• 셀메드
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• 제5권2호
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• pp.10.1-10.3
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• 2015

Arthritis is a major cause of joint pain, stiffness, and subsequent disability which adversely affects quality of life. Seriously, it can lead to long term social and psychological effects including loss of independence, depression, and anxiety. Arthritis is usually treated with joint replacement surgery or medications. However, the artificial joint is temporary and pharmacological measures have side effects, such as addiction or hypersensitivity. Thus, orthotics has been developed to improve arthritis as a nonpharmacological measure. The increased regional load across compartments of articular cartilage is an important factor in the cause of the arthritis. Mubal$^{(R)}$, a clinical shoe insole, has a sliding function to help people to walk straight and realign the body balance. The slide of Mubal$^{(R)}$ reduces the knee joint loading in patients with arthritis. In addition, pumping function of Mubal$^{(R)}$ can mitigate arthritis by stretching the squashed nerves from lumbar to cervical vertebral and actively circulating blood of pelvic limb. In addition, Mubal$^{(R)}$ could help to stimulate the growth plate. Therefore, Mubal$^{(R)}$ can be used for the child with short stature as well as patients with arthritis.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제39권
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• pp.6.1-6.6
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• 2017

Background: The purpose of this study is to evaluate the outcomes of four patients receiving stock Biomet TMJ prosthesis for reconstruction of the TMJs. Methods: TMJ reconstruction with stock Biomet TMJ prosthesis was performed in four patients who had joint damages by trauma, tumor, resorption, and ankylosis, which represent the indications of alloplastic prosthesis. Results: Loss of condyle from trauma and resorption of joint are good indications for prosthesis, but the patients should be informed about limitation of jaw movement. In case of structural damage of TMJ by tumor, tumor recurrence should be considered before planning TMJ reconstruction. Considering heterotopic bone formation in case of ankylosis, periodic follow-up and special surgical technique are required. Conclusions: Given careful treatment planning and understanding the functional limitation of TMJ prosthesis, alloplastic prosthesis is a safe and effective management option for the reconstruction of TMJs.

• 대한전기학회논문지:시스템및제어부문D
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• 제53권3호
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• pp.173-181
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• 2004

In normal robot control systems without any actuator failures, it is assumed that actuator torque coefficients applied at each joint have normally 1's all the time. However, it is more practical that actuator torque coefficients applied at each joint are nonlinear time-varying. In other words, it has to be considered that actuators equipped at joints may fail due to hardware or software faults. In this work, actuator torque coefficients are assumed to have non-zero values at all joints. In the case of an actuator torque coefficient which has a zero value at a joint, it means the complete loss of torque on the joint. This paper doesn't deal with the case. As factors of performance degradation of robots, both actuator failures and uncertainties are considered in this paper at the same time. This paper proposes a robust adaptive fault-tolerant control scheme to maintain the required performance and achieve task completion for robot manipulators with performance degradation due to actuator failures and uncertainties. Simulation results are shown to verify the fault tolerance and robustness of the Proposed control scheme.

• 대한족부족관절학회지
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• 제25권1호
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• pp.50-53
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• 2021

Ankle arthrodesis has been used frequently for end-stage ankle arthritis that does not respond to conservative treatment. On the other hand, there are concerns regarding the degenerative changes to the adjacent joint, such as the subtalar or talonavicular joint, due to the altered biomechanics after the loss of ankle motion. Because the arthrodesis for these midtarsal joints may overload stress on another contiguous joint, a salvage procedure should be considered rather than joint sacrificing. This paper reports a case of talonavicular arthritis after malunited ankle arthrodesis that was treated with interpositional arthroplasty using the tibialis anterior tendon.

• Clinics in Shoulder and Elbow
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• 제11권2호
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• pp.165-171
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• 2008

목적: 급성 견봉 쇄골 관절 탈구에서 TightRope$^{(R)}$를 이용한 수술 술기를 소개하고 유용성 및 예비 결과를 알아보고자 한다. 대상 및 방법: 총 10예를 대상으로 하였으며, 평균 추시 기간은 12.4(8~16)개월이었다. 견봉 쇄골 관절의 내측 1 cm 부위에서 오구돌기 방향으로 4 cm의 피부 절개를 가하여 삼각근을 분리한 후 TightRope$^{(R)}$를 이용하여 오구 쇄골 인대 강화술을 시행하였으며, 술후 안정성을 주기 위해 2개의 1.6 mm K-강선을 이용하여 일시적인 견봉 쇄골 관절 고정술을 시행하였다. 방사선학적 평가는 단순 방사선 사진을 이용하였고, 임상적 평가는 UCLA 평가 점수를 이용하였다. 결과: 방사선학적 평가에서는 해부학적 정복이 7예, 경도의 정복 소실이 2예, 중등도의정복 소실이 1예였다. UCLA 점수는 평균 30.8(24~35)점으로 우수 6예, 양호 3예, 보통 1예였다. 결론: 급성 견봉 쇄골 관절 탈구에서 TightRope$^{(R)}$를 이용한 치료는 최소 침습적이며, 비교적 술기가 간편하고 안정된 고정을 얻을 수 있는 방법으로 생각된다. 그러나 정확한 결과 분석을 위해서는 장기 추시 관찰이 필요할 것으로 사료된다.

• 전기학회논문지
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• 제62권7호
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• pp.1009-1013
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• 2013

In this study, we developed a fiber-optic goniometer for the continuous measurement of knee joint angle which provides important medical information on Alzheimer's disease. The fiber-optic goniometer is composed of a light-emitting diode (LED), a plastic optical fiber (POF), and a voltage output photodiode (PD). As a sensing part of the fiber-optic goniometer, a unclad fiber with regular intervals of 1 mm was fabricated to improve efficiency of bending loss according to the angle variation of knee joint. The emitting light with a center wavelength of 470 nm from a LED is guided by a POF to the PD, the transmitted light is then attenuated by the bending loss inside the bent POF. The intensity variation of the light transmitted from the POF gives rise to a change in output voltage in the fiber-optic goniometer. Therefore, we measured the real-time output voltage of the proposed fiber-optic goniometer using the unclad fiber according to the knee joint angle. Through the repeated experiments, the fiber-optic goniometer shows that it has a reversibility and a wide measurable angle range.

• Archives of Hand and Microsurgery
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• 제23권4호
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• pp.248-253
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• 2018

목적: 변형-내초점 핀 고정술을 통한 골성 망치 수지의 해부학적인 직접 정복에 대한 임상적 결과를 알아보고자 한다. 방법: 2014년 3월부터 2017년 10월까지 18명의 골성 망치 수지 환자를 대상으로 K-강선을 이용하여 골편을 직접 정복하는 방법인 변형-내초점 핀 고정술을 시행하였다. 수술 후 통증, 관절 운동 범위, 방사선적인 평가를 시행하였다. 또한 골유합 시기, 기능 회복 정도, 합병증 발생률을 평가하였고, 수술 후 기능적 예후를 판정하기 위해 Crawford의 평가 기준을 이용하였다. 결과: 평균 6주(5-7주)에 방사선적 골유합을 얻었다. 전체 환자에서 평균 $2.8^{\circ}$ ($0^{\circ}-10^{\circ}$)의 신전 소실(extension loss)이 발생하였다. 모든 환자에서 관절면의 일치와 만족스러운 관절면의 재형성이 관찰되었으며, 최종 외래 추시에서 원위지간 관절의 평균 굴곡각은 $72.2^{\circ}$ ($70^{\circ}-75^{\circ}$)였다. Crawford의 평가 기준으로 아주 만족이 12명(66.7%), 만족이 6명(33.3%)이었다. 결론: 변형-내초점 핀 고정술은 골편을 직접 정복 후 고정하여 해부학적 정복을 얻는 방법으로 기존의 다른 경피적 핀 고정술들과 결합하여 적절한 적응증에 적용한다면 좋은 결과를 얻을 수 있을 것으로 기대한다.

• 한국윤활학회:학술대회논문집
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• 한국윤활학회 2002년도 proceedings of the second asia international conference on tribology
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• pp.365-366
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• 2002

The sliding wear behavior of ultra high molecular weight polyethylene (UHMWPE) was examined on a novel low temperature degradation-free zirconia/alumina composite material and conventional alumina and zirconia ceramics used for femoral head in total hip joint replacement. The wear of UHMWPE pins against these ceramic disks was evaluated by performing linear reciprocal sliding and repeat pass rotational sliding tests for one million cycles in bovine serum. The weight loss of polyethylene against the novel low temperature degradation-free zirconia/alumina composite disks was much less than those against conventional ceramics for all tests. The mean weight loss of the polyethylene pins was more io the linear reciprocal sliding test than in the repeal pass rotational sliding lest for all kinds of disk materials. Neither the coherent transfer film nor the surface damage was observed on the surface of the novel zirconia/alumina composite disks during the test. The observed r,'stilts indicated that the wear of the polyethylene was closely related to contacting materials and kinematic motions. In conclusion, the novel zirconia/alumina composite leads the least wear of polyethylene among the tested ceramics and demonstrates the potential as lhe alternative materials for femoral head in total hip joint replacement.

• 드라이브 ㆍ 컨트롤
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• 제11권4호
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• pp.25-31
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• 2014

This paper details application of a DLC(Diamond Like Carbon)-coating to the swash plate and the ball joint of pistons that make sliding contact with the piston shoes of an axial piston pump. This process, aimed to reduce the frictional and leakage power losses of the hydrostatic piston shoe bearings at the low speed range. At lower speeds than 100rpm, the positive effects of the DLC-coating on the power loss reduction of the hydrostatic piston shoe bearings could be confirmed. These effects resulted in little improvement in volumetric efficiency of the test pump, but the mechanical efficiency could be raised by up to 5% at 100rpm; here, the DLC-coated swash plate played a more dominant role than the DLC-coated ball joint.

• International Journal of Automotive Technology
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• 제7권4호
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• pp.423-439
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• 2006

This paper proposes a hybrid analytic method for the prediction of vibrational and acoustic responses of reverberant system in the medium-to-high frequency ranges by using the PFA(Power Flow Analysis) algorithm and SEA(Statistical Energy Analysis) coupling concepts. The main part of this method is the application of the coupling loss factor(CLF) of SEA to the boundary condition of PFA in reverberant system. The hybrid method developed shows much more promising results than the conventional SEA and equivalent results to the classical PFA for various damping loss factors in a wide range of frequencies. Additionally, this paper presents applied results of hybrid power flow finite element method(hybrid PFFEM) by formulating the new joint element matrix with CLF to analyze the vibrational responses of built-up structures. Finally, the analytic results of coupled plate structures and an automobile-shaped structure using hybrid PFFEM were predicted successively.