• 제목/요약/키워드: Reconstruction plate

검색결과 187건 처리시간 0.025초

광범위한 안와파열골절에서 Titanium Mesh Plate와 Porous Polyethylene (Medpor®) 동시 사용의 유용성 (Treatment of Blow-out Fractures Using Both Titanium Mesh Plate and Porous Polyethylene (Medpor®))

  • 구자혜;원창훈;동은상;윤을식
    • 대한두개안면성형외과학회지
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    • 제11권2호
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    • pp.85-90
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    • 2010
  • Purpose: The goals of a blow-out fracture reconstruction are to restore the osseous continuity, provide support for the orbital contents and prevent functional and anatomic defects. Over the past several years, a range of autogenous and synthetic implants have been used extensively in orbital reconstructions. None of these implants have any absolute indications or contraindications in certain clinical settings. However, in extensive blow-out fractures, it is difficult to restore support of the orbital contents, which can cause more complications, such as enophthalmos. This study examined the clinical outcomes of extensive or comminuted blow-out fractures that were reconstructed by the simultaneous use of a titanium mesh plate and $Medpor^{(R)}$. Methods: Eighty six patients with extensive orbital fractures, who were admitted between March 1999 and February 2007, were reviewed retrospectively. The patients' chart and CT were inspected for review. Twenty three patients were operated on with both a titanium mesh plate (Matrix MIDFACE pre-formed orbital plate, Synthes, USA) and $Medpor^{(R)}$ (Porex, GA, USA). The patients underwent pre-operative CT scans to evaluate the fracture site and measure the area of the fracture. A transconjunctival approach was used, and titanium mesh plates were inserted subperiosteally with screw fixation. $Medpor^{(R)}$ was inserted above the titanium mesh plate. The patients were evaluated post-operatively for enophthalmos, diplopia, sensory disturbances and eyeball movement for a period of at least 6 months. Results: No implant-related complications were encountered during the follow-up period. Enophthalmos occurred in 1 patient, 1 patient had permanent sensory disturbance, and 3 patients complained of ocular pain and fatigue, which recovered without treatment. Although there were no significance differences between groups, the use of 2 implants had fewer complications. Therefore, it can be an alternative method for treating blow out fractures. Conclusion: The use of both a titanium mesh plate and $Medpor^{(R)}$ simultaneously may be a safe and acceptable technique in the reconstruction of extensive blow-out fractures.

인코히어런트 삼각 홀로그래피의 구현과 복소홀로그램의 수치적 복원 (Implementation of incoherent triangular holography and numerical reconstruction of the complex hologram)

  • 김수길;이병호;김은수;손정영
    • 한국광학회지
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    • 제8권2호
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    • pp.99-106
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    • 1997
  • 본 논문에서는 변형된 삼각 간섭계를 이용하여 인코히어런트(incoherent) 홀로그래피의 근본적인 문제인 바이어스와 공액영상을 제거할 수 있다는 것을 실험과 수치복원을 통해 입증하였다. 기존의 삼각 간섭계에 간단한 수동소자를 추가하여 구성된 변형된 삼각 간섭계의 출력면쪽에 위치한 wave plates를 이용하여, 변형된 삼각 간섭계내에서 시계방향과 반시계방향으로 진행하는 두 빛의 상대적인 위상차를 조절함으로써 4가지의 빛의 세기를 얻고, 이를 이용하여 바이어스와 공액영상이 제거된 복소홀로그램을 얻었다. 또한 이를 수치적으로 복원한 결과와 기존의 삼각 간섭계를 이용하여 얻은 홀로그램을 수치적으로 복원한 결과를 비교분석함으로써, 변형된 삼각 간섭계를 이용하여 바이어스와 공액영상이 제거되는 것을 실험적으로 증명하였다.

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Follow-up Comparison of Two Different Types of Anterior Thoracolumbar Instrumentations in Trauma Cases : Z-plate vs. Kaneda Device

  • Park, Jung-Keun;Kim, Keun-Su
    • Journal of Korean Neurosurgical Society
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    • 제41권2호
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    • pp.77-81
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    • 2007
  • Objective : In a variety of thoracolumbar diseases, corpectomy followed by interbody bone graft and anterior instrumentation has allowed direct neural decompression and reconstruction of the weight-bearing column by short segments fusion. In this study, we compared spinal stability of the two different anterior thoracolumbar instruments : Z-plate and Kaneda device representing plate and two-rods type, respectively. Methods : A retrospective review was performed for all the patients with thoracolumbar diseases or traumas treated with anterior corpectomy, autologous iliac bone graft, and fixation with instruments from 1996 to 2000. For the anterior instrumentation, Z-plate or Kaneda device was used for 24 [M:F=5:9, average age=37] and 12 [M:F=9:3, average age=41] patients, respectively. The plain AP and lateral flexion-extension films were taken immediately after surgery and at each follow-up. The sagittal and coronal Cobb's angles at the operation segments were used to observe the change of initial fixation status. The surgical time length and bleeding amount of the two groups were compared. Intra-operative and post-operative instrument associated complications were evaluated. Student t-test was used for statistical analysis and p-value less than 0.05 was considered to be significant. Results : Mean follow-up durations for Z-plate and Kaneda device were 24 and 21 months, respectively. The fusion rate was 91% for Z-plate and 100% for Kaneda device. Two cases of Z-plate group showed instrumentation failure during the follow up period, in which additional surgery was necessary. The mean differences of sagittal Cobb's angles among the AP images immediate after surgery and at follow-up were 7 and 2 degrees for Z-plate and Kaneda device, respectively [p<0.05]. The mean differences of coronal Cobb's angles were 5 and 2 degrees for Z-plate and Kaneda device, respectively [p<0.05]. No Intra-operative complication has occurred in both groups. There was no difference in surgery time and bleeding amount between two groups. Conclusion : We think that Kaneda device [rod type] is stronger than Z-plate [plate type] to keep the spinal stability after anterior thoracolumbar surgery.

광스캔닝 훌로그래피의 해상도 (Resolution in Optical Scanning Holography)

  • 도규봉
    • 한국항행학회논문지
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    • 제2권2호
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    • pp.126-131
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    • 1998
  • 광학적 스캐닝 홀로그래피에 있어서, 물체의 3차원 홀로그래픽 정보는 2차원적 광스캐닝에 의해서 생성되며, 광스캐닝 광선은 time-dependent한 Gaussian 형태의 Fresnel 윤대판(zone plate)이다. 본 기술에서 홀로그래픽 정보는 그 자체로서 전기적인 신호로서 발생하기 때문에 전자광선 addressed - spatial light modulator을 사용하여 영상 재생이 가능하다. 이 기법의 응용분야로서 3-차원 원거리 광 센서로서 사용될 수 있으며, 특히 비행물체 확인에 응용될 수 있다. 본 논문에서, 우리는 먼저 광스캐닝 홀로그래피에 대해 간략한 기술과 본 기술 시스템에 있어서 광스캐닝 빔의 해상도를 먼저 유도하고, 그 다음으로 Gaussian 원리를 이용하여 홀로그래픽 image 재생을 위해 필요한 실상(real image) 및 허상(virtual image)에 대한 수학적 표현을 제시하고자 한다.

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A comprehensive study on active Lamb wave-based damage identification for plate-type structures

  • Wang, Zijian;Qiao, Pizhong;Shi, Binkai
    • Smart Structures and Systems
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    • 제20권6호
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    • pp.759-767
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    • 2017
  • Wear and aging associated damage is a severe problem for safety and maintenance of engineering structures. To acquire structural operational state and provide warning about different types of damage, research on damage identification has gained increasing popularity in recent years. Among various damage identification methods, the Lamb wave-based methods have shown promising suitability and potential for damage identification of plate-type structures. In this paper, a comprehensive study was presented to elaborate four remarkable aspects regarding the Lamb wave-based damage identification method for plate-type structures, including wave velocity, signal denoising, image reconstruction, and sensor layout. Conclusions and path forward were summarized and classified serving as a starting point for research and application in this area.

임플랜트전산화단층촬영시 CENTRAL PANORAMIC CURVE의 변화가 하악골의 영상 재구성에 미치는 영향 (INFLUENCE OF CENTRAL PANORAMIC CURVE DEVIATION ON THE MANDIBULAR IMAGE RECONSTRUCTION IN THE IMPLANT CT)

  • 박래정;이삼선;최순철;박태원;유동수
    • 치과방사선
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    • 제28권1호
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    • pp.47-58
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    • 1998
  • The purpose of this study was to investigate an influence of the change of central panoramic curves on the image reconstruction in the dental implant CT. The author designed three experimental groups according to the location of central panoramic curve. In group A, central panoramic curve was determined as the curve connecting the center of roots from the first premolar to the first molar. In group B, central panoramic curve was determined as the line connecting the lingual cortical plate at the level of the mesial aspect of the first premolar with the buccal cortical plate at the level of the mesial aspect of the first molar. In Group C, central panoramic curve was determined as the line connecting the buccal cortical plate at the level of the mesial aspect of the first premolar with the lingual cortical plate at the level of the mesial aspect of the first molar. Twenty four reformatted CT images was acquired from four mandibles embedded in the resin block and twenty four contact radiographs of dog specimens were acquired. Each Image was processed under Adobe Photoshop program analysed by MSPA(mandible/maxilla shape pattern analysis) variables such as MXVD, MXHD, UHD, MHD, and LHD. The obtained results were as follows ; 1. The mean of MXVD variable was 19.9, 20.2, and 20.0 in group A, B, and C, respectively, which were smaller than actual value 20.5. But, there was no significant difference among 3 groups (p>0.05). 2. The mean of MXHD, UHD, MHD, and LHD variables in group A, B, and C was 11.9, 12.2, and 12.3; 9.3, 9.5, and 9.6; 10.0, 10.3, and 10.3; 9.2, 9.3, and 9.4 respectively which were equal to or greater than the actual value 11.8, 9.3, 10.0, and 9.2. But, there was no significant difference among 3 groups (p>0.05). 3. The number of noneffective observations with difference over or under 1 mm with comparison to the actual value was 24(20%), 58(48.3%), and 52(43.3%), respectively, in group A, B, and C. 4. In group A, the number of observations over 1 mm and under 1 mm was 9 and 15, respectively, but in group Band C, the number of observations over 1 mm was more than under 1 mm.

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인터넷 서비스 기반의 선체외판 가공 연구 (Curved Hull Plate Forming based on SOAP Internet Services)

  • 김찬석;손승혁;신종계;이필립
    • 대한조선학회논문집
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    • 제53권1호
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    • pp.69-75
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    • 2016
  • Fabrication of the hull plate demands a lot of man-hour and a high degree of technology. In recent years, commercial shipping orders have been fallen because of intensifying competition with low price of order and labor cost. In order to solve this problem, a countermeasure such as a cost reduction is required. In this study, we are dealing with the method of supplying the forming information of the hull to the production site. We reviewed studies of hull forming that have been proposed so far to develop a method for providing hull forming information. On the basis of given production plans from the production site of shipyard, we discuss how to convert shell plate to production plan. Then, we will discuss the efficiency of the distribution method through the network about the method of hull forming. Thus, we have modified the distribution method which was proposed before. Finally, we will introduce the enhanced method for providing fabrication information of the hull plate to the small and medium-sized shipyards.

Treatment of extensive comminuted mandibular fracture between both mandibular angles with bilateral condylar fractures using a reconstruction plate: a case report

  • Lee, Kwonwoo;Yoon, Kyuho;Park, Kwan-Soo;Cheong, Jeongkwon;Shin, Jaemyung;Bae, Jungho;Ko, Inchan;Park, Hyungkoo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제40권3호
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    • pp.135-139
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    • 2014
  • This following case report describes the open reduction, internal fixation and the reconstruction of an extensive comminuted mandibular fracture with bilateral condylar fractures in a 19-year-old male patient with an intellectual disability and autistic disorder. He suffered fall trauma, resulting in shattered bony fragments of the alveolus and mandibular body between both mandibular rami, the fracture of both condyles and the avulsion or dislocation of every posterior tooth of the mandible. The patient underwent open reduction and internal fixation between both mandibular rami using a reconstruction plate, open reduction and internal fixation of the shattered fragments using miniplates and screws, and the closed reduction of the bilateral condylar fractures.

3D 출력 의료용 금속 임플란트에 대한 3D 복원 (3D Reconstruction of 3D Printed Medical Metal Implants)

  • 예병훈;김구진
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제12권5호
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    • pp.229-236
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    • 2023
  • 3D 출력된 의료용 임플란트(implant) 부품은 보통 표면에 결함이 발생되므로, 출력 후 표면을 검사하는 과정이 필요하다. 자동화된 표면 검사를 수행하기 위해서는 임플란트를 3D 스캔하여 점군(point cloud)과 같은 스캔 모델로 복원하는 방법이 효과적이다. 스캔 모델을 구성할 때, 임플란트는 일반적인 3D 출력 제조 부품과 다른 특성들을 가지므로, 임플란트의 형태와 재료의 특성에 대한 고려가 필요하다. 본 논문에서는 의료용 임플란트 부품의 한 종류인 금속 bone-plate의 3D 출력물에 대해 스캔 모델로 복원하는 방법을 제안한다. 다각도의 시점에서 3D 스캔을 수행하여 다수의 부분 스캔 데이터를 생성한 뒤, 이들에 대해 정렬(alignment)과 정합(merging)을 수행하여 스캔 모델로 복원한다. 또한, 실험을 통해 스캔 모델로 복원하는 과정을 보인다.