• Title/Summary/Keyword: THA

Search Result 171, Processing Time 0.023 seconds

Evaluation of the Femoral Stem Implant in Canine Total Hip Arthroplasty: A Cadaver Study

  • Cho, Hyoung Sun;Kwon, Yonghwan;Kim, Young-Ung;Kang, Jin-Su;Lee, Kichang;Kim, Namsoo;Kim, Min Su
    • Journal of Veterinary Clinics
    • /
    • v.36 no.1
    • /
    • pp.53-61
    • /
    • 2019
  • Total hip arthroplasty (THA) is a successful surgical treatment for both patients with chronical lameness and dogs who are nonresponsive to medical treatments, providing excellent joint function for returning dogs to the normal gait in 80% to 98% of hip dysplasia (HD) patients. The THA surgical implant system manufactured by BioMedtrix and Kyon are today widely accepted. When comparing the BioMedtrix biological fixation (BFX) system to the BioMedtrix cemented fixation (CFX) system, the many advantages of BFX, which include longer potential implant life, decreased risk of postoperative or later infection, and better implant stability, become evident. However, BFX implies a greater risk of femoral fracture during reaming and requires a more precise surgical technique to achieve good implant fit, given the press-fit nature of cementless THA. The purposes of this study are to both describe the mistakes and complications during stem implantation for beginner surgeons with both the BFX and the CFX systems and to document the initial result of 12 implantations in canine cadavers. Given the detailed evaluations of 3 specialists, who are Diplomate American College of Veterinary Surgeons (DACVS), only 3 of 11 stems were appropriately sized. Specifically, 6 stems were anteverted rather than being retroverted; further, although 7 stems were coaxial with the femoral long axis in the frontal plane, the other stems were in the varus at the frontal plane, with the proximal medial stem adjacent to the medial femoral cortex. Moderate angulation from the cranial to the caudal directions was found in 4 cases in the sagittal plane. Additionally, 1 case of femoral fissure and 1 case of perforated femoral cortex were reported. It is not easy for surgeons performing cementless THA for the first time to achieve a good result, even though they completed an educational course about it and given that catastrophic complications often occurred during early surgical clinical cases. Therefore, ex-vivo studies are sincerely required to get an expertise by rehearsing the preparation of the femoral envelop in isolated bones. Further studies should be conducted to achieve both highly accurate implant size and correct orientation during the preoperative planning. Additionally, surgeons' learning curve should be examined in future investigations.

Control of a Master/Slave Combined Surgical Robot for Total Hip Arthroplasty (마스터/슬레이브 복합형 고관절 전치환 수술로봇의 제어)

  • Heo, Gwan-Hoe;Gwon, Dong-Su;Kim, Sang-Yeon;Lee, Jeong-Ju;Yun, Yong-San
    • Journal of Institute of Control, Robotics and Systems
    • /
    • v.8 no.9
    • /
    • pp.788-794
    • /
    • 2002
  • To improve surgical result of total hip arthroplasty (THA), there has been some approaches using a robotic milling system, which can make a precise cavity in the femur. Usually, to carve a femur, the surgical robot is controlled by a pre-programmed tool-path regardless of a surgeon's experience and Judgment. This paper presents a control method of a surgical robot for THA, which can be used as an advanced surgical tool. With a master/slave combined surgical robot, surgeon can directly control the motion and velocity of a surgical robot. The master/slave-combined robot is controlled to display a specific admittance for a surgeon's force to the surgical robot velocity. To prevent the over-carving of a femur, virtual hard wall is displayed on the surgical boundary. To evaluate the proposed control method of the master/slave-combined surgical robot, 2-DOF master/slave-combined manipulator is used in experiment.

Performance-based earthquake engineering methodology for seismic analysis of nuclear cable tray system

  • Huang, Baofeng
    • Nuclear Engineering and Technology
    • /
    • v.53 no.7
    • /
    • pp.2396-2406
    • /
    • 2021
  • The Pacific Earthquake Engineering Research (PEER) Center has been developing a performance-based earthquake engineering (PBEE) methodology, which is based on explicit determination of performance, e.g., monetary losses, in a probabilistic manner where uncertainties in earthquake ground motion, structural response, damage estimation, and losses are explicitly considered. To carry out the PEER PBEE procedure for a component of the nuclear power plant (NPP) such as the cable tray system, hazard curve and spectra were defined for two hazard levels of the ground motions, namely, operation basis earthquake, and safe shutdown earthquake. Accordingly, two sets of spectral compatible ground motions were selected for dynamic analysis of the cable tray system. In general, the PBEE analysis of the cable tray in NPP was introduced where the resulting floor motions from the time history analysis (THA) of the NPP structure should be used as the input motion to the cable tray. However, for simplicity, a finite element model of the cable tray was developed for THA under the effect of the selected ground motions. Based on the structural analysis results, fragility curves were generated in terms of specific engineering demand parameters. Loss analysis was performed considering monetary losses corresponding to the predefined damage states. Then, overall losses were evaluated for different damage groups using the PEER PBEE methodology.

The Emergence of Early Polities and Communities on the Trans-Peninsular Routes in the Thai-Malay Peninsula

  • Pipad KRAJAEJUN
    • Acta Via Serica
    • /
    • v.9 no.1
    • /
    • pp.33-66
    • /
    • 2024
  • There is a lot of evidence of early port cities and small habitation sites along the Thai-Malay Peninsula's coastlines. These sites appeared on the trans-peninsular routes during the Maritime Silk Roads period, from 2,000 to 1,500 BP. The Thai-Malay Peninsula was mentioned in many documents as Suvarnabhumi (India), Aurea Chersonese (Greek), and Jin Lin (Chinese), meaning the Golden Land. Ptolemy's map displays that there were many port cities along this peninsula. It corresponds to the Milinda-panha, which depicts many port cities in Suvarnabhumi. Foreign documents primarily documented the presence of major port cities, while inland habitation sites received less recognition. This paper aims to reconstruct the trans-peninsular routes in order to understand their networks, connections, and roles. The second aim is to understand the hierarchy of each site. This paper will focus on two important settlements and high-value artifacts along three routes: the Kra Isthmus Route, the Pho Khao Thong and Tha Chana Route, and the Krabi to Surat Thani Route. I conducted an archaeological survey of these three routes and others during 2021-2023 under the Suvarnabhumi Studies Center, TASSHA Institute, and the Ministry of Higher Education, Science, Research, and Innovation.

Management of Severe Bone Defects in Femoral Revision following Total Hip Arthroplasty

  • Yicheng Li;Li Cao
    • Hip & pelvis
    • /
    • v.36 no.2
    • /
    • pp.101-107
    • /
    • 2024
  • Treatment of femoral bone defects continues to be a challenge in revision total hip arthroplasty (THA); therefore, meticulous preoperative evaluation of patients and surgical planning are required. This review provides a concise synopsis of the etiology, classification, treatment strategy, and prosthesis selection in relation to femoral bone loss in revision THA. A search of literature was conducted for identification of research articles related to classification of bone loss, management of femoral revision, and comparison of different types of stems. Findings of a thorough review of the included articles were as follows: (1) the Paprosky classification system is used most often when defining femoral bone loss, (2) a primary-length fully coated monoblock femoral component is recommended for treatment of types I or II bone defects, (3) use of an extensively porous-coated stem and a modular fluted tapered stem is recommended for management of types III or IV bone defects, and (4) use of an impaction grafting technique is another option for improvement of bone stock, and allograft prosthesis composite and proximal femoral replacement can be applied by experienced surgeons, in selected cases, as a final salvage solution. Stems with a tapered design are gradually replacing components with a cylindrical design as the first choice for femoral revision; however, further confirmation regarding the advantages and disadvantages of modular and nonmodular stems will be required through conduct of higher-level comparative studies.

The Wear Rate and Survivorship in Total Hip Arthroplasty Using a Third-generation Ceramic Head on a Conventional Polyethylene Liner: A Minimum of 15-year Follow-up

  • Bum-Jin Shim;Sung-Jin Park;Chan Ho Park
    • Hip & pelvis
    • /
    • v.34 no.2
    • /
    • pp.115-121
    • /
    • 2022
  • Purpose: The purpose of this study was to evaluate the wear and survival rates of third-generation ceramic heads on a conventional ultra-high molecular weight polyethylene liner. Materials and Methods: A total of 160 hips (147 patients with a mean age of 55.9 years) who underwent total hip arthroplasty using the third-generation ceramic head on a conventional polyethylene liner from March 1998 to August 2003 were reviewed retrospectively. Evaluation of the wear rate for 56 hips (49 patients) followed-up for at least 15 years was performed using the PolyWare program version 8 (Draftware Developers, USA). The Kaplan-Meier survivorship was also evaluated. Results: Linear wear and volumetric wear rates were 0.11±0.47 mm/year and 32.75±24.50 mm3/year, respectively. Nine revisions were performed during the follow-up period because of cup or stem loosening. The Kaplan-Meier survival rate, using cup revision or total revision total hip arthroplasty (THA) as the endpoint of analysis, was 93.7% at 15 years and 73.6% at 20 years. Conclusion: Because all revisions were performed between 15 and 20 years in our study, surgeons should pay greater attention to patients who underwent THA with ceramic-on-polyethylene bearing from 15 years postoperatively. Contemporary alumina ceramic on highly cross-linked polyethylene could certainly be a good alternative bearing couple providing better longevity.

Arthroscopic Iliopsoas Tenotomy of Iliopsoas Impingement after Total Hip Arthroplasty (고관절 전치환술 후 발생한 장요건 충돌의 관절경하 장요건 절단술)

  • Huh, Soon Ho;Choi, Byeong Yeol;Han, Sang Roc;Chung, Woo Chull
    • Journal of the Korean Orthopaedic Association
    • /
    • v.56 no.2
    • /
    • pp.125-133
    • /
    • 2021
  • Purpose: The clinical outcomes were investigated to determine if arthroscopic management is a useful method for 19 hips with iliopsoas tendon impingement (IPI) after total hip arthroplasty (THA). Materials and Methods: Eighteen patients (19 hips), who complained of groin pain and flexion pain that persisted after THA from September 2013 to December 2019, were the subjects of this investigation. The mean time to manifestation after THA was four months (range, 1-9 months) in patients of an average age of 60 years (range, 50-69 years). Thirteen out of 18 patients underwent THA using the direct anterior approach and five by the lateral approach. IPI was diagnosed by the medical history, physical examination, blood test, radiographic examination using X-ray and computed tomography, and topical injection therapy. All patients underwent arthroscopic treatment and a dynamic arthroscopic physical examination after exposure to the iliopsoas tendon revealed impingement. Tenotomy was then performed on the muscle portion through the total tendon portion. Symptoms and pain levels of preoperative, postoperative and follow-up period were investigated and compared. Results: The Western Ontario and McMaster Universities Osteoarthritis Index score decreased from an average of 58.4 (range, 40-88) before surgery to an average of 35.0 (range, 15-76) after surgery. Similarly, the visual analogue scale decreased from an average of 4.0 (range, 2-6) before surgery to an average of 1.4 (range, 0-4) after surgery. Sixteen patients (88.9%) showed pain relief and improvement in the straight leg raise test, and two patients showed postoperative muscle weakness and sustained pain. In the follow-up period, muscle weakness improved. One patient underwent arthroscopic iliopsoas tenotomy at the lesser trochanteric level but the symptoms persisted. The clinical symptoms were improved after one more tenotomy at the joint level. Conclusion: Arthroscopic iliopsoas tenotomy performed in patients with IPI after THA showed good clinical results.

THE EFFECT FOR PREOPERATIVE MEDICATION OF CHLOROPROMAZINE-HYDROCHLORIDE WITH PENTOTHAL SODIUM IN THE GOAT (산양에 있어서의 Pentothal Sodium anesthesia와 전처치제로써 Chloropromazine Hydrochloride에 대한 연구)

  • Han Bong Woo
    • Journal of the korean veterinary medical association
    • /
    • v.6 no.4
    • /
    • pp.13-23
    • /
    • 1962
  • It is Known that the Pentothal Sodium(P.S.) is the Ultrashortating Anesthesic and it is Reported that this is one of the Appropriate Medicine Without any harm to the body function of the goat(1.10) But an added injection is wanted when anesthesia more tha

  • PDF

Prediction of gate oxide breakdwon under constant current stresses (정전류 스트레스 하에서 게이트 산화막의 항복 특성 예측)

  • 정태식;최우영;이상돈;윤재석;김재영;김봉렬
    • Journal of the Korean Institute of Telematics and Electronics A
    • /
    • v.33A no.7
    • /
    • pp.162-170
    • /
    • 1996
  • A breakdown model of gate oxides under constant current stresses is proposed. This model directly relates the oxide lifetime to the stress current density, and includes statistical nature of oxide breakdown using the concept of "effective oxide thinning". It is shown tha this model can reliably predict the TDDB characteristics for any current stress levels and oxide areas.

  • PDF

A RHEORAPHIC INVESTIGATION OF THEEFFECT OF A ADRENERGIC DRUG AND ADRENERGIC BLOCKING DRUG ON BLOOD FLOW OF THE RABBIT SUBMAXILLARY GLAND (Propranolol 및 Isoproterenol이 토끼의 악하선 혈류량에 미치는 영향에 관한 연구)

  • Yun, Hui-Cheol;Lee, Jong-Heun
    • The Journal of the Korean dental association
    • /
    • v.14 no.1
    • /
    • pp.63-67
    • /
    • 1976
  • Experiments were conducted with rabbits to study the possibility that blood flow of submaxillary glands may play a role in salivary secretion. Varoious dosage of propranolol and isoproterenol were given via the jugular vein and tha investigation of blood flow in submaxillary glands were performed by means of rheographic method. Conclusion were that propranolol was affected scarecely and isoproterenol were affecred dramatically of blood flow in sibmaxillary gland.

  • PDF