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남기영,문영래 대한견주관절학회 2010 대한견주관절의학회지 Vol.13 No.2
Purpose: Management of the stiff elbow by arthroscopic procedure is an effective but technically demanding. Our purpose was to review the specific arthroscopic maneuver which can be useful for the stiff elbow. Materials and Methods: A stiff elbow that is refractory to conservative treatment can be treated surgically to remove soft tissue or bony blocks to motion. The olecranon or coronoid osteophyte and loose bodies have been removed arthroscopically with good results and rare complications. Results and Conclusion: For the successful arthroscopic management of elbow stiffness, it need to knowledge and skills for debride contracted tissue and preserve vital anatomic structure. 목적: 주관절 강직의 관절경적 처치는 효과적이지만 술자의 능력이 요구되는 것이 사실이다. 이 종설의 목적은 주관절 강직에 대한 관절경적 처치 방식을 기술하고자 한다. 대상 및 방법: 비수술적 치료에 반응하지 않는 주관절 강직의 경우 운동 제한을 유발하는 연부 조직 및 골성 물질을 제거하게 된다. 이때 주두, 구상 돌기의 골극과 유리체의 제거는 합병증의 빈도는 낮고 좋은 결과를 보장한다. 결과 및 결론: 관절경을 이용한 주관절 강직의 치료에서는 구축된 조직을 절제하고 중요한 해부학적 구조물들을 보호하기 위한 지식과 숙련된 기술이 필수적이다.
뇌졸중으로 인한 편마비 환자에서 슬라이딩 재활기구를 이용한 하지 운동의 효과
남기영 대한뇌졸중학회 2006 Journal of stroke Vol.8 No.1
Background: The purpose of this study was to determine the effects of the Sliding rehabilitation machine¢c(Kyungpook National Univ, Korea) in patients with hemiplegia caused by stroke. Method: Forty hemiplegic patients with stoke were enrolled for in this study. Experimental group (n=20) were trained with the sliding rehabilitation machine for 20 min/day, 5 days/week, for 2 weeks. Using the rehabilitation machine, the paretic lower limb could be forced to use selectively compared with the nonparetic lower limb. Control group were trained with conventional physical therapy. Functional Ambulatory Category (FAC), lower extremity Fugl-Meyer assessment (FMA), Brunnstrom stage of leg, Berg Balance Scale (BBS), lower extremity Motricity Index (MI), and lower extremity muscle power by hand-held dynamometer were measured before and 2 weeks after training.Results: Significant improvement of the lower extremity Motricity Index, and the lower extremity muscle power was observed in experimental group (p〈0.05). FAC, BBS, lower extremity FMA were improved in both groups (p〈0.05). Conclusion: The sliding rehabilitation machine will be effectively used for lower extremity muscle strengthening in patients with hemiplegia.
상아질접착제와 열순환에 따른 유동성 레진의 전단결합강도 비교 연구
남기영,Nam Ki-Young 대한치과보철학회 2006 대한치과보철학회지 Vol.44 No.4
Statement of problem : Limited research on flowable resin has been undertaken on its application directly on dentin associated with the adhesive systems. Purpose : This study was to evaluate the shear bond strengh and fracture aspect of flowable resin on human dentin with various types of dentin bonding adhesives with thermo cycling effect. Materials and methods: Filtek-Flow(3M ESPE, USA) was used as flowable resin and Eighty human molars were randomly divided into 4 groups : three dentin bonding adhesives (Scotchbond-Multipurpose : 3-step contentional system, One-Step : One-bottle system. Prompt L-Pop : All-in-one, self-etching primer) and 32% etching treatment without bonding adhesive as a control group. For evaluating their durability of bonding, each group was subdivided : storaging in the water at 37$^{\circ}C$(24 hours) and thermocycling (0$^{\circ}C$-55$^{\circ}C$, 30 seconds intervals, 1000 cycle). Shear bond strength tests were performed and resin-dentin interface and fracture mode were observed. Results were analysed by one-way ANOVA and Scheffe's multiple range test. Results and Conclusion : 1. At 0 cycle, the mean shear bond strength of One-Step exhibited the highest value of all groups(p<0.05), and there were no significant differences between Prompt L-Pop and Scotchbond-Multipurpose, Scotchbond-Multipurpose and control(p>0.05). After 1000 thermocycling, One-Step exhibited higher value than other groups(p<0.05), and there were no significant differences among other groups (p>0.05). 2. The shear bond strength of each group was significantly decreased after thermocycling except Scotchbond-Multipurpose (p>0.05). 3. The most common failure mode was adhesive type and mixed type, next in order.
혈관조영색전술을 이용한 비조절성 후비강부 출현의 처치 : 증례 보고
남기영,권대근,김종배 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.4
The posterior nasal bleeding sometimes develope a life threatening situation because of its limited access and the profuse vascular network of the bleeding area. There are various methods of hemostasis including packing, cautery, and arterial ligation those vary in effectiveness. But sometimes patients cannot tolerate these methods or show rebleeding sign. So, if all of these methods are not successful, we should consider the further treatment. The selective angiographic embolization has various advantages such as rapidness, repetition, good visualization, and being performed under local anesthesia, therefore it can provide useful way in patients with massive, intractable posterior nasal bleeding. We report a case of angiographic embolization for intractable posterior nasal bleeding patient and review the effectiveness of the this treatment.