• Title/Summary/Keyword: 대퇴

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Treatment of Recurrent Coxofemoral Joint Luxation by Total Hip Replacement in a Dog (대퇴관절 전치환술을 이용하여 개의 재발되는 대퇴관절 탈구증의 치료)

  • Kim, Jooho;Heo, Su-Young;Kim, Minsu;Lee, Kichang;Kim, Namsoo;Lee, Haebeom
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.125-128
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    • 2014
  • A 7-year-old, intact female Golden Retriever weighing 38 kg was referred for left coxofemoral joint luxation. On physical examination, pain and crepitus were noted atthe left hip joint during joint extension. Radiological examination revealed coxofemoral joint luxation and mild degenerative bone changes in the left hip joint. We performed minimally invasive arthroscopy-assisted reduction with TightRope$^{(R)}$ as a treatment option; however, the left coxofemoral joint was reluxated after one month postoperatively. We performed cementless total hip replacement (THR) of the luxated left coxofemoral joint. At tenmonths after surgery, the dog could sit, stand, walk normally and jump comfortably without lameness. The thigh girth measurement of the operated limb was 108.6% of the contralateral limb. Based on the present case, THR can be a successful treatment for coxofemoral joint luxation in dogs with failed coxofemoral joint reduction.

Automatic Segmentation of Femoral Cartilage in Knee MR Images using Multi-atlas-based Locally-weighted Voting (무릎 MR 영상에서 다중 아틀라스 기반 지역적 가중투표를 이용한 대퇴부 연골 자동 분할)

  • Kim, Hyeun A;Kim, Hyeonjin;Lee, Han Sang;Hong, Helen
    • Journal of KIISE
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    • v.43 no.8
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    • pp.869-877
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    • 2016
  • In this paper, we propose an automated segmentation method of femoral cartilage in knee MR images using multi-atlas-based locally-weighted voting. The proposed method involves two steps. First, to utilize the shape information to show that the femoral cartilage is attached to a femur, the femur is segmented via volume and object-based locally-weighted voting and narrow-band region growing. Second, the object-based affine transformation of the femur is applied to the registration of femoral cartilage, and the femoral cartilage is segmented via multi-atlas shape-based locally-weighted voting. To evaluate the performance of the proposed method, we compared the segmentation results of majority voting method, intensity-based locally-weighted voting method, and the proposed method with manual segmentation results defined by expert. In our experimental results, the newly proposed method avoids a leakage into the neighboring regions having similar intensity of femoral cartilage, and shows improved segmentation accuracy.

A Study on Computer Aided Surgical Simulation Method for Total Hip Arthroplasty (컴퓨터 응용 인공고관절 모사 시술 방법 연구)

  • Kim Sang Hoo;Han Seung Moo
    • Journal of Biomedical Engineering Research
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    • v.25 no.6
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    • pp.455-464
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    • 2004
  • Total hip arthroplasty(THA) considerably depends on high-experienced doctors because of high difficulty of the operation. Selection of acetabular cup's and femoral implant's position is closely related with success or failure of THA. Nevertheless the selection has usually depended on doctor's eye measurement, which makes the position accuracy of artificial joint lower after THA, often resulting in revision of THA. The present study determined a method to select accurately the position of acetabular cup and femoral implant through surgical simulation with 3D characteristic geometrical information of patient's pelvis and femur. We examined the change of femoral anteversion angle and neck-shaft angle accompanied by the change of acetabular cup's position and the insertion position of femoral implant. As result of analyzing geometrical information through different surgical simulations, we found that it was possible to select the accurate position of acetabular cup and femoral implant. It is expected to help doctors get experienced in THA operation through repetitive surgical simulations using the method suggested in the study.

Analysis of the Micro-Structural and Mechanical Properties in Human Femoral Head Trabecular Bone with and without Osteoporosis (대퇴골두 해면골의 미세구조 특성과 기계적 특성의 분석)

  • Won Ye-Yeon;Baek Myong-Hyun;Cui WenQuan;Chun KeyoungJin;Kim Man Kyung
    • Journal of Biomedical Engineering Research
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    • v.25 no.6
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    • pp.519-523
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    • 2004
  • This study investigates micro-structural and mechanical properties of trabecular bone in human femoral head with and without osteoporosis using Micro-CT and finite element-model. 15 cored trabecular bone specimens with 20min of diameter were obtained from femoral heads with osteoporosis (T-score > -2.5 ) resected for total hip arthroplasty, and 5 specimens were removed from femoral head of cadavers, which has no history of musculoskeletal diseases. A high-resolution micro-CT system was used to scan each specimen to obtain histomorphometry indices. Based on obtained micro-images(pixel size=21.31㎛), a FE-model was created to determine mechanical property indices. While non-osteoporosis group had increases trabecular thickness, bone volume, bone volume fraction, degree of anisotropy and trabecular number compared with those of non-osteoporotic group, the non-osteoporotic group showed decreases in trabecular separation and structure model index. Regarding the mechanical property indices, reaction force, apparent stress and young's modulus were 1ower in osteoporotic group than in non-osteoporotic group. Our data shows salient deteriorations in trabecular micro-structural and mechanical properties in human femoral head with osteoporosis.

Ultrasonographic Finding of Trochanteric Pain after Proximal Femoral Nailing in Patients with Intertrochanteric Fracture - 2 Cases Report - (대퇴 전자간 골절의 근위 대퇴 골수정 삽입술 후 발생한 전자부 통증의 초음파 소견 - 2예 보고 -)

  • Nam, Woo Dong;Han, Kye Young;Cha, Seong Moo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.1
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    • pp.38-41
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    • 2011
  • After closed reduction and internal fixation with proximal femoral nail for intertrochanteric fracture, some patients complained lateral hip pain. We report two cases of lateral hip pain due to tendinopathy confirmed by ultrasonography.

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Early Stage Legg-Calve-Perthes Disease in a Dog: Clinical, Surgical, Radiological, Computed Tomography and Histological Findings (초기 허혈성 대퇴골두 괴사증을 보이는 개에서 임상학적, 수술적, 방사선학적, 컴퓨터단층촬영, 조직학적 소견)

  • Thak, Min-Ae;Yoon, Hun-Young;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.30 no.5
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    • pp.366-370
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    • 2013
  • A 7-month-old Pomeranian presented with non-weight bearing lameness on the right pelvic limb. Physical examination revealed pain on extension of the right hip joint, and serum chemistry results showed an increased concentration of creatine kinase. Radiographic findings at admission included a weak radiolucent line on the right femoral head and widening of the right hip joint space, and mild displacement of the right capital femoral epiphysis was additionally identified on day 14. Computed tomography (CT) showed a decreased Hounsfield Unit measurement and a fracture line on the right femoral head. Early stage Legg-Calve-Perthes disease (LCPD) was diagnosed and femoral head and neck ostectomy was performed on the right femur. A fracture fissure and osteophytes at the epiphyseal plate of the femoral head were identified surgically. Necrosis in the femoral metaphysis and epiphysis was observed histologically. This case report describes the radiography, CT images, and surgical and histological findings in a dog with early stage LCPD.

Effects of Neuromuscular Electrical Stimulation of the Vastus Medialis on Pain and Muscle Function in Patients with Knee Osteoarthritis (내측광근의 신경근전기자극(NMES)이 퇴행성 슬관절염 환자의 통증 및 근 기능에 미치는 영향)

  • Jin, Yu-Shin;Jeong, Tae-Gyeong
    • The Journal of the Korea Contents Association
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    • v.12 no.1
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    • pp.329-337
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    • 2012
  • The purpose of this study was to investigate the functional changes of the vastus medialis while the neuromuscular electrical stimulation(NMES) was performed in elderly women with knee osteoarthritis. The subjects of this study were 30 women who were diagnosed degenerative arthritis, 15 in the experimental group and 15 in the control group. The experimental group performed conventional physical therapy and neuromuscular electrical stimulation, and the control group received only conventional physical therapy, five times per week for four weeks. Outcome measures were assessed before and after 4weeks using the VAS(pain), quadriceps femoris strength, thigh circumference, and Q-angle. The data of the quadriceps femoris strength and thigh circumference were significantly increased in experimental group(p<0.05). The data the pain was significantly decreased in both the two groups(p<0.05). There were statistically significant differences in quadriceps femoris strength and thigh circumference between the two groups(p<0.05). As the result, the application of neuromuscular electrical stimulation of the vastus medialis could be more effective for decrease pain and improving muscle function in patients with knee osteoarthritis.

Total Hip Arthroplasty in Patients with Avascular Necrosis of the Entire Femur (전체 대퇴골에 발생한 골괴사 환자에서 인공 고관절 전치환술)

  • Yi, Seung Rim;Im, Se Hyuk;Park, Sang Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.281-286
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    • 2019
  • Avascular necrosis (AVN) is defined as the cellular death of bone and bone marrow components due to the loss of blood supply, and associated with post-traumatic or non-traumatic events. AVN usually involves the epiphysis of a long bone, such as the femoral and humeral heads, which are susceptible to osteonecrosis. Many studies have been conducted but they were restricted to investigations of femoral head avascular necrosis. The presence of osteonecrosis in the proximal femur may impair biological fixation after total hip arthroplasty. We report a 56-year-old male patient with avascular necrosis located not only at the femoral head, but also in the entire femur, including the medullary cavity, who underwent total hip arthroplasty 2 years earlier along with a review of the relevant literature.

Effect of Vacuum Packaging and Aerobic Packaging on the Physico-Chemical Characteristics of Venison (진공포장과 함기포장이 사슴육이 이화학적 특성에 미치는 영향)

  • 박창일;김영길;김영직
    • Food Science of Animal Resources
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    • v.20 no.3
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    • pp.214-221
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    • 2000
  • 사슴(Elk deer ♀, 월령 28~30개월, 체중 170$\pm$10kg)의 등심부위와 대퇴부위를 도축 직후 함기포장과 진공포장하여 4$^{\circ}C$에서 10일간 냉장하면서 경시적으로 이화학적 특성의 변화를 실험한 결과 지방산은 등심부위와 대퇴부의 모두 palmitic acid가 각각 35.16%와 31.75%가 많고 그 다음으로 oleic acid, stearic acid의 순으로 많아\ulcornerT다. 냉장기간이 경과하면서 포화지방산은 증가하였고 불포화지방산은 감소하는 경향이었는데 함기포장육의 변화 폭이 컸다. 냉장기간 중 TBA가는 등심부위 가 0.0598에서 0.5616 mgMA/kg, 대퇴부위가 0.0650에서 0.3770 mgMA/kg,이었으며, 냉장기간이 결과함에 따라 점차 상승하고 상승폭은 진공포장육보다 함기포장육이 대퇴부위보다 등심부위가 크게 나타났다. 냉장기간중 VBN가는 등심부위가 3.93에서 7.31 mg%, 대퇴부위가 3.98에서 6.35 mg%이 었으며 냉장기간이 경과함에 EK라 진공포장육보다 함기포장육이 대퇴부위보다 등심부위가 더 높게 나타났다. 이상의 결과를 종합하여 볼 때 등심부위와 대퇴부 모두 냉장 10일까지 신선한 상태이었고 진공포장육이 함기포장육보다 선도 유지가 잘 되었다.

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MR Imaging Measurement of the Femoral Anteversional Angle as a PACS Image Viewer (MR 영상에서의 PACS Image Viewer를 이용한 대퇴골 전염각 측정)

  • Kweon, Dae-Cheol;Yang, Sung-Hwan;Park, Peom
    • Journal of radiological science and technology
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    • v.26 no.1
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    • pp.83-89
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    • 2003
  • The accurate measurement of the femoral anteversion is very important to the practice of orthopedic and osteotomy. It is measured by means of the axis of head and neck of the femur and the knee axis. At the present time, widely used computed tomography method of measuring anteversion on femoral necks of patients. Measurement by the manual method and image viewer of computed tomography to determine the anteversion of femoral head were carried out on both femurs. In September and October 2002, 5 patients 28 to 36 years of age were randomly selected from Seoul National University Hospital. The purpose of this paper was to introduce a new method to measure femoral anteversion angle utilizing PACS image viewer program in the MR imaging. Significant difference was observed between the right and left side the image viewer measurement of femoral anteversion. In conclusion, MR imaging very usefulness in the measured the angle of the femoral anteversion.

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