• Title/Summary/Keyword: 대퇴 골두

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Prediction of Stress Distribution in the Ceramic Femoral Head after Total Hip Replacement (인공고관절 치환술 후 세라믹 대퇴골두에서 발생하는 응력분포 예측)

  • Han, Sung-Min;Chu, Jun-Uk;Song, Kang-Il;Park, Sung-Hee;Choi, Jae-Bong;Kim, Jung-Sung;Suh, Jun-Kyo Francis;Choi, Kui-Won;Youn, In-Chan
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.6
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    • pp.680-685
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    • 2012
  • Ceramic femoral heads are now widely used in Total Hip Replacement (THR). Due to their high biocompatibility and low ductility, ceramic femoral heads are considered to be suitable for young and active patients. However, as in testing the mechanical stability of the femoral head, the conventional proof test (standard ISO 7206-10) has its limit of showing axisymmetric stress distribution on the contact surface, while non-uniformed stress distribution is expected after THR. Since non-uniformed stress distribution can result in the increased probability of ceramic femoral head fracture, it is considerable to evaluate the stress distribution in vivo-like conditions. Therefore, this study simulated the ceramic femoral heads under in vivo-like conditions using finite element method. The maximum stress decreased when increasing the size of the femoral head and stress distribution was concentrated on superior contact surface of the taper region.

Dose Assessment in Accordance with the Measured Position of Size Specific Dose Estimates (Size Specific Dose Estimates(SSDE)측정 위치에 따른 피폭선량 평가)

  • Kim, Jung-Su;Hong, Sung-Wan;Kim, Jung-Min
    • Journal of radiological science and technology
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    • v.38 no.4
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    • pp.383-387
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    • 2015
  • This study investigated the size specific dose estimates of difference localizer on pediatric CT image. Seventy one cases of pediatric abdomen-pelvic CT (M:F=36:35) were included in this study. Anterior-posterior and lateral diameters were measured in axial CT images. Conversion factors from American Association of Physicists in Medicine (AAPM) report 204 were obtained for effective diameter to determine size specific dose estimate (SSDE) from the CT dose index volume (CTDIvol) recorded from the dose reports. For the localizer of mid-slice SSDE was 107.63% higher than CTDIvol and that of xiphoid-process slices SSDE was higher than 92.91%. The maximum error of iliac crest slices, xiphoid process slices and femur head slices between mid-slices were 7.48%, 17.81% and 14.04%. In conclusion, despite the SSDE of difference localizer has large number of errors, SSDE should be regarded as the primary evaluation tool of the patient radiation in pediatric CT for evaluation.

A Clinical Study on the Fractures of the Femoral Neck in Children (소아 대퇴골 경부골절의 임상적 고찰)

  • Kim, Se-Dong;Ihn, Joo-Chul
    • Journal of Yeungnam Medical Science
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    • v.5 no.1
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    • pp.17-22
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    • 1988
  • Fractures of the femoral neck in children are rare and usually the result of severe trauma. The femoral necks in children, in contrast to those of adults, have many anatomic and physiologic differences. Among the late complications encountered are avascular necrosis, coxa vara, premature closure of the proximal capital femoral epiphysis and nonunion. In spite of careful management, significant complication rate often results. Nine cases of fractures of the femoral neck in children which were treated at Yeungnam University Hospital from June 1984 to August 1987 were reviewed. The results obtained are as follows: 1. The main causes of fractures were traffic accidents(5 cases). 2. Among 9 patients, 6 were girls and 3 were boys. 3. According to the classification of Delbet and Colonna, the transcervical fracture(6 cases) was the commonest type. 4. 4 cases were treated by closed reduction and internal fixation, 3 cases were treated by open reduction and internal fixation. 2 cases were treated by skin traction and cast. 5. The results were analyzed according to Ratliff's assessment. 6 cases showed good results, and 3 cases showed poor results. 6. Early diagnosis and good fixation method seemed to be vital to prognosis.

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A Case Report of Conservative Treatment of Femoral Neck Stress Fracture Developed in Avascular Necrosis of the Femoral Head (대퇴골두 무혈성 괴사에 속발한 대퇴경부 피로골절 환자에서의 보존적 치료 치험 1례)

  • Ro, Hae-Rin;Park, So-Hyun;Kim, Jeong-Won;Cho, Tae-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.79-85
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    • 2011
  • Objectives : The Purpose of this study is to investigate the clinical application of conservative treatment for femoral neck stress fracture developed in avascular necrosis of the femoral head. Methods : Patient is hospitalized at Dept. of Oriental Rehabilitation Medicine, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as femoral neck stress fracture developed in avascular necrosis of the femoral head and treated by herbal medicine, acupuncture and moxibustion. This study was measured by Visual Analogue Scale(VAS) score, range of motion and walking time. Results : After conservative treatment, the patient's pain was controlled and VAS score was decreased. Range of motion and walking time were improved. Conclusions : As seen in this one case, Oriental conservative treatment has a positive effect to control pain with femoral neck stress fracture developed in avascular necrosis of the femoral head.

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The solid angle estimation of acetabular coverage of the femoral head (입체각을 이용한 관골구와 대퇴골두의 접촉영역 측정)

  • 최교환;임제택;김선일
    • Journal of the Korean Institute of Telematics and Electronics S
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    • v.35S no.2
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    • pp.79-88
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    • 1998
  • We developed a method for the solid angle estimation of acetabular coverage of the femoral head in 3D space. The superior half of the femoral head is modeled as part of a sphere. And the tangent lines connecting from a set of points of the acetabular outline to the center of the fitted sphere are obtained. The lines passthrough the unit sphere whose center is the same as that of the femoral head. The interesecting points form a boundary on the unit sphere. With the points on the unit sphere, we calculate the covered area of the femoral headand estimate the solid angle. Solid angle is defined asthe suface area within the boundary on the unit sphere. In this measurements, the solid angle of normal subjects is on an average 4.3(rad) and the corresponding acetabular coverage is 68%. Unlinke the conventional methods, this solid angle estimation shows real 3D acetabular coverage.

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Open Reduction of Coxofemoral Luxation with a Toggle Pin & Synthetic Capsule Technique in a Rottweiler (Rottweiler에서 발생한 고관절 탈구의 개방적 정복)

  • 장광호;채형규;권영삼;임재현;김영홍;장인호
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.134-137
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    • 2000
  • 체중 43kg의 10개월령 암컷 로토와일러가 약 2개월전부터 점진적으로 진행된 좌측후지의 심한 파행 병력으로내원하였다. 신체검사와 고관절 탈구를 진단하였으며 골반의 외측 및 복배측 방사선 사진 촬영으로 확진할 수 있었다. 전배측 접근 후 골수내정으로 제작한 한 개의 toggle pin 및 두 개의 bone screw를 병용 적용하여 대퇴골두를 고정하였다. 일차교정은 술후 7일의 재탈구로 실패하였으며 동일 방법으로 이차 시술한 후 Ehner sling을 적용하고 운동을 제한하였다. 술후 20일에 환축은 거의 정상보행을 회복하였다.

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$^{99m}Tc-Tin$ Colloid Uptake Ratio of Femoral Head in Healthy Korean (정상 한국인 대퇴골두의 $^{99m}Tc-Tin$ Colloid 섭취율)

  • Zhi, Won-Hee;Sohn, Hyung-Sun;Kim, Choon-Yul;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.23 no.2
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    • pp.215-218
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    • 1989
  • Tc-99m-tin colloid distribution in the hip is studied in 76 patients with no hepatic and hip disorder, because knowledge of normal uptake pattern in the hip is important in evaluation of femoral head vasculature after a fracture. The uptake in femoral head is decreased or disappeared with increasing age due to conversion of red marrow to white marrow.

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Segmentation of Medical Images Using Active Contour Models and Genetic Alogorithms (Active Contour Model과 유전 알고리즘을 이용한 의료 영상 분할)

  • 이성기
    • Journal of Biomedical Engineering Research
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    • v.21 no.5
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    • pp.457-467
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    • 2000
  • In this paper, we propose the method to extract the anatomical objects in medical images using active contour models and genetic algorithms. The performance of active contour models is mostly decided by the optimization of active contour model's energy. So, we propose to use genetic algorithms to optimize the energy of active contour models. We experimented our proposed method on the femoral head medical images and proved that our method provides very acceptable results from any initialization of active contour models.

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The usefulness of the contrast agent high in gadolinium for the contrast-enhanced magnetic resonance hip arthrography (고관절의 자기공명관절조영검사 시 가돌리늄 함유량이 높은 조영제의 유용성)

  • Choi, Kwan-Woo;Kim, Yoon-Shin;Son, Soon-Yong;Lee, Ho-Beom;Na, Sa-Ra;Min, Jung-Whan;Yoo, Beong-Gyu;Lee, Jong-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5682-5688
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    • 2013
  • The purpose of this study is to maximize diagnositc usefulness with increasing signal to noise ratio(SNR) and contrast to noise ratio(CNR) by using a 1mmol/mL gadolinium contrast agent. From January 2012 to June 2013 fourty-seven patients were underwent the MRI scanning to investigate the contrast difference in gadolinium content. Twenty of the patients were injencted the commercial contrast agent containing 0.5mmol/mL gadolinium and the rest of them were injected the new contrast agent containing 1mmol/mL gadolinium called gadobutrol. We measured and evaluated each SNR and CNR of the hip joint space, iliopsoas muscle and femoral head. As a result, using the 1mmol/mL gadolinium contrast agent had the higher SNR results than using the 0.5mmol/mL agent(27% in the hip joint, 30.01% in the femoral head). Also CNR using the 1mmol/mL gadolinium agent was proved to be higher than that of using 0.5mmol/mL agent(28.31% in the ilopsoas muscle and 26.74% in the femoral head). Therefore, the contrast agent containing more gadolinium like 1mmol/mL used in this study is more effective to shorten T1 relaxation time, so it increases the signal intensity and CNR and furthermore maximizes diagnostic value. This study reports the usefulness of the 1mmol/mL contrast agent in the contrast-enhanced magnetic resonance hip arthrography for the first. Therefore, it can be considered to have an meaningful academic value as showing the method for increasing the diagnostic usefulness by using the 1mmol/mL contrast agent.