• Clinics in Shoulder and Elbow
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• v.6 no.1
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• pp.37-43
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• 2003

Purpose: To evaluate the results in patients who received total elbow replacement for posttraumatic destroyed or unreduced elbow joint. Materials and Methods: Six patients with posttraumatic destroyed, or unreduced elbow joint, who were nearly impossible to move actively and had pain and grossly unstable joint, were followed up average 42 months. 3 cases were soft tissue injuries and bone defects which were caused by severe comminuted fracture, 1 was a nonunion with comminuted fracture, and 2 were unreduced elbow joint. Total elbow replacement was performed average 10 months after the injury. All the cases were used by semiconstrained prosthesis, and the results were estimated by Mayo elbow perfomance score. Results: Pain was decreased in all the cases postoperatively. Average ranges of motion were improved with active extension 20° and flexion 120°. Mayo elbow performance scores were pain 42.5 points, range of motion 17.5 points, stability 8.3 points, function 19.2 points and totally 87.5 points, and final results were 3 excellent and 3 good. Loosening of prosthesis was not found in all the cases by final follow-up radiograph. Conclusicon: Semiconstrained TER can be used as a effective treatment improving pain and active ranges of motion caused by posttraumatic destroyed or unreduced elbow joint, however, long term follow-up is needed because early loosening of TER can be occurred due to severe bone defects.

• Proceedings of the KOSOMBE Conference
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• v.1997 no.11
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• pp.369-372
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• 1997

Socket pressure distributions with gait analyses of a transfemoral and a transtibial prostheses were measured in order to assess an optimal socket fitting and unction. Ankle joint was aligned by the neutral and the dorsi/plantar flexed positions. Compared to dorsi and plantar flexed positions of ankle joint, cadence and walking speed increased with the neutral ankle joint alignment. Other gait parameters were close to the normative data with the neutral ankle joint alignment. For the transfemoral amputee, dorsiflexed alignment of the ankle joint created high pressure on the lateral aspect of the socket, on the other hand, plantarflexed alignment resulted in increased pressure on the medial aspect of the socket. For the transtibial amputee, dorsiflexed alignment of the ankle resulted in high pressure on the antero-lateral aspect of the socket during mid-stance, but plantarflexion of the ankle joint showed slight increases in pressure at the same location in the socket. The present study clearly demonstrated that malalignment of a prosthesis results in localized increasing pressure within the socket. Proper alignment of the prosthesis is required in order to acquire an appropriate socket-limb interface as well as the proper gait.

• Journal of Technologic Dentistry
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• v.30 no.1
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• pp.49-55
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• 2008

In this study, to provide the fundamental data on stable connection method for successful implants prosthesis, We fabricated the solder joint of gold alloy bar specimens by gas flame soldering method and laser welding and soldering method. It compared and studied the tensile strength of two soldering method by universal testing machine. The results using universal testing machine were as follow : The mean of tensile strength of solder joint bar in gas flame soldering method specimens was 363.89 $\pm$17.62 MPa, and the mean strength of laser welding and soldering method was 125.91 $\pm$ 19.66 MPa, so gas flame soldering method was better than laser welding and soldering method and the finding better way to improve tensile strength is needed in laser welding method. On weak loading condition and the part which is needed an accuracy, laser welding method is more effective and on long-span prosthesis and frequent chewing loading part, laser welding technique is recommended first and applying additional gas flame soldering technique would be better for making much more successful prosthesis.

• The Journal of the Korean bone and joint tumor society
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• v.12 no.2
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• pp.141-147
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• 2006

In 1996, a nine-year-old girl was treated with recycling autograft after wide resection of the distal femoral osteosarcoma. The leg lengthening and revision with growing tumor prosthesis were performed due to limb leg discrepancy and epiphyseal problem. However, deep infection developed after operation, and a temporary spacer with cement and Ender nail was inserted. After infection was controlled completely, the final leg lengthening was performed with mono-external fixator for limb length discrepancy (10 cm). Lastly, Tumor prosthesis was reinserted to preserve the joint function.

• Journal of Institute of Control, Robotics and Systems
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• v.20 no.2
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• pp.193-199
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• 2014

In this paper, we present an overview of the structure of a lab-built powered knee prosthesis and the control of it. We build a powered prosthesis prototype on the basis of previous researches and aim at obtaining the essential technology related with its control. We adopt the slider-crank mechanism with a DC motor as an actuator to manipulate the knee joint. We also build an embedded control system for the prosthesis with a 32-bit DSP controller as a main computation unit. We divide the gait phase into five stages and use a FSM (Finite State Machine) to generate a torque reference needed for each stage. We also propose to use a position-based impedance controller for driving the powered knee prosthesis stably. We perform some walking experiments at fixed speeds on a tread mill in order to show the feature of the built powered prosthesis. The experimental results show that our prosthesis has the ability to provide a functional gait that is representative of normal gait biomechanics.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.8 no.4
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• pp.283-289
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• 2014

This paper presents a design and optimization of the fully-active transfemoral prosthesis leg system. As it has one degree of freedom in knee joint, this prosthesis leg can imitate the human's gait. The weight of system, which makes the users more comfortable due to less tiredness, and the knee joint torque to rise stability of the system are major factors of prosthesis leg system. Thus the mechanism of prosthesis changes from 3-linkage type to geared type. The sensorized foot is also designed to effectively determine human's gait by measuring deformation of the foot during gait. Topology optimization is carried out for the sensorized foot to remove its unnecessary weight. The safety of optimized foot is verified by carrying out finite element analysis.

• Composites Research
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• v.12 no.5
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• pp.98-109
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• 1999

An investigation has been performed to develop a nonlinear finire element method for the analysis of the long-term behavior of an artificial hip joint. The three dimensional multi-layered brick element is used to analyze the design performances of hip prodtheses with various materials and the thick laminated composite hip prostheses with various layup sequences. The used element can accommodate the varying material properties of the element and allow the ply-drop-off along the eleement edge. The nonlinear finite element analysis program has been verified by the comparison with the exact solution of the bean problem subjected to uniaxial loading. By using the program, the density changes and strength ratios of artificial hip joint are calculated according to the hip prosthesis materials and the layers of composite hip prosthesis. The numerical results are easily applied to evaluate design performances of a hip prosthesis, and decrease the difficulty and time of hip prosthesis design.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.7 no.2
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• pp.41-46
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• 2013

IIn this paper, active trasfemoral prosthesis leg is designed for the handicapped who lost their legs upon knee. It is important to design proper knee joint to mimic walking motion of hyman. 1 degree-of-freedom active trasfemoral prosthesis leg is designed with knee joint. Operating angle and torque have been calculated using kinematics of three linkages in prosthesis leg. Finite element analysis of major components is performed to evaluate the safety under operating condition and to reduce weights. Minimum volumes of components are obtained by optimization as satisfying safety requirements. The results show that about 35% of weight of components is reduced.

• 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.

• The Journal of the Korean bone and joint tumor society
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• v.18 no.2
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• pp.51-58
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• 2012

Purpose: This study attempts to know functional results and gait analysis usefulness in patients with bone tumor around knee joint tumors who underwent prosthesis knee joint reconstruction. Materials and Methods: Retrospective study was conducted with 7 patients out of 30 patients who underwent prosthesis knee joint reconstruction after wide marginal excision for bone tumor around knee in orthopedics of this hospital from 2001 to 2010. Functional assessment and gait analysis were perforemed. Results: For the SF-36 score, while 'role physical' and 'role emotional' items showed 100% (100 points) high scores individually, general health, physical function, vitality, and social function showed low scores. The mean score of MSTS was 88.1% (23.8 points [17-27]), indicating a relatively high score. For the gait analysis, mean gait velocity was 97.2 m/s, mean cadence was 105.6 step/min, mean stride length was 111.3 m, mean step length was 61.5 cm, swing phase was 39.8%cycle, stance phase was 60.1%cycle, mean single limb support was 37.1%cycle, mean double limb support was 13.0%cycle, and mean push off was 60.7%cycle. Conclusion: It is expected that prosthesis reconstruction after wide marginal excision for bone tumor around knee has relatively good functional results. Gait analysis was considered one of method which showed gait phase and assessed functional ability objectively by quantitative assessment post operative patient condition. It might help treatment and post operative rehabilitation planning with the functional assessment.