• Title/Summary/Keyword: internal reduction

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Open reduction and internal fixation of metacarpal fractures using a thermoplastic splint as a surgical instrument

  • Papavasiliou, Theodora;Park, Paul Dain;Tejero, Ricardo;Allain, Niklaas;Uppal, Lauren
    • Archives of Plastic Surgery
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    • v.48 no.4
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    • pp.384-388
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    • 2021
  • Adequate positioning of the hand is a critical step in hand fracture operative repair that can impact both the clinical outcome and the efficiency of the operation. In this paper, we introduce the use of a thermoplastic splint with an added thumb stabilizing component as a means to increase the surgeon's autonomy and to streamline the patient care pathway. The thermoplastic splint is custom fabricated preoperatively by the specialist hand therapist. The splint is used prior, during, and post operation with minimal modification. The thumb component assists maintaining the forearm in a stable pronated position whilst drilling and affixing metal work. This is demonstrated in the video of removal of metal work and open reduction and internal fixation of a metacarpal fracture.

Development of Image Processing Technique for Determining Wood Drying Schedules

  • Lee, Hyoung-Woo;Kim, Byung-Nam
    • Journal of the Korean Wood Science and Technology
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    • v.31 no.6
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    • pp.15-21
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    • 2003
  • Image processing technique was adapted for exploring the more convenient ways to investigate the drying characteristics of wood. The acquisition of information about drying characteristics is indispensable for the development or improvement of dry-kiln schedules. A small internal fan type wood dry kiln was combined with image-processing and data-acquisition systems to monitor continuously the formation of checks and moisture reduction during drying. All the images and data were analyzed to improve or estimate the dry-kiln schedules and predict the drying time which would be required to dry green wood to 10% moisture content in internal fan type kiln. Samples of 20 mm- and 50 mm-thick Metasequoia glyptostrobodies, Paulownia coreana Uyeki, Pinus densiflora Sieb. Et Zucc., Platanus occidentalis L., Quercus acutissima and Robinia pseudo-acacia were used to verify the potentiality of this technique.

Periprosthetic Acetabular Fracture after Total Hip Arthroplasty: A Report on Two Cases

  • Joonkyoo Kang;Chan Young Lee;Taek-Rim Yoon;Kyung-Soon Park
    • Hip & pelvis
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    • v.36 no.2
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    • pp.155-160
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    • 2024
  • We report two cases of postoperative total hip arthroplasty periprostehtic fracture of the acetabulum which treated by open reduction with internal fixation without acetabular cup revision. From these cases, we should consider open reduction with internal fixation as the first treatment option in cases where spot welding of the cup to the host bone is observed.

Asymmetric Reduction of Prochiral $\alpha,\beta$-Acetylenic Ketones With Potassium 9-0-(1,2 : 5,6-Di-O-isopropylidene-$\alpha$-D-glucofuranosyl)-9-bortabicylco[3.3.1]nonane$^\dag$

  • Cho, Byung-Tae;Park, Won-Suh
    • Bulletin of the Korean Chemical Society
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    • v.8 no.4
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    • pp.257-260
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    • 1987
  • The asymmetric reduction of representative prochiral ${\alpha},{\beta}$-acetylenic ketones with a new chiral borohydride reducing agent, potassium 9-0-(1,2: 5,6-Di-O-isopropylidene-${\alpha}$ -D-glucofuranosyl)-9-boratabicyclo[3.3.1]nonane, 1, in THF at $-78^{\circ}C$ was studied. Structurally different acetylenic ketones such as internal ${\alpha},{\beta}$-acetylenic ketones $RC {\equiv} CCOCH_3$ and terminal ${\alpha},{\beta}$-acetylenic ketones $HC {\equiv} CCOR$ were chosen. Thus, the reduction of internal ${\alpha},{\beta}$-acetylenic ketones yields the corresponding propargyl alcohols, such as 67% ee for 3-hexyn-2-one, 75% ee for 5-methyl-3-hexyn-2-one, 86% ee for 5,5-dimethyl-3-hexyn-2-one, 74% ee for 3-nonyn-2-one and 61% ee for 4-phenyl-3-butyn-2-one. Terminal ${\alpha},{\beta}$-acetylenic ketones, such as 3-butyn-2-one, 1-pentyn-3-one, 4-methyl-1-pentyn-3-one and 1-octyn-3-one, are reduced to the corresponding alcohols with 59% ee, 17% ee, 44% ee and 12% ee of optical induction respectively. With one exception (4-methyl-1-pentyn-3-one), all propargyl alcohols obtained are enriched in R-enantiomers.

Fracture and Dislocation of Lisfranc Joint: Treatment with Screw and Kirschner Wire (리스프랑 관절 골절 및 탈구: 나사와 Kirschner 강선을 이용한 치료)

  • Ha, Dong-Jun;Kim, Jeon-Gyo;Gwak, Heui-Chul;Jang, Yue-Chan
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.4
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    • pp.181-187
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    • 2015
  • Purpose: The purpose of this study is to retrospectively analyze the clinical results of screws and Kirschner wire (K-wire) fixation in patients with fracture dislocation of Lisfranc joint and the consequence of screw breakage. Materials and Methods: Sixty patients underwent Lisfranc joint open reduction and removal of internal fixators from January 2007 to December 2011. Forty-nine cases (81.7%) underwent operations with screw alone, and 11 cases (18.3%) underwent operations with both screws and K-wires. Type of internal fixators, duration of internal fixator removal, breakage of internal fixators and satisfaction with reduction were investigated. Additionally, American Orthopaedic Foot and Ankle Society (AOFAS) midfoot scales were analyzed. Results: The internal fixator was broken in 5 cases (8.3%). The average duration of instrument removal was 154 days in the non-broken screw group and 268.6 days in the broken screw group (p<0.05). The average AOFAS midfoot scale was 77.4 in the non-broken screw group and 74.2 in the broken screw group. The most commonly damaged portion was the first tarsometatarsal (Lisfranc) joint. Conclusion: Treatment with screws and K-wires was effective in patients with fracture dislocation of Lisfranc joint. The appropriate time for screw removal should be considered.

THE STUDY ON ANTERIOR DISPLACEMENT OF DISK IN PATIENTS OF TEMPOROMANDIBULAR JOINT INTERNAL DERANGEMENT IN MAGNETIC RESONACE IMAGING (측두하악관절 내장증 환자의 자기공명영상에서 관절 원판의 전방 이동에 관한 연구)

  • Moon, Chang-Soo;Cho, Byoung-Ouck;Lee, Yong-Chan;Lee, Han-Ouck;You, Han-Shick;Lee, Yul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.15 no.3
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    • pp.189-197
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    • 1993
  • Tempormandibular Joint pain and dysfunction is a common and important clinical problem. With the recent advances in imaging technology, radiologists have made major contribution to the understanding of TMJ disease. The MRI has several advantages over the conventional imaging methods. It is possible to obtain surprisingly precise images of internal hard and soft tissues with MRI. It is not invasive without ionizing radiation. The abnormal disk position has been thought as the cause of TMJ internal derangement. But there are few methods to relate disk position to TMJ internal derangement quantatively. The object of our study is to determine the amount of anterior displacement fo articular disk in symptomatic patients related each symptoms. Using the method of Dr. Drace, we studied the 38 joints of 22 persons with susceptable TMJ internal derangement. 1. In determining the anterior displacement of TMJ articular disk, the junction between the posterior band and bilaminar zone was useful. 2. The mean anterior displacement of disk in reduction group and without reduction group were $51.0^{\circ}C$ and $81.1^{\circ}C$ respectively. The difference was significant. 3. In the mean anterior displacement of disk, the pain without clicking group showed $84.8^{\circ}C$ and the clicking and pain group $70.8^{\circ}C$, the clicking group respectively.

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A Possibility for Multilateral CDM Projects in Northeast Asia - The reduction effect in transaction cost by Korean participation - (동북아시아지역의 다국 간 CDM프로젝트에 대한 검토 -한국 참가에 따른 거래비용 삭감효과-)

  • Jung, Woo-Jong;Nakano, Satoshi
    • Journal of Environmental Policy
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    • v.2 no.2
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    • pp.41-63
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    • 2003
  • CDM(Clean Development Mechanism) project is said to be a mechanism, which profits both the investing country and the host country, while additionally contributing to the reduction of greenhouse gases of the earth as a whole. However in reality, most of the proposed projects do not end up in agreement because of the problems related to differences in recognition between the investing country and the host country of the CDM project. This outlines the background for this research which proposes a new design of institutional arrangements of CDM projects in the Northeast Asian region, mainly Japan, China and Korea. In addition, we investigate the feasibility of the proposed design. The research firstly focuses on the reduction in transaction costs that the participation of Korea will have on a Japan-China CDM project. This paper further emphasizes the potential gains that would materialize if a CDM project involved the whole Northeast Asian region, and not only one country. Our research suggests that an approximate reduction of 23% in transaction costs, and about 4% reduction in the total costs of a CDM project can be expected to follow the Korean participation. In addition to decreasing costs we find that a Korean involvement in a CDM project with Japan will lead to efficiency gains illustrated by a higher increase in the IRR(Internal rate of return) in a Japan-Korea project(11.45% to 12.21%) compared to an IRR incresement of 10.57% to 11.27% for a pure Japanese CDM project. Similar results of a rise in the IRR is found for the whole investment period of 20 years. We can hence conclude that Korean participation in a Japan-China CDM project would improve the implementation possibilities of CDM project in the Northeast Asia region.

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Prevention of Cheek Drooping in Intraoral Reduction Malarplasty without Internal Fixation (볼처짐 최소화를 위한 최소절개 및 박리 관골 축소 성형술)

  • Park, Dong-Kwon;Choi, Jae-Hoon;Lee, Jin-Hyo;You, Young-June
    • Archives of Plastic Surgery
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    • v.38 no.6
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    • pp.845-850
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    • 2011
  • Purpose: In general, orientals including Korean, have a mesocephalic face whereas Caucasians, among the western, have a dolichocephalic face. Unlike the western, in orientals including Korean, prominent malar bones are recognized as stubborn and unattractive appearance. That is why reduction malarplasty is one of the most popular aesthetic surgical procedure in Korea. Many surgical methods to reposition prominent malar bones have been performed by means of a coronal incision or a combined incisions, using both the intraoral and the external incision. Bicoronal approach has advantage such as wide operative field, easy to maintain symmetry and possibility of combining facial lift but has shortcoming, such as external scars, long operative time, and the possibility of facial nerve or artery injury. Intraoral approach has advantages of short operative time, simplicity of procedure and no external scar. But this approach is associated with problems of cheek drooping, limited exposure and difficulty in making symmetry. Methods: During 8 years, we performed a reduction malarplasty without internal fixation through an minimal intraoral incision and dissection in 39 patients. Results: The patients were followed for 46 months, with satisfactory results and no cheek drooping. There was no patient who want to revise the inappropriate operative result such as asymmetry and incomplete correction. Conclusion: We conclude that minimal intraoral incision and dissection could acquire satisfactory result of reduction malarplasty along with prevention of cheek drooping.