• Title/Summary/Keyword: 대퇴골과

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Total Hip Arthroplasty in Patients with Avascular Necrosis of the Entire Femur (전체 대퇴골에 발생한 골괴사 환자에서 인공 고관절 전치환술)

  • Yi, Seung Rim;Im, Se Hyuk;Park, Sang Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.281-286
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    • 2019
  • Avascular necrosis (AVN) is defined as the cellular death of bone and bone marrow components due to the loss of blood supply, and associated with post-traumatic or non-traumatic events. AVN usually involves the epiphysis of a long bone, such as the femoral and humeral heads, which are susceptible to osteonecrosis. Many studies have been conducted but they were restricted to investigations of femoral head avascular necrosis. The presence of osteonecrosis in the proximal femur may impair biological fixation after total hip arthroplasty. We report a 56-year-old male patient with avascular necrosis located not only at the femoral head, but also in the entire femur, including the medullary cavity, who underwent total hip arthroplasty 2 years earlier along with a review of the relevant literature.

Parametric Shape Modeling of Femurs Using Statistical Shape Analysis (통계적 형상 분석을 이용한 대퇴골의 파라메트릭 형상 모델링)

  • Choi, Myung Hwan;Koo, Bon Yeol;Chae, Je Wook;Kim, Jay Jung
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.10
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    • pp.1139-1145
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    • 2014
  • Creation of a human skeleton model and characterization of the variation in the bone shape are fundamentally important in many applications of biomechanics. In this paper, we present a parametric shape modeling method for femurs that is based on extracting the main parameter of variations of the femur shape from a 3D model database by using statistical shape analysis. For this shape analysis, principal component analysis (PCA) is used. Application of the PCA to 3D data requires bringing all the models in correspondence to each other. For this reason, anatomical landmarks are used for guiding the deformation of the template model to fit the 3D model data. After subsequent application of PCA to a set of femur models, we calculate the correlation between the dominant components of shape variability for a target population and the anatomical parameters of the femur shape. Finally, we provide tools for visualizing and creating the femur shape using the main parameter of femur shape variation.

Correlations of Lumbar and Femoral Bone Mineral Densities with Calcaneal Speed of Sound in Osteoporotic Woman (골다공증 여성에서 요추골 밑 대퇴골 부위의 골밀도와 종골 음속 사이의 상관관계)

  • Lee, Kang-Il;Choi, Min-Joo
    • The Journal of the Acoustical Society of Korea
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    • v.28 no.6
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    • pp.542-547
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    • 2009
  • In this in vivo study, correlations of lumbar and femoral bone mineral densities (BMDs) with calcaneal speed of sound (SOS) were investigated in 36 osteoporotic women. Areal BMDs of the L2-L4 lumbar spine and the right femoral neck were measured by using dual energy X-ray absorptiometry (DEXA). SOS of the right calcaneus was measured by using ultrasound bone densitometry. Pearson's correlation coefficient (r) and level of significance (p) were used to evaluate the correlations between measurements. Lumbar BMD was highly correlated with femoral BMD (r=0.81). Lumbar and femoral BMDs exhibited similar comparable negative correlations with age (r=-0.52 and r=-0.55). A moderate negative correlation was found between calcaneal SOS and age (r=-0.45). Calcaneal SOS was significantly correlated with lumbar and femoral BMDs, with a higher correlation with femoral BMD rather than with lumbar BMD (r=0.54 and r=0.62). However, calcaneal SOS may not be an optimum index for the estimation of BMD of the most important fracture sites, such as the lumbar and the femur, because it showed lower correlations with lumbar and femoral BMDs compared to that with calcaneal BMD. Therefore, the development of a quantitative ultrasound technology for the direct measurement of acoustic properties at the lumbar and the femur is required to estimate BMD of these sites more accurately.

A Statistical compare analysis of bone mineral density of lumbar spine and femur, Risk Factors for Osteoporosis in the women of pre, postmenopausal (폐경전,후 여성에서 골다공증의 위험요인과 요추와 대퇴골의 골밀도 비교분석)

  • Lee, Won-Jeong;Ki, No-Weon
    • Journal of radiological science and technology
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    • v.28 no.3
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    • pp.227-234
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    • 2005
  • - Objective Osteoporosis is one of the characteristic adult diseases, high prevalence, many complications, easy fracture, important health problem. this study, compared analysis BMD data of the lumbar spine and femur - Methods For the 100 female patients,

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Complications of Femoral Lengthening Using Monolateral External Fixator in Rabbits (토끼에서 단측성 외고정기구를 이용한 대퇴골 신연술의 합병증)

  • Song, Hae-Ryong;Hwang, Jae-Min;Koo, Ja-Min;Kim, Hyeon-Hui;Lee, Won-Ik;Kim, Gon-Sup;Lee, Hyo-Jong;Chang, Ki-Churl;Yeon, Seong-Chan
    • Korean Journal of Veterinary Research
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    • v.42 no.3
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    • pp.411-418
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    • 2002
  • Thirty rabbits underwent femoral lengthening using monolateral external fixator to evaluate results and complications of limb lengthening. Twenty rabbits survived until consolidation of callus formed at the lengthening site after finishing lengthening. Ten rabbits were sacrificed during femoral lengthening because of complications. Survived 20 rabbits were classified to two groups according the amount of lengthening: group I (10% lengthening of the femoral length); group II (20% lengthening). There was no significant difference of consolidation time between two groups (p=0.25). Varus angulation at the lengthening site occurred in 60% of two groups and the amount of varus angulation in group II was larger than that of group I. Degenerative change of articular cartilage at the medial condyle of the distal femur was found in 30% of group II. Of sacrificed ten rabbits, 5 had pin loosenings with pull an of pins from the femur, 2 had fermoral fractures around the pin-tract site, and 3 had severe osteomyelitis of the femur around the pin-tract site.

Technics of the Cave Exploration (I) Working Method (동굴 탐사 기술 (1) - 보행법)

  • 김건철
    • Journal of the Speleological Society of Korea
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    • v.40
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    • pp.30-70
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    • 1994
  • 지구의 중력작용에 대하여 수평으로 이동, 운동하는 걷기는 신체중에서도 하지장의 골격과 근육에 가장 큰 관계를 갖는다. 하지장의 골격으로는 하지대의 관골, 대퇴골의 대퇴골과 슬개골, 하퇴골의 경골과 비골, 그리고 발 부분이 되는 족골은 족근골. 증족골, 족지골의 세부분으로 총 62개의 골로 구성되며 관절은 고관절. 슬관절. 족관절이 있어 굴신, 신전, 회선, 내전, 의전과 같은 운동을 한다.(중략)

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Analysis on Femoral Neck Fractures Using Morphological Variations (파라메트릭 형상모델을 이용한 근위 대퇴골의 경부 골절 영향 해석)

  • Lee, Ho-Sang;Park, Byoung-Keon;Chae, Je-Wook;Kim, Jay-Jung
    • Journal of the Korean Society for Nondestructive Testing
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    • v.31 no.5
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    • pp.459-465
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    • 2011
  • It has been reported that the femoral morphology has a major correlation to femoral neck fractures(FNF). Previous studies to analyze these correlations have relied on mechanical testing and finite element methods. However, these methods have not been widely applied to various femur samples and models. It is because of the availability of the samples from both patients and cadavers, and also of the geometric limitations in changing the shape of the models. In this study we analyzed femoral neck fractures using a parameterized femoral model that could provide flexibility in changing the geometry of the model for the wide applications of FNF analysis. With the parameterization a variety of models could be generated by changing four major dimensions: femoral head diameter(FHD), femoral neck diameter(FND), femoral neck length(FNL), and neck-shaft angle(NSA). We have performed FEA on the models to compute the stress distributions and reaction forces, and compare them with the data previously generated from mechanical testing. The analysis results indicate that the FND is significantly related with the FNF and the FHD is not significantly related with the FNF.

MR Imaging Measurement of the Femoral Anteversional Angle as a PACS Image Viewer (MR 영상에서의 PACS Image Viewer를 이용한 대퇴골 전염각 측정)

  • Kweon, Dae-Cheol;Yang, Sung-Hwan;Park, Peom
    • Journal of radiological science and technology
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    • v.26 no.1
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    • pp.83-89
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    • 2003
  • The accurate measurement of the femoral anteversion is very important to the practice of orthopedic and osteotomy. It is measured by means of the axis of head and neck of the femur and the knee axis. At the present time, widely used computed tomography method of measuring anteversion on femoral necks of patients. Measurement by the manual method and image viewer of computed tomography to determine the anteversion of femoral head were carried out on both femurs. In September and October 2002, 5 patients 28 to 36 years of age were randomly selected from Seoul National University Hospital. The purpose of this paper was to introduce a new method to measure femoral anteversion angle utilizing PACS image viewer program in the MR imaging. Significant difference was observed between the right and left side the image viewer measurement of femoral anteversion. In conclusion, MR imaging very usefulness in the measured the angle of the femoral anteversion.

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Cylindrical Coordinate Generation for Femur and its Application (대퇴골에 대한 원통형 좌표계의 생성 및 응용)

  • Udeok Seo;Ku-Jin Kim;Yoo-Joo Choi
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.05a
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    • pp.735-737
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    • 2023
  • 본 논문에서는 대퇴골의 3D 메쉬 모델에 대해 원통형 좌표계(cylindrical coordinate system)를 생성하는 방법을 제안한다. 원통형 좌표계는 대퇴골 메쉬의 방향에 따라 장축 및 단축을 결정한 뒤, 대퇴골을 포함하는 원통(right circular cylinder)을 계산하여 생성된다. 실험을 통해, 생성된 원통형 좌표계에서 균일하게 생성한 삼각형 메쉬(triangular mesh)를 대퇴골 메쉬에 투사한 결과를 보인다.

Scintigraphic Findings of Fibrous Dysplasia (섬유성 골 이형성증의 골 신티그라피 소견)

  • Kim, Jong-Ho;Kim, Jong-Soon;Han, Seung-Soo;Kim, Sang-Eun;Choi, Chang-Woon;Lee, Dong-Soo;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon;Kang, Heung-Sik
    • The Korean Journal of Nuclear Medicine
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    • v.25 no.2
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    • pp.219-226
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    • 1991
  • 골 신티 그라피는 섬유성 골 이형성증의 초기 병소와 다골성 형 섬유성 골 이형성증의 진단에 예민한 검사 방법이나, 양성 또는 악성 골 병변과의 감별진단에 어려움이 있었다. 이에 저자들은 조직학적으로 확진된 섬유성 골 이형성증 환자 17명에서 (단골성 형 12명, 다골성 형 : 5명) $^{99m}Tc-MDP$ (20 mCi 또는 7,400 MBq) 주사후 $2\sim4$시간에 전면, 후면 전신상과 부분상을 얻은 30부위 병소를 X선 사진과 비교분석 하였으며 CT, MRI 영상과 병리조직 소견을 얻었다. 병소 침습 부위별로는 대퇴골-10예, 경골-4, 요골-2, 늑골-2, 척추골-2, 후두골-2, 장골-2, 두정골-1, 하악골-1, 접형골-1, 견갑골-1, 쇄골-1, 척골-1예 였으며 5명의 다골성 형에서는 :우 대퇴골과 우 비골 : 양측 말단 대퇴골 :좌 경골과 좌 대퇴골 :우 요골과 우 장골 양측 대퇴골, 양측 경골, 접형골, 두정골, 척추골, 늑골과 장골이었다. 골 신티 그라피 소견상 30예중 28예에서(28/30, 93.3%) 방사능 섭취 증가를 보였으며 2예에서(2/30, 6.7%)는 정상 방사능 섭취 소견을 보였으나 각각은 X선상 불투명 유리상과 골흡수 병변을 보였다. 하악골의 골 3상 스캔상 병소에 현저한 혈류 증가가 관찰되었다. X선 소견상 30예중 11예에서 (l1/30, 36.7%) 불투명 유리상의 병변을, 골 변형을 동반한 1예를 포함한 18예에서는 (18/30, 60.0%) 골흡수 병변을 보였으며, 1예의 늑골 병변은 정상소견을 보였다(1/30, 3.3%). 이상에서 골 신티 그라피 만으로 섬유성 골 이형성증을 진단하는데는 주의를 요하나 골 대사의 동적 측면인 혈류와 골 재형성 양상 특히, 초기 병변과 단골성 형 침습에서 다골성 형을 진단하는데 필수적이며 결론적으로 골 신티 그라피와 X선 촬영등은 섬유성 골 이형성증 진단에 상호보완적인 검사 방법으로 사료된다.

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