• Title/Summary/Keyword: reconstruction plate

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Surgical Management of Comminuted Midshaft Clavicle Fractures Using Reconstruction Plate and Circumferential Wiring: Does the Circumferential Wiring Interfere with the Bone Union? (쇄골 간부 복합 골절에서 재건 금속판 및 환 강선을 이용한 수술적 치료: 환 강선이 골 유합을 방해하는가?)

  • Kim, Kyung-Tae;Shin, Chung-Shik;Park, Young-Chul;Kim, Dong-hyun;Kim, Min-Woo
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.245-252
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    • 2021
  • Purpose: This study examined the radiological and clinical outcomes of internal fixation using a reconstruction plate and 21G circumferential wire in comminuted midshaft clavicular fractures. Materials and Methods: A retrospective cohort study was performed on 51 patients between 2005 and 2019. Thirty-two patients underwent internal fixation with a reconstruction plate and a 21G circumferential wire with minimal soft tissue detachment, and 19 patients underwent surgery without a wire. The patients were assessed with the radiographic parameters, the University of California at Los Angeles (UCLA) score, and the visual analogue scale (VAS) pain score. Based on this, patients who operated without a circumferential wire were set as the control group, and the differences in bone union between the two groups were compared. Results: Thirty-two patients were followed-up for an average of 65 weeks, and 19 patients in the control group were followed-up for an average of 56 weeks. The radiological evaluation confirmed the anatomical reduction and bone union in all 32 patients. No case of nonunion was present. The UCLA score was 32.38 on average and 33.11 in the control group (p=0.395). The VAS score was 1.00 on average and 0.84 in the control group (p=0.668). A significant difference in the bony union time was observed between the group who underwent internal fixation with a reconstruction plate and a 21G circumferential wire with minimal soft tissue detachment, and the control group (p=0.015). On the other hand, there was no statistical significance when other variables were controlled (p=0.107). Conclusion: For displaced midshaft clavicular fractures, internal fixation using a reconstruction plate and 21G circumferential wire maintained accurate anatomical reduction. The satisfactory clinical and radiological results mean that internal fixation using a reconstruction plate and 21G circumferential wire may be a good option for surgical treatment.

A K-Ray Image Reconstruction by the Direct Detection Method (직접검출방식(直接檢出方式)에 의한 X선영상(X線影像)의 재구성(再構成)에 관(關)한 연구(硏究))

  • Kang, Hee-Doo
    • Journal of radiological science and technology
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    • v.14 no.1
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    • pp.61-72
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    • 1991
  • In this paper, the rotating plate method extracting signal and reconstructing original image was proposed. The rotating methode has cell detector array each of which has used in the medical diagnosis X-ray photography. The major problem using the simple horizontal moving or non-moving methode is the size and number of detector cells which have the considerable affection on the sharpness and resolution of the reconstructed image. Secondary, the estimated pixel values of non-detected real points which are placed between detector cells will be the distorted pixels in the reconstructed image. Therefore, the proposed rotating plate method has the exact distribution on the uncertain pixels which were reconstructed by conventional methods to solve there problems. And then, the image using the rotated plate's cell out put signal was reconstructed on the computer simulation. The method will rotated the detector array plate to solve the reconstruction from the detector size and number of conventional methods. The result of simulation has estimated the original pixel position and 81 pixel/mm resolution which the reconsiderlation of the detector's moving orientation, the proposed method has 25 pixel/mm resolution. These results have been represented by 3-D computer graphics.

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Easy and Simple Techniques to Reconstruct Natural Nailfold with the Wrap-around Flap for Finger Reconstruction

  • Takeo Matsusue
    • Archives of Plastic Surgery
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    • v.49 no.6
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    • pp.764-768
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    • 2022
  • The wrap-around flap (WAF) has become a popular approach to thumb reconstruction because the results are functionally and cosmetically excellent. By modifying to a partial toenail transfer, the WAF can also be used for finger reconstruction. However, performing cosmetically superior finger reconstruction is a significant challenge because it is difficult to reconstruct the natural nailfold by partial nail transplantation, although partial nail transplantation is required to reconstruct a narrow fingernail. One side of the reconstructed lateral nailfold tends to be a missing nail margin, and one side of the proximal nailfold angle tends to be retracted. Based on the rationale that loss of the lateral nailfold volume due to the postoperative tension of the volar flap would result in a missing nail margin, the volume of the lateral nailfold was maintained with a single thread that was passed from the nail to the volar flap. Additionally, half of the proximal nailfold from the nail plate was elevated to advance it forward. The results indicated that a cosmetically natural nailfold was achieved with the WAF approach to finger reconstruction. These easy and simple techniques enable reconstruction of a cosmetically natural nailfold using WAF for finger reconstruction.

COMPUTATIONS ON FLOW FIELDS AROUND A 3D FLAPPING PLATE USING THE HYBRID CARTESIAN/IMMERSED BOUNDARY METHOD (HCIB 법을 이용한 변형하는 평판 주위의 3차원 유동해석)

  • Shin, Sang-Mook
    • Journal of computational fluids engineering
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    • v.12 no.1
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    • pp.1-8
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    • 2007
  • A code is developed using the hybrid Cartesian/immersed boundary method and it is applied to simulate flows around a three-dimensional deforming body. A new criterion is suggested to distribute the immersed boundary nodes based on edges crossing a body boundary. Velocities are reconstructed at the immersed boundary nodes using the interpolation along a local normal line to the boundary. Reconstruction of the pressure at the immersed boundary node is avoided using the hybrid staggered/non-staggered grid method. The developed code is validated through comparisons with other experimental and numerical results for the velocity profiles around a circular cylinder under the forced in-line oscillation and the pressure coefficient distribution on a sphere. The code is applied to simulate the flow fields around a plate whose tail is periodically flapping under a translation. The effects of the velocity and acceleration due to the deformation on the periodic shedding of pairs of tip vortices are investigated.

A damage localization method based on the singular value decomposition (SVD) for plates

  • Yang, Zhi-Bo;Yu, Jin-Tao;Tian, Shao-Hua;Chen, Xue-Feng;Xu, Guan-Ji
    • Smart Structures and Systems
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    • v.22 no.5
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    • pp.621-630
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    • 2018
  • Boundary effect and the noise robustness are the two crucial aspects which affect the effectiveness of the damage localization based on the mode shape measurements. To overcome the boundary effect problem and enhance the noise robustness in damage detection, a simple damage localization method is proposed based on the Singular Value Decomposition (SVD) for the mode shape of composite plates. In the proposed method, the boundary effect problem is addressed by the decomposition and reconstruction of mode shape, and the noise robustness in enhanced by the noise filtering during the decomposition and reconstruction process. Numerical validations are performed on plate-like structures for various damage and boundary scenarios. Validations show that the proposed method is accurate and effective in the damage detection for the two-dimensional structures.

The reconstruction of Structure Velocity Field Using Nearfield Acoustic Holography (근접음장 음향 홀로그래피를 이용한 평판내의 속도분포 예측)

  • 권오훈;이효근;박윤식
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.18 no.2
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    • pp.251-259
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    • 1994
  • Nearfield acoustic holography is known as a powerful tool to study sound radiation from a structure. In this work, the so called backward propagation of sound pressure field is studied to obtain the structure velocity distribution. The results, which were obtained using FFT algorithms, are presented for a finite plate excited at the frequencies above and below coincidence. These results illustrate the effect of stand-off distance and noise. An optimum cutoff frequency in wavenumber domain was suggested to reduce the effects of evanescent wave in the backward propagation. The experimental results were also included for a plate to demonstrate the effectiveness of the suggested cutoff frequency. The optimum cutoff frequency to exclude the unwanted noise in the process of reconstruction of the velocity field gives the good results in both simulations and experiments.

Sternal Resection and Reconstruction for Solitary Plasmacytoma of the Sternum: Case Report

  • Choi, Chang Woo;Park, You Kyeong;Shin, Hwa Kyun;Lim, Jae Woong;Her, Keun
    • Journal of Chest Surgery
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    • v.54 no.5
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    • pp.400-403
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    • 2021
  • A 63-year-old patient was admitted with a sternal fracture and mass. On evaluation, most of the body of the sternum had been destroyed by a tumor. Radical resection of the sternum was performed and part of the major pectoral muscles adherent to the sternal tumor was also resected. The chest wall defect was reconstructed with mesh, bone cement, and a titanium rib plate system. Reconstruction with this method seemed to be an appropriate procedure to prevent instability of the chest wall.

Effect of Phase Error on the Lateral Resolution of Reconstruction Image in Incoherent Triangular Holography (인코히어런트 삼각 홀로그래피에서 위상오차가 횡축방향의 해상도에 미치는 영향에 관한 연구)

  • Kim, Soo-Gil
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.27 no.11
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    • pp.1-6
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    • 2013
  • It is introduced the phase error sources of a incoherent hologram in incoherent triangular holography and derived the reconstruction image of point-source including the phase error in the lateral direction. From the reconstruction image of point-source, we analyzed the effect of phase error on the lateral resolution. When the phase retardation errors and azimuth angle error of a wave plate and a polarizer range from 0 to $2{\pi}/15$, the normalized intensities of reconstructed images are down by about 0.1% and 2.3%, respectively.

Repair of Inferior Sternal Cleft Using Bilateral Sternal Bar Turnover Flaps in a Patient with Pentalogy of Cantrell

  • Chia, Hui-Ling;Yeow, Vincent Kok-Leng
    • Archives of Plastic Surgery
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    • v.41 no.1
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    • pp.77-80
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    • 2014
  • We report a case of sternal reconstruction using bilateral sternal bar turnover flaps in a 4-year-old boy with an inferior sternal cleft, as part of Cantrell's pentad. When the patient was 10 months old, he underwent sternal reconstruction using a resorbable poly-L-lactic-polyglycolic acid plate in the first stage when there was insufficient autogenous tissue to provide a reliable reconstruction. Bilateral sternal bar turnover was performed in the second stage at 4 years of age. This operative technique is described in this report. This novel technique provides a robust, dynamic, and reliable reconstruction for inferior sternal defects.

STRATOS Titanium Rib Bridge for Chest Wall Reconstruction after Infantile Fibrosarcoma Resection: A Case Report

  • Llalle, Wildor Samir Cubas;Valenzuela, Maisa;Pachas-Canales, Carlos;Vasquez-Arias, Jaime
    • Journal of Chest Surgery
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    • v.54 no.6
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    • pp.539-542
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    • 2021
  • Resection and reconstruction of the chest wall for the radical surgical treatment of malignant soft tissue tumors are currently considered a substantial challenge for thoracic surgeons. We present an unusual case of infantile fibrosarcoma with tropomyosin 3-neurotrophic receptor tyrosine kinase 1 fusion in a 13-year-old patient. The surgical treatment consisted of radical resection of the right posterior chest wall and reconstruction with the use of the STRATOS (Strasbourg Thoracic Osteosynthesis System) titanium rib bridge system. The patient had a favorable postoperative course and received respiratory-ventilatory rehabilitation, adjuvant therapy with chemotherapeutic agents, immunotherapy, and radiotherapy.