• Title/Summary/Keyword: partial rupture

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Split Transfer of Extensor Digitorum Longus of the Second Toe for Elongation of EHB after Modified Jones' Procedure (변형된 Jones 술식 후에 발생한 단무지 신전건의 연장을 치료하기 위한 제2 장족지 신전건의 분리 이전술)

  • Kim, Jung-Rae;Lee, Woo-Chun
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.3
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    • pp.183-186
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    • 2011
  • Extensor hallucis brevis (EHB) is only extensor of the first metatarsophalangeal (MTP) joint after modified Jones procedure. Therefore preserving the normal insertion of the EHB has been emphasized during that procedure. We experienced a case of EHB rupture after modified Jones procedure and had satisfied surgical outcome by partial transfer of extensor digitorum longus (EDL) of second toe.

Acute Type 1 Aortic Dissection Involving Right Coronary Artery (우관상동맥 침범한 급성 대동맥 박리증 치험 1례)

  • Min, Gyeong-Seok;Lee, Jae-Won;Song, Myeong-Geun
    • Journal of Chest Surgery
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    • v.28 no.2
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    • pp.188-192
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    • 1995
  • A 50 year old man with acute aortic dissection DeBakey type I, involving right coronary artery and aortic valve, underwent replacement of the ascending aorta and aorto-right coronary bypass grafting. The operative findings showed a large transverse intimal tear was at about 4cm above the aortic valve. The dissection extended out into the proximal right coronary artery. And we found that the right coronary artery originated from the left sinus of Valsalva, run transversally in the aortic wall, with partial rupture. Postoperatively he had no ischemic cardiac symptoms and neurologic complications. He was discharged on postoperative 9th day with good result.

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A Case Report of Pseudocoarctation of Aorta with Aneurysm Formation (가성 대동맥축착에 의한 동맥류;수술치험 1례 보고)

  • 김규만
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.955-958
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    • 1993
  • Pseudocoarctation is extremely rare and is due to elongation and kinking of aortic arch which mimiks true coarctation but has no pressure gradient across it. This state is essentially benign entity and needs no surgical intervention, but it frequently tends to progress into the aortic aneurysm that results in compressive symptom due to mass effect and unawared rupture and death.We experienced a descending aortic aneurysm secondary to pseudocoarctation. The patient was 53 year-old female presented as easy f`atiguability and facial flushing. The aortogram revealed tortuous and enlarged aorta at the level of ligamentum arteriosum. The aneurysm was resected and was end-to-end anastomosed successfully under partial cardiopulmonary bypass. The postoperative course was uneventful and the patient was discharged on postoperative 10 day.

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Preliminary Structural Segmentation of the Yangsan Fault (양산단층의 구조적 분절화 기초연구)

  • 장천중
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 1997.10a
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    • pp.49-56
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    • 1997
  • Most large strike-slip faults do not rupture their entire length during single faulting but generally break in segments which are different in location and time of faulting. Studies related to the development of the Yangsan fault have been reported based on partial results from characteristics of geolgocial distribution, geophysical prospecting and paleostress analyses. This paper shows, based on preliminary results, that the Yangsan fault could be divided into four structural areas along entire length. These areas are different in geological distribution, bedding attitude measured from sedimentary rocks, strike of main fault, geometry of small faults, termination types of fault tips, cyclic variation of fault zone width, and arrangement of paleostress. Therefore, the Yangsan fault could be divided into at least four segments.

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Hybrid Approach of Ruptured Type B Aortic Dissection with an Aberrant Subclavian Artery in a Single Patient with Turner Syndrome: A Case Report

  • Son, Shin-Ah;Lim, Kyoung Hoon;Kim, Gun-Jik
    • Vascular Specialist International
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    • v.34 no.4
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    • pp.121-126
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    • 2018
  • Turner syndrome, also described as 45, X, may present with most serious cardiovascular anomalies including risk of aortic dissection and rupture. In emergency situation, management for aortic dissection with complicated anatomy accompanying vascular anomaly is challenging. Here, we report a rare case of ruptured type B aortic dissection with aberrant subclavian artery and partial anomalous pulmonary venous connection in a Turner syndrome. Through right carotid-subclavian artery bypass and thoracic endovascular aortic repair, successful hybrid endovascular management correlated with a favorable result in this emergency situation.

Chronic epidural hematoma evacuated through surgical treatment: a case report

  • Sin, Eui Gyu
    • Journal of Trauma and Injury
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    • v.35 no.1
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    • pp.43-45
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    • 2022
  • Epidural hematoma (EDH) can sometimes be life-threatening, although small-volume EDHs can resolve spontaneously like other intracranial hematomas. However, in rare cases, EDH can transform into a chronic form instead of disappearing. In contrast to subdural hematoma, there is no agreed-upon definition or treatment of chronic EDH. A 41-year-old male patient with acute EDH in the bilateral paravertical area due to partial rupture of the sagittal sinus was operated first, and then remnant contralateral hematoma was treated conservatively. One month after surgery, he showed hemiparesis, and brain imaging revealed chronic EDH at the location of the remnant acute hematoma. We performed surgery again to treat chronic EDH through a large craniotomy. Although many cases of EDH are self-limited, clinicians must keep in mind that some cases of EDH, especially those of venous origin and arising in young people, can become chronic and require surgical treatment.

Various Pathologic Conditions of Sinus Tarsi Syndrome Assessed by Imaging and Arthroscopic Findings (영상학적 및 관절경적 소견으로 평가한 족근동 증후군의 다양한 병적 상태)

  • Jeong Jin Park;Seung Jae Cho;Seong Hyeon Jo;Chul Hyun Park
    • Journal of Korean Foot and Ankle Society
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    • v.28 no.2
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    • pp.60-67
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    • 2024
  • Purpose: Sinus tarsi syndrome (STS) is caused by various pathologies. However, the exact etiology of STS remains controversial. This study evaluated the imaging and arthroscopic findings of patients who underwent surgical treatment after conservative treatment for STS failed. Materials and Methods: Between December 2014 and August 2018, 20 patients (21 cases) who underwent surgical treatment for STS were included in the study. The clinical results were analyzed using the visual analog scale (VAS) and the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot functional scale. The radiographic results were analyzed using Meary's angle, calcaneal pitch angle, and hindfoot alignment angle. The pathologic conditions of sinus tarsi were confirmed by magnetic resonance imaging (MRI) and subtalar arthroscopy. Synovitis, bone edema, and accessory anterolateral talar facet (AALTF) were evaluated on MRI. Synovial thickening, cartilage damage, interosseous talocalcaneal ligament (ITCL) and cervical ligament rupture, soft tissue impingement, AALTF, and accessory talar facet impingement (ATFI) were evaluated by subtalar arthroscopy. Results: The mean duration of symptoms was 28.7 months (4~120). All patients showed significant improvement in the VAS and AOFAS ankle-hindfoot scale. Significant improvements in hindfoot alignment angle and Meary's angle postoperatively were noted in patients who underwent medial displacement calcaneal osteotomy. MRI confirmed synovitis in all patients, AALTF in 19 cases (90.5%), and ATFI with bone edema in seven cases (33.3%). In subtalar arthroscopy, pathologic conditions were observed in the following order: synovitis in 21 cases (100%), AALTF in 20 cases (95.2%), ITCL partial rupture in nine cases (42.9%), and soft tissue impingement in seven cases (33.3%). All cases had two or more pathological conditions, and 15 (71.4%) had three or more. Conclusion: In cases of STS that do not respond to conservative treatment, a comprehensive examination of the lesions of the tarsal sinus and lesions around the subtalar joint is essential.

Structural Performance of Joints for Partial Reinforced Beam Using GFRP Laminated Plate and Cylindrical Reinforced LVL Column (GFRP적층판을 활용한 보강보부재와 원통형 단판적층기둥재 접합부의 내력 성능평가)

  • Song, Yo-Jin;Jung, Hong-Ju;Lee, Jung-Jae;Suh, Jin-Suk;Park, Sang-Bum;Hong, Soon-Il
    • Journal of the Korean Wood Science and Technology
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    • v.42 no.3
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    • pp.282-289
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    • 2014
  • After being laminated with a combination of glass fiber reinforced plastic and plywood, the GFRP laminated plate was densificated for 1 hour at $150^{\circ}C$ with pressure of $1.96N/mm^2$. A partial reinforced beam was produced by attaching the 5 GFRP laminated plates to the joint of glulam and the column. In addition, the column to beam joint was produced by using reinforced laminated wooden pin which was made of GFRP sheet and plywood, fiber glass reinforced cylindrical-LVL column. The joint was made of round log, glulam and drift pin as the reference specimen, and its moment resistance was evaluated. As a result, the strength performance of specimens with partial reinforced beams were 1.8 times stronger than the reference specimen on average. Furthermore, rupture was neither occurred on partial reinforced beam nor column. Toughness and stiffness of joints were also fine. The GFRP sheet reinforced laminated plate showed better reinforcement effect than GFRP textile reinforced one. GFRP sheet was inserted into each layer of laminate, and it showed good condition in rotation-angle and strength, therefore it is the most appropriate to reinforce the part of the beam.

Advanced Gastric Cancer Perforation Mimicking Abdominal Wall Abscess

  • Cho, Jinbeom;Park, Ilyoung;Lee, Dosang;Sung, Kiyoung;Baek, Jongmin;Lee, Junhyun
    • Journal of Gastric Cancer
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    • v.15 no.3
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    • pp.214-217
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    • 2015
  • Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy and expired on the 82nd postoperative day.

Development and Strength Evaluation of Ring Projection Welding Process of the Microminiature Tube and Tubesheet (초소형 튜브와 튜브판의 링 프로젝션 용접 공정개발 및 강도 평가)

  • Yun, Young-Hyun;Kim, Hyun-Joon;Kim, Chang-Soo;Cho, Sang-Myung
    • Journal of Welding and Joining
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    • v.27 no.2
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    • pp.63-68
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    • 2009
  • Microminiature heat exchanger has been applied to the gas turbine in order to increase energy efficiency. During the production of microminiature heat exchanger, however, it is very difficult to weld tube to tubesheet. In this study, therefore, welding process of resistance ring projection was used, and weld tensile tests were performed. Sound weld joint was obtained as a result of applying resistance ring projection welding to microminiature heat exchanger to tubesheet. Cold weld occurred at under 1600A. Even though tensile strength was increased with increasing current, splash occurred and tensile strength decreased at 2000A due to the excessive current. Therefore it was determine that the optimal current is 1900A. As result of tensile tests based on ASME code for tube to tubesheet weldment, rupture position was weldment due to Fs(Fractured section) of nugget, which was smaller than tube thickness (t), and it was proven as a partial strength welding because of the average joint efficiency fr = 0.90.