• 한국정밀공학회지
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• 제30권5호
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• pp.520-528
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• 2013

A 20 mm diameter of small 5-D.O.F. force sensor has been developed for applications in MR-field Optical intensity modulation was adopted for transducing to miniaturize the sensor structure. For its accurate sensing of 5-D.O.F. force/moment, the elastic detecting module was designed to respond independently to each force or moment component. And for small size, two optical transducing modules of 2-D.O.F. and 3-D.O.F. were designed and integrated with the detecting module where optical fibers were arranged in parallel to make the sensor small. It is confirmed by calibration test that the detecting modules deforms linearly and independently to the input force. The results of evaluating test show that the range and resolution of forces are ${\pm}4$ N and 0.94~7.1 mN and the range and resolution of moments are ${\pm}120N{\cdot}mm$ and $0.023{\sim}0.034N{\cdot}mm$.

• 대한족부족관절학회지
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• 제25권4호
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• pp.157-164
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• 2021

Purpose: This study aimed to report the current trends in the management of the hallux valgus (HV) deformity over the last few decades through a survey of the Korean Foot and Ankle Society (KFAS) members. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in September 2021. The questions were mainly related to the preferred techniques and clinical experience in correction in patients with an HV deformity. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: One hundred and nine (19.8%) of the 550 members responded to the survey. The most common symptom for determining surgical treatment was bunion pain (68.8%), and different surgical techniques were selected according to the following radiological parameters: HV angle 30 to 40 degrees and intermetatarsal angle 15 to 20 degrees. The two procedures most preferred by the respondents were distal chevron osteotomy (55.0%), and proximal chevron osteotomy (21.1%). In an average of 71.6% of respondents, Arkin osteotomy was performed simultaneously during HV surgery. HV accompanied by an overriding deformity of the second toe was most often addressed with a combination of second metatarsal osteotomy and soft tissue rebalancing procedure (35.8%). After HV surgery, the recurrence rate of HV deformity was found to be 12.2% on average and the surgeons who had performed minimally invasive surgery (MIS) for HV comprised 34.9% of the total respondents. Conclusion: This study provides updated information on the current trends in the management of the HV deformity in Korea. Both consensus and variation in the approach to patients with HV were identified by this survey study. Although MIS for HV has increased, it appears the consensus for selecting this method has not yet been established.

• Journal of Korean Neurosurgical Society
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• 제67권3호
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• pp.354-363
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• 2024

Objective : This study aims to determine the optimal dose of recombinant-human bone morphogenic protein-2 (rhBMP-2) for successful bone fusion in minimally invasive lateral lumbar interbody fusion (MIS LLIF). Previous studies show that rhBMP is an effective alternative to autologous iliac crest bone graft, but the optimal dose remains uncertain. The study analyzes the fusion rates associated with different rhBMP doses to provide a recommendation for the optimal dose in MIS LLIF. Methods : Ninety-three patients underwent MIS LLIF using demineralized bone matrix (DBM) or a mixture of rhBMP-2 and DBM as fusion material. The group was divided into the following three groups according to the rhBMP-2 usage : group A, only DBM was used (n=27); group B, 1 mg of rhBMP-2 per 5 mL of DBM paste (n=41); and group C, 2 mg of rhBMP-2 per 5 mL of DBM paste (n=25). Demographic data, clinical outcomes, postoperative complication and fusion were assessed. Results : At 12 months post-surgery, the overall fusion rate was 92.3% according to Bridwell fusion grading system. Groups B and C, who received rhBMP-2, had significantly higher fusion rates than group A, who received only DBM. However, there was no significant increase in fusion rate when the rhBMP-2 dosage was increased from group B to group C. The groups B and C showed significant improvement in back pain and Oswestry disability index compared to the group A. The incidence of screw loosening was decreased in groups B and C, but there was no significant difference in the occurrence of other complications. Conclusion : Usage of rhBMP-2 in LLIF surgery leads to early and increased final fusion rates, which can result in faster pain relief and return to daily activities for patients. The benefits of using rhBMP-2 were not significantly different between the groups that received 1 mg/5 mL and 2 mg/5 mL of rhBMP-2. Therefore, it is recommended to use 1 mg of rhBMP-2 with 5 mL of DBM, taking both economic and clinical aspects into consideration.

• 한국융합학회논문지
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• 제9권11호
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• pp.291-297
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• 2018

의료 현장에서의 최소침습수술(MIS)의 어려움 때문에 시뮬레이터 훈련이 활발히 연구되고 있다. 이를 위해 본 연구에서는 S-chain모델을 사용하여 가상 장기와 변형과정을 표현하고 반발력 제공이 가능한 햅틱 시뮬레이터를 개발하고자 한다. S-chain알고리즘의 주요 원리는 반발력이 체인 요소의 수에 비례하는 것이며, 대상인 장기의 변형이 클수록 많은 계산시간을 요구한다. 이에 본 연구에서는 계산속도가 개선된 S-chain알고리즘을 회전움직임에 적용하여 제어성능을 평가하였다. 본 연구에서는 자기 점성 점성(MR) 유체를 사용하는 햅틱 마스터 시스템을 제안하고 S-chain모델을 개발한다. 결과적으로, 이 S-chain모델을 사용하여 가상의 장기와 실제 마스터 장치를 결합함으로써 반발력과 수술로봇의 좌표 위치를 서로 전달하는 햅틱 시스템을 구축하여, 햅틱 시뮬레이터의 제어 성능을 실험을 통해 평가하였다.