• 한국생산제조학회지
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• 제21권4호
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• pp.639-643
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• 2012

The hip protector has been developed using the air-bag which has the capability of attenuating an impact. The impact force using the PVC air-bag was decreased by values of 27.5% on average, compared to the impact force without the air-bag. In the experiment, the standard deviation of the impact force attenuation rate was 0.78%. It means that the dimensions of the air-bag have no significant effects to reduce the impact. We believe that it is possible to design light and cheap hip protectors with air-bag to prevent the femur fracture.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 1997년도 추계학술대회 논문집
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• pp.816-819
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• 1997

The operation of femoral non-union after IM(Intramedullary) nailing in distally femoral fractures is considered. Augmentive plate fixation is the management of femoral non-union after IM nailing. The purpose of this study is to compare the bending, torsional stiffness and stress distribution of the two operations by the FEM(Finite Element Method). Augmentive plate fixation is better than IM nail fixation. These results conclude that plate augmentation is a useful method for the unstable femoral non-union after interlocking IM nailing.

• Composites Research
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• 제23권1호
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• pp.1-7
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• 2010

본 논문에서는 상용 유한요소해석 프로그램인 ABAQUS 6.71을 이용하여 수술 직후 골절부 거동을 예측할 수 있는 해석을 수행하였다. 스테인리스 고정판과 적층순서를 달리한 복합재료 고정판을 대상으로 대퇴골의 골절치료에 대한 효과를 비교 분석 하였다. 실제 상태를 모사하기 위해 고정판과 골절뼈 및 골절부간 접촉조건을 부여하였으며, 스크류 체결과정과 하중부가 과정을 두 단계로 나누어 해석을 수행하였다. 유한요소해석을 통하여 스테인리스 고정판과 복합재료 고정판이 체결된 경우에 대한 골절부 틈새의 변화 및 응력분포 등을 계산하고 그 차이를 비교하였다. 복합재료 고정판은 골절뼈와의 접촉에 의한 불필요한 응력 증가를 감소시키고 골절부위의 응력은 증가시켜 골절치료에 더 효과적인 것으로 나타났다.

• Archives of Pharmacal Research
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• 제26권12호
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• pp.1079-1086
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• 2003

The aim of this study was to investigate the effect of trauma on cytochrome P450 (CYP) gene expression and to determine the role of Kupffer cells in trauma-induced alteration of CYP isozymes. Rats underwent closed femur fracture (FFx) with associated soft-tissue injury under anesthesia. To deplete Kupffer cells in vivo, gadolinium chloride ($GdCl_3$) was intravenously injected at 7.5 mg/kg body wt., 1 and 2 days prior to FFx surgery. At 72 h of FFx, liver tissues were isolated to determine the mRNA and protein expression of CYP isozymes and NADPH-P450 reductase by reverse transcription-polymerase chain reaction and Western immunoblotting, respectively. In addition, the mRNA levels of tumor necrosis factor alpha (TNF-$\alpha$), inducible nitric oxide synthase (iNOS) and heme oxygenase-1 (HO-1) were evaluated. FFx increased the mRNA level of CYP1A1; an increase that was not prevented by $GdCl_3$. There were no significant differences in the mRNA expression of CYP1A2, 2B1 and 2E1 among any of the experimental groups. The protein levels of CYP2B1 and 2E1 were significantly decreased by FFx; a decrease that was not prevented by $GdCl_3$ treatment. The gene expression of NADPH-P450 reductase was unchanged by FFx. FFx significantly increased the expression of TNF-$\alpha$ mRNA; an increase that was attenuated by $GdCl_3$. The mRNA expression of HO-1 was increased by FFx, but not by $GdCl_3$ . Our findings suggest that FFx differentially regulates the expression of CYP isozyme through Kupffer cell-independent mechanisms.

• The Journal of Korean Physical Therapy
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• 제21권4호
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• pp.97-102
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• 2009

Purpose: The purpose of this study was to investigate the effects of low intensity pulsed ultrasound on TGF-$\beta$1 expression and healing of rat femur penetrating fractures. Methods: Rats were anesthetized with ketamine and xylazine. Using aseptic technique, we exposed the lateral right femoral diaphysis with removal of the periosteum. We made one hole along its long axis with an electrically-driven 1.8 mm diameter drill bit. Postoperatively, rats were divided into two groups (a control group, n=15; an experimental group, n=15). The experimental group was treated with low intensity pulsed ultrasound (pulse rate: 1:4, 0.5 W/$cm^2$, 10 minutes, 1 time per day) for 3 weeks. The control group was treated with sham ultrasound (with the US unit turned off). Results: The experimental group achieved more callus formation and TGF-$\beta$1 expression than the control group at the $7^{th}$, $14^{th}$ and $21^{st}$ days after low intensity pulsed ultrasound treatment. Conclusion: This study suggests that low intensity pulsed ultrasound facilitates bone fracture repair, possibly via increased TGF-$\beta$1 expression.

• 한방재활의학과학회지
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• 제31권1호
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• pp.1-16
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• 2021

Objectives This study was designed to evaluate the effects of Danggwisu-san (Dangguixu-san, DG) on bone repair from femur fracture in mice. Methods Mice were randomly divided into 4 groups (normal, control, positive control and DG 300 mg/kg-treated group). In order to investigate the effects of DG on gene expressions in experimental animals with fracture, we measured the levels of bone morphogenetic protein-2 (BMP2), cyclooxygenase-2 (COX2), Sox9, collagen type II alpha 1 chain (Col2a1), runt-related transcription factor 2 (Runx2), osterix genes. After the cytotoxicity test, we analyzed the levels of expression of osteocalcin and Runx2, and tumor necrosis factor-α (TNF-α), a pro-inflammatory cytokine. The process of fusion in the fracture was also investigated by gross examination. Results Through in vivo BMP2, COX2 gene expression significantly decreased. Sox9 significantly increased. Col2a1, Runx2, osterix gene expression also increased as well, but there was no statistical significance. The degree of unilateral fracture fusion investigated by gross examination was significantly faster than those of the other groups. Through in vitro the level of TNF-α in macrophages was increased by DG in a dose-dependent mannerand and 250 and 500 ㎍/mL showed statistical significance. Osteocalcin and Runx2 genes expressions increased when DG was treated in osteoblasts. Conclusions DG promotes the healing of the fracture through the expression of bone repair-related genes and TNF-α production. This study may set the foundation for the clinical application of DG to the patients with bone fractures.

• The Korean Journal of Pain
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• 제33권2호
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• pp.138-143
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• 2020

Background: Severe pain associated with proximal femur fractures makes the positioning for regional anesthesia a challenge. Systemic administration of analgesics can have adverse effects. Individually, both the fascia iliaca block (FIB) and femoral nerve blocks (FNB) have been studied. However, there is little evidence comparing the two. The aim of this study was to compare the overall efficacy of the two blocks in patients with proximal femur fracture before positioning for spinal anesthesia. Methods: ASA (American Society of Anesthesiologists) class I, II, and III patients scheduled for elective and emergency surgery with the diagnosis of proximal femur fracture between October 2018 and June 2019 were included in the study. The patients were assigned to two groups by convenience nonprobability sampling of 35 each. Results: Our study showed a reduction in visual analogue scale scores at 3, 4, and 5 minutes after administration of the FIB being 5.1 ± 1.1, 4.1 ± 1.3, and 2.8 ± 0.8, and those after the FNB as 4.4 ± 1.1, 3.3 ± 1.1, and 2.1 ± 1.4 with P < 0.05, which was statistically significant. The mean first rescue analgesia time for the FIB was 7.1 ± 2.1 hours, while for the FNB it was 5.2 ± 0.7 hours. The P value was less than 0.001, which was significant. Conclusions: Both ultrasound guided FNB and FIB techniques provide sufficient analgesia for patient's positioning before spinal anesthesia. However, the duration of postoperative analgesia provided by FIB was greater than that of the FNB.

• Anatomy and Cell Biology
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• 제57권2호
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• pp.294-304
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• 2024

Type 2 diabetes mellitus is increasingly becoming more prevalent worldwide together with hospital care costs from secondary complications such as bone fractures. Femoral fracture risk is higher in diabetes. Therefore, this study aimed to assess the osteometric and microarchitecture of the femur of Zucker Diabetic Sprague-Dawley (ZDSD) femur. Ten-week-old male rats (n=38) consisting of 16 control Sprague-Dawley (SD) and 22 ZDSD rats were used. The rats were terminated at 20 weeks and others at 28 weeks of age to assess age, diabetes duration effects and its severity. Bilateral femora were taken for osteometry, bone mass measurements and micro-focus X-ray computed tomography scanning to assess the trabecular number (TbN), thickness (TbTh), spaces (TbSp), bone tissue volume to total volume (BV/TV) and volume (BV). Diabetic rats had shorter (except for 20-weeks-old), lighter, narrower, and less robust bones than SD controls that wered more robust. Although cortical area was similar in all diabatic and control rats, medullary canal area was the largest in ZDSD rats. This means that the diabetic rats bones were short, light and hollow. Diabetic rats aged 20 weeks had reduced BV, BV/TV, TbN with more spacing (TbSp). In contrast, the 28 weeks old diabetic rats only showed reduced BV and TbN. Discriminant function analysis revealed, for the first time, that osteometric parameters and TbTh, TbN, and TbSp were affected by diabetes. This knowledge is valuable in the management of diabetic complications.

• 대한방사선기술학회지:방사선기술과학
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• 제25권1호
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• pp.49-53
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• 2002

The femoral fracture is the most serious problem of old ages haying osteoporotic fractures. First of all, prevention to reduce the incidence of hip fracture and to identify the risk factor is essential subject. The purpose of this study is to investigate which geometric parameters of proximal femur are related to the hip fracture risk in old ages. Author analyzed the bone density and bone content of over 60 years old women who had suffered hip fracture (n=60) and non fracture groups (n=60). Author concluded that geometric measurements of proximal femoral part made on dual energy x-ray absorptiometry can predict hip fracture independently of bone mineral density.

• 대한정형외과학회지
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• 제56권4호
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• pp.334-340
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• 2021

목적: 족관절 골절과 골다공증의 상관관계를 알아보기 위하여 족관절 골절 환자의 요추체와 대퇴골의 골밀도 값을 분석하였다. 대상 및 방법: 2002년 4월부터 2014년 7월까지 족관절 골절로 진단받고, 수상 후 1년 이내 골밀도 검사를 시행했던 100명의 환자를 분석하였다. 수상 당시 연령에 따라 50세 미만, 50세 이상 70세 미만, 70세 이상의 세 군으로 나누었고, 골절의 유형은 단과골절, 양과골절, 삼과골절로 분류하였다. 골밀도는 요추체(요추 1-4번 평균치), 대퇴골 경부, 대퇴골 전자부, 대퇴골 전체의 T점수, Z점수 및 골밀도 절대값(g/cm²)을 분석하였다. 결과: 족관절 골절 환자는 여자의 수가 남자보다 3.2배 많았다. 연령별 군에 따른 골다공증의 유병률은 50세 미만 군에서 0%, 50-69세 군에서 24.2%, 70세 이상 군에서 15%였고, 이중 50-69세 군에서 삼과골절 환자의 30%가 골다공증으로 나타났다. 전체 환자 군에서 연령이 낮을수록 단과 골절의 빈도가 높게 나타났다. 골밀도 값과 골절 유형과의 관계는 요추체의 T점수와 골밀도 절대값(g/cm²) 및 대퇴골 경부의 Z점수가 낮을수록 삼과 골절의 빈도가 증가하였으나, 이외의 다른 지표는 골절의 유형과 통계적으로 뚜렷한 상관관계를 보이지 않았다. 결론: 100명의 족관절 골절 환자를 분석한 결과, 여자의 수가 남자보다 많았으며 골다공증의 정도가 심하지 않을수록 삼과골절보다는 단과골절의 발생 빈도가 높은 경향을 보였지만, 족관절 골절과 대퇴골 및 요추의 골밀도 값과의 상관관계는 통계적으로 의미있게 나타나지 않았다.