• 제목/요약/키워드: cutting-graft

검색결과 17건 처리시간 0.023초

Graft selection in ACL reconstruction

  • 이동철
    • 대한정형외과스포츠의학회:학술대회논문집
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    • 대한정형외과스포츠의학회 2003년도 제14차 학술대회
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    • pp.44-57
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    • 2003
  • 1) Choice of graft selection : depends on surgeon's philosophy & experience, tissue availability(anatomical anomalies, prior surgery or injury) & patient activity level & desiers. patients - educated as to potential advantage & disadvantages of each choice available to them. No one graft has been shown to be overwhelmingly superior to another. 2) High demand individual (cutting, pivoting, jumping sports, skiing) - BPTB graft choice Lower demand or older individuals - hamstring reconstruction Allograft : older individuals(45 years old) sign of arthritis(compelling evidence of instability) individual who do not want their own tissue Prosthetic ligaments - long term results : disappointing

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Redoable Tie-Over Dressing Using Multiple Loop Silk Threads

  • Jo, Hyeon Jong;Kim, Jun Sik;Kim, Nam Gyun;Lee, Kyung Suk;Choi, Jae Hoon
    • Archives of Plastic Surgery
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    • 제40권3호
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    • pp.259-262
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    • 2013
  • After skin grafting, to prevent hematoma or seroma collection at the graft site, a tie-over dressing has been commonly used. However, although the conventional tie-over dressing by suture is a useful method for securing a graft site, refixation is difficult when repeated tie-over dressing is needed. Therefore, we recommend a redoable tie-over dressing technique with multiple loops threads and connecting silk threads. After the raw surface of each of our cases was covered with a skin graft, multiple loop silk thread attached with nylon at the skin graft margin. We applied the ointment gauze and wet cotton/fluffy gauze over the skin graft, then fixed the dressing by connecting cross-counter multiple loop thread with connecting silk threads. When we opened the tie-over dressing by cutting the connecting silk threads, we repeated the tie-over dressing with the same method. The skin graft was taken successfully without hematoma or seroma collection or any other complications. In conclusion, we report a novel tie-over dressing enabling simple fixation of the dressing to maintain proper tension for wounds that require repetitive fixation. Further, with this reliable method, the skin grafts were well taken.

하악 협측골 시상분절술 및 장골 이식술을 이용한 거대치아종의 치험례 (A CASE REPORT OF THE HUGE COMPLEX ODONTOMA TREATED WITH THE SAGITTAL SPLITTING OF BUCCAL BONE PLATE AND ILIAC BONE GRAFT IN LEFT MANDIBLE ANGLE)

  • 김호석;송재철;김진수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제15권4호
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    • pp.269-274
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    • 1993
  • This is the case report of huge complex odontoma treated with sagittal splitting of buccal bone plate and iliac bone graft in left mandible angle. The 22 years old patient was admitted to the department of Oral and Maxillofacial Surgery of Kyungpook National University Hospital with the chief complaint of swelling on the left mandible angle area. We used extra oral Risdon incision and splitted the buccal cortical bone after making the horizontal bone cut buccally. The tumor mass was removed with cutting into the pieces with surgical bur to prevent mandibular fracture. The dead space was grafted with autogenous iliac bone graft and the splitted buccal cortical bone was fixed with two L-type miniplate. After 12months follow up check, we noticed good process of bone healing and satisfactory aesthetic result. In this case, my operative approach provided the excellent surgical access to the hard tissue mass and minimized post operative complication comparing with the conventional surgical approaches.

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Debranch-First Technique with Zone 0 Elephant Trunk for Redo Operation of Residual Type B Aortic Dissection: The Completion of Aortic Proximalization

  • Yoshito Inoue
    • Journal of Chest Surgery
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    • 제57권1호
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    • pp.99-102
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    • 2024
  • This article presents a straightforward hybrid arch technique for treating residual type B aortic dissecting aneurysms following type A repair (replacement of the ascending aorta) that employs a frozen elephant trunk (FET) straight vascular prosthesis. The debranch-first method involves only cutting and sewing the previous ascending graft, inserting the FET from zone 0, and debranching the arch vessels using a trifurcated graft. This technique is less invasive as it eliminates the need to manipulate the dissected distal arch aneurysm. We successfully applied this technique to 3 patients, with no instances of in-hospital death, stroke, or paraplegia. The debranch-first technique, combined with zone-0 FET insertion, simplifies the redo repair of residual type B aortic dissection.

Introcordal Injection of Autologous Fibroelastic Cartilage - Introcordal Injection of Autologous Fibroelastic Cartilage in the Paralyzed Canine Vocal Fold

  • Lee, Byung-Joo;Wang, Soo-Geun;Lee, Jin-Choon
    • 대한음성언어의학회:학술대회논문집
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    • 대한음성언어의학회 2003년도 제19회 학술대회
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    • pp.180-180
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    • 2003
  • Objectives : Vocal fold augmentation by injectable material under direct visual control is an easy and simple operation. However, when autologous fat or bovine collagen is used, resorption creates a problem. And autologous fascia is debating about absorption now days. This study is to evaluate the histology of minced and injected autologous auricular cartilage and fat graft in the augmentation of unilateral vocal fold paralysis using a canine model. Methods : Nine dogs were operated. At first, a piece of auricular cartilage was harvested from ear and minced into tiny chips with a scalpel. And also, a piece of fat tissue was harvested from inguinal area and minced into tiny chips with a scalpel. Cutting off a section of the recurrent nerve paralyzed the right vocal fold. The minced cartilage and fat-paste (0.2ml) was injected using a pressure syringe into the paralyzed thyroarytenoid muscle under direct laryngoscopy. Two animals were sacrificed at 3 days, three at 3 weeks, two at 3 months, one at 6 months, one at 12 months. Each dog underwent laryngectomy and serial coronal sections of paraffin blocks from the posterior part of the vocal fold were made. Results : There was no significant complication perioperatively and during follow-up. There was acute inflammatory findings in the graft at 3 days and 3 weeks. The injected cartilage remained in the larynx until 12 months. Conclusion : The autologous auricular cartilage graft is well tolerated and may be very effective material for volumetric augmentation on paralyzed vocal cord.

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우리나라 식물검역 격리재배 시스템과 2005-2012년 실적보고 (Plant quarantine isolated cultivation system in Korea and results of recorded in 2005-2012)

  • 이시원;박정안;이오미;신용길
    • 농업과학연구
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    • 제40권4호
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    • pp.281-287
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    • 2013
  • 우리나라의 격리재배는 102속, 약 250여종의 식물에 대해 실시하고 있으며, 직접경검법, 배양법, 선택배지, 생리생화학, ELISA 및 PCR 검사방법을 사용한다. 2005-2012년, 우리나라에서 수행된 격리재배는 총 8,307건이며 이중 구근류가 5,165건(62.2%)로 가장 많았고, 묘목류가2,119건(25.0%), 종자 796건(9.6%), 삽수 150건(1.8%), 접수 70건(0.8%) 및 기타 7건(0.1%) 이었다. 불합격 사례는 총 413건으로 약 4.97%였고, 발견된 병의 종류는 총 47종으로 나타났다. 종류별로는 바이러스가 27종으로 가장 많은 수를 차지했으며, 곰팡이 16종, 바이로이드 1종, Chromalveolata 1종 및 기타 2종으로 나타났다. 가장 많은 검역건을 올린 병원체는 Arabis mosaic virus (77건), Tobacco rattle virus (70건), Lily symptomless virus (46건), Penicillium expansum (46건)이다.

전방 십자 인대 재건술시 대퇴 터널의 위치에 대한 방사선학적 평가 (Radiographic Evaluation of Femoral Tunnel Placement During ACL Reconstruction)

  • 정현기;최충혁;이중학
    • 대한관절경학회지
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    • 제2권1호
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    • pp.80-84
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    • 1998
  • The isometric position for the graft is important in the anterior cruciate ligament reconstruction surgery. It is well known that the femoral position is more critical than tibial side. But, there is few deciding method of proper graft position after the anterior cruciate ligament reconstruction surgery. So we planned to evaluate the ideal femoral isometric position with 6 adult cadavaric femurs and exact radiographs. After the insertion of femoral interference screw on ideal isometric position, we obtained roentgenograms of true lateral view and 10, 20, 30, 45 degree internal and external rotation views. Then we measured the shortest distance from the posterior cortical margin of lateral femoral condyle to posterior border of interference screw on the radiographs. We also measured true distance between posterior cortical margin of lateral femoral condyle to the posterior margin of femoral tunnel after cutting of distal femur. Based on this study, we could not determine the permissible rotation degree of radiographs. But we concluded that if the distance between posterior cortical margin of lateral femoral condyle and posterior border of interference screw ranges 4.5-6.5mm on the lateral view, the femoral position is considered as a relatively ideal isometric good position.

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3D 프린팅 패션에 나타난 콜라보레이션(Collaboration) 사례연구 (A Case Study on Collaborations in 3D Printing Fashion)

  • 박수연;유영선
    • 복식
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    • 제66권7호
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    • pp.124-138
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    • 2016
  • The present study observes collaboration methods in which 3D printing was a part of the fashion manufacturing process, expression methods of such cases, and their ripple effects. As a result, the three types of collaborations between fashion designers and other industry fields, fashion brands and 3D printing companies, and fashion designers and artists. Case analysis results and ripple effects found according to each collaboration method were as follows. First, in collaborations found were between fashion designers and other industry fields, 3D printed fashion works with futuristic images were seen through the fusion of future industries, which claim to support cutting edge digital technology, and creative fashion design. As they were mainly collaborations between automobile industries with cutting edge images or digital related industries and fashion designers, they were expressed as a new form of experimental clothing, and were used as strategies to improve future corporate images of the high tech industry. Second, in collaborations between fashion brands and 3D printing technology businesses, the sporting good brands and the shoe industry attempted to let their products be known through the promotion of functional material or ergonomic technology. While they emphasize practicality by mainly using flexible material, they were mainly proposed as functional sporting goods for famous players or as shoe accessories, so methods are still used for public distribution as brand promoting marketing strategies. Third, with collaborations between fashion designers and artists, creative pieces were shown through the grafting of 3D printing technology, the artistry of artists, and the experimentation of fashion designers. In particular, the innovative value of fashion as art was created through the union of the artistic 3D modeling technology support of artists and the creativity of designers. Like this, 3D printing fashion can graft the cutting edge nature of fashion to other industry fields through collaborations, enhancing pacesetting images, and in the fashion field, it can improve possibilities for innovations in the fashion industry through the support of 3D printing technology businesses and artists, raising expectations towards future human living.

파절기에 의한 수지손상 (Finger Injury by Green Onion Cutting Machine)

  • 임영민;오득영;정성노;이종원;안상태;권호
    • Archives of Plastic Surgery
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    • 제36권1호
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    • pp.46-50
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    • 2009
  • Purpose: Finger injury by green onion cutting machine is one of the common hand injuries in the kitchen. It has a unique feature: there are multiple parellel laceration 3 - 5 mm wide. There are two directions of injuries(vertical, oblique). It may involve bone, tendon, nerve, and vessel injuries. We discuss its management and the long - term progress. Methods: We have treated six patients from 2003 to 2007. We carried out low tension approximation with thin suture materials to avoid ischemia and performed the additional operation as nail bed repair, tenorrhaphy, open reduction, vessel anastomosis, and composite graft. We reviewed the record of initial injury and collected the follow - up record. Results: They were all middle aged - women who had worked in the kitchen. Right hand was dominent over left hand. The ratio of the directions was 3 : 3 (vertical : oblique). They were all competely healed although there were three atrophy, four hyperesthesia, and one nail deformity. Conclusion: Finger injury by green onion cutting machine is a unique pattern of laceration with various accompanied injuries. It may look like a severe form of injury, but in most cases have relatively favorable progress. We have to perform careful examination of accompanied injuries and carry out the proper management. First and foremost, the user especially in the middle aged women should be warned to be careful in handling this risky machine.

간 이식편의 체적 예측을 위한 2점 이용 간 분리 (Liver Splitting Using 2 Points for Liver Graft Volumetry)

  • 서정주;박종원
    • 정보처리학회논문지B
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    • 제19B권2호
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    • pp.123-126
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    • 2012
  • 본 논문은 생체간이식 전에 복부 MDCT(Multi-Detector Computed Tomography) 영상에서 간 이식편의 체적을 간단하고 정확하게 계산하기 위하여 좌간과 우간을 나누는 방법을 제안하였다. 본 알고리즘은 기증자와 수혜자의 안전을 보장하기 위하여 시스템과 의료진의 상호작업을 최소화 하여 의료진이 수술 전 이식편의 판단을 정확하게 처리할 수 있도록 하였다. 간이 추출된 영상에 좌간과 우간을 나눌 수 있는 2점(중간 정맥(MHV: Middle Hepatic Vein) 내부의 한 점과 좌우문맥(PV: Portal Vein) 분지부에서 한 점)을 선택한다. 선택된 중간정맥 내부의 점을 이용하여 중간정맥을 자동 인식한 후 중간정맥을 기준으로 절개선을 결정하여 문맥 분지부의 한 점을 연결하는 절개면을 형성한다. 좌간과 우간의 체적과 간 전체에 대한 좌우간의 비율을 계산한다. 계산된 체적의 정확성을 입증하기 위해 진단 방사선과 의사가 수동으로 처리하여 계산한 체적과 함께 수술 중 획득한 실측무게와 비교하였다. 실측무게와 수동으로 예측된 체적 사이의 오차에 대한 평균${\pm}$표준편차는 $162.38cm^3{\pm}124.39$이고, 실측무게와 2점을 이용하여 예측된 체적과의 오차에 대한 평균${\pm}$표준편차는 $107.69cm^3{\pm}97.24$이다. 실측무게와 수동으로 예측된 체적의 상관관계는 0.79이고, 실측무게와 2점을 이용하여 예측된 체적의 상관관계는 0.87이다. 그리고 2점을 선택한 후 좌우간을 분할하여 체적을 계산하는 시간을 측정하여 수술실에서 실시간으로 처리 가능한지의 여부를 확인하였다. 한 데이터세트($149.17pages{\pm}55.92$) 당 처리 시간의 평균${\pm}$표준편차는 $57.28sec{\pm}32.81$이다.