• 제목/요약/키워드: internal reduction

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하악골 과두경부 골절의 정복술 시 retromandibular approach의 유용성에 관한 고찰 (RETROMANDIBULAR APPROACH FOR OPEN REDUCTION & INTERNAL FIXATION OF MANDIBULAR CONDYLAR NECK FRACTURE)

  • 백진아
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권6호
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    • pp.625-630
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    • 2007
  • Fractures of the mandibular condyle are account for between 26% and 57% of all mandibular fractures. Clinicians should decide how to treat the fractured condyle with many factors considered. Many surgical methods have been developed to reduction of fractured condyle and it' s internal fixation. In open reduction of fractured condylar neck and subcondyle, retromandibular approach offers a safe and effective approach for direct fixation due to easy access and low surgical morbidity.

Wind tunnel study on fluctuating internal pressure of open building induced by tangential flow

  • Chen, Sheng;Huang, Peng;Flay, Richard G.J.
    • Wind and Structures
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    • 제32권2호
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    • pp.105-114
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    • 2021
  • This paper describes a wind tunnel test on a 1:25 scale model of TTU building with several adjustable openings in order to comprehensively study the characteristics of fluctuating internal pressures, especially the phenomenon of the increase in fluctuating internal pressures induced by tangential flow over building openings and the mechanism causing that. The effects of several factors, such as wind angle, turbulence intensity, opening location, opening size, opening shape and background porosity on the fluctuating internal pressures at oblique wind angles are also described. It has been found that there is a large increase in the fluctuating internal pressures at certain oblique wind angles (typically around 60° to 80°). These fluctuations are greater than those produced by the flow normal to the opening when the turbulence intensity is low. It is demonstrated that the internal pressure resonances induced by the external pressure fluctuations emanating from flapping shear layers on the sidewall downstream of the windward corner are responsible for the increase in the fluctuating internal pressures. Furthermore, the test results show that apart from the opening shape, all the other factors influence the fluctuating internal pressures and the internal pressure resonances at oblique wind angles to varying degrees.

관혈적 정복 및 내고정을 이용한 관절내 종골 골절의 치료 (Treatment of Intra-articular Calcaneal Fracture with Open Reduction and Internal Fixation)

  • 최준원;최준철;이영상;나화엽;김우성;한상호
    • 대한족부족관절학회지
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    • 제11권2호
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    • pp.226-231
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    • 2007
  • Purpose: To evaluate the clinical outcomes and radiographic results of open reduction and internal fixation for intraarticular calcaneal fractures. Materials and Methods: We reviewed 20 cases of calcaneal fractures managed with open reduction and internal fixation from March 2003 to January 2005. We used the computed tomographic classification system proposed by Sanders et al to classify these fractures. Preoperative and postoperative Bohler's angle, heel height (calcaneal facet height) and calcaneal length, calcaneal width were measured. The Creighton-Nebraska Health Foundation Assessment score was used for clinical evaluation. Results: There were 12 cases of type II fractures, 5 of type III fractures and 3 of type IV fractures. The mean clinical score was 84.3 for type II, 82.6 for type III and 56.1 for type IV. The mean preoperative $B{\ddot{o}}hler$ angle was $6.1^{\circ}$ and final was $22.8^{\circ}$. The mean preoperative calcaneal facet height was 76.6 mm and final was 80.3 mm (The mean calcaneal facet height was changed from preop 76.6 mm to postop 80.3 mm). The mean preoperative calcaneal length was 88.2 mm and final was 92.6 mm. The mean preoperative width was 38.1 mm and final was 35.6 mm. Conclusion: Open reduction and internal fixation showed good results for type II and III fractures, but for type IV fractures the clinical result was significantly worse than the other types. However, type IV fractures still had restoration of (should be restored in) $B{\ddot{o}}hler's$ angle, calcaneal facet height, calcaneal length and width which may be helpful in later subtalar fusion.

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악관절 내장증 치료를 위한 악관절 세정술 후 관절강내 Hyaluronic Acid 주입 효과 (THE EFFECT OF INTRA-ARTICULAR INJECTION OF HYALURONIC ACID AFTER ARTHROCENTESIS IN TREATMENT OF INTERNAL DERANGEMENTS OF THE TMJ)

  • 김재진
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권5호
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    • pp.453-457
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    • 2006
  • This study was designed to investigate the effect of intra-articular injection of hyaluronic acid for the treatment of internal derangements of the temporomandibular joint(TMJ). Sixteen patients with internal derangements of TMJ in 1 male and 15 females aged 68 to 18 years comprised the study material. The patients' complaint was limited mouth opening and pain during function. Patients were divided into 3 groups(articular disc displacement with reduction, articular disc displacement without reduction, osteoarthritis group). The preauricular area was disinfected anesthetized locally with 2% lidocaine hydrochloride. Arthrocentesis was performed. Hyaluronic acid(1.5 ㏄) was then injected into the superior compartment of the TMJ. Active range of motion exercises were instituted at approximately 24 hours postoperatively. Antibiotics and NSAID, three times daily by mouth, was prescribed for 3 days. Clinical evaluation of the patients was done before the procedure, immediately after the procedure, final follow-up visit postoperatively. Pain during function was assessed using visual analog scales(VAS). Maximal mouth opening was recorded as a distance between upper incisal edge and lower incisal edge. Intra-articular injection of hyaluronic acid caused significant reduction of pain during function, significant increase of maximal opening range. These findings suggest that intra-articular injection of hyaluronic acid is useful for decreasing patient reports of pain while increasing functional mobility of the mandible in internal derangements of the TMJ.

족근-중족 관절 골절 탈구의 치료경험 (Treatment for Tarsometatarsal Fracture-Dislocation)

  • 정영기;유정한;박용욱;노동근;하성한
    • 대한족부족관절학회지
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    • 제1권2호
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    • pp.112-118
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    • 1997
  • Tarsometatarsal fracture-dislocation is uncommon but severe lesion. Since this lesion is sometimes difficult to recognize by roentgenography, it is easily overlooked. Three patients were treated with open reduction and internal fixation with 3.5 mm cannulated screw and K-wire, two had treatment with open reduction and internal fixation with 3.5 mm cannulated screw only and two had treatment with dosed reduction and short leg cast only between January 1994 and May 1996. The duration of follow-up ranged from twelve to twenty-nine months after the diagnosis. Results were assessed by a subjective questiormaire, physical examination, and radiographic analysis. Multiple fixation techniques for maintaining the reduction of tarsometatarsl joint have been introduced. We recent]y used the 3.5 mm cannulated screw for internal fixation of the tarso-first and second metatarsal fracture-dislocation. We think cannulated screw fixation has several advantages; 1. The cannulated screw fixation is more rigid than the K-wire fixation. 2. There is an decreased risk of screw breakage with early weight bearing. 3. It is possible to compress the involved joints, if necessary. There were no disability in all patients. One patient who was treated with delayed open reduction and internal fixation with 3.5 mm cannulated screw and K-wire had a radiographic mild degenerative arthritis. And one patient who was treated with dosed reduction and short leg cast had a mild metatarsus adductus. But. these two patients were symptom free. There was no correlation between the severity of the diastasis and the patient s functional result.

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Indirect Reduction Technique in Proximal Humeral Fractures Stabilized by Locking Plates

  • Rhee, Yong Girl;Cho, Nam Su;Cha, Sang Won;Moon, Seong Cheol;Hwang, Sang Phil
    • Clinics in Shoulder and Elbow
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    • 제17권1호
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    • pp.2-9
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    • 2014
  • Background: Indirect reduction technique offers a valid option in the treatment of proximal humerus fracture. The purpose of this study is to evaluate the functional outcome and the complication rate after indirect reduction and internal fixation of unstable proximal humeral fractures with use of a locking plate. Methods: Twenty four patients with acute proximal humerus fracture were managed with indirect reduction and internal fixation with a locking plate. The mean follow-up period was 15.5 months. Results: The anatomical reduction of the medial cortex buttress was seen in 16 patients (66%) of the Group A and the non-anatomical reduction was seen in 8 patients (33%) of the Group B. Mean union time was $3.2{\pm}1.9$ months; it was $2.2{\pm}0.6$ months in the Group A and $5.3{\pm}2.2$ months in the Group B (p < 0.05). In our series, there were 6 cases of complications and these include 2 cases of varus malunion, 2 cases of shoulder stiffness, 1 case of heterotrophic ossification, 2 cases of screw perforation and 1 case of impingement. Conclusions: We conclude from our studies that indirect reduction and internal fixation using locking plate for acute proximal humerus fracture can give good results with bony union and predictable good overall functional outcome. If the medial cortex buttress is well maintained, a better anatomical reduction would be achieved, the union would be prompted, the pain would be further reduced and the range of the motion would be recovered more promptly.

Effect of building proximity on external and internal pressures under tornado-like flow

  • Sabareesh, G.R.;Cao, Shuyang;Wang, Jin;Matsui, Masahiro;Tamura, Yukio
    • Wind and Structures
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    • 제26권3호
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    • pp.163-177
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    • 2018
  • Tornadoes are one of the world's deadliest natural phenomena. They are characterized by short life span and danger. It has been observed through post-damage surveys that localities with large numbers of buildings suffer major damage during a tornado attack resulting in huge loss of life and property. Thus,it is important to study interfering buildings exposed to tornado-like vortices. The present study focuses on external and internal pressures developed on building models exposed to translating tornado-like vortices in the presence of an interfering building model. The effects of translating speed and swirl ratio of a tornado-like vortex on external and internal pressures for a principal building in the vicinity of an interfering building are investigated. Results indicate that external and internal pressures are enhanced or reduced depending on the location of the interfering building with respect to the principal building.

잇수차가 적은 내접치차의 다목적 최적 설계 (Multi-objective Optimal Desing of Internal Gear with Small Tooth Difference)

  • 최영석;김성근
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 1996년도 춘계학술대회 논문집
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    • pp.808-812
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    • 1996
  • Reduction gear with internal gear pair need functions such as compact size, high reduction ratios, high transmission efficiency, and low noise. Feasible design region of the internal gear pair with a small tooth difference is extremely limited because the internal gear pair is subject to interference in meshing and cutting. Single-objective optimal design can not simulataneously satisfy the manifold requirements of the internal gear pair and can not determine the economical specification of a pinion cutter. Multi-objective optimal design which include the specification of the pinion cutter in design variables is developed, considering the manufacturing error of an internalgear pair and the re-sharpening of the pinion cutter.

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Patterns of consonant deletion in the word-internal onset position: Evidence from spontaneous Seoul Korean speech

  • Kim, Jungsun;Yun, Weonhee;Kang, Ducksoo
    • 말소리와 음성과학
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    • 제8권1호
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    • pp.45-51
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    • 2016
  • This study examined the deletion of onset consonant in the word-internal structure in spontaneous Seoul Korean speech. It used the dataset of speakers in their 20s extracted from the Korean Corpus of Spontaneous Speech (Yun et al., 2015). The proportion of deletion of word-internal onset consonants was analyzed using the linear mixed-effects regression model. The factors that promoted the deletion of onsets were primarily the types of consonants and their phonetic contexts. The results showed that onset deletion was more likely to occur for a lenis velar stop [k] than the other consonants, and in the phonetic contexts, when the preceding vowel was a low central vowel [a]. Moreover, some speakers tended to more frequently delete onset consonants (e.g., [k] and [n]) than other speakers, which reflected individual differences. This study implies that word-internal onsets undergo a process of gradient reduction within individuals' articulatory strategies.

The Effect of Green Juice of Angelica keiskei Koidz on the Toxicity of Several Selected Elements

  • Song, Sook Ja;Eom, Hyun Sook;Lee, Jin Hee
    • Journal of Nutrition and Health
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    • 제30권9호
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    • pp.1050-1054
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    • 1997
  • In order to study the effects of green juice of Angelica keiskei Koidz on the toxicity of several selected elements, experiments were conducted with mice for a period of six weeks. The results obtained from the experiment are summarized as follows ; 1) Mice fed with 50 ppm of cadmium showed no adverse effects on the growth rate and mortality , but cadmium accumulation into the internal organs. 2) mice fed with 500ppm of lead showed no reduced effect on the growth rate and mortality, but lead accumulation was increased in the internal organs. The administration of green juice slightly reduced lead accumulation in the internal organs. 3) Mice fed with 50 ppm of selenium also showed no serious adverse effect of the growth rate and mortality , but selenium accumulation occurred in the internal organs. The administration of green juice slightly reduced selenium accumulation in the internal organs, but the modes and degrees of reduction in selenium accumulation were not consistent with the internal organs, liver, kidney and pancreas. 4) Mice fed with 500 ppm of chromium showed, numerically , an adverse effect on the growth rate, but showed no statistically significant difference. The administration of green juice rather increased the accumulation of chromium instead of reduction of chromium accumulation in the internal organs.

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