• 제목/요약/키워드: Posterior stabilized

검색결과 27건 처리시간 0.024초

슬관절 전치환술에서 후방 안정 임플란트의 오정렬이 경골 기둥에 미치는 영향 (Influence of Malalignment on Tibial Post in Total Knee Replacement Using Posterior Stabilized Implant)

  • 김상훈;안옥균;배대경;김윤혁;김경수;이순걸
    • 대한의용생체공학회:의공학회지
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    • 제28권1호
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    • pp.108-116
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    • 2007
  • Recently, it has been reported that the posterior stabilized implant, which is clinically used for the total knee replacement (TKR), may have failure risk such as wear or fracture by the contact pressure and stress on the tibial post. The purpose of this study is to investigate the influence of the mal alignment of the posterior stabilized implant on the tibial post by estimating the distributions of contact pressure and von-Mises stress on a tibial post and to analyze the failure risk of the tibial post. Finite element models of a knee joint and an implant were developed from 1mm slices of CT images and 3D CAD software, respectively. The contact pressure and the von-Mises stress applying on the implant were analyzed by the finite element analysis in the neutral alignment as well as the 8 malalignment cases (3 and 5 degrees of valgus and varus angulations, and 2 and 4 degrees of anterior and posterior tilts). Loading condition at the 40% of one whole gait cycle such as 2000N of compressive load, 25N of anterior-posterior load, and 6.5Nm of torque was applied to the TKR models. Both the maximum contact pressure and the maximum von-Mises stress were concentrated on the anterior-medial region of the tibial post regardless of the malalignment, and their magnitudes increased as the degree of the malalignment increased. From present result, it is shown that the malalignment of the implant can influence on the failure risk of the tibial post.

후방십자인대 견열 골절의 관절경적 정복술(증례 보고) (Arthroscopic Fixation for Avulsion Fracture of the Posterior Cruciate Ligament(Cases Report))

  • 김경택;손성근;양성욱
    • 대한관절경학회지
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    • 제2권2호
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    • pp.173-176
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    • 1998
  • Isolated posterior cruciate ligament injuries are rare and their management is controversial. But, there is general concept that a bony avulsion of posterior cruciate ligament should be repaired. The treatments for the bony avulsion of posterior cruciate ligament were conservative treatment, open reduction and internal fixation and arthroscopic fixation. We report 2 cases of posterior cruciate ligament avulsion fractures, which were arthroscopically reduced and stabilized with cannulated screws and Kirschner wires, and introduce the arthroscopic fixation technique.

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Functional evaluation of orthopedic and orthodontic treatment in a patient with unilateral posterior crossbite and facial asymmetry

  • Kwak, Yoon-Young;Jang, Insan;Choi, Dong-Soon;Cha, Bong-Kuen
    • 대한치과교정학회지
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    • 제44권3호
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    • pp.143-153
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    • 2014
  • An 8-years old boy with facial asymmetry and unilateral posterior crossbite on the left side received orthopedic and orthodontic treatment. During the first phase of treatment, the narrow maxillary arch was expanded using an acrylic plate. Then, the acrylic plate was used as a bite block with occlusal indentations from the construction bite that was obtained with the incisors in a coincident dental midline. After the position of the mandible was stabilized, the second phase of orthodontic treatment was initiated using fixed appliances for detailing of the occlusion. Skeletal symmetry, ideal occlusion, and coincident dental midlines were thus achieved. Functionally, occlusal force balance and masticatory muscle activity were improved, and the chewing patterns were normalized.

Office-based 2-stage Posterior Maxillary Segmental Osteotomy for Mandibular Implant Placement: Clinical Study

  • Jeong, Bong-Jin;Oh, Yeonjin;Jo, Hyunmi;Jung, Junho;Choi, Byung-Joon;Ohe, Joo-Young
    • Journal of Korean Dental Science
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    • 제13권2호
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    • pp.67-72
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    • 2020
  • Purpose: This clinical study presented the effectiveness of 2-stage posterior maxillary segmental osteotomy (PMSO) under local anesthesia in gaining interarch space to restore the posterior mandibular segment with dental implants. Materials and Methods: Nine patients who received two-stage PMSO for mandibular implant placement from 2003 to 2011 were included in the study. Of the 9 patients, 7 were female and 2 were male. Ages ranged form 28 to 72 (mean 46.6). Potential complications were investigated such as sinus infection, survival of bone segment, inflammatory root resorption of adjacent teeth, relapse of bone segment and timing of implant placement, delivery of implant prosthesis and stability of bone segment. Result: None of the patients showed relapse or complication. Bone segments were stabilized by opposed implant prosthesis. Conclusion: Office-based 2-stage PMSO under local anesthesia can be considered a stable and predictable procedure. Also pedicle damage can be avoided by allowing favor of blood supply to the bone segments. From these advantages, it can be concluded that this surgical procedure can decrease post-operative complications.

후방 안정형 인공 관절 전치환술 후 슬개골 덜컹 증후군의 초음파적 진단 - 증례 보고 - (Ultrasonographic Diagnosis of the Patellar Clunk Syndrome after Posterior Stabilized Total Knee Arthroplasty - A Case Report -)

  • 유재두;김남기;정재윤
    • 대한정형외과 초음파학회지
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    • 제7권1호
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    • pp.39-44
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    • 2014
  • 슬개골 덜컹 증후군은 인공 관절 전치환술 후 슬개골 버튼 근위부에 섬유성 결절이 형성되어 통증, 염발음, 잠김 현상등의 증상이 발생하는 슬개 대퇴 합병증이다. 주로 후방 안정형 삽입물을 사용한 후에 발생하며, 굴곡시 섬유성 결절이 과간 절흔에 포착되었다가 신전시 이탈하면서 증상을 유발한다. 대퇴 삽입물의 구조적 특징이 가장 큰 원인으로 추정되고 초기의 후방 안정형 삽입물에서 발생 빈도가 높았다. 이후 새로운 형태의 삽입물에서는 구조가 개선되어 발생 빈도가 감소하였으나 최근까지도 슬개골 덜컹 증후군의 발생이 보고되고 있다. 진단은 주로 증상에 의해 이루어지며, 영상의학적 검사도 진단에 도움이 된다. 특히, 초음파 검사는 대퇴 사두건의 섬유성 결절을 쉽고 간편하게 발견할 수 있다. 저자들은 초음파를 이용하여 진단된 슬개골 덜컹 증후군 1례를 경험하여 보고하고자 한다.

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인두위문합술과 유리공장이식술을 이용한 하인두 및 경부식도 재건술 (Reconstruction of Hypopharynx and Cervical Esophagus using Gastric Pull Up and Jejunal Free Graft)

  • 정동학;김영모;이원영;김대식;노병선
    • 대한기관식도과학회지
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    • 제2권1호
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    • pp.63-70
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    • 1996
  • Reconstruction for hypopharynx and cervical esophagus after wide resection of extensive hypopharynx and larynx cancers have been used various methods including myocutaneous flaps, gastric pull up, md jejunal or large bowel free graft. Recently, the authors had experienced hypopharynx and larynx cancers with extension to the posterior hypopharyngeal wall and thoracic esophagus. Of course, these reconstructive methods should be selected in accordance with the patient's age, physical status, extend of prim.:W lesion, and defect after on block resection, however, gastric pull up was performed in hypopharynx cancer which had skipped lesion in the thoracic esophagus and jejunal free grafts were performed in case 2, 3 which had a extended lesions to the posterior pharyngeal wall. Some complications were noted, which were successfully stabilized by conservative managements. The gastric pull up and jejunal free graft were considered suitable methods for reconstrunction of hypopharynx and cervical esophagus, however, further studies are necessary about it.

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An experimental study on the human upright standing posture exposed to longitudinal vibration

  • Shin, Young-Kyun;Arif Muhammad;Inooka Hikaru
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2002년도 ICCAS
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    • pp.77.2-77
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    • 2002
  • Human upright standing posture in the sagittal plane is studied, when it exposed in the antero-posterior vibration. A two link inverted pendulum model is considered and described its functional behavior in terms of ankle and hip joint according to the dominant joints that provides the largest contribution to the corresponding human reactionary motion. The data is analyzed, both in the time domain and the frequency domain. Subjects behave as a non-rigid pendulum with a mass and a spring throughout the whole period of the platform motion. When vision was allowed, each segment of body shows more stabilized.

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대황황련사심탕(大黃黃連瀉心湯) 투여 후 혈압이 안정된 고혈압 증례 보고 (Efficacy of Daehuanghuanglianxiexin-tang in stabilization of hypertension patient's blood pressure)

  • 최재영;이숭인;이성준
    • 대한상한금궤의학회지
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    • 제10권1호
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    • pp.125-132
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    • 2018
  • Objective : The purpose of this study is to review a case of hypertension. The patient was 41 years, a male. We stabilized blood pressure after administration of Daehuanghuanglianxiexin-tang. In this paper, we review the interpretation of Shanghanlun by analyzing the patient's progress, diagnosis, treatment. Methods : Blood pressure changes have been monitored during the period. Additionally, We have observed the patients' compliance and accompanied symptom by the timeline analysis. Results : According to Shanghanlun disease pattern identification diagnostic system, Wediagnosed a Greater yang disease. The patient was treated with Daehuanghuanglianxiexin-tang for 2 months. Daehuanghuanglianxiexin-tang was able to control blood pressure to under 120mmhg / 80mmhg. During the treatment period, the accompanied symptom Stiffness and pain in posterior neck has improved, patient's compliance was good, and symptoms improved without significant complication Conclusions : Taking of the Daehuanghuanglianxiexin-tang makes patient's blood pressure controlled to safe and stable range and eases the discomfort of posterior neck pain.

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