• Archives of Plastic Surgery
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• 제39권4호
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• pp.284-290
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• 2012

Open reduction and anatomic reduction can create better function for the temporomandibular joint, compared with closed treatment in mandible fracture surgery. Therefore, the double miniplate fixation technique via mini-retromandibular incision was used in order to make the most stable fixation when performing subcondylar fracture surgery. Those approaches provide good visualization of the subcondyle from the posterior edge of the ramus, allow the surgeon to work perpendicularly to the fracture, and enable direct fracture management. Understanding the biomechanical load in the fixation of subcondylar fractures is also necessary in order to optimize fixation methods. Therefore, we measured the biomechanical loads of four different plate fixation techniques in the experimental model regarding mandibular subcondylar fractures. It was found that the loads measured in the two-plate fixation group with one dynamic compression plate (DCP) and one adaption plate showed the highest deformation and failure loads among the four fixation groups. The loads measured in the one DCP plate fixation group showed higher deformation and failure loads than the loads measured in the two adaption plate fixation group. Therefore, we conclude that the selection of the high profile plate (DCP) is also important in order to create a stable load in the subcondylar fracture.

• Clinics in Shoulder and Elbow
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• 제25권1호
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• pp.68-72
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• 2022

Proximal humerus fractures are the third most common fractures, totaling 4% to 5% of all fractures. Here, we present the case of a 39-year-old man with a dislocated four-part fracture of the proximal humerus with a huge bony Bankart lesion. Preoperatively, the bony Bankart lesion of the glenoid was not visualized on computed tomography scans or magnetic resonance imaging because the fracture of the proximal humerus was comminuted, displaced, and complex. It was planned for only the humerus fracture to be treated by open reduction and internal fixation using a locking plate. However, a fractured fragment remained under the scapula after reduction of the dislocated humeral head. This was mistaken for a dislocated bone fragment of the greater tuberosity and repositioning was attempted. After failure, visual confirmation showed that the bone fragment was a piece of the glenoid. After reduction and fixation of this glenoid part with suture anchors, we acquired a well-reduced fluoroscopic image. Given this case of complex proximal humerus fracture, a glenoid fracture such as a bony Bankart lesion should be considered preoperatively and intraoperatively in such cases.

• 대한두개안면성형외과학회지
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• 제10권2호
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• pp.76-80
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• 2009

Purpose: Zygoma is a major portion of the midfacial skeleton, forms the malar prominence and the three adjacent bony articulations. Zygoma fracture is a very common in facial trauma. Open reduction and rigid fixation of displaced zygoma fractures are necessary to avoid immediate and delayed facial asymmetry and depression. However, it is possible to happen the complications related to the plates and screws. So, we planned to treat the 24 patients of Group II, III, IV zygoma fractures with precise reduction and non-fixation method via intraoral approach. Methods: From August, 2006, to August, 2009, we treated 24 cases of zygoma fracture with reduction and non-fixation methods. Before the surgery, we choose the patients who could be treated with this method among the Group II, III, IV patients. Results: No patients in this study had postoperative complications such as displacement of bony fragments, facial depression and asymmetry, malocclusion, hypoesthesia. Satisfactory aesthetic and functional results can be obtained. Conclusion: In the treatment of the zygoma fracture, it is possible to treat with precise reduction and non-fixation method. The greatest advantage is to decrease the operative time, no need to wide dissection, no complications related to the plates and screws. For the using of this method, it is necessary to choose the adequate patients through the preoperative planning.

• 대한족부족관절학회지
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• 제11권1호
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• pp.79-85
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• 2007

Purpose: To evaluate the clinical efficacy of the limited posterior approach for the surgical treatment of intraarticular fracture of calcaneus. Materials and Methods: From March 2000 to February 2006, we studied retrospectively 186 patients, 203 cases who were treated with open reduction and internal fixation through limited posterior approach and were followed up for more than 1 year. The clinical results were evaluated with Creighton-Nebraska score and circle draw test after 1 year. We checked simple AP, lateral, axial and Broden's view preoperatively and 1 year after surgery, and compared $B{\ddot{o}}hler$ angle and Gissane angle. Results: By Creighton-Nebraska score, Sanders type 2 was 86.4, type 3 was 74.3, type 4 was 62.4. And by circle draw test, type 2 was 8.9 cm, type 3 was 7.2 cm, type 4 was 5.9 cm. $B{\ddot{o}}hler$ angle and Gissane angle were $7.6^{\circ}$, $102.4^{\circ}$, and it increased to $23.5^{\circ}$, $128.6^{\circ}$ after postoperative 1 year. Conclusion: Limited posterior approach for the surgical treatment of intraarticular fracture of calcaneus was considered to an effective treatment modality.

• 터널과지하공간
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• 제23권4호
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• pp.261-270
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• 2013

본 연구는 삼차원 지질 모델링 소프트웨어 개발의 일환으로 불연속면의 구조기하형태에 대한 삼차원적 해석 및 가시화를 수행 할 수 있는 새로운 소프트웨어 모듈을 개발하는 데에 목적이 있다. 불연속면 연결구조의 삼차원 해석 및 가시화 알고리즘을 바탕으로 개발된 소프트웨어는 C++언어 기반의 MFC 및 OpenGL 라이브러리를 응용하여 Microsoft Visual Studio 상에서 제작되었다. 개발된 소프트웨어는 BOUNDARY, DISK3D, FNTWK3D, CSECT, BDM 등의 모듈을 포함하며 각각의 모듈은 해석영역 구성, 불연속면 네트워크 시스템의 가시화, 등가파이프의 산정, 단면도 작성, 시추공 자료 관리 등 절리성 암반의 삼차원 구조기하형태 해석에 관련된 다양한 기능을 수행한다. 이 연구에서 개발한 불연속면 연결구조의 삼차원 가시화 및 해석 소프트웨어는 불연속체 기반의 암반강도 및 변형성에 관한 연구, 수리지질학적 특성에 관한 연구 및 사면안정 연구를 수행함에 있어서 활용도가 높을 것으로 판단되며 국내 소프트웨어 산업의 경쟁력을 높이는데 기여할 수 있을 것으로 기대된다.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.80-83
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• 2009

Purpose: Isolated hypoglossal nerve palsy is a rare manifestation of various underlying disease. This article presents a rare complication of general anesthesia associated with an surgical procedure on a case of zygomatic fracture. Methods: An 18-year-old female patient was referred to our department by painful swelling on her left zygomatic area after the traffic accident. Left zygomatic complex fracture was identified on the simple x-ray and facial bone CT scan, and the fracture was treated with open reduction and internal fixation under general anesthesia. On the first postoperative day, she complained of difficulty in swallowing solid food, dysarthria and deviated tongue to her right side. There was no abnormal findings on the neurological examination, brain MRI and routine chemistry. She was diagnosed with transient hypoglossal nerve palsy and dexamethasone with multi-vitamins was administrated intravenously for 5 days. Results: The symptoms were completely resolved by the ninth postoperative day and the patient was discharged without any other complications. Conclusion: The hypoglossal(cranial nerve XII)nerve supplies motor innervation to all of the ipsilateral extrinsic and intrinsic tongue muscles. The hypoglossal nerve damage may caused by the compression between the airway and the hyoid bone during the endotracheal intubation, and direct trauma due to excessive pressure or neck extension. We described a rare case of unintended injury to hypoglossal nerve and care must be taken not to cause the hypoglossal nerve damage especially in facial plastic surgery with excessive neck extension under general anesthesia.

• 대한용접접합학회:학술대회논문집
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• 대한용접접합학회 2010년도 춘계학술발표대회 초록집
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• pp.71-71
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• 2010

SBD (Strain-based design) of pipe lines have gained world-wide attention in recent years. The present research aims to evaluate the fracture characteristics of API (America Petroleum Institute) SBD X100 girth weldment that typically applied for cold climate and deep water offshore, with the focus on the influence of heat input changing with 6kJ/cm and 10kJ/cm from GMAW (Gas Metal Arc Welding). At a low heat input at 6kJ/cm, the weld metal had Multi-phase matrix (Acicular ferrite + Banite + Martensite) that could fill up both fracture toughness and strength as reported previously. Also, the weld metal exhibited 859MPa YS (Yield strength), 108J impact toughness at $-40^{\circ}C$ and 0.52mm CTOD (Crack Tip Open Displacement) at $-10^{\circ}C$. These results can be satisfied with the requirement of API SBD X100 girth weldment and Alaska pipe line project.

• Clinics in Shoulder and Elbow
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• 제18권1호
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• pp.8-12
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• 2015

Background: The aim of this study was to assess demographics, clinical outcomes, and complications of classic floating elbow in adults. Methods: Six patients with ipsilateral diaphyseal fractures of the humerus, radius, and ulna were reviewed retrospectively. All patients were treated operatively and available for follow-up at a minimum of 1 year after surgery. The average age of the patients was 45.2 years (22-64 years) and the average follow-up period was 37.0 months (14-103 months). They were evaluated with postoperative outcome measures, including a visual analog scale (VAS) for pain, Mayo elbow performance score (MEPS), and American Shoulder and Elbow Surgeons (ASES) shoulder score. Residual complications were also evaluated. Results: Five patients (83.3%) had open fracture, and 4 patients (66.7%) presented with associated nerve injury. All fractures were united within postoperative 4 months, except 1 delayed union. The average VAS pain score, MEPS, and ASES shoulder score at the final follow-up examination was 2.5, 79.8, and 67.5 respectively. Three patients including 2 cases of joint stiffness with incomplete recovery from nerve injury and 1 case of complex regional pain syndrome had poor clinical outcome. Conclusions: Although the classic floating elbow is rare, these injuries potentially have associated problems such as open fracture or nerve injury. The presence of residual neurological symptoms predispose to poorer clinical outcomes.

• Journal of Welding and Joining
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• 제27권6호
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• pp.25-30
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• 2009

SBD (Strain-based design) of pipe lines have gained world-wide attention in recent years. The present research aims to evaluate the fracture characteristics of API (America Petroleum Institute) SBD X100 girth weldment that typically applied for cold climate and deep water offshore, with the focus on the influence of heat input changing with 6kJ/cm and 10kJ/cm from GMAW (Gas Metal Arc Welding). At a low heat input at 6kJ/cm, the weld metal had Multi-phase matrix (Acicular ferrite + Banite + Martensite) that could fill up both fracture toughness and strength as reported previously. Also, the weld metal exhibited 859MPa YS (Yield strength), 108J impact toughness at $-40^{\circ}C$ and 0.52mm CTOD (Crack Tip Open Displacement) at $-10^{\circ}C$. These results can be satisfied with the requirement of API SBD X100 girth weldment and Alaska pipe line project.

• Knee surgery & related research
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• 제30권4호
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• pp.303-310
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• 2018

Purpose: The purpose of this study was to investigate whether surgical experience could improve surgical competency in medial open wedge high tibial osteotomy (MOWHTO). Materials and Methods: One hundred consecutive cases of MOWHTO were performed with preoperative planning using the Miniaci method. Surgical errors were defined as under- or overcorrection, excessive posterior slope change, or the presence of a lateral hinge fracture. Each of these treatment failures was separately evaluated using the cumulative summation test for learning curve (LC-CUSUM). Results: The LC-CUSUM showed competency in prevention of undercorrection, excessive posterior slope change, and lateral hinge fracture after 27, 47, and 42 procedures, respectively. However, the LC-CUSUM did not signal achievement of competency in prevention of overcorrection after 100 procedures. Furthermore, the failure rate for overcorrection showed an increasing tendency as surgical experience increased. Conclusions: Surgical experience may improve the surgeon's competency in prevention of undercorrection, excessive posterior slope change, and lateral hinge fracture. However, it may not help reduce the incidence of overcorrection even after performance of 100 cases of MOWHTO over a period of 6 years.