• Title/Summary/Keyword: 고정 실패

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Early Failure of Cortical-Bone Screw Fixation in the Lumbar Spinal Stenosis (요추부 협착에서의 피질골 궤도 나사못 고정의 초기 실패 사례에 대한 고찰)

  • Kwon, Ji-Won;Kim, Jin-Gyu;Ha, Joong-Won;Moon, Seong-Hwan;Lee, Hwan-Mo;Park, Yung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.405-410
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    • 2020
  • Purpose: Pedicle screw insertion has been traditionally used as a surgical treatment for degenerative lumbar spine disease. As an alternative, the cortical-bone trajectory screw allows less invasive posterior lumbar fixation and excellent mechanical stability, as reported in several biomechanical studies. This study evaluated the clinical and radiological results of a case of early failure of cortical-bone screw fixation in posterior fixation and union after posterior decompression. Materials and Methods: This study examined 311 patients who underwent surgical treatment from 2013 to 2018 using cortical orbital screws as an alternative to traditional pedicle screw fixation for degenerative spinal stenosis and anterior spine dislocation of the lumbar spine. Early fixation failure after surgery was defined as fixation failure, such as loosening, pull-out, and breakage of the screw on computed tomography (CT) and radiographs at a follow-up of six months. Results: Early fixation failure occurred in 46 out of 311 cases (14.8%), screw loosening in 46 cases (14.8%), pull-out in 12 cases (3.9%), and breakage in four cases (1.3%). An analysis of the site where the fixation failure occurred revealed the following, L1 in seven cases (15.2%), L2 in three cases (6.5%), L3 in four cases (8.7%), L4 in four cases (8.7%), L5 in four cases (8.7%), and S1 in 24 cases (52.2%). Among the distal cortical bone screws, fixation failures such as loosening, pull-out, and breakage occurred mainly in the S1 screws. Conclusion: Cortical-bone trajectory screw fixation may be an alternative with comparable clinical outcomes or fewer complications compared to conventional pedicle screw fixation. On the other hand, in case with osteoporosis and no anterior support structure particularly at L5-S1 fusion sites were observed to have result of premature fixation failures such as relaxation, pull-out, and breakage.

Analysis of longevity and success rate of fixed, removable, and implant prostheses treated in Korea (국내에서 치료된 고정성, 가철성, 그리고 임플란트 보철물의 수명 및 성공률 분석)

  • Yoon, Joon-Ho;Park, Young-Bum;Oh, Nam-Sik
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.2
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    • pp.95-104
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    • 2018
  • Purpose: The purpose of this study is to analyze the factors affecting the longevity of failed prosthesis and the success rate of the prosthesis based on the data evaluated with the newly developed Korean Academy of Prosthodontics (KAP) criteria. Materials and methods: Evaluation was performed in the restored prosthesis for patients who visited the prosthodontics department of the 13 dental university hospitals and general hospitals. The status of the prosthesis was classified into four categories: Good, Fair, Bad, Worst. The success was recorded if only the category was classified in 'good'. The mean duration of failed prostheses and the success rate through Kaplan-Meier method were analyzed. Results: A total of 1,804 cases of prosthesis were evaluated: 810 cases of fixed dental prostheses (FDP), 519 cases of Removable Dental Prostheses (RDP), and 475 cases of implant prosthesis. The mean duration of failed FDP was $11.41{\pm}0.30years$ and the median was 10 years. The mean duration of failed RDP was $8.18{\pm}0.29years$ and the median was 7 years. The mean duration of failed implant prosthesis was $7.99{\pm}0.30years$ and the median was 7 years. The factors related to the failure were as follows: number of units, abutments, abutments treated with root canal, and plaque index in FDPs; treated and opposing dentition in RDPs; the number of implants, duration of use, and plaque index in implant prostheses. Conclusion: The average duration of failed prosthesis was 11.41 years for FDPs, 8.18 years for RDPs, and 7.99 years for implant prosthesis, according to the evaluation with newly developed KAP criteria.

Design and Analysis of a VOD Buffer Scheduler Using a Fixed Prefetch and Media Drop (고정 선반입과 미디어 Drop을 이용한 VOD 버퍼 스케쥴러의 설계 및 분석)

  • 문병철;박규석
    • Proceedings of the Korean Information Science Society Conference
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    • 2000.04a
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    • pp.110-112
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    • 2000
  • VBR로 압축된 멀티미디어 데이터는 비트 변화율이 매우 큰 편차로 변하기 때문에 자원 예약 관리가 매우 힘들다. 따라서 MPEG데이터의 참조 패턴을 오프라인으로 분석한 메타 테이블을 근거로 과부하 구간에서 미리 선반입하여 시스템의 활용율을 높이는 선반입 기법을 사용하고 있으나, 기존의 선반입 기법은 상영실패는 발생하지 않지만 선반입 임계슬롯이 증가하면서 버퍼 점유량이 증가되어 최소의 적재시간과 적재비용을 유지할 수 없다. 따라서 본 논문에서는 선반입 구간을 고정함으로써 적재비용과 적재시간을 일정한 범위 이하로 유지하면서 시스템 자원의 활용율을 높이는 방법을 제안한다. 그리고 고정 선반입 구간을 사용할 경우 발생하는 상영 실패를 GOP내의 B프레임에 한정하며, Drop모듈을 이용하여 미디어 질 저하를 전체 사용자에게 분산시키는 방법을 제안한다.

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A conversion to implant overdenture in failed fixed implant prosthesis of edentulous maxilla: A case report (상악 고정성 임플란트 보철물 실패 환자에서 임플란트 피개의치로 전환한 치료 증례)

  • Kim, Joon-Soo;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.393-400
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    • 2016
  • Fixed implant prosthesis and removable implant overdenture are the main treatment options for treating edentulous maxilla with implants. If clinicians select one of the treatment options without accurate diagnosis and evaluation, this may lead to unfavorable treatment result and one would not be able to guarantee successful long term prognosis. In this case, 69 year-old female presented with failed fixed implant prosthesis that was treated in private dental clinic. Since the patient did not want additional insertion of implants and considering factors such as oral hygiene maintenance, splinting effect, and esthetics, the patient was treated with removable implant bar type overdenture using pre-existing implants. The clinical results were satisfactory in the aspect of esthetics and masticatory function, oral hygiene maintenance.

Arthroscopic Ankle Fusion (관절경적 족관절 고정술)

  • Kim, Hak-Jun
    • 대한관절경학회:학술대회논문집
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    • 2009.10a
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    • pp.93-98
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    • 2009
  • 족관절 고정술은 족관절에 발생한 심한 관절염(end-stage arthritis)에서 전통적으로 시행하던 술식으로 현재 사용되고 있는 인공 족관절 치환술이 발달되기 전까지는 gold standard 로 알려져 있었으며 현재에도 심한 족관절의 변형이나 파괴, 족관절 인공 관절의 실패시에 시행되고 있다. 1897년 Albert가 처음으로 족관절 고정술을 소개한 이후로 30여가지가 넘는 방법이 행해지고 있으나 개방적 관절 고정술의 단점인 수술 후 염증, 유합 지연, 연부조직의 손상에 의한 피부 괴사 등을 극복하고 유합물을 높이기 위해 다양한 내고정 및 외고정 장치를 사용하고 있다. 관절경 술식이 발달하면서 Schnider가 1983년 최초로 관절경을 이용한 족관절 고정술을 발표한 이후로 관절경하의 족관절 고정술은 개방적 족관절 고정술 보다 높은 유합율과 적은 수술 합병증으로 인해 관심의 대상이 되었지만 족관절의 변형이 심한 경우에는 시행하기 어려운 단점이 있는 것으로 알려져 왔다.

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Fracture Analysis of Implant Components using Scanning Electron Microscope - Part I : Implant Fixture (임플란트 구성요소의 파절면에 관한 주사전자현미경적 연구 - Part I: 임플란트 고정체)

  • Lim, Kwang-Gil;Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.3
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    • pp.297-309
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    • 2010
  • The objective of the present study was to perform a fracture analysis on fractured implant fixture after use in vivo and make clear the cause & mechanisms of failure. In case of fatigue fracture, the fractured surface represents fatigue striation. Fatigue striation indicate the progression of the crack front under cyclic loading, are characteristic of stage 2 crack growth. The site of crack initiation and stage 1 crack growth were not easily identified in any of the failure, presumably because of the complex microstructural features of the polycrystalline sample. In case of fractured by overload, dimpled or cleavage surface were observed. Using the interpretation of characteristic markings(ratchet mark, fatigue striation, dimple, cleavage et al) in fracture surfaces, failure events containing the crack origin, crack propagation, material deficiency could be understand.

Improvement of Multilateration using Vector Prediction Algorithm and Kalman Filter (벡터 예측 알고리즘과 칼만 필터를 이용한 다변측량법 개선)

  • Kim, Jung-Ha;Joo, Yang-Ick;Lee, Sung-Geun;Park, Sang-Gug;Seo, Dong-Hoan
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.16 no.12
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    • pp.2792-2799
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    • 2012
  • Multilateration that consists of three or more fixed nodes has been widely used in the field of indoor real time location system(RTLS). However, when one or two among fixed nodes are partially out of communication reachability due to obstruction and unstable node, it is difficult to obtain an efficient location information. In order to improve the challenges of poor ranging measurements and fluctuations in these environment, this paper presents, based on TOF(Time of Flight), a new algorithm which can reduce the inherent ranging measurements errors in the conventional multilateration using a vector prediction algorithm for the displacement estimation of mobile node and Kalman filter for an efficient distance average. Even if a person moves with mobile node and then it fails ranging measurement from some of fixed nodes, the proposed algorithm using a present and previous measurement value can predict the distance between mobile node and fixed node which fails ranging measurement. The experimental results are shown that the proposed system improves the localization accuracy and efficiency compared with conventional method, respectively.