• 대한족부족관절학회지
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• 제6권2호
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• pp.161-166
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• 2002

Purpose: To evaluate the effectiveness of distraction arthroplasty as treatment for moderate or severe ankle osteoarthritis Materials and Methods: Thirteen patients who underwent distraction arthroplasty using the Ilizarov external fixator were available. We removed osteophytes around the ankle before applying the external fixator. We encourage the patients to do active range of motion exercise and to walk with cruch. Follow-up averaged 15 months (range, 10-31 months). Both the patients' postoperative satisfaction and the radiographic joint space were retrospectively evaluated. Results: The duration from applying the external fixator to remove was 12 weeks. Breakage of the wire applied to the forefoot occurred in 2 cases. All patients satisfied with the postoperative clinical results. The ankle joint space averaged $1.6{\pm}0.2mm$ in pre-operative, $4.2{\pm}0.9mm$ in post-Ilizarov external fixator's removal, and $2.3{\pm}0.3mm$ in last follow-up ankle lateral view. Conclusion: We think that distraction arthroplasty with external fixator is useful operative method for the moderate or severe ankle osteoarthritis.

• 한국정밀공학회지
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• 제22권3호
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• pp.162-169
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• 2005

The functional external fixator system fur bone deformity near joints in legs using the worm gear was developed for curing the difference angles in fracture bone and the lengthening bar for curing the difference length in fracture bone. Both experiments and FE analysis were performed to compare the elastic stiffness in several loading modes and to improve the functional external fixator system for the bone deformity. The FE model using the compressive and bending FE analysis was applied to the FE analysis due to the angle differences. The results show that the compressive stiffness value in experiment was 175.43N/mm; the bending stiffness value in experiment was 259.74N/mm; compressive stiffness value in FEM was 188.67N/mm; bending stiffness value in FEA was 285.71N/mm. The errors between experiments and FEA were less than 10%. The maximum stress (157MPa) to the angle of clamp was lower than the yield stress (176.4MPa) of SUS316L. The stiffnesses in both axial compressive and bending of the new fixator are about 2 times higher than other products except EBI (2003).

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2004년도 추계학술대회 논문집
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• pp.1248-1251
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• 2004

The functional external fixator system for bone deformity near joints in legs using the worm gear was developed for curing the difference angles in fracture bone and the lengthening bar for curing the difference length in fracture bone. Both experiments and FE analysis were performed to compare the elastic stiffness in several loading modes and to improve the functional external fixator system for bone deformity near joints in legs. The FE model using the compressive and bending FE analysis was applied the FE analysis due to the angle differences. The results show that the compressive stiffness value in experiment was 175.43N/mm, the bending stiffness value in experiment was 259.74N/mm, compressive stiffness value in FEM was 188.67N/mm, bending stiffness value in FEA was 285.71N/mm. The errors between experiments and FEA were less than 10％. The maximum stress (157MPa) to the angle of clamp was lower than the yield stress (176.4MPa) of SUS316L. The stiffnesses in both axial compressive and bending of the new fixator are about 2 times higher than other products except EBI (2003).

• 대한족부족관절학회지
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• 제1권1호
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• pp.30-37
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• 1997

Pilon fracture is an intraarticular fracture of distal tibia. It is high energy injury with significantly associated soft tissue damage, bone comminution, and articular surface disruption. Until recently, this treatment has followed the AO principles, Because the risk of complications outweighs potential benefits, the principle of a Pilon fracture treatment are changing. Newer techniques using articulated external fixation minimize disturbance of the soft tissue envelope and have decreased these complications. Series of 5 patients with Pilon fracture were treated by articulated external fixator and followed up more than 12 monthes at the Department of orthopaedic surgery, Kang Dong Sacred Heart Hospital, College of medicine, Hallym University. The results were as follows: 1. The type of fracture were type C2(3 cases),type C3(2 cases) according to AO-$M{\ddot{u}}ller$ classification. 2. The clinical results according to functional criteria by Mast and Teipner were good in 4 cases and poor in 1 case, which is an old fracture. 3. Techniques utilizing articulated external fixator were associated with satisfactory results and appeared to significantly decrease the incidence of soft tissue complication, post-traumatic arthritis, osteoporosis, and fibrosis of ankle joint.

• Journal of Mechanical Science and Technology
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• 제20권2호
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• pp.234-241
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• 2006

A functional external fixator system for bone deformity near the joints using worm gear was developed for curing the angle difference in fracture bones while the lengthening bar was developed for curing the differences in length, also in fracture bones. Both experiments and FE analysis were performed to compare the elastic stiffness in several loading modes and to improve the functional external fixator system for bone deformity near joints. The FE model using compressive and bending FE analysis was applied due to the angle differentiations. The results indicate that compressive stiffness value in the experiment was 175.43N/mm, bending stiffness value in the experiment was 259.74 N/mm, compressive stiffness value in the FEA was 188.67 N/mm, and bending stiffness value in the FEA was 285.71 N/mm. Errors between experiments and FEA were less than $10\%$ in both the 'compressive stiffness and the bending stiffness. The maximum stress (157 MPa) applied to the angle of the clamp was lower than the yield stress (176.4 MPa) of SUS316L. The degree of stiffness in both axial compression and bending of the new fixator are about 2 times greater than other products, with the exception of EBI (2003).

• 한국임상수의학회지
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• 제23권3호
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• pp.291-299
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• 2006

During long bone lengthening, there are many disadvantages including axial deviation, malalignment and re-fracture which are commonly encountered inspite of its proven abilities. To study the effects of intramedullary K-wire application on the lengthening of long bone, ten skeletally mature mongrel dogs were separated into two groups(Group I, II). Right femurs of group I(5 dogs) were fixed with only monolateral external fixator after subperiosteal osteotomy. Right femurs of group II(5 dogs) were fixed with mono lateral external fixator and intramedullary K-wire after subperiosteal osteotomy. Lengthening was started at 7 days after the surgery with the rate of 0.5 mm per day for 5 weeks and the dogs were sacrificed after 15 weeks postoperatively to examine histologic differences and evaluate bone mineral density. Radiographic examination at an interval of two weeks was done to evaluate the type of callus formed and to analyze complications including instability of external skeletal fixation and axial deviation. Bone mineral density at the lengthened area and contralateral nonlengthened area were measured using quantitative computerized tomography. Histological examination of regenerated bone was performed using Masson's trichrome stain method. The radiographs demonstrated poor callus formation, higher incidence of axial deviation and screw loosening in the group I compared to the group II. The bone mineral density at the lengthened area in the group II was higher than that of the group I(P<0.05). Histological examination showed that the new bone trabeculae in the group II were greater than that of the group I. In conclusion, the combination of monolateral external fixator and intramedullary K-wire can prevent pin loosening, axial deviation and reduce healing period in dogs.

• 재활복지공학회논문지
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• 제2권1호
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• pp.5-17
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• 2009

골에 삽입한 후 체외고정구에 결합하여 조절함으로써 골절회복(장골의 개방성골절, 연부조직의 재건술 및 관절고정술 등)에 사용되는 금속나사를 특별히 고안한 절삭도구와 연삭기구 및 독자적인 후처리 공정을 통하여 국내기술로 처음 개발, 상품화하였다. 개발된 제품과 수입제품의 비교실험을 실시한 결과, 수입제품대비 평균 103%의 특성을 나타내었다. 이 제품의 개발에 적용된 설계기법 및 후처리 공정과 요소실험 결과들을 소개한다.

• 대한족부족관절학회지
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• 제6권1호
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• pp.73-79
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• 2002

Purpose: To evaluate the effectiveness of callotasis using the external fixator for the treatment of brachymetatarsia. Materials and Methods: Eleven patients(15 cases) who underwent callotasis were available. Follow-up averaged 23 months(15-38 months). Both the patients' postoperative satisfaction and the postoperative radiographic results were retrospectively evaluated. Results: The duration from applying the external fixator to remove averaged 15 weeks (8-21 weeks). We did osteotomy again in two cases because of early consolidation at the osteotomy site during distraction period. All cases were evaluated mild claw toe deformity and motional pain in metatarsophalangeal joint, but all patients satisfied the postoperative results except one complained motional pain and stiffness in metatarsophalangeal joint. The metatarsal shortening averaged 13mm(9-18mm) before operation. The amount of distraction for shortened metatarsals averaged 15mm(5-22mm). We found the 6 cases of narrowing of the metatarsophalangeal joint, 2 cases of subluxation of the metatarsophalangeal joint. Conclusion: We think that callotasis with external fixator is good operative method for the brachymetatarsia.

• 한국임상수의학회지
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• 제29권2호
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• pp.198-201
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• 2012

한달 된 한우 수송아지가 오른쪽 뒷다리 체중부하를 못하는 문제를 가지고 전북동물의료센터에 내원하였다. 방사선검사와 CT 검사 상에서 Salter-Harris III형의 먼쪽 정강뼈 성장판 골절로 진단하였다. 개방골절정복 후 교차핀을 이용하여 고정한 후 임시 외부 골격 고정장치를 이용하여 5주 동안 추가적인 지지를 실시하였다. 수술 5주 후 방사선사진 검사에서 골절된 뼈의 유합이 관찰 되었다. 수술2년 후 과도한 움직임 뒤에 미약한 체중부하 파행이 관찰 되었지만, 거의 정상 수준으로 보행이 가능하였다. 송아지에서 이와 같은 증례는 매우 드물고 교차핀과 추가적인 임시 외부 골격 고정장치를 이용한 골절 정복법은 먼쪽 정강뼈 골절 치료에 유용하게 사용될 거라고 생각 된다.

• 한국공작기계학회:학술대회논문집
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• 한국공작기계학회 2000년도 춘계학술대회논문집 - 한국공작기계학회
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• pp.310-315
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• 2000

In this paper, the problems of the external fixator that have developed for a distal radius fracture so far are analyzed, and accordingly, the characterizations, which must have a prototype, are arranged. C-Arm is used. This instrument makes it possible for the real play of the internal body by x-ray permeability. From this data, it is possible to induce important design factors. Finally, a basic mechanism, which has to be applied, is decided, and the Solid Edge program, which used a 3-D design tool, completes then total instrument design.