• Title/Summary/Keyword: LHO

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Radiologic Comparison of Humeral Position according to the Implant Designs Following Reverse Shoulder Arthroplasty: Analysis between Medial Glenoid/Medial Humerus, Lateral Glenoid/Medial Humerus, and Medial Glenoid/Lateral Humerus Designs

  • Cho, Nam Su;Nam, Ju Hyun;Hong, Se Jung;Kim, Tae Wook;Lee, Myeong Gu;Ahn, Jung Tae;Rhee, Yong Girl
    • Clinics in Shoulder and Elbow
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    • v.21 no.4
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    • pp.192-199
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    • 2018
  • Background: The currently available reverse shoulder arthroplasty (RSA) designs can be classified into medial glenoid/medial humerus (MGMH), lateral glenoid/medial humerus (LGMH), and medial glenoid/lateral humerus (MGLH) prosthesis designs. The purpose of this study was to radiologically analyze the effect of different RSA designs on humeral position following RSA. Methods: A total of 50 patients who underwent primary RSA were retrospectively analyzed. Among 50 patients, 33 patients (group A: MGMH) underwent RSA with Aequalis system (Wright, Inc, Bloomington, MN, USA), 6 (group B: LGMH) with Aequalis system using bony increased offset, and 11 (group C: MGLH) with Aequalis Ascend Flex system. The acromiohumeral distance, acromioepiphyseal distance (AED), lateral humeral offset (LHO), LHO from the center of rotation ($LHO^{COR}$), and deltoid length were radiologically measured to quantify the distalization and lateralization of the humerus. Results: The increment in postoperative AED was $19.92{\pm}3.93mm$ in group A, $24.52{\pm}5.25mm$ in group B, and $25.97{\pm}5.29mm$ in group C, respectively (p=0.001). The increment in postoperative LHO was $0.13{\pm}6.30mm$, $8.00{\pm}12.14mm$, and $7.42{\pm}6.88mm$, respectively (p=0.005). The increment in postoperative $LHO^{COR}$ was $20.76{\pm}6.06mm$, $22.04{\pm}5.15mm$, and $28.11{\pm}4.14mm$, respectively (p=0.002). Conclusions: The radiologic analysis of the effect of different RSA designs on humeral position following RSA showed significant differences in the increment in postoperative AED, LHO, and $LHO^{COR}$ between the 3 groups. Therefore, MGLH design seems to be more effective for humeral distalization and lateralization compared to original Grammont design.

Effects of the Irradiated Current Mode PWM Controller of DC/DC Power Converter (DC/DC 전력 컨버터의 전류모드 PWM 제어기의 방사선 영향)

  • Lho, Young-Hwan;Hwang, Eui-Sung;Lho, Kyeoung-Su;Phouphanonh, Phouphanonh;Khamphoungeun, Khamphoungeun;Han, Chang-Won
    • Proceedings of the KSR Conference
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    • 2011.10a
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    • pp.685-692
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    • 2011
  • DC/DC switching power converters produce DC output voltages from different DC input sources. The converters can be used in regenerative braking of DC motors to return energy back in the supply, resulting in energy savings for the systems containing frequent stops. The current mode DC/DC converter is composed of a PWM (pulse width modulation) controller, a MOSFET, and inductor, etc. Pulse width modulation is applied to control and regulate the total output voltage. It is shown that the variation of threshold voltage at MOSFET and the offset voltage increase caused by radiation effects make the PWM pulse unstable. In the PWM operation, the missing pulses, the changes in pulse width, and a change in the period of the output waveform are studied by simulation program with integrated circuit emphasis (SPICE) and experiments.

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