• Title/Summary/Keyword: bone strength

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Ten technical aspects of baseplate fixation in reverse total shoulder arthroplasty for patients without glenoid bone loss: a systematic review

  • Reinier W.A. Spek;Lotje A. Hoogervorst;Rob C. Brink;Jan W. Schoones;Derek F.P. van Deurzen;Michel P.J. van den Bekerom
    • Clinics in Shoulder and Elbow
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    • v.27 no.1
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    • pp.88-107
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    • 2024
  • The aim of this systematic review was to collect evidence on the following 10 technical aspects of glenoid baseplate fixation in reverse total shoulder arthroplasty (rTSA): screw insertion angles; screw orientation; screw quantity; screw length; screw type; baseplate tilt; baseplate position; baseplate version and rotation; baseplate design; and anatomical safe zones. Five literature libraries were searched for eligible clinical, cadaver, biomechanical, virtual planning, and finite element analysis studies. Studies including patients >16 years old in which at least one of the ten abovementioned technical aspects was assessed were suitable for analysis. We excluded studies of patients with: glenoid bone loss; bony increased offset-reversed shoulder arthroplasty; rTSA with bone grafts; and augmented baseplates. Quality assessment was performed for each included study. Sixty-two studies were included, of which 41 were experimental studies (13 cadaver, 10 virtual planning, 11 biomechanical, and 7 finite element studies) and 21 were clinical studies (12 retrospective cohorts and 9 case-control studies). Overall, the quality of included studies was moderate or high. The majority of studies agreed upon the use of a divergent screw fixation pattern, fixation with four screws (to reduce micromotions), and inferior positioning in neutral or anteversion. A general consensus was not reached on the other technical aspects. Most surgical aspects of baseplate fixation can be decided without affecting fixation strength. There is not a single strategy that provides the best outcome. Therefore, guidelines should cover multiple surgical options that can achieve adequate baseplate fixation.

The Treatment for Kienbo${\ddot{o}}$ck's Disease using the Fourth Extensor Compartment Artery Vascularized Bone Graft: Preliminary Results (제 4 신전구획동맥 혈관부착 골 이식술을 이용한 키엔벡 질환의 치료: 예비 결과)

  • Kang, Soo-Hwan;Kim, Hyoung-Min;Jeong, Chang-Hoon;Lee, Sang-Uk;Lee, Kang-Wook;Park, Il-Jung
    • Archives of Reconstructive Microsurgery
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    • v.20 no.1
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    • pp.43-50
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    • 2011
  • Lunate revascularization with the vascularized bone grafts is a current concept in the treatment of Kienbo${\ddot{o}}$ck disease. The aim of this study is to present our experience and preliminary results of the treatment using the fourth extensor compartment artery (4 ECA) vascularized bone graft for Kienbo${\ddot{o}}$ck disease. Between May 2009 and June 2010, five patients (3 men and 2 women) with Kienbo${\ddot{o}}$ck disease were treated with 4 ECA vascularized bone grafts. The mean age was 32.8 years and mean follow-up time was 13 months. The patients were composed of two patients in stage II and three patients in stage IIIa according to Lichtman's classification. Modified Mayo wrist score including pain, grip strength, range of motion and functional status and radiographic parameters such as carpal height ratio and radioscaphoid angle were evaluated at a final follow-up. Pain was markedly diminished and modified Mayo wrist score was 82 at last follow up period. There were no or little changes in carpal height ratio and radioscaphoid angle. All patients showed satisfactory bony union and no further lunate collapse on follow-up radiographs. The 4 ECA vascularized bone graft is a reliable alternative procedures among revascularization procedures for treatment of Kienbo${\ddot{o}}$ck's disease. It is less invasive and has low risk of kinking of pedicle compared to the 4+5 ECA vascularized bone graft. However, long term follow-up and MRI evaluation at follow up period should be needed for the future.

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Tracking of Physique and Physical Fitness According to Bone Age in Athletically Gifted Children from age 7 to age 12 years : 3 year Longitudinal Study (남녀 초등학교 체육영재 학생들의 골연령에 따른 체격, 체력변화에 관한 종단연구)

  • Kim, Do-Youn;Kim, Won-Hyun;Kim, Young-Wook
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.309-317
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    • 2018
  • The purpose of this study was to investigate the effect of bone age on physique and physical fitness in elementary school students. For this purpose, the structural equation model test was conducted based on the three-year longitudinal study. The results were as follows. First, bone age in boys and girls (1st~3rd grade) has a direct effect on the change of body size, but it does not affect the change of physical strength. Second, the bone age of the senior male students(4~6 grade) gave a direct effect on the change of physique, 50m running, and sit-up. On the other hand, it gave an indirect effect on push-ups, sitting basketball throws, and standing long jump. Third, the bone age of the female students(grades 4~6) affected directly on body size change, sit-up, side step and indirect effect on 50m running, half squat jump, and standing long jump. These results indicated that the evaluation of the bone age of the subjects should be included in the exercise ability evaluation items for the male and female students in elementary school over the fourth grade in relation to the myofunction.

The Effect of Surface Area Implant on Bonding Strength between Implant and Bone (임프란트의 외표면적이 임프란트와 골과의 결합력에 미치는 영향)

  • Jo, Seong-Am
    • Korean Journal of Materials Research
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    • v.8 no.7
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    • pp.613-615
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    • 1998
  • 임프란트의 외표면적이 골과의 결합의 정도에 미치는 영향을 알아보기 위하여 10개의 grade ll 티타늄 임프란트를 사용하여 이를 직경 3미리와 5미리의 2개의 군으로 나누어 10마리의 토끼의 무릅뼈에 삽입하였다. 6주후에 동물들을 희생시키고 회전제거력을 Tohnichi 15-BTG-N Torque garge Manometer로 측정하여 5nmwlrrud 그룹의 회전제거력이 3mm직경 그룹의 회전제거력보다 큰 것을 확인하였다. (p=0.008)

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A Study on Effect of Physical Proeprteis of Additives to Bone China Body (골회자기 소지의 제물성에 미치는 첨가제의 영향)

  • 이응상;이성희
    • Journal of the Korean Ceramic Society
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    • v.26 no.2
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    • pp.289-295
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    • 1989
  • The properteis of the composition of second reports with Al2O3 and CaO have been investigated. The amount of Al2O3 addition was 5-20w/o, the composition ranges of maximum strength and the microstructure have been studied. In the same method, the effects of CaO on the theoretical composition of tricalcium phosphate have been studied.

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Development of the Bone Type Concrete Spacer with Crack Resistance for Construction (시공균열저항성을 갖는 본타입 콘크리트 스페이서 개발)

  • Lee, Min-Jae;Kim, Ji-Ho;Sung, Jong-Hyun;Choi, Duck-Jin;Kim, Jin-Man
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2012.11a
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    • pp.35-38
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    • 2012
  • Spacers which we have studied is the secondary product of the concrete to apply on concrete structure. It is needed to secure equal or greater performance than structural concrete that it is applied. There is a tendency that concrete structures are strengthened more and more. Therefore, designed set up position of reinforcement is used more and more, so it is needed increasingly high strength spacer. We have been doing a series of research to develop the different typed high strength spacer having crack resistance during constructing. The bearing load of different type spacer shows approximately 35% lower load than those in the general spacers.

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A Study on the Hydroxyapatite-Zirconia Composite Bioceramics (Hydroxyapatite Zirconia 계 복합 Bioceramics에 관한 연구)

  • 이종필;최현국;송종택;최상흘
    • Journal of the Korean Ceramic Society
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    • v.28 no.4
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    • pp.289-296
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    • 1991
  • Hydroxyapatite (HAp)-zirconia bioceramics, which have excellent biocompatibility with tissue of bone and tooth and good mechanical properties, were synthesized, and their properties and biocompatibility were investigated. HAp powders were synthesized with Ca/P=1.67 and pH 11 by precipitation method. A fine spherical monodispersed ZrO2 powders were prepared by metal alkoxide method, and then they were partially stabilized with 10 mol% CaO by solid state reaction at 1300℃. HAp-zirconia composites were prepared by sintering of these HAp mixed with various amount CaO-partially stabillized zirconia (PSZ). When HAp containing 15 wt% PSZ with 10 mol% CaO (PSZ(10C)) were sintered at 1250℃, it was prevented to decompose into TCP and ZrO2 was uniformly dispersed at HAp matrix. Mechanical strength of these sintered bodies were increased by addition of 15 wt% PSZ(10C), the bending strength of compacts fired at 1250℃ was 165 MPa. HAp-PSZ composites chemically bonded each other in Ringer's solution and the component of bonded layer was HAp. These composites did not prevent cell-growing and exhibit any cytotoxic effects.

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Delayed Lateral Row Anchor Failure in Suture Bridge Rotator Cuff Repair: A Report of 3 Cases

  • Jeong, Jae-Jung;Ji, Jong-Hun;Park, Seok-Jae
    • Clinics in Shoulder and Elbow
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    • v.21 no.4
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    • pp.246-251
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    • 2018
  • Compared to single row repair, use of lateral row anchors in suture bridge rotator cuff repair enhances repair strength and increases footprint contact area. If a lateral knotless anchor (push-in design) is inserted into osteoporotic bone, pull-out of the lateral row anchor can developed. However, failures of lateral row anchors have been reported at several months after surgery. In our cases, even though complete cuff healing occurred, delayed pull-out of the lateral row anchor in the suture bridge repair occurred. In comparison to a conventional medial anchor, further biomechanical evaluation of the pull-out force, design, and insertion angle of the lateral anchor is needed in future studies. We report three cases with delayed pull-out of lateral row anchor in suture bridge rotator cuff repair with a literature review.

Dental Properties of Hydroxyapatite Filled Polymer Composite (수산화인회석이 충전된 고분자 복합체의 치과적 물성)

  • Seo, Kitaek;Yoon, Jingu;Kim, Juhwan;Kim, Ohyoung
    • Applied Chemistry
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    • v.9 no.2
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    • pp.25-28
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    • 2005
  • To evaluate the dental restorative application of polymer composites filled with hydroxyapatite (HAP) which is an inorganic component of human bone material, dental properties of the polymer composites were investigated. A visible light system was utilized to activate the acrylate resin matrix of the composites. Maximum loading percentage of HAP in composite was 65 wt% and the depth of cure was 6.0 mm which can be applicable for dental restoration. With increasing the HAP content, degree of conversion of polymer composites was slightly decreased, however, polymerization shrinkage value was not varied. Diametral tensile strength value was enhanced with an increase of HAP content, however, there was no strict trend between flexural strength and HAP concentration. Anyhow, polymer composites prepared herein have superior mechanical properties sufficient specifications applicable to dental materials.

Benefits and Risks of Whole Body Vibration Based Acceleration Training (전신 진동기반 중력가속 운동의 효과와 위험성)

  • Lee, Woon-Yong
    • Journal of Wellness
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    • v.7 no.2
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    • pp.101-111
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    • 2012
  • The benefits and risks of whole body vibration (WBV) based acceleration training on the human body have been documented for many years. WBV training has been shown to increase muscular strength, explosive power, bone strength, performance, mobility, cardiovascular function, circulation and anabolic hormone level and so on. The purpose of this review is correct understanding and application of WBV training. Without proper understanding, rather, to apply WBV to the human body can be fatal harm, and therefore know that what is vibration and has advantages and disadvantages. If there is anything positive side there is bound to the negative aspects. In this regard, WBV training can have a positive impact on the already confirmed by several studies and also, there have been scientifically proven. But still we are part of a scientific approach that is acceptable even to keep in mind that you will always coexist. Once again, the effect of WBV with a physical stimulus that risk and should be remembered. In addition, given the momentum and how to exercise and well-being well aware that vibration exercise as a way to think of how not to be familiar with.