• 제목/요약/키워드: Hip Prosthesis

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유한요소법을 이용한 인공 고관절의 역학적 거동 해석 및 설계 (Structural Analysis and Design of Artificial Hip Joint by Using Finite Element Method)

  • 정재연;황운봉;하성규
    • Composites Research
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    • 제12권5호
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    • pp.98-109
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    • 1999
  • 복합재료 보철물이 삽입된 인공 고관절의 장기적 거동의 해석을 위한 비선형 유한요소법이 개발되었으며 아울러 두꺼운 적층 복합채 보철물의 설계를 위한 3차원 육면체 요소가 이용되었다. 사용된 요소는 요소내의 다양한 물성치를 포함하여 요소의 절단면을 고려할 수 있는 ply-drop-off요소이다. 개발된 비선형 유한요소해석 프로그램은 단층하중하의 보 문제를 통해 엄밀해와의 비교를 통해 검증하였다. 개발된 프로그램을 이용하여 보철물의 재료와 복합재료 보철물의 적층각도에 따른 밀도 변화 및 강도비를 계산하여 인공 고관절의 역학적 거동을 해석하였으며 동시에 보철물의 설계 성능을 평가하였다. 계산된 수치해석 결과를 통해 인공 고관절 보철물의 설계 성능의 평가가 가능하며 보철물 설계에 따른 시간 및 비용을 줄일 수 있다.

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Comparative study by the finite element method of three activities of a wearer of total hip prosthesis during the postoperative period

  • Abdelmadjid Moulgada;Mohammed El Sallah Zagane;Murat Yaylaci;Ait Kaci Djafar;Sahli Abderahmane;Sevval Ozturk;Ecren Uzun Yaylaci
    • Structural Engineering and Mechanics
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    • 제87권6호
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    • pp.575-583
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    • 2023
  • The postoperative period for a carrier of total hip prosthesis (THP), especially in the first months, remains the most difficult period for a patient after each operation, even if traumatologist surgeons want the relief and success of their operations. In this investigation, selected three of the daily activities for a wearer of total hip replacement (THR), such as sitting in a chair, lifting a chair, and going downstairs, and was performed a numerical simulation by finite elements based on experimental data by Bergmann (Bergmann 2001) in terms of effort for each activity. Different stresses have been extracted, and a detailed comparison between two activities with different induced stresses such as normal, tensile, and compressive shear stresses.

Hip Arthroplasty Using the Bencox® Hip System: An Evaluation of a Consecutive Series of One Thousand Cases

  • Lee, Joong-Myung;Sim, Young-Suk;Choi, Dae-Sung
    • Hip & pelvis
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    • 제30권4호
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    • pp.210-218
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    • 2018
  • Purpose: This is a report on the outcomes associated with a consecutive series of 1,000 cementless hip arthroplasties utilizing the $Bencox^{(R)}$ hip stem-the first Korean-developed hip prosthesis. Materials and Methods: A consecutive series of 1,000 hip arthroplasties using the $Bencox^{(R)}$ hip stem were analyzed, starting from its initial release (September 2006) until June 2014. Patients in this consecutive series underwent surgery for fractures (n=552), arthritis (n=155), avascular necrosis (n=209), and revisions (n=84). Of these 1,000 cases, patients with a minimum follow-up of at least 1 year (n=616) were retrospectively analyzed for radiographic and clinical outcomes (i.e., Harris hip score). The stability of the prosthesis was evaluated by examining subsidence. Results: During the follow-up period (mean follow-up period of 54.8 months), there were 2 cases requiring revision of the femoral stem-both were caused by periprosthetic fractures and neither involved stem loosening. The mean Harris hip score during follow-up was 95.5. Bone ongrowth occurred in 95% of patients; no cases of subsidence or aseptic loosening of the stem were detected, and no cases of postoperative complications such as ceramic breakage were observed. Conclusion: Clinical and radiographic evaluations of hip arthroplasty using the $Bencox^{(R)}$ hip stem revealed excellent outcomes with an average of 54.8 month follow-up in a consecutive series of 1,000 cases.

시멘트 비접착 인공 고관절의 주대 형상 최적 설계 (Optimal Design of Stem Shape for Artificial Hip Prosthesis with Unbonded Cement Mantle)

  • 최돈옥;윤용산
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2001년도 춘계학술대회논문집A
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    • pp.932-938
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    • 2001
  • This study is concerned with the shape optimization of stem for the artificial hip prosthesis with unbonded cement mantle. The artificial hip prosthesis with unbonded cement mantle allows a stem to slip on cement mantle because of polished stem surface. Unbonded cement mantle type has several advantages compared with bonded cement mantle type, for example, small micro motion, preventing stress shielding and so on. In this study, 2-dimensional axisymmetric model was developed with considering characteristics of unbonded cement mantle. Moreover, optimal shape of stem was obtained by using feasible direction method. The objective of this optimization is maximizing supported vertical loading. The slip motion and stresses of stem, cement mantle and bone is used for constraints. The optimal shape which obtained by this study has slope of 0.15 in proximal part and maintains the width about 5mm in distal part In addition, simplified 3-dimensional analysis which applying optimal shape is carried out. The result of 3-dimensional analysis showed that optimal shape has some advantages for cement mantle stress. However, more realistic 3-dimensional analysis which including bending effect, complex geometries etc. is needed in further research.

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Numerical simulation of the total hip prosthesis under static and dynamic loading (for three activities)

  • Mohammed El Sallah Zagane;Abdelmadjid Moulgada;Murat Yaylaci;Sahli Abderahmen;Mehmet Emin Ozdemir;Ecren Uzun Yaylaci
    • Structural Engineering and Mechanics
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    • 제86권5호
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    • pp.635-645
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    • 2023
  • This study aims to simulate the mechanical behavior of the total prosthesis model of Charnley (CMK3) by the 3D finite element method and to determine the state of the stresses in the femoral components (prosthesis, cement, and bone). The components are subjected to a dynamic load due to three activities (normal walking, climbing stairs, and standing up a chair). Static loading is by selecting the maximum load for the same activities mentioned. The results show that the maximum stresses in the proximal part of the cement are very important. Moreover, new results obtained for different parameters were discussed in detail. It is understood that current research provides important lessons for the surgeon to contribute to the clinical diagnosis of durable implantations and a better understanding of the process of bone remodeling and bone prosthesis.

대퇴부 거동 해석 및 복합재료 보철물 설계 (Behavior Analysis of the Treated Femur and Design of Composite Hip Prosthesis)

  • 임종완;하성규
    • 대한의용생체공학회:의공학회지
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    • 제23권2호
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    • pp.119-130
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    • 2002
  • 무시멘트 인공 고관절 전치환술 후, 복합재료 스템을 갖는 대퇴골의 장기 거동과 인공 대퇴 보철물의 설계 성능을 분석하기 위하여 비선형 유한요소 프로그램이 개발되었다. 한 발로 서 있을 때의 관절 접촉 하중과 근육하중이 적용되었고, 816개의 brick요소를 갖는 타원형 단면의 복합재료 스템으로 치환된 대퇴골이 3차원 유한요소로 모델링 되었다. 프로그램을 사용하여 대퇴골의 밀도 변화, 응력분포, 상대미소운동이 plate cut과 bend mold와 같은 제작 방법에 대한 스템의 적층 각도 변경에 따라서 평가되었다. 결과는 코발트 크롭 합금, 티타늄 합금, 스테인레스 강과 같은 금속 재료보다 AS4/PEEK, T300/976과 같은 복합재료가 적은 골 흡수를 보였다. 대퇴골 보철물의 장기 안정성 증대는 적당한 복합재료의 적층과 적층 각도의 선택에 의하여 얻어질 수 있었다.

고관절 골절 수술후 발생한 섬망환자의 치과보철물에 의한 폐렴 (Dental Prosthesis Causing Pneumonia in a Delirious Elderly Patient after Hip Fracture Surgery)

  • 이영균;하용찬;구경회
    • Journal of Trauma and Injury
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    • 제25권3호
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    • pp.97-100
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    • 2012
  • We report a case of delayed diagnosed pneumonia due to an aspirated metallic crown, which had been detached from a molar tooth. Dental prosthesis should be checked and a careful review of the chest radiograph is mandatory when an elderly patient with delirium after hip fracture surgery develops pneumonia postoperatively.

Modeling and Posture Control of Lower Limb Prosthesis Using Neural Networks

  • Lee, Ju-Won;Lee, Gun-Ki
    • Journal of information and communication convergence engineering
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    • 제2권2호
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    • pp.110-115
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    • 2004
  • The prosthesis of current commercialized apparatus has considerable problems, requiring improvement. Especially, LLP(Lower Limb Prosthesis)-related problems have improved, but it cannot provide normal walking because, mainly, the gait control of the LLP does not fit with patient's gait manner. To solve this problem, HCI((Human Computer Interaction) that adapts and controls LLP postures according to patient's gait manner more effectively is studied in this research. The proposed control technique has 2 steps: 1) the multilayer neural network forecasts angles of gait of LLP by using the angle of normal side of lower limbs; and 2) the adaptive neural controller manages the postures of the LLP based on the predicted joint angles. According to the experiment data, the prediction error of hip angles was 0.32[deg.], and the predicted error of knee angles was 0.12[deg.] for the estimated posture angles for the LLP. The performance data was obtained by applying the reference inputs of the LLP controller while walking. Accordingly, the control performance of the hip prosthesis improved by 80% due to the control postures of the LLP using the reference input when comparing with LQR controller.