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전방 십자 인대 수술 후 합병된 슬관절 강직 - 원인분석 및 치료 -
최남용,이인주,최문구,고해석,김승기,박성진,한석구,강영목,Choi, Nam Yong,Lee, In Ju,Choi, Moon Ku,Ko, Hae Sok,Kim, Seung Ki,Park, Sung Jin,Han, Suk Koo,Kang, Young Mok 대한관절경학회 1998 대한관절경학회지 Vol.2 No.1
Between March 1992 and December 1995 at St. Paul's, Holy Family, St. Vincent and Eui Jung Bu St. Mary Hospitals Catholic University, two hundred and eighty patients underwent arthroscopic anterior cruciate ligament(ACL) reconstruction using central one-third bone-patellar tendon-bone autograft. Nine of these patients had limitation of motion(LOM) defined as a knee flexion contracture greater than 10o or less than 125o of passive knee flexion. This study analyzes the causes of LOM after ACL reconstruction as well as the results after passive manipulation or arthroscopic adhesiolysis under anesthesia for LOM. The results are as follows: 1. Out of nine patients, initially three had isolated ACL injuries and six had combined injuries. Seven of nine cases were perfomed by ACL reconstruction within four weeks and two were performed after four weeks following injury. 2. Treatment for LOM after ACL reconstruction was done after 5.5 months on average. 3. Arthroscopic adhesiolysis was done in 5 cases. There were fibrous adhesions at suprapatellar pouch and femoral intercondylar notch in all cases, respectively, infrapatellar fat pad in 3 cases and medial para patellar gutter in 2 cases. Two patients had a fibrous nodule, "cyclops" lesion, which formed anterior to the ACL graft. 4. Range of motion and Lysholm knee score were much improved following passive manipulation or arthroscopic adhesiolysis under anesthesia for LOM.
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임혁순,송태영,최문구,김성래 한국원자력학회 2014 Nuclear Engineering and Technology Vol.46 No.1
A total loss of all heat sinks is considered a severe accident with a low probability of occurrence. Following a total lossof all heat sinks, the degasser/condenser relief valves (DCRV) become the sole means available for the depressurization ofthe primary heat transport system. If a nuclear power plant has a total loss of heat sinks accident, high-temperature steam anddifferential pressure between the primary heat transport system (PHTS) and the steam generator (SG) secondary side cancause a SG tube creep rupture. To protect the PHTS during a total loss of all heat sinks accident, a sufficient depressurizationcapability of the degasser/condenser relief valve and the SG tube integrity is very important. Therefore, an accurateestimation of the discharge through these valves is necessary to assess the impact of the PHTS overprotection and the SGtube integrity of the primary circuit. This paper describes the analysis of DCRV discharge capacity and the SG tube integrityunder a total loss of all heat sink using the CATHENA code. It was found that the DCRV's discharge capacity is enough toprotect the overpressure in the PHTS, and the SG tube integrity is maintained in a total loss of all heat accident.
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김형민,송석환,김윤수,최문구,이기행,정창훈,정진호,Kim, Hyoung-Min,Song, Suk-Whan,Kim, Youn-Soo,Choi, Moon-Gu,Lee, Kee-Haeng,Jeong, Chang-Hoon,Jung, Jin-Ho 대한미세수술학회 2001 Archives of reconstructive microsurgery Vol.10 No.2
This study evaluated the results of reconstructions of thumb web space in the patients with adduction contracture of thumb. Between February 1990 and April 2000, 28 patients with thumb web space adduction contracture were treated with various reconstruction methods. We divided the patients according to the severity; mild$(41^{\circ}{\sim}80^{\circ})$, moderate$(21^{\circ}{\sim}40^{\circ})$, severe$(20^{\circ}less)$ contracture. The number of patients with mild contracture was 5, moderate; 12, severe; 11. We performed Z-plasty in 15, free flap in 8, local flap in 3, abdominal flap in 1 and scar release only in 1 case. The mean follow-up period was 5.7 years, ranged from 1.5 to 11.2 years. The results of web reconstruction were evaulated by thumb web space angle. There were excellent in 9, good in 16, fair in 3 cases. Z-plasty was performed in the 5 cases with mild contracture, and all the results were excellent. Especially, free flap was performed in the 6 cases with severe contracture, and all the results were good or excellent. in the reconstruction of thumb web space contracture, we recommend Z-plasty for a mild contracture, and free flap for large soft tissue defect created by release of a severe contracture.
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