• Title/Summary/Keyword: pin 핀

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Temporary Use of External Fixators for Soft Tissue Lengthening in the Treatment of Complications after Limb Salvage Surgery (사지 구제술 합병증 치료에서 연부조직 연장을 위한 한시적 외고정 기기의 유용성)

  • Yoon, Pil-Whan;Kang, Hyun-Guy;Kim, Kap-Jung;Oh, Joo-Han;Lee, Sang-Hoon;Lee, Sang-Ki;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.2
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    • pp.134-140
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    • 2005
  • Purpose: We evaluated the effectiveness of temporary using the extendible external fixator (EF) for lengthening of soft tissue that contracture caused by tumor prosthesis removal in the treatment of complications after limb salvage surgery like deep infection and loosening. Materials and Methods: Five patients six cases were included who underwent extendible EF (Dyna-extor(r)). EF was applied after insertion of half pin to the proximal and distal bone of defect area. EF lengthening started at third day of post-operation, above 2-3 mm per day in the range of no neurological sign. Results: The treatment area was three in femur and two in tibia. Mean age when the time of EF apply was 22.2 years old (range 15-29), but its primary limb salvage operation had done in 13.4 years old (range 9-19), therefore mean times of interval between initial tumor prosthesis reconstruction and temporary EF apply was 8.8 years (range 3-14). One patient had EF for 150 days with 7.2 cm lengthening. Others 5 cases of 4 patients had EF for mean 37 days (range 25-50) and mean soft tissue lengthening was 5.8 cm. Three patients underwent re-insertion of tumor prosthesis and two patients underwent knee fusion as final operation and showed no evidence of infection through mean 22 months follow up period. Conclusion: Temporary using of extendible EF is an effective method for correction of leg shortening which occurred by soft tissue contracture in the complications of limb salvage operation or their treatment process, and it could be provide easily application of tumor prosthesis and knee fusion as final operation.

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Clinical Results of Arthroscopic Anterior Cruciate Ligament Reconstruction using Hamstring Tendon (슬괵건을 이용한 관절경적 전방십자인대 재건술)

  • Song, Eun-Kyoo;Seo, Hyoung-Yeon;Lee, Geun-Bae;Yoon, Taek-Rim;Shim, Sang-Don
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.1
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    • pp.17-23
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    • 1999
  • Purpose : We intend to review clinical results after Anterior cruciate ligament(ACL) reconstruction using hamstring tendon arthroscopically. Materials & Methods : Sixty two patients who had underwent arthroscopic ACL reconstruction using hamstring tendon from Mar. 1996 to Mar. 1997 were reviewed. The average follow-up was 16 months and average age at operation was 27 years old. Clinical results were evaluated with physical examination, Lysholm Knee score and instrumented anterior laxity test with Telos Results : The average preoperative Lysholm knee score was 57.0 and postoperative average of that was 91.8. All cases of 62 patients had normal range of motion of knee and were able to walk with no problems at follow-up. On the Lachmann test, there were mild(+) instability in 24 cases, moderate(++) in 24 cases, severe(+++) in 14 cases preoperatively and 48 cases were converted to negative, 14 cases mild postoperatively. On instrumented anterior laxity test with Telos, difference between normal and affected knee on 20 lb which was 13.4mm preoperatively was decreased to 4.7mm at follow-up and anterior stability was regained(P<0.05). Parapatellar complications such as crepitus in 18 cases(29.5%), atrophy of quadriceps in 23 cases(36.5%) were observed. There were 2 cases of inaccuracy of guide pin of semifix screw intraoperatively and 3 cases of malposition of semifix screw postoperatively. Conclusion : ACL reconstruction using hamstring tendon seems to be a effective procedure to establish the stability of knee joint but is technically demanding procedure and leaves some parapatellar complications.

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Energy Saving Effect for High Bed Strawberry Using a Crown Heating System (고설 딸기 관부 난방시스템의 에너지 절감 효과)

  • Moon, Jong Pil;Park, Seok Ho;Kwon, Jin Kyung;Kang, Youn Koo;Lee, Jae Han;Kim, Hyung Gweon
    • Journal of Bio-Environment Control
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    • v.28 no.4
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    • pp.420-428
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    • 2019
  • This study is the heating energy saving test of the high-bed strawberry crown heating system. The system consists of electric hot water boiler, thermal storage tank, circulation pump, crown heating pipe(white low density polyethylene, diameter 16mm) and a temperature control panel. For crown heating, the hot water pipe was installed as close as possible to the crown part after planting the seedlings and the pipe position was fixed with a horticultural fixing pin. In the local heating type, hot water at $20{\sim}23^{\circ}C$ is stored in the themal tank by using an electric hot water boiler, and crown spot is partially heated at the setting temperature of $13{\sim}15^{\circ}C$ by turning on/off the circulation pump using a temperature sensor for controlling the hot water circulation pump which was installed at the very close to crown of strawberry. The treatment of test zone consisted of space heating $4^{\circ}C$ + crown heating(treatment 1), space heating $8^{\circ}C$(control), space heating $6^{\circ}C$ + crown heating(treatment 2). And strawberries were planted in the number of 980 for each treatment. The heating energy consumption was compared between November 8, 2017 and March 30, 2018. Accumulated power consumption is converted to integrated kerosene consumption. The converted kerosene consumption is 1,320L(100%) for space $8^{\circ}C$ heating, 928L(70.3%) for space $4^{\circ}C$ + crown heating, 1,161L($88^{\circ}C$) for space $6^{\circ}C$ + crown heating). It was analyzed that space $4^{\circ}C$ + pipe heating and space $6^{\circ}C$ + crown heating save heating energy of 29.7% and 12% respectively compared to $8^{\circ}C$ space heating(control).