇄골관절탈구 환자 24례를 임상적으로 분석하여 다음과 같은 결과를 얻었다. 1. modified Phemister 방법을 시행한 10례에서 우수 8례(80%), 양호 1례(10%), 보통 1례(10%)이었다. 2. Cerclage wiring 방법을 시행한 14례에서 우수 11례(78%), 양호 1례(14%), 보통 1례(14)이었다. 3. 술후 합병증으로 modified Phemister 방법에서 2례에서 고정강선의 파열 및 이동이 있었으며, cerclage wiring 방법에서 2례에서 아탈구, 2례에서 강선의 파열은 있었으나 이동은 없었다. 4. 이상과 같은 결과로 보아 modified Phemister 방법과 cerclage wiring 방법의 비교시 방사선상 오구돌기와 쇄골간 이완의 정도의 차이와 기능상의 차이는 없었으나 견봉쇄골관절을 고정하지 않음으로서 쇄골의 회전운동을 제한하지않고, 외상성관절염을 피할 수 있고, 강선의 파열시 이동이 없어 제거가 쉬워서 cerclage wiring을 선호하였다.

• Clinics in Shoulder and Elbow
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• 제9권1호
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• pp.124-129
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• 2006

Distal clavicular fracture frequently requires operative treatment due to high rate of non-union. The operative technique includes the tension band wiring, K- wire fixation, and cerclage wiring etc. Each method has disadvantages somewhat like pin migration or acromioclavicular joint injury and so on. For the distal clavicular fracture type 2a, because of its oblique fracture line, the cerclage wiring is suitable. We performed the cerclage wiring percutaneously under minimal incision without injury to periosteum for the patient who had the distal clavicular fracture type 2a, and the result was favorable.

• 한국임상수의학회지
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• 제25권5호
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• pp.408-410
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• 2008

A four months old, 3.6 kg intact female Miniature Dachshund dog was referred for non-weight bearing lameness at right hind limb due to car accident. On physical examination, the patient was non-weight bearing on the right hind leg and had moderate swelling in the proximal to middle tibia region. There was palpable crepitus. Radiographs revealed a slightly displaced, spiral, oblique fracture involving the proximal diaphyseal region of the right tibia. Fibular fracture was also noted. Internal fixation was performed to repair the fracture. Due to bowed shape of fractured tibia, it was not possible to apply K-wire, containing appropriate diameter ($60{\sim}80%$ of bone marrow diameter) for intramedullary fixation. We fixed the bowed tibia fracture using a smaller diameter (30% of bone marrow diameter) K-wire with cross pins and cerclage wires. Four weeks after the operation, radiographs demonstrated healing of the tibia fracture as well as the fibular fracture.

• 한국임상수의학회지
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• 제36권3호
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• pp.166-168
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• 2019

A 22-month-old female mongrel dog weighing 4.8 kg was referred with chief complaint of bite wounds and lameness. The patient showed non-weight bearing lameness on left hindlimb and lateral instability of intertarsal joint. On radiograph, proximal intertarsal luxation between calcaneus and fourth tarsal bone was diagnosed. To imitate the long collateral and calcaneoquartal ligament, bone tunnels were drilled in the distal calcaneus and proximal fifth metatarsal bone. The figure-eight suture was placed with 0.5 mm cerclage wire through the predrilled holes. At 2 weeks after surgery, the lameness of hindlimb was still present. However, the patient had weight bearing lameness for 4 weeks after operation and was able to walk and run without lameness at 5 weeks after surgery. This case report explains the successful correction of intertarsal luxation with a single figure of eight wire suture in case of luxation to the intertarsal joint.

• 대한족부족관절학회지
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• 제21권4호
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• pp.165-169
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• 2017

Secondary soft tissue injuries can occur from the pressure of the displaced fragment of posterior calcaneal tuberosity in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The soft tissue injury can be prevented by immediate reduction of the displaced fragments. Various techniques can be used to fix the fracture fragments, but the stability of fixation and minimal invasiveness to soft tissue should be considered. This paper reports the successful outcomes of patients with soft tissue compromises in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The fixation technique of a large cannulated screw and simple cerclage wiring is believed to be a useful surgical option for the treatment of secondary soft tissue compromised calcaneal fractures.

• 한국임상수의학회지
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• 제39권5호
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• pp.264-271
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• 2022

Two Korean short-haired cats were admitted to the Veterinary Medical Teaching Hospital, Chonnam National University, with severe lower lip avulsion. In the first case, the treatment was performed using the tension-free suture technique with rubber tube stents. The second case was treated using the tension-free suture technique with rubber tube stents for lip avulsion and using the cerclage wiring technique for alveolar fracture. The teeth around the alveolar fracture were extracted and bone graft and collagen membrane were applied at the alveolar fracture site to stabilize the mandibular alveolar fracture. Thereafter, the cerclage wire was placed circumferentially around the mandible. In both cases, normal function of the oral cavity was successfully recovered by repairing the anatomic abnormality. In conclusion, tension-free suture technique can be a treatment option for bilateral lower lip avulsion in cats.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2007년도 춘계학술대회
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• pp.104-104
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• 2007

• Clinics in Shoulder and Elbow
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• 제23권3호
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• pp.152-155
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• 2020

Periprosthetic fracture after total elbow replacement surgery is a difficult complication to manage, especially when it comes together with implant loosening. If stem revision and internal fixation of the periprosthetic fracture are performed simultaneously, this would be a very challenging procedure. Most of total elbow replacement implants are cemented type. Cement usage at periprosthetic fracture site may interfere healing of fractured site. Authors underwent internal fixation with use of locking plate and cerclage wire for periprosthetic fracture, allogenous fibular strut bone inserted into the humerus intramedullary canal allowing the fractured site to be more stable without cement usage. At 10-month follow-up, the complete union and good clinical outcome was achieved. We present a novel technique for treating periprosthetic fracture with implant loosening after total elbow replacement surgery, using intramedullary allogenous fibula strut bone graft.