• Title/Summary/Keyword: orthopedic

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Percutaneous screw fixation and external stabilization as definitive surgical intervention for a pelvic ring injury combined with an acetabular fracture in the acute phase of polytrauma in Korea: a case report

  • Hohyoung Lee;Myung-Rae Cho;Suk-Kyoon Song;Euisun Yoon;Sungho Lee
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.298-303
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    • 2023
  • Unstable pelvic ring injuries are potentially life-threatening and associated with high mortality and complication rates in polytrauma patients. The most common cause of death in patients with pelvic ring injuries is massive bleeding. With resuscitation, external fixation can be performed as a temporary stabilization procedure for hemostasis in unstable pelvic fractures. Internal fixation following temporary external fixation of the pelvic ring yields superior and more reliable stabilization. However, a time-consuming extended approach to open reduction and internal fixation of the pelvic ring is frequently precluded by an unacceptable physiologic condition and/or concomitant injuries in patients with multiple injuries. Conservative treatment may lead to pelvic ring deformity, which is associated with various functional disabilities such as limb length discrepancy, gait disturbance, and sitting intolerance. Therefore, if the patient is not expected to be suitable for additional surgery due to a poor expected physiologic condition, definitive external fixation in combination with various percutaneous screw fixations to restore the pelvic ring should be considered in the acute phase. Herein, we report a case of unstable pelvic ring injury successfully treated with definitive external fixation and percutaneous screw fixation in the acute phase in a severely injured polytrauma patient.

Pyrocarbon hemiarthroplasty and the shoulder: biomechanical and clinical results of an emerging treatment option

  • Mohamad Y. Fares;Jaspal Singh;Peter Boufadel;Matthew R. Cohn;Joseph A. Abboud
    • Clinics in Shoulder and Elbow
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    • v.27 no.1
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    • pp.117-125
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    • 2024
  • While shoulder hemiarthroplasty is still used to treat young patients with shoulder pathology, the use of this procedure has substantially declined in recent years due to its significant complication profile. Glenoid wear with arthrosis is one of the major postoperative complications following shoulder hemiarthroplasty, and efforts to prevent this complication led many scientists to explore alternative weight-bearing surfaces on arthroplasty implants to decrease joint wear and improve patient outcomes. Pyrolytic carbon, or pyrocarbon, is a material that has better biocompatibility, survivorship, strength, and wear resistance compared to the materials used in traditional shoulder hemiarthroplasty. Pyrocarbon implants have been used in orthopedics for over 50 years; recently, their utility in shoulder hemiarthroplasty has garnered much interest. The purpose behind the use of pyrocarbon in shoulder hemiarthroplasty is to decrease the risk of progressive glenoid wear, especially in young active patients in whom joint preservation is important. Promising survivorship and outcomes have been demonstrated by recent studies, including limited glenoid wear following pyrocarbon hemiarthroplasty. Nevertheless, these clinical studies have been limited to relatively small case series with limited long-term follow-up. Accordingly, additional research and comparative studies need to be conducted in order to properly assess the therapeutic efficacy and value of pyrocarbon hemiarthroplasty.

Osteomyelitis Resulting from Chronic Septic Olecranon Bursitis: Report of Two Cases

  • Moon, Myung-Sang;Kim, Seong-Tae;Park, Bong-Keun
    • Clinics in Shoulder and Elbow
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    • v.19 no.4
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    • pp.252-255
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    • 2016
  • We reported the two cases of olecranon osteomyelitis secondary to the iatrogenic chronic relapsing septic olecranon bursitis. Infection was well eradicated by excision of the infected bursa and curettage of the eroded olecranon under the coverage of antibiotic therapy

Recurred Intraneural Ganglion on Superficial Peroneal Nerve (A Case Report) (재발한 표재 비골신경내 결절종(1예보고))

  • Lee, Kyung-Chan;Kwak, Ji-Hoon;Park, Hong-Gi
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.2
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    • pp.161-164
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    • 2013
  • Intraneural ganglilon of superficial peroneal nerve was rare condition around foot and ankle. we experienced a case of recurred intraneural ganglion of superficial peroneal nerve on foot. We treated the case with idendify of intraarticular branch of ganglion. We report the case with a review of literature.

Maxillary Protraction with Maxillary and Mandibular Miniplates (face corrector): In Comparison to Face Mask Protraction in Class III Patients (상하악 미니플레이트 골 내 고정원 Face Corrector를 이용한 제3급 환자의 상악골 전방견인과 Face Mask를 이용한 상악골 전방견인의 비교)

  • Lee Linton, Jina
    • Korean Journal of Cleft Lip And Palate
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    • v.16 no.1
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    • pp.19-23
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    • 2013
  • Maxilla protraction, orthopedic correction of deficient maxilla is necessary for treatment of most Class III growing patients. Protraction method has evolved from tooth-born appliance to miniplates on the maxilla, and from face mask to miniplates on the chin. By placing miniplates on the maxilla and the mandible and running elastics between them, we can minimize dentoalveolar relapse and maximize orthopedic change.

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Paralysis of Inferior Branch of Suprascapular Nerve by a Lipoma -A Case Report- (지방종에 의한 상견갑신경 하방분지의 마비 - 증례 보고 -)

  • Oh Joo Han;Gong Hyun Sik;Kim Hyun Ho
    • Clinics in Shoulder and Elbow
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    • v.7 no.2
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    • pp.103-107
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    • 2004
  • We present a case of suprascapular entrapment syndrome by a lipoma that compressed inferior branch of suprascapular nerve at the spinoglenoid notch and treated successfully by surgical excision.

Heterotopic Ossification of a Partially Ruptured Achilles Tendon (A Case Report) (아킬레스 건 부분 파열 후 발생한 이소성 골화(1예 보고))

  • Kwak, Ji-Hoon;Kim, Dong-Hee;Park, Hong-Gi
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.1
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    • pp.99-102
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    • 2009
  • Heterotopic ossification of Achilles tendon is known to be related with history of prior Achilles tendon surgery, trauma, Achilles tendon rupture. We report a case of heterotopic ossification of partially ruptured Achilles tendon and treated by surgical removal of ossification and V-Y advancement with tendon repair.

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