• Title/Summary/Keyword: 인공고관절

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A New Fitness Index for Simulated Implantation System of Artificial Hip Joint based on 3D Medical Images (3차원 의료영상에 기반한 인공고관절 모의시술 시스템 개발 및 새로운 정합도 측정 방법에 관한 연구)

  • 김용호;김중규;최귀원
    • Journal of Biomedical Engineering Research
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    • v.21 no.2
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    • pp.201-212
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    • 2000
  • 본 논문에서는 인공고관절과 환자의 고관절 부위를 각각 3차원 영상화한 후에 이들의 정합도 (fitness)를 측정하여 수치적인 정보로 제공함으로써 환자의 체형에 적합한 인공고관절을 선택하고, 더 나아가 정확한 시술방향과 시술깊이를 제공할 수 있는 모의시술시스템을 제시하였다. 이를 위해 region growing 기법등을 이용하여 환자의 CT 영상을 3차원화하고, 또한 인공고관절을 projection 기법 등을 통해 3차원 영상화하였으며, 지금까지 인공고관절 정합도 측정에 사용했던 단순한 단면적 비교방식과는 달리 삽입의 균일성도 가늠할 수 있는 새로운 정합도 측정 방식을 고안하여 적용하였다. 다양한 실험과 분석을 통하여 새로 제안한 정합도 측정 방법의 정확성과 우수함을 확인할 수 있었으며, 본 논문에서 제시하는 모의 시술시스템은 향후 정형외과 분야에서 인공무릎과 같은 다른 영역에서의 시술 보조 시스템으로도 응용될 수 있을 뿐만 아니라, 인공관절의 국산화 및 주문제작 등에성도 많은 활용을 할 수 있을 것으로 기대된다.

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Stability Test of Artificial Joint for Hip Joint (고관절용 인공관절 시스템의 안정성 평가)

  • Seok, Sung-Fie;Park, Soo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.36 no.9
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    • pp.1033-1039
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    • 2012
  • Artificial joints are used when joints lose their function because of either the destruction or damage of the composing bones of the joints. To evaluate the primary stability of a femur-implant system, the relative displacement caused by a repeated load is measured immediately after the insertion of the artificial joint. For more accurate stability evaluation, the accurate measurement of the penetration displacement of the artificial joint to the bone and the rotation angle of the artificial joint is essential. In this study, to evaluate the primary stability of the femur-implant system, we propose a new relative displacement measurement method. By using this new method, we comparatively evaluate the primary stability for various surgical methods and the varying stiffness of the cadaver femur-implant itself.

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.

Wear and Implantation Tilt Measurements using X-ray and CAD (X-ray영상과 CAD를 이용한 인공고관절의 마모 및 식립각 측정법)

  • Lee, Jong Min;Lee, Yeon Soo
    • Journal of the Korean Society of Radiology
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    • v.12 no.1
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    • pp.107-114
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    • 2018
  • Long-term complications such as loosening, wear, osteolytic lesion and granulomatous reaction by foreign bodies can occur, after total hip arthroplasty. The implantation alignment effects dislocation and wear, according to its amount and direction. Wear particles in total hip arthroplasty brings about biochemical complications such as osteolysis or send wear. In this sense, it is important to regularly check wear and alignment of total hip replacement. Because the wear in followup of 10 years may remain in a small amount, like a 1 or 2 mm generally, somewhat precise measurement tool has to be established. The wear and alignment measurement softwares commercially available currently lack in project saving or reproducibility. This study suggests a reliable method for the measurement using an X-ray image and a CAD software. The proposed method can be executed only if having a CAD software under most of current general clinical radiographical environment. The proposed was revealed through tests for the method to have accuracy of 0.06 mm with precision of 0.05 mm for wear measurement, and precision of 0.27 degrees for tilt measurement.

Investigation of Hip Squeak Using Finite Element Modeling with a Friction Curve (마찰곡선을 반영한 인공 고관절 마찰소음 유한요소 해석연구)

  • Nam, Jaehyeon;Park, Kiwan;Kang, Jaeyoung
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.40 no.1
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    • pp.33-39
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    • 2016
  • This study investigated the dynamic instability of a ceramic-on-ceramic artificial hip joint system through complex eigenvalue analysis. We examined the mode-coupling mechanism through eigenvalue sensitivity analysis with the variation of system parameters. In addition, we constructed a finite element model including the negative slope of friction curve for investigating the negative-slope mechanism in the hip squeak problem. The numerical results show that the torsion-dominant mode becomes unstable due to the presence of the negative slope while the axial load is the important factor influencing the negative-slope type instability.