• Title/Summary/Keyword: 사전수술계획

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Customized Model Manufacturing for Patients with Pelvic Fracture using FDM 3D Printer (FDM 방식의 3D 프린터를 이용한 골반 골절 환자의 맞춤형 모델제작)

  • Oh, Wang-Kyun
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.370-377
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    • 2014
  • At present trend 3D Printing technology has been using more efficiently than conventional subtractive manufacturing method in various medical fields, in particular this technology superior in saving production time, cost and process than conventional. Especially in orthopedics, an attractive attention has been paid by adopting this technology because of improving operation, operation accuracy, and reducing the patient's pain. Though 3D printing technology has enormous applications still in some hospitals have not been using due to having the problem of technical utilization of hardware, software & chiefly financial availability and etc. In order to solve these problems by reducing the cost and time, we have used CT images in pre-operative planning by directly making the pelvic fracture model with open source DICOM viewer and STL file conversion program, assembly 3D printer of FDM wire additive manufacturing. After having the customized bone model of six patients who underwent unstable pelvic fracture surgery, we have operated our system in orthopedic section of University Hospital through the clinician. Later, we have received better reviews and comments on utilization availability, results, and precision and now our system considered to be useful in surgical planning.

작물보호와 행정

  • Hyeon, Jae-Seon
    • The Science & Technology
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    • v.6 no.8 s.51
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    • pp.23-24
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    • 1973
  • 행정이란 Webster의 사전에 의하면 "장기적 안목에서 어떤 기관이 그 목적달성을 위한 활동의 계획, 조직, 그리고 통제하는 사무적 관리상을 말하며 이것은 흔히 수술적 응급대책과는 구별된다."라고 하고 있다. 따라서 작품보호행정은 작물보호가 무엇을 목적으로 하고 있는가를 명백히 인식하고 이론을 토태로 한 합리적이고 효율적인 목적달성을 위한 계획의 수립, 구체적 운영을 위한 기구의 편성, 그리고 이 조직의 합리적 운영등을 그 내용으로 하고 있다.

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Fracture of the Proximal Humerus (상완골 근위부 골절)

  • Park, Gyeong-Jin
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.11a
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    • pp.212-214
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    • 2008
  • 전위가 경미한 경우 대부분 보존적인 치료로 가능하고 좋은 결과를 얻을 수 있다는 것을 잊지 말자. 또한 전위나 각 형성 정도에 따른 수술의 결정도 환자의 나이와 활동 정도에 따라서 결정되어야 하겠다. 많은 경우에서 골다공증이 심하여 수술을 선택할 때 사전에 준비를 철저히 시행하고 세심한 주의를 기울일 필요가 있다. 아무리 복잡하고 고도의 술기를 요하는 골절이라도, 수술 전에 골절의 형태와 양상을 잘 이해하고 철저한 계획을 세운다면 기대보다 훌륭한 결과를 얻을 수 있다.

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Evaluation of Usefulness and Availability for Orthopedic Surgery using Clavicle Fracture Model Manufactured by Desktop 3D Printer (보급형 3D 프린터로 제작한 쇄골 골절 모델을 이용한 정형외과 수술에 대한 유용성과 활용가능성 평가)

  • Oh, Wang-Kyun
    • Journal of radiological science and technology
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    • v.37 no.3
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    • pp.203-209
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    • 2014
  • Usefulness and clinical availability for surgery efficiency were evaluated by conducting pre-operative planning with a model manufactured by desktop 3D printer by using clavicle CT image. The patient-customized clavicle fracture model was manufactured by desktop 3D printer of FDM wire laminated processing method by converting the CT image into STL file in Open Source DICOM Viewer Osirix. Also, the model of the original shape before damaged was restored and manufactured by Mirror technique based on STL file of not fractured clavicle of the other side by using the symmetry feature of the human body. For the model, the position and size, degree of the fracture was equally printed out. Using the clavicle model directly manufactured with low cost and less time in Department of Radiology is considered to be useful because it can reduce secondary damage during surgery and increase surgery efficiency with Minimal invasive percutaneous plate osteosynthesis(MIPO).

Investigation into the Development of Technology for Orthopeadic Surgery Utilizing Reverse Engineering and Rapid Prototyping Technology (역공학과 쾌속조형공정을 이용한 정형외과수술기법 개발에 관한 연구)

  • 안동규;이준영;양동열;한길영
    • Journal of the Korean Society for Precision Engineering
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    • v.21 no.6
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    • pp.188-196
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    • 2004
  • The objective of this paper is to propose a new technology of the orthopaedic surgery using the combination of reverse engineering (RE) based on CT data and rapid prototyping (RP). The proposed technology utilizes symmetrical characteristics of the human body and capability of the combination of RE and RP, which rapidly manufactures three-dimensional parts from CT data. The original .stl data of injured extents are generated from the mirror transformation of .stl file fur uninjured extents. The physical shape before injuring is manufactured from RP using the original .stl data. Subsequently, pre-operative planning, such as a selection of proper implants, preforming of the implant, a decision of fixation locations and an insert position for the implant, an estimation of the invasive size, and pre-education of operators are performed using the physical shape. In order to examine the applicability and the efficiency of the proposed surgical technology, various case studies, such as a distal tibia commented fracture, a proximal tibia plateau fracture and an iliac wing fracture of pelvis, are carried out. From the results of case studies, it has been shown that the proposed technology is an effective surgical tool of the orthopaedic surgery reducing the operational time, the operational cost, the radiation exposure of the patient and operators, and morbidity. In addition, the proposed technology could improve the accuracy of operation and the speed of rehabilitation.

Surgical Planning in Deformity Correction Osteotomies using Forward Kinematics and Inverse Kinematics (정기구학 및 역기구학을이용한하지 교정절골술 계획 생성)

  • Jeong, Jiwon;Lee, Seung Yeol;Youn, Kibeom;Park, Moon Seok;Lee, Jehee
    • Journal of the Korea Computer Graphics Society
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    • v.20 no.1
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    • pp.1-11
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    • 2014
  • Patients with cerebral palsy or arthritis have deformities in lower limb which cause unstable gait or posture and pains. Surgeons perform a deformity correction osteotomy with surgical plan. But sometimes they find the unexpected angular or rotational deformation after surgery. The problems are that there is no method to predict the result of a surgical plan and also there are so many factors to must consider in surgical planning step such as clinical measurements, rotation angle, wedge angle, morphology of lower limb, etc. This paper presents new methods for planning the deformity correction osteotomy efficiently. There are two approaches based on the 3D mesh model and the accurate assessment of the patient's lower limb. One is the manual pre-simulation of surgery using forward kinematics. And the other is the automatic surgical planning using inverse kinematics and nonlinear optimization. Using these methods, we can predict and verify the results of various surgical treatments and also we can find a more effective surgical plan easily compared to conventional methods.

Multimodality Image Registration by Optimization of Mutual Information (상호정보 최적화를 통한 다중 모달리티 영상정합)

  • 홍헬렌;김명희
    • Proceedings of the Korea Society for Simulation Conference
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    • 2000.11a
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    • pp.180-185
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    • 2000
  • 방사선 치료계획이나 사전수술계획 등에 컴퓨터 사용이 늘어남에 따라 의료영상별 특성에 따른 복합적 처리를 필요로 한다. 본 논문에서는 다중 모달리티 영상으로부터 의미 있는 정보를 제공하기 위하여 상호정보 최적화를 통한 영상정합 방법을 제안한다. 본 방법은 두 영상에서 대응되는 위치의 명암도간 통계적 의존관계와 정보중복성을 계산하는 상호정보(mutual information)를 통해 영상간 변형관계를 추정함으로써 영상을 정합한다. 실험결과로는 뇌 자기공명영상(MRI)과 컴퓨터단층촬영영상(CT)의 상호정보를 최적화하여 정합 결과를 제시한다. 본 방법은 기존 정합방법에서 사용하는 영상분할이나 특징점 추출 등의 전처리 과정 없이 영상 자체 정보를 기반으로 계산함으로써 정합의 정확도를 높일 수 있다.

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Full mouth rehabilitation with implant-supported fixed prosthesis via dental CAD-CAM system (Dental CAD-CAM system을 통한 고정성 전악 임플란트 수복 증례)

  • Hong, Jeong-Min;Han, Jung-Suk;Yoon, Hyung-In;Yeo, In-Sung Luke
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.97-106
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    • 2021
  • Dental implants should be placed at ideal sites for implant-supported restorations. For a patient with insufficient residual ridge, mouth preparation including surgical intervention can be indicated to establish a soft and hard tissue environment favorable for a definitive prosthesis. Prosthodontic design based on computer-guided surgery and computer-aided design-computer-aided manufacturing (CAD-CAM) provides a visual blueprint allowing a clinician to assess the necessity of such a surgical intervention beforehand. In this case, a definitive restoration was planned and made via a CAD-CAM system according to the patient's oral status before treatment, simulated surgical interventions and serial provisional restorations. Based on the planning, a guided template was made and the implants were installed with bone augmentation using the template. Customized abutments, the first and the second provisional restorations were designed and fabricated by CAD-CAM. The definitive restorations were digitally made following the shape of the second provisional prostheses, which were confirmed in the patient's mouth. The patient was satisfied with the masticatory, phonetic and aesthetic functions of these definitive prostheses.

Fixed implant rehabilitation of maxillary edentulous patient using intraoral scanning digital workflow: a case report (상악 완전 무치악 환자에서 구강 스캐닝 디지털 워크플로우를 활용한 완전 고정성 임플란트 수복 증례)

  • Seung Min Park;YoungBum Park
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.38-46
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    • 2024
  • In order to treat edentulous patients with fixed implant prosthesis, the final prosthesis form should be predetermined based on the anatomic structures of the arch, the opposing dentition, and the occlusal plane. The design and occlusion of the interim prosthesis can provide useful information when fabricating the definitive prosthesis. In this case report, scan data of the edentulous region and the interim prosthesis were superimposed through an intraoral scanning digital workflow. In this way, the interim prosthesis information was incorporated into the design of the final prosthesis. Furthermore, the interim prosthesis data acquired through intraoral scanning was utilized to plan the positions and angles of the implants based on the final prosthesis design. Surgical guides were used to accurately place the implants in the planned three-dimensional positions. In this case report, satisfactory esthetic and functional clinical outcomes were achieved through application of digital techniques.