• 제목/요약/키워드: orthopedic

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제 3중족-외측 설상 관절에서 발생한 비골성 족근골 결합: 증례 보고 (Non-osseous Coalition of the Third Metatarsal-Lateral Cuneiform Joint: A Case Report)

  • 서재성;민학진;김기천;노영주;신성기
    • 대한족부족관절학회지
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    • 제22권4호
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    • pp.177-180
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    • 2018
  • This paper reports a rare case of the symptomatic third metatarsal (MT3) - lateral cuneiform (LC) in a 55-year-old male who presented with complaints of severe intermittent pain in his right foot. Plain radiographs and computed tomography scans revealed sclerosis and irregularity at this joint. The intraoperative findings demonstrated a fibrocartilaginous coalition. The pain had improved one year after removing the MT3-LC joint by en bloc and arthrodesis.

Acute Displaced Fracture of Lateral Acromion after Reverse Shoulder Arthroplasty: A Case Report and Surgical Technique

  • Cho, Chul-Hyun;Jung, Jae-Won;Lim, Young-Jae;Na, Sang-Soo;Kim, Du-Han
    • Clinics in Shoulder and Elbow
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    • 제22권2호
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    • pp.106-109
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    • 2019
  • Acromial fractures are well-documented complications subsequent to reverse shoulder arthroplasty (RSA), and most appear as stress fractures with no history of single trauma. To date, no study has reported the occurrence of acute displaced acromial fracture due to sudden strong deltoid contraction during heavy work. Displacement of the fracture results in a challenging surgery since it is difficult to obtain adequate fixation in thin and osteoporotic bones. We report a rare case of acute displaced acromial fracture after successful RSA treatment, using a novel technique of open reduction and internal fixation, applying two 4.5 mm cannulated screws and lateral clavicle precontoured plate.

Fibrous composite matrix of chitosan/PLGA for tissue regeneration

  • Shim, In-Kyong;Hwang, Jung-Hyo;Lee, Sang-Young;Cho, Hyun-Chul;Lee, Myung-Chul;Lee, Seung-Jin
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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    • pp.237.3-238
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    • 2003
  • Tissue engineering may be adequately defined as the science of persuading the body to regenerate or repair tissue that fail to regenerate or heal spontaneously. In the various techniques of cartilage tissue engineering, the use of 3-dimensional polymeric scaffolds implanted at a tissue defect site is usually involved. These scaffolds provided a framework for cells to attach, proliferate, and form extracellular matrix(ECM). The scaffolds may also serve as carriers for cells and/or growth factors. In the ideal case, scaffold absorb at a predefined rate so that the 3-dimensional space occupied by the initial scaffold is replaced by regenerated host tissue. (omitted)

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족근 거주상탈구와 동반된 비전위성 주상골 골절 - 증례 보고 - (Talonavicular Dislocation with Nondisplaced Fracture of Navicular - Case Report -)

  • 홍창화;박종석;최호림;이상선;권세원;조주형
    • 대한정형외과스포츠의학회지
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    • 제7권1호
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    • pp.55-57
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    • 2008
  • 족부 주상골의 골절 및 거주상 관절의 탈구는 그 빈도가 매우 드물다. 이에 대하여는 관혈적 혹은 비관혈적의 정복술이 요구된다. 저자들의 단독 주상골 골절 및 거주상 관절 탈구에 관하여 관혈적 정복술 및 K-강선을 이용한 내고정을 이용한 치료를 하여 만족할만한 결과를 얻었으며, 문헌 고찰과 함께 보고하는 바이다.

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ORTHOPEDIC FORCE에 의한 백서악관절 주위조직의 변화에 대한 조직학적 연구 (A HISTOLOGICAL STUDY ON THE CHANCES OF THE SURROUNDING TISSUE IN MANDIBULAR JOINT BY THE ORTHOPEDIC FORCE IN RATS)

  • 이백민
    • 대한치과교정학회지
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    • 제13권2호
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    • pp.155-163
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    • 1983
  • Many different appliances have been used to move teeth or to attempt to inhibit or stimulate growth of the jaws. Especially, Orthopedic force was used to apply a constant force on the mandible. Various orthopedic forces bring the changes of surrounding tissue, growth and development on the mandibular joint. Author carried out this study to find the histological changes of the mandibular joint in rats when the mandible applied posterior displacement. For the purpose of this study, $009\times036inch$ closed coil spring and 030inch orthopedic wire were used between the post occipital region and the chin region in order to render the orthopedic forces, posteriorly. The experimental animals vu. used 1 month old (GroupI), 3 months old (Group II), and 12 months old (Group III) rats. Following results were obtained; 1. At the beginning of the experimental Group I, there were predominant increment of Cartilage layer in the posterior parts of condylar head. Especially, the mature chondrocyte zone was increased. 2. In the experimental Group II, the chondroblastic zone was decreased while it showed slightly increased mature cartilage zone. 3. In the experimental Group III, the mature chondrocyte zone was disappeared gradually and there was a tendency to reduce the endochondral bone formation in condylar head. 4. After 30 days of experimental Group I and in experimental Group II, there was a tendency to decrease the immature cellular zone in the glenoid fossa by pressure. 5. There were no histological changes in the articular disc by pressure.

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당뇨족에서 감염에 의한 발뒷꿈치 결손의 인조 혈관 이식술과 전외측 대퇴 천공 유리 피판술을 이용한 치료 -1예 보고- (Treatment of Large Heel Defect in Diabetic Patients; Use of Artificial Bypass Graft and Antero-lateral Thigh Perforator Flap - A Case Report -)

  • 김재영;이경태;양기원;차승도;김응수;정주선
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.224-226
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    • 2005
  • In diabetic foot with arterial occlusive disease, skin defect on heel was tried to treat with free flap or local flap, but couldn't be treated well. Therefore below knee amputation was perfomed mostly. But we treated a patient of large heel defect with using of artificial bypass graft and antero-lateral thigh perforator flap.

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Reconstruction of Large Bone and Soft Tissue Defect Combined with Infection in the Lower Extremity with Free Flap Followed by Ipsilateral Vascularized Fibular Transposition

  • Chung, Duke Whan;Han, Chung Soo;Lee, Jae Hoon;Kim, Eun Yeol;Park, Kwang Hee;Kim, Dong Kyoon
    • Archives of Reconstructive Microsurgery
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    • 제22권2호
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    • pp.57-62
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    • 2013
  • Purpose: The aim of this study is to report on the results and discuss the role of free flap followed by ipsilateral vascularized fibular transposition (IVFT) for reconstruction of large bone and soft tissue defect combined with infection by open tibia fracture. Materials and Methods: During the research period, lasting from December 2002 to June 2008 (Kyung Hee University Medical Center), data were collected from three patients who underwent IVFT after free flap. We analyzed the successiveness and persistency of the infection using free flapping, bone union, and hypertrophy between transposed fibula and tibia. Results: Regarding free flap, successive results were observed in all examples. In the final follow-up results, transposed fibulas all survived, having hypertrophy similar to that of adjacent tibia. Conclusion: Reconstruction of tibia defect with free flap followed by IVTF is a useful and safe method for avoidance of the potential risk of infection for patients with a large tibial bone defect and soft tissue defect associated with infection.

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Diagnostic Consistency between Sonoelastography and Conventional Sonography of Long Head of the Biceps

  • Yoon, Sunghyun;Seo, Joong-Bae;Yoo, Jae-Sung;Ryu, Jee-Won
    • Clinics in Shoulder and Elbow
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    • 제17권3호
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    • pp.107-113
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    • 2014
  • Background: Sonoelastography (SE) is a new technique that can assess differences in tissue stiffness, the purpose of this study was to evaluate the ability of SE to assess the long head of biceps tendon alteration. Methods: Forty shoulders of 36 consecutively registered patients with clinical symptoms and conventional ultrasonography findings of biceps tendinitis or tendinosis, and 40 asymptomatic shoulders of 20 healthy volunteers were assessed with SE. Transverse and longitudinal images of long head of biceps tendon were obtained using SE. SE images were performed by one orthopedic surgeon and evaluated by two orthopedic surgeons using an experimentally proven color grading system. Results: The transverse images of SE showed a sensitivity of 87.5%, a specificity of 95.0% and a accuracy of 91.3%, the longitudinal images of SE showed a sensitivity of 92.5%, a specificity of 90.0% and a accuracy of 91.3%. Inter-observer reliability of SE was in 'almost perfect agreement' with a weighted kappa coefficient of 0.83. Conclusions: SE is valuable in the detection of the intratendinous and peritendinous alterations of biceps tendon, and has excellent accuracy and excellent correlation with conventional ultrasound findings.

대퇴골에 발생한 방골성 지방종 - 1례 보고 - (Parosteal Lipoma in the Femur - A Case Report -)

  • 강용구;이한용;고해석;유기원;송주현;장일석
    • 대한골관절종양학회지
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    • 제5권1호
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    • pp.82-85
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    • 1999
  • A parosteal lipoma is a benign tumor containing mature adipose tissue and is intimately related to the adjacent periosteum. We experienced a very rare case of parosteal lipoma arising from the shaft of femur. A 46 years old lady visited the hospital with complaining of slowly growing mass in her thigh for 7 month. Initially, it was difficult to differentiate from osteochondroma, parosteal osteosarcoma or liposarcoma. Based on the assessment of plain radiogram and magnetic resonance imaging, it was suspected the parosteal lipoma or osteosarcoma. Marginal excision was performed, and it was confirmed to parosteal lipoma histologically. We present the case with review of literatures.

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경골의 과골증을 동반한 방골성 지방종 -증례 보고- (Parosteal Lipoma with Hyperostosis of the Tibia - A Case Report -)

  • 이상수;이영현;윤영곤;윤태경;박용욱;김도영
    • 대한골관절종양학회지
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    • 제9권1호
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    • pp.105-109
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    • 2003
  • 방골성 지방종은 골막에 인접하여 발생하는 양성 지방종의 일종으로 전체 지방종의 약 0.3% 이하를 차지하는 매우 드문 종양이다. 저자들은 52세 남자 환자의 좌측 경골에 발생한 과골증을 동반한 방골성 지방종 1례를 치험하였다. 이에 방골성 지방종 1례에 대한 증례 보고와 임상적 소견을 문헌 고찰과 함께 보고하는 바이다.

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