• Title/Summary/Keyword: THA

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Dislocation after Revision Total Hip Arthroplasty: A Comparison between Dual Mobility and Conventional Total Hip Arthroplasty

  • Hyun Sik Shin;Dong-Hong, Kim;Hyung Seok Kim;Hyung Seob Ahn;Yeesuk Kim
    • Hip & pelvis
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    • v.35 no.4
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    • pp.233-237
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    • 2023
  • Purpose: The objective of this study was to analyze the results from a cohort of patients who underwent a revision total hip arthroplasty (THA) using a dual mobility cup (DMC) implant. Materials and Methods: A retrospective review of revised THAs was conducted using the database from a single tertiary referral hospital. A total of 91 revision THAs from 91 patients were included in the study. There were 46 male hips and 45 female hips. The mean age was 56.3±14.6 years, and the mean follow-up period was 6.4±5.9 years. In performance of revision THAs, the DMC implants were used in 18 hips (19.8%), and the conventional implants were used in 73 hips (80.2%). Results: During the follow-up period, three dislocations were identified, and the overall dislocation rate was 3.3%. Early dislocation (at one month postoperatively) occurred in one patient, while late dislocation (at a mean of 7.5 years) occurred in two patients. There was no occurrence of dislocation in the DMC group (0%), and three dislocations were detected in the conventional group (4.1%). However, no significant difference in the rate of dislocation was observed between the two groups (P=0.891). Conclusion: Although the rate of dislocation was higher in the conventional group, there were no statistically significant differences between the two groups due to the small number of patients. Nevertheless, we believe that the dual mobility design is advantageous in terms of reducing dislocation rate and can be recommended as an option for a revision THA.

The Value of Computed Tomography Scan in Three-dimensional Planning and Intraoperative Navigation in Primary Total Hip Arthroplasty

  • Fabio Mancino;Andreas Fontalis;Ahmed Magan;Ricci Plastow;Fares S. Haddad
    • Hip & pelvis
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    • v.36 no.1
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    • pp.26-36
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    • 2024
  • Total hip arthroplasty (THA) is a frequently performed procedure; the objective is restoration of native hip biomechanics and achieving functional range of motion (ROM) through precise positioning of the prosthetic components. Advanced three-dimensional (3D) imaging and computed tomography (CT)-based navigation are valuable tools in both the preoperative planning and intraoperative execution. The aim of this study is to provide a thorough overview on the applications of CT scans in both the preoperative and intraoperative settings of primary THA. Preoperative planning using CT-based 3D imaging enables greater accuracy in prediction of implant sizes, leading to enhancement of surgical workflow with optimization of implant inventory. Surgeons can perform a more thorough assessment of posterior and anterior acetabular wall coverage, acetabular osteophytes, anatomical landmarks, and thus achieve more functional implant positioning. Intraoperative CT-based navigation can facilitate precise execution of the preoperative plan, to attain optimal positioning of the prosthetic components to avoid impingement. Medial reaming can be minimized preserving native bone stock, which can enable restoration of femoral, acetabular, and combined offsets. In addition, it is associated with greater accuracy in leg length adjustment, a critical factor in patients' postoperative satisfaction. Despite the higher costs and radiation exposure, which currently limits its widespread adoption, it offers many benefits, and the increasing interest in robotic surgery has facilitated its integration into routine practice. Conducting additional research on ultra-low-dose CT scans and examining the potential for translation of 3D imaging into improved clinical outcomes will be necessary to warrant its expanded application.

Surgeon's Experience and Accuracy of Preoperative Digital Templating in Primary Total Hip Arthroplasty

  • Maria Surroca;Silvia Miguela;Agusti Bartra-Ylla;Jorge H. Nunez;Francesc Angles-Crespo
    • Hip & pelvis
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    • v.36 no.2
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    • pp.129-134
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    • 2024
  • Purpose: Preoperative planning has become essential in performance of total hip arthroplasty (THA). However, data regarding the effect of the planner's experience on the accuracy of digital preoperative planning is limited. The objective of this study was to assess the accuracy of digital templating in THA based on the surgeon's experience. Materials and Methods: A retrospective study was conducted. An analysis of 98 anteroposterior pelvic radiographs, which were individually templated by four surgeons (two hip surgeons and two orthopaedic residents) using TraumaCad® digital planning, was performed. A comparison of preoperatively planned sizes with implanted sizes was performed to evaluate the accuracy of predicting component size. The results of preoperative planning performed by hip surgeons and orthopaedic residents were compared for testing of the planner's experience. Results: Femoral stem was precisely predicted in 32.4% of cases, acetabular component in 40.3%, and femoral offset in 76.7%. Prediction of cup size showed greater accuracy than femoral size among all observers. No differences in any variable were observed among the four groups (acetabular cup P=0.07, femoral stem P=0.82, femoral offset P=0.06). All measurements showed good reliability (intraclass correlation coefficient [ICC] acetabular cup: 0.76, ICC femoral stem: 0.79). Conclusion: The results of this study might suggest that even though a surgeon's experience supports improved precision during the planning stage, it should not be restricted only to surgeons with a high level of experience. We consider preoperative planning an essential part of the surgery, which should be included in training for orthopaedics residents.

Precision Position Control of PMSM using Neural Network Disturbance Observer and Parameter Compensator (신경망 외란관측기와 파라미터 보상기를 이용한 PMSM의 정밀 위치제어)

  • Ko J.S.;Lee T.H.
    • Proceedings of the KIPE Conference
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    • 2003.07a
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    • pp.393-397
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    • 2003
  • This paper presents neural load torque observer tha used to deadbeat load torque observer and regulation of the compensation gun by parameter estimator. As a result, the response of PMSM follows that of the nominal plant. The load torque compensation method is compose of a neural deadbeat observer. To reduce of the noise effect, the post-filter, which is implemented by MA process, is adopted. The parameter compensator with RLSM (recursive least square method) parameter estimator is adopted to increase the performance of the load torque observer and main controller. The parameter estimator li combined with a high performance neural torque observer to resolve the problems. As a result, the proposed control system becomes a robust and precise system against the load torque and the parameter variation. A stability and usefulness, through the verified computer simulation, are shown in this paper

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Representation and recognition of polyhedral objects in a single 2-D image using the signature technique (하나의 2차원 영상에서 표면의 signature를 이용한 다면체의 표현 및 인식 알고리즘)

  • 이부형;한헌수
    • Journal of the Korean Institute of Telematics and Electronics S
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    • v.34S no.2
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    • pp.63-70
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    • 1997
  • This paper proposes a new algorithm for recognizing polyhedral objects using a single 2-D image. It is base don a new representation scheme having two level hierarchey. In the lower level, geometrical features of each primitive surface are represented using their signatures and the variation of signature due to rotation is represented suing the rotation map. In the higher level, topological features are represented in the inter-surface description table(SDT). Based on the proposed representaton scheme, loer level database searched to find a matching primitive surface. The srotation map determines the degree of rotation as well as the matchness. If all surfaces in a test object find their matching primitive surfaces, its structural information is compared with the SDTs of object models. If primitive surfaces of a test object equal to tha tof certain model and satisfy inter-surfaces relationship in SDT, a test object is recognized as the model.

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A STUDY OF COMPARATIVE GROWTH DYNAMICS AND TOTAL PROTEINS BETWEEN GRANULATION TISSUE FIBROBLASTS AND NORMAL FIBROBLASTS (만성 염증시 치주 결체조직 세포 성장 및 총 단백질 변화에 관한 연구)

  • Lim, Jeong-Su;Oh, Kwi-Ok;Kim, Hyung-Sup
    • Journal of Periodontal and Implant Science
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    • v.23 no.1
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    • pp.135-143
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    • 1993
  • The investigation was undertaken to determin the altered function and structure of granulation tissue fibroblasts. Human granulation-tissue fibroblasts were cultured from periodontal chronic inflammatory lesions (SBI index : above 3) and compared with healthy gingival connective tissues fibroblasts a control(SBI index : below 1). Granulation tissue fibroblasts proliferated with a slower growth rate and exhibited larger cell size than control cells. Total protein profile of granulation tissue fibroblasts was almost identical to that of control cells with some exception. These results support tha theory that granulation tissue fibroblasts represent a distinct phenotype of fibrotic cells.

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The effects of high hell on back muscle fatigue (High Heel이 허리 근육 피로에 미치는 영향에 관한 연구)

  • 현수돈;김정룡
    • Journal of the Ergonomics Society of Korea
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    • v.16 no.3
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    • pp.37-48
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    • 1997
  • It is very common for women wear shoes with a high heel. It has been known that the high heel could disfigure the foot shape and cause various joint problems including back pain. However, few quantitative studies have been conducted. Therefore, in this study, the low back muscle has been investigated in order to find fatifue effect due to different heights of the heel. In particular, 0, 4, 6 and 8cm heel and two different shapes of heel have been used for an experiment. Ten healthy female subjects volunteered for the study. Isometric Trunk Exertion Frame(ITEF) and Electromyography were used to measure tha Median Frequency via Spectral analysis. The results indicated that the heel height significantly affected the local muscle fatigue of the back. After post hoc analysis, it was found that a proper heel height ougth to be lower than 5cm not to have severely fatigued back muscle after a casual walk for an hour. Such results could be applies to female industrial workers in order to prevent a cumulative trauma disorder of the back, and also to design a female dress shoes minimizing low back fatigue.

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Analysis of Actuating and Joint Reaction Forces for Various Drivings in Multibody Systems with Closed-Loops (페루프를 포함하는 다물체계에 있어서 구동방법에 따른 구동력 및 조인트 반력 해석)

  • Lee, Byeong-Hun;Choe, Dong-Hwan
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.24 no.6 s.177
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    • pp.1470-1478
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    • 2000
  • Analysis of actuating forces and joint reaction forces are essential to determine the capacity of actuators, to control the system and to design the components. This paper presents an algorithm tha t calculates actuating forces(or torques) depending on the various driving types to produce a given system motion. The joint reaction forces(or torques) of multibody systems with closed-loops are analyzed in the Cartesian coordinate space using the inverse velocity transformation technique. Two numerical examples were carried out to verify the algorithm proposed.

HPLC Analysis of Free Malonaldehyde in Nine Ginseng Polyacetylene-Treated Liver Microsome (인삼의 9종 폴리아세틸렌으로 처리한 간소포체 중의 유리 말론알데히드의 HPLC에 의한 분석)

  • Kim, Hye-Young;Kim, Shin-Il
    • Journal of Ginseng Research
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    • v.14 no.3
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    • pp.373-378
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    • 1990
  • Free malonaldehyde was determined in nine kinds of ginseng polyacetylene-treated micro- some by HPLC analysis. Antioxidant activities of some phenolic compounds and ginseng saponin were also drtermined both by a new HVLC method and by THA method. A new HPLC system separaterl malonaldehyde at a retention time 5,6 min and showed a linear relationship between the peak are a and malonaldehyde concentration. Panaxnol showed the strongest activity among nine polyacetylenes and the addition of either chlorine or aletyl group reduced polyacetylene's own activity. Since C14-polyacetylenes such as panaxyne and panaxyne-epoxide had little or no antioxidant activities, S17-structure should be preserved to exert a radical-scvenging or trapping activity. The antioxidant activities of chlorogenic acid, ferulic acid and catechol were much weaker than those of C17-polyacetylenes. Ginseng saponin showed no antioxidant activity. Since TBA reactive substances and malonaldehyde contents were almost the same in peroxiedized microsome. TBA value seems a good indicator for lipid peroxidation in this particular Fe+3 ADP/NADPH system.

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Implementation of Radio Frequency Communication System based Serial UART Communication (직렬 UART 통신 기반 rf 통신 시스템 구현)

  • Jin, Hyun-Soo
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.257-264
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    • 2014
  • Through MCU model, Radio Frequency communication is completed using universal asynchronous receiver and transmitter. The communicatin with PC and MCU is completed using RS-232 cable. At first interconnected communication with PC and MCU is necessary for RF communication because tha UART is based technique for RF communication. Program imbeded in microcontroller unit is ran during RF signal is transmitted to other RF module. Data connected with PC and MCU is transmitted between PC and MCU during PC and MCU is connected.