• Title/Summary/Keyword: Ceramic-on-Ceramic Articulation

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Pseudotumor and Subsequent Implant Loosening as a Complication of Revision Total Hip Arthroplasty with Ceramic-on-Metal Bearing: A Case Report

  • Naik, Lokesh Gudda;Shon, Won Yong;Clarke, I.C.;Moon, Jun-Gyu;Mukund, Piyush;Kim, Sang-Min
    • Hip & pelvis
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    • v.30 no.4
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    • pp.276-281
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    • 2018
  • Pseudotumors are not uncommon complications after total hip arthroplasty (THA) and may occur due to differences in bearing surfaces of the head and the liner ranging from soft to hard articulation. The most common causes of pseudotumors are foreign-body reaction, hypersensitivity and wear debris. The spectrum of pseudotumor presentation following THA varies greatly-from completely asymptomatic to clear implant failure. We report a case of pseudo-tumor formation with acetabular cup aseptic loosening after revision ceramic-on-metal hip arthroplasty. The patient described herein underwent pseudotumor excision and re-revision complex arthroplasty using a trabecular metal shell and buttress with ceramic-on-polyethylene THA. Surgeons should be aware of the possibility of a pseudotumor when dealing with revisions to help prevent rapid progression of cup loosening and implant failure, and should intervene early to avoid complex arthroplasty procedures.

Analysis on the Formation of Dualistic Space and Networks of the Ceramic Industry in Icheon, Korea (이천 도자기 산업의 이원적 공간 형성 및 네트워크 분석)

  • Cheu, Giwan;Lee, Sung-Cheol
    • Journal of the Economic Geographical Society of Korea
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    • v.18 no.4
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    • pp.556-572
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    • 2015
  • Since the late 1990s dualistic spatial structure has been configurated in Icheon ceramic industrial space due to the articulation of transmitted ceramics space rooted from imitating the Goryeo and Joseon ceramics and contemporary ceramics space based on academic ceramic arts. Therefore, the main purpose of this paper is to identify the formation of dualistic space in Icheon by investigating the development paths of ceramic industry in historical perspectives and analyzing inter- and extra-firm relations in Icheon. The main results of this research are as follows. Firstly, the development path of transmitted ceramics has declined gradually, while the development path of contemporary ceramics has been embedded in Icheon region. Secondly, the research pointed out that networks of transmitted ceramics and contemporary ceramics are different in the perspectives of inter-firm and extra-firm relations. Thirdly, the government has played a critical role as a financial and administrative supporter and as a network broker between university and Icheon ceramic firms(mainly with transmitted ceramics) for technological cooperation and collaborative R&D.

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An enhancement in wear property of UHMWPE used in joint prosthesis (인공관절에 사용되는 UHMWPE의 내마모성 향상에 관한 연구)

  • Kim, K.T.;Lee, C.W.;Choi, J.B.;Choi, K.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.11
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    • pp.3-6
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    • 1996
  • The Ultra-high molecular weight polyethylene (UHMWPE) is exclusivity used as the articulation component with metal or ceramic materials in artificial joint prosthesis because of its good mechanical properties. In the long term however, wear of UHMWPE causes complex problems and hence causes loosening of He prosthesis. In this study, we tried to enhance the wear property of UHMWPE by attaching a hydrophilic graft on the UHMWPE surface and by improving surface hardness without deteriorating the mechanical properties of UHMWPE. This was achieved by ion implantation and by ${\gamma}$-irradiation to the surface in acrylic acid solution and by photo-polymerization in divinylbenzen (DVB), diallysophthalate (DAIP) solution. The wear test was performed by a wear testing machine of ball-on-disk type devised by the authors. The UHMWPE with hydrophlic surface and increased surface hardness developed by above treatments showed less volumetric wear.

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