• 제목/요약/키워드: ruptures

검색결과 132건 처리시간 0.026초

아킬레스건 파열의 수술적 치료 비교: 최소 절개 봉합술과 관혈적 봉합술 (A Comparative Study of Surgical Treatment in the Ruptured Achilles Tendon: Minimal incision and Open repair)

  • 공규민;곽희철;김전교
    • 대한족부족관절학회지
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    • 제16권3호
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    • pp.181-189
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    • 2012
  • Purpose: The purpose of this study was to compare and analyse the clinical outcomes of minimal incision repair and open repair in ruptured Achilles tendon. Materials and Methods: We retrospectively analyzed the outcomes of 10 patients with minimal incision repair (group 1) and 19 patients with open repair (group 2) from February 2007 to June 2011. The postoperative clinical evaluations were done by Arner-Lindholm scale, AOFAS score, overall patient's satisfaction and cosmetic satisfaction of scar. Results: There was no statistical difference between two groups in Arner-Lindholm scale, AOFAS score, overall patient's satisfaction (p=1.21, 0.87, 1.07). There was statistically high rate of cosmetic satisfaction in group 1(p<0.001). There were no complications in group 1. Complications occurred in three patients (deep infection, rerupture, deep vein thrombosis) of group 2. Conclusion: Treatment of minimal incision repair in Achilles's tendon ruptures showed high rate of cosmetic satisfaction and low rate of complication's, but there were no significant differences with open repair in other clinical outcomes. The minimal incision repair could be recommended as one of the effective treatment for the Achilles's tendon ruptures.

Traumatic Bilateral Diaphragmatic Ruptures in a 6-Year-Old Boy

  • Kim, Sung Jin;Kim, Hyuck;Lee, Jun Ho
    • Journal of Trauma and Injury
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    • 제31권1호
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    • pp.19-23
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    • 2018
  • Traumatic diaphragmatic rupture is an unusual finding that may occur after blunt trauma. In addition, diaphragmatic rupture occurring bilaterally is extremely rare. We experienced a 6-year-old boy with bilateral diaphragmatic rupture, whom survived after surgical treatment by open thoracotomy but, complicated with spinal cord injury discovered after surgery.

외상성 기관지 파열 -3례 보고- (Bronchial Rupture Caused by Trauma -Report of 3 Cases-)

  • 이조한;홍종면;안재호
    • Journal of Chest Surgery
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    • 제28권5호
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    • pp.513-517
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    • 1995
  • The injuries to the bronchi have been reported with increasing frequencies. The most common cause of such injuries is compression or crushing chest trauma. Early diagnosis and emergent repair should be done for the good prognosis. We report 3 cases who had bronchial injuries after traffic accident. Our operative procedures were a primary bronchial repair for 17 months old boy, a pneumonectomy for delayed recognition and a bronchoplasty procedure 63 days after trauma. All these bronchial ruptures were successfully treated and discharged.

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온도 및 압력상승에 따른 동/황동 라디에터 튜브의 변형 (Deformation of the Tubes in Copper/Brass Radiator with Rise of Temperature and Pressure)

  • 정명진
    • 한국안전학회지
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    • 제8권4호
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    • pp.16-20
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    • 1993
  • The combined effect of increased pressure/temperature and the reduced material thicknesses act to increase the stress on the radiator componets. The design life of the radiator is influenced by the cyclic stresses and corrosion, which act to weaken the materials, radiator mechanical failure occurs when a tube or solder Joint ruptures, causing coolant loss or insufficient heat rejection. Therefore, in this study, through strain measurement of the tubes in copper/brass radiator, the strain distribution of the tubes in radiator as function of temperature and pressure is obtained.

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Huge gastric mucosal laceration during endoscopy in a patient with hiatal hernia

  • Inmo Kang
    • Journal of Medicine and Life Science
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    • 제21권2호
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    • pp.49-52
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    • 2024
  • Massive gastric mucosal ruptures during upper gastrointestinal endoscopy in patients with esophageal hiatal hernias are rare. However, tearing of the gastric mucosa alone, without tearing of the gastroesophageal junction, is even rarer. This study reports a case of a large mucosal rupture that occurred on the posterior wall of the upper body of the stomach during upper gastrointestinal endoscopy in an 83-year-old woman with an esophageal hiatal hernia while sedated. The patient was treated with endoclips for the rupture.

인장력을 받는 ㄱ형강의 블록전단 파단에 관한 실험적 연구 (An Experimental Study on the Block Shear Rupture of Angle Tension Members)

  • 김보영;이규광;최문식
    • 한국강구조학회 논문집
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    • 제10권4호통권37호
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    • pp.721-730
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    • 1998
  • 강 구조물의 접합부는 구조물이 안전에 큰 영향을 미치는 부분으로서 이에 대한 연구는 많이 이루어지고 있으나 순수 인장력을 받는 접합부의 블록전단 파단에 대한 연구는 외국에서도 근래에 시작되었으며 현재 국내에서는 연구실적이 없는 상태이다. 본 연구는 최근 우리나라에서 제정된 강구조 한계상태설계기준에 따른 블록전단 산정식의 타당성을 인장력을 받는 ㄱ형강 접합부의 실험에 의하여 규명하고자 한다. 연구방법은 기존의 연구결과의 블록전단 파단형상 및 극한내력을 본 연구와 비교분석하고 기준 산정식의 합당성을 평가하였다. 실험결과 접합부는 2가지 형상, 인장항복 전단파단과 전단항복 인장파단이 일어났으며 실험 파단하중이 기준식에 의한 내력보다 약 15% 크게 나타나고 있어 앞으로 보다 많은 연구에 의해 강구조 한계상태 설계법의 블록전단 산정식에 대한 평가가 필요하다고 사료된다.

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인장력을 받는 H형강 플랜지의 블록전단 파단에 관한 실험적 연구 (An Experimental Study on the Block Shear Rupture of Flange for H-Beam Tension Members)

  • 김보영;권찬;최문식
    • 한국강구조학회 논문집
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    • 제11권3호통권40호
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    • pp.291-299
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    • 1999
  • 본 연구는 1997년 제정된 강구조 한계상태설계법에 있어서 블록전단 설계기준식의 타당성을 규명하고 외국설계규준과 비교검토하기 위하여 인장력을 받는 H형강 플랜지의 접합부에 대한 블록전단 파단실험을 하였다. 실험결과 접합부는 대부분 인장항복-전단파단과 전단항복-인장파단에 의한 블록전단이 일어났으며 실험에 의한 블록파단하중이 기준식에 의한 내력보다 약 23% 크게 나타나 현재 기준식은 블록전단내력을 과소평가하고 있어 더 많은 연구가 필요하다고 사료된다.

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급성 아킬레스건 파열의 수술적 치료: 경피적 봉합술과 관혈적 봉합술의 비교 (Surgical Treatment of the Ruptured Achilles Tendon: A Comparative Study between Percutaneous and Open Repair)

  • 김도연;김상범;허윤무;이정범;임재우;오형탁
    • 대한족부족관절학회지
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    • 제15권2호
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    • pp.79-85
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    • 2011
  • Purpose: The purpose of the present study was to compare and analyze the clinical outcomes of the percutaneous and open repair of acute Achilles tendon ruptures. Materials and Methods: We performed a retrospective study on 24 patients (group 1) managed with percutaneous repair, and 21 patients (group 2) managed with open repair for acute Achilles tendon rupture. The postoperative evaluations were done by an Arner-Lindholm scale and AOFAS score. Postoperative overall satisfaction and cosmetic satisfaction were also evaluated. Results: By Arner-Lindholm scale and AOFAS score, there was no difference between two groups (p<0.05). As for postoperative overall satisfaction, 5 cases were very satisfied, 16 cases were satisfied and 3 cases were fair in group 1. In group 2, 12 cases were very satisfied, 9 cases were satisfied. For postoperative cosmetic satisfaction, 13 cases were satisfied, 11 cases were fair in group 1. In group 2, 9 cases were very satisfied, 12 cases satisfied. In open repair group, a case of deep wound infection and three cases of skin necrosis were reported as complication. 2 cases of sural nerve injury were seen in percutaneous repair group and were recovered within 3 months. Conclusion: Percutaneous repair of acute Achilles tendon ruptures have high level of cosmetic satisfaction compared with open repair without any significant difference in clinical outcomes.

사냥개에서 Three-Loop Pulley 봉합법을 이용한 아킬레스건 완전단열의 수복 2례 (The Three-Loop Pulley Repair of Complete Achilles Tendon Ruptures in Two Hunting Dogs)

  • 임상웅;조기래;김종민;조규만;한태성;이재영;김근형;최석화
    • 한국임상수의학회지
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    • 제23권1호
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    • pp.81-85
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    • 2006
  • Complete ruptures of the Achilles tendon were repaired in two hunting dogs of a 3-year-old, 20 kg and a 4-year-old, 14 kg with non weight bearing lameness. Both dogs were injured by wild animals and the skin defect was showed on the caudal surface of the right limb. Surgical repair involved the attachment of the ruptured tendon with a three-loop pulley method, using nonabsorbable suture materials. After surgical procedure, a bivalved cast was applied and maintained for 6 weeks. Exercise was restricted for 2 weeks more before gradually returned to normal. Gait and standing posture of dogs were returned to normal during the follow-up of 10 weeks.