• Title/Summary/Keyword: 인공 관절

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Osteolysis-Related Bioabsorbable Suture Anchor Fixation in a Medial Collateral Ligament Avulsion Fracture during Total Knee Arthroplasty (슬관절 인공관절 치환술 중 발생한 내측 측부 인대 견열 골절에 대해 생흡수성 봉합 나사못을 이용한 고정 후 발생한 골용해)

  • Huh, Jung-Wook;Park, Man-Jun;Hong, Seong-Hwak;Park, Joon-Hyung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.6
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    • pp.545-549
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    • 2020
  • Although rare, the treatment options for a medial collateral avulsion fracture during total knee arthroplasty (TKA) range from conservative management using a cast and orthosis to internal fixation using metal screws. Bioabsorbable suture anchors have been used to replace metal fixators with distinct advantages, such as biocompatibility, radiolucency, and unnecessary second removal surgery, but complications, such as osteolysis, have been reported. This paper reports a potential risk of an extensive osteolysis-related suture anchor fixation of a medial collateral ligament (MCL) avulsion fracture during TKA in conjunction with a literature review.

Biomechanics of the Glenohumeral Joint: Influence on Shoulder Arthroplasty (견관와-상완 관절의 생역학: 견관절 치환술에 대한 영향)

  • 염재광
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2004.11a
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    • pp.129-135
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    • 2004
  • 만약 Glenoid side를 해부학적으로 정확하게 치환하고, 상완골측의 prosthesis를 삽입할 때 실제 골두의 크기와 같은 prosthetic head를 쓰고, humeral stem의 위치 및 높이를 정확하게 맞추어 삽입하여, humeral head component의 center와 glenoid component의 center가 일치되고 lateral glenohumeral offset이 정상에 가깝게 수술을 시행하면 인공 치환물로 대치된 glenohumeral joint가 정상에 가장 가까운 kinematics를 가질 수 있다 (당연한 얘기지만 이렇게 수술하려면 많은 경험이 필요). 따라서 Glenohumeral joint의 인공 관절 치환술은 항상 technique-dependant 수술이며, 아무리 좋은 치환물도 훌륭한 수술 기법보다 더 중요할 수는 없다.

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A Convergence Study on the Reduction of Noise and Streak Artifacts in Shoulder Joint Computed Tomography (어깨관절 컴퓨터 단층 검사 시 발생하는 노이즈 및 줄무늬 인공물 감소에 대한 융합 연구)

  • Jang, Hyon-Chol;Cho, Pyong-Kon
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.189-194
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    • 2021
  • The purpose of this study was to investigate the effect of reducing noise and streaking artefacts by applying the Boost3D algorithm in the case of noise and streaking artifacts generated during computed tomography of the shoulder joint. A phantom study using a thoracic phantom including shoulder joint and clinical evaluation were conducted through shoulder joint images of 35 patients who underwent computed tomography of the shoulder joint from September 2020 to October 2020. The evaluation was divided into groups before and after the application of the Boost3D algorithm, and the noise values, signal to noise ratio, and mean to standard deviation ratio values were analyzed. Both noise values and mean to standard deviation ratio values analyzed in phantom image evaluation and clinical image evaluation were statistically significantly lower in the group after Boost3D was applied (p<0.05). Through this study, it was found that noise and streak artifacts were reduced through the application of Boost3D, and the mean to standard deviation ratio was high, which can be judged as an excellent image. If the Boost3D algorithm is used for computed tomography of the shoulder joint, it is thought that excellent images can be obtained with reduced noise and streaking artifacts that may occur in the shoulder joint area.

Measurement of Ground Reaction Force and Energy Consumption for Ankle Assembly (Fixed-axis , Single-axis , Multi-axis Type) of Trans-Tibial Amputee (하퇴의지착용자에 대한 인공족관절 유형(고정형, 단축형, 다축형)에 따른 지면반발력 및 에너지 소모의 측정)

  • 김성민;배하석;박창일
    • Journal of Biomedical Engineering Research
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    • v.22 no.6
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    • pp.543-550
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    • 2001
  • In this study, ground reaction force(GRF) and energy consumption of fixed. single-axis and multi-axis Prosthetic ankle assemblies were investigated to show the biomechanical evaluation for trans-tibial amputees. In the experiments. two male and two female trans-tibial amputees were tested with fixed, sin91e-axis and multi-axis Prosthetic ankle assembly. A three-dimensional gait analysis was carried out to derive the ratio of GRF to weight as the percentage of total stance Phase for nine Points Energy consumption of each Prosthetic ankle assembly was measured while subjects walked at 2km/h. 3km/h and the most comfortable walking speed on the treadmill The results showed that multi-axis ankle was superior to the other two ankle assemblies for the characteristic of forwarding and breaking forces. Fixed ankle was relatively superior to the other two ankle assemblies for gait balancing and movement of the center fur mass Compared to the other ankle assembly. sing1e-axis type showed lower energy consumption over 2.3km/h walking speed .

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Effect of Heat Treatment on Mechanical Properties of Cross-Linked Ultra-High Molecular Weight Polyethylene Used for Artificial Joint Liner (인공관절 라이너용 가교된 초고분자량폴리에틸렌(UHMWPE)의 열처리 조건에 따른 기계적 특성 변화)

  • Kim, Hyun-Mook;Kim, Dong-Hoon;Gu, Ja-Uk;Choi, Nak-Sam;Kim, Sung-Kon
    • Composites Research
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    • v.22 no.2
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    • pp.1-6
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    • 2009
  • The mechanical characteristics of gamma-ray irradiated UHMWPE specimens were investigated under various heat treatment conditions. The heat treatment was performed in the range of annealing and remelting temperatures. The annealing treatment below the temperature of $130^{\circ}C$ hardly induced changes in the tensile strength, the strain at the failure and the hardness. However the remelting treatment above $140^{\circ}C$ deteriorated those mechanical properties. It was shown in an FTIR analysis that the annealing treatment caused some oxidation of free radicals created by the pretreatment of the irradiation. These quantitative data represented by the behavior of mechanical properties might be used as basic informations for the design and analysis of various artificial joints.

인체의 신비와 건강(10)-관절

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.31 no.10 s.347
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    • pp.6-13
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    • 2007
  • 우리의 몸은 약 2백 개의 크고 작은 뼈로 구성돼 있다. 관절은 이들 뼈와 뼈 사이의 이음매 역할을 하는 기관이다. 우리가 팔, 다리와 목, 허리 등을 여러 방향으로 움직일 수 있는 것은 관절부위가 회전하거나 굴곡함으로써 가능한 것이다. 사람이 일상생활에서 관절을 움직이는 경우는 1일 10만여 회나 된다고 한다. 관절은 우리 신체의 모든 활동을 원활하게 할 수 있도록 돕는 소중한 기관이다. 관절을 위한 건강한 정보를 제안하고자 이번 호에서는 관절척추전문 세란병원 인공관절센터 오덕순 박사와 세정병원 고재현 병원장의 도움말로 알아본다.

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Strength Evaluation of Sin91e-Radius Total Knee Replacement (TKR) (인공무릎관절의 단축법위 회전시 근력정가)

  • Wan, Jin-Young;Sub, Kwak-Yi
    • Journal of Life Science
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    • v.14 no.3
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    • pp.484-489
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    • 2004
  • Artificial joint replacement is one of the major surgical advances of the 21th century. The primary purpose of a TKA (Total Knee Arthroplasty) is to restore normal knee Auction. Therefore, ideally, a TKA should: (a) maintain the natural leverage of the knee joint muscles to ensure generating adequate knee muscle moments to accomplish daily tasks such as rising from a chair or climbing stairs;(b) allow the same range of motion as an complete knee; and (c) provide adequate knee joint stability. Four individuals (2 peoples after surgery one year and 2 peoples after surgery three years) participated in this study. All they were prescreened for health and functional status by the same surgeon who performed the operations. Two days of accommodation practice occurred prior to the actual strength testing. The isometric strength (KIN-COM III) of the quadriceps and hamstring were measured at 60$^\circ$ and 30$^\circ$ of knee flexion, respectively. During isokinetic concentric testing, the range of motion was between 10$^\circ$ to 80$^\circ$ of knee flexion (stand-to-sit) and extension (sit-to-stand). for a given test, the trial exhibiting maximum torque was analyzed. A 16-channel MYOPACTM EMG system (Run Technologies, Inc.) was used to collect the differential input surface electromyographic (EMG) signals of the vastus medialis (VM), vastus lateralis(VL), rectus femoris (RF) during sit-to-stand and stand-to-sit tests. Disposable electrodes (Blue SensorTM, Medicotest, Inc.) were used to collect the EMG signals. The results were as follows; 1. Less maximum concentric (16% and 21% less for 1 yew man and 3 years mm, respectively) and isometric (12% and 29%, respectively) quadriceps torque for both participants. 2.14% less maximum hamstrings concentric torque for 1 year man but 16% greater torque for 3 years mm. However, 1 year man had similar hamstring isometric peak torque for both knees. 3. Less quadriceps co-contraction by 1 year man except for the VM at 10$^\circ$-20$^\circ$ and 30$^\circ$-50$^\circ$ range of knee flexion.