• Title/Summary/Keyword: Metal-on-metal 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.

A STUDY ON THE INFLUENCE OF THE PALATAL PLATES UPON THE DURATION OF KOREAN SOUNDS (구개상 장착에 따른 한국어 어음의 조음시간 변화에 관한 연구)

  • Koh, Yeo-Joon;Kim, Chang-Whe;Kim, Yong-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.1
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    • pp.77-102
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    • 1994
  • Many studies have been made on the masticatory and esthetic effects of prosthodontic treatments, but few on the restoration of pronunciation, especially in complete denture wearers. The purpose of this study is to provide a basis that could be of help to the complete denture wearers' speech adaptation by analyzing the influence of the palatal coverage upon the duration of consonants and vowels with the method of experimental phonetics. For this study, metal plates and resin plates were made for 3 male subjects in their twenties, who have good occlusion, and do not have speech and hearing disorders. Then 8 Korean consonants and 4 Korean vowels were selected, systemically considering phonetic variants such as the place and manner of articulation, lenis/fortis, mutual effect of each phoneme, etc. They were combined into meaningless tested words in the form of /VCV/, and were included in the carrier sentences. Each informant uttered the sentences 1) without the plate, 2) with the metal plate, 3) with the resin plate. The recorded data were analyzed through the waveform of sounds and spectrogram by using the program SoundEdit, Signalize, Statview 512+for the Macintosh computer. The duration of each segment was measured by searching for the boundaries between the preceding vowels and consonants, and between the consonants and the following vowels. The study led to the conclusion that. 1. With the palatal plate, the duration of all the tested words increased and the duration increased more with the resin plate than with the metal plate. 2. With the palatal plate, the duration of all the preceding vowels, consonants, and following vowels increased, but the temporal structure of the tested words was maintained. 3. As for the manner of articulation, fricative /s/(ㅅ) was greatly influenced by both kinds of palatal plates. 4. As for the place of articulation, alveolar sounds /d/(ㄷ), /n/(ㄴ) were greatly influnced by the kinds of palatal plates, and the velar sounds /n/(ㅇ), /g/(ㄱ) were influenced by the platal plates, but the kind of the palatal plates did not show any significance. 5. As for the lenis/fortis, lenis was influenced more by the kind of the palatal plates. 6. As for the influence of vowels upon each segment in the tested words, palatal vowel /i/(ㅣ) had greater influence than pharyngeal vowel /a/(ㅏ), and following vowels than preceding vowels.

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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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