• Title/Summary/Keyword: 인공고관절

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Change of the Cement Mantle Thickness According to the Movement of the Femoral Stem in THRA (인공고관절 치환술에서 대퇴주대 회전에 따른 시멘트막 두께 변화)

  • Park, Yong-Kuk;Kim, Jin-Gon
    • Journal of the Korean Society for Precision Engineering
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    • v.24 no.2 s.191
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    • pp.140-148
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    • 2007
  • THRA(Total Hip Replacement Arthroplasty) has been widely used for several decades as a viable treatment of otherwise-unsolved hip problems. In THRA surgery, cement mantle thickness is critical to long-term implant survival of femoral stem fixed with cement. Numerous studies reported thin or incomplete cement mantle causes osteolysis, loosening, and the failure of implant. To analyze the effect of femoral stem rotation on cement thickness, in this study, we select two most popular stems used in THRA. Using CAD models obtained from a 3D scanner, we measure the cement mantle thickness developed by the rotation of a femoral stem in the virtual space created by broaching. The study shows that as the femoral stem deviates from the target coordinates, the minimum thickness of cement decreases. Therefore, we recommend development of a new methodology for accurate insertion of a femoral stem along the broached space. Also, modification of the stem design robust to the unintentional movement of a femoral stem in the broached space, can alleviate the problem.

Robot assisted THA surgery using gauge based registration (게이지 정합 방법을 이용한 소형 인공고관절 수술로봇의 개발)

  • Shin, Ho-Chul;Park, Young-Bae;Yoon, Yong-San;Kwon, Dong-Soo;Lee, Jung-Ju;Won, Chung-Hee
    • Proceedings of the KSME Conference
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    • 2001.06c
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    • pp.482-484
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    • 2001
  • In orthopedics, hip arthroplasty is the operation that replaces damaged hip joint to artificial joint. In hip arthroplasty, quite better result can be achieved if robot is applied to machine cavity in bone, especially when cementless stem is used. So several kinds of robots were introduced for hip arthroplasty, but they used MRI, CT Scan, vision analysis and real time tracking of bone position for registration of robot. To overcome shortage of conventional robot surgery, gauge based registration method was proposed and small robot was designed. In this method, small robot is mounted on femur, and its position is determined by gauge registration method. Operation procedure was performed on model femur and result was analyzed. This robotic hip surgery system is expected to more adaptable in operation room.

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Biomechanical and Physiological Comparative Analysis of the Single-Radius Knee Arthroplasty Systems and Multi-Radius Knee Arthroplasty Systems (무릎인공관절 단축범위(Single-Radius) 수술자와 다축범위(Multi-Radius) 수술자의 운동역 학적 및 운동생리학적 비교분석)

  • Jin, Young-Wan;Kwak, Yi-Sub
    • Journal of Life Science
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    • v.18 no.11
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    • pp.1532-1537
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    • 2008
  • The purpose of this study was to investigate the effect of different arthroplasty designs on knee kinematic and lower limb muscular activation for up-stair and down-stair movement. 3-D video analysis of whole body and joint kinematics and EMG analysis of quadriceps and hamstrings were conducted. One-way ANOVAs were used for statistical analyses (p=0.05). The single-radius group exhibited more arthroplasty limb quadriceps EMG and hamstring coactivation EMG than the multi-radius group. Single-radius demonstrated more abduction angular displacement and reached peak abduction earlier than the multi-radius arthroplasty limb. The single- radius the percent body fat showed similar values in the Elderly, Single and Multi-radius group among the periods, however Control group was Lowered among the periods. Single-radius group limb also increased the quadriceps muscle activation level to produce more knee extension moment to compensate for the short quadriceps moment arm. Resting metabolic rate was significantly increased in control group in the period of LI. Energy expenditure was extremely increased in all groups except control group among the periods. We can say this is the exercise effects.

Evaluation of the Effect of Metal Artifacts Varying the Parameters of the Attenuation Map for the artificial Hip Joint in SPECT/CT (SPECT/CT에서 인공고관절에 대한 감쇠보정지도(Attenuation Map)의 매개변수 변화에 따른 금속 인공물(Metal Artifact)의 영향 평가)

  • Kim, Sang Gyu;Kim, Jung Yul;Park, Min Soo;Jo, Seung Hyun;Lim, Han Sang;Kim, Jae Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.18 no.2
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    • pp.3-7
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    • 2014
  • Purpose SPECT/CT scan to be performed attenuation correction on the basis of CT induce an overestimation of the site due to the beam hardening artifact by metal cover and reduce the images quality. Therefore, this study using a phantom that has been inserted artificial hip joint investigated that effect on the SPECT/CT image causing by metal artifact for varying the parameters of the Attenuation Map. Materials and Methods Siemens Symbia T16 SPECT/CT equipment was used. Artificial hip joint was inserted to SPECT/PET phantom, 17 mm sphere of Bright Streak area in CT image was filled with Tc-99m so that the radiation activity was 8 times compared to background. And then Hot and Background was measured in varying Wide Beam Coefficient on Attenuation Map and RBR (Region to Background Ratio) of Metal and Non-Metal was calculated and analyzed depending on the presence or absence of the hip joint. Results It tended to hot count of Non-Metal and Metal to increase as the value of the manual mode is increased, hot count ratio with the group of both manual mode 0.5 and 0.4 is the best match. Also, in automatic mode, the ratio of RBRNon-Metal and RBRMetal was 1.135, statistically significant difference was not observed in the manual mode 0.5 and 0.4. Conclusion In the automatic mode of Wide Beam Coefficient in attenuation correction map, it was found that it is over-correction by 13.52%, it was possible to minimize the over-correction by the artifact in 0.5 and 0.4 of manual mode. Further studies should be performed in order to apply to a patient with the help of this and it is considered possible to reduce the over-correction by the metal artifact of an artificial hip joint for Hip-Resurfacing Arthroplasty patients, and to improve the diagnostic performance.

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Friction and wear properties of carbon fiber reinforced epoxy composite for the artificial hip joint application (인공고관절 모사조건하에서의 탄소섬유 복합재료의 마찰 및 마모 특성)

  • 송영석;윤재륜
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 1999.11a
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    • pp.239-241
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    • 1999
  • Recently, the friction and wear behaviors of UHMWPE, ceramic and metal is being researched actively for the use as an artificial hip-joint. In this study, because of good wear properties of carbon fiber, we made experiments about the friction and wear of carbon fiber reinforced epoxy composite under the lubricative and the dry condition. The possibilities of carbon-carbon composite for the artificial hip joint application was studied from this results.

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The Comparison of Bonded/Unbonded Stem-Cement Interface in Total Hip Replacement -Experimental Study (인공 고관절 전치환술에서 주대-시멘트 경계층의 접착 및 비접착 고정술의 비교를 위한 실험적 연구)

  • Han, J.H.;Yoon, Y.S.;Lee, J.J.
    • Proceedings of the KSME Conference
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    • 2001.06a
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    • pp.951-955
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    • 2001
  • The experimental comparison between bonded and unbonded types stem-cement interface was carried out on axisymmetric stem-cement-aluminum model of the femoral component of a total hip replacement. Human femur was modeled in non-tapered and tapered($7.5^{\circ}$) aluminum hollow cylinders to emulate the diaphyseal and metaphyseal segments of the femur. For unbonded type, we tested stems with three different taper angles($5^{\circ},\;7.5^{\circ},\;10^{\circ}$). In every case, the cement-aluminum interface was designed to endure 8MPa shear strength. (a measured value at cement-bone interface) We tested aluminum models under axial loading for both cases. As an experimental result, it was found that unbonded stem sustained more axial load as bonded stem in both cases, diaphyseal and metaphyseal models. The unbonded types failed in cement mantle under axial compressive load, while the bonded ones failed in shear at cement-aluminum interface. These results suggest that a polished stem will sustain much higher axial load than a roughened stem. And a polished stem will make more stable cement-bone interface that may promote better osteosythesis around the stem.

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The study on the rheological properties the solution of polyvinyl alcohol(PVA) in dimethylsulfoxide(DMSO) and Ethanol(EtOH) mixed solvents (디메틸설폭사이드와 에탄을 혼합용매에 용해된 폴리비닐알코을올 용액의 유변학적 성질에 대한 연구)

  • 김학성;김병철
    • Proceedings of the Korean Fiber Society Conference
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    • 2002.04a
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    • pp.215-218
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    • 2002
  • Poly(vinyl alcohol)(PVA)는 1924년 W. O. Herrmann과 W. Haehnel이 Poly(vinyl esters)를 caustic soda 용액에서 비누화하여 합성한 뒤 많은 연구 및 사용되어지고 있는 고분자이다. 환경친화적이고, 인체에 무해하여 인공관절, 콘택트 렌즈 등에 이용이 되고 있다. 특히 구조가 선형적이고 zig-zag구조를 가지기 때문에 고강도, 고탄성을 갖는 섬유의 제조가 가능한 소재이다[1]. PVA섬유의 제조는 용매를 이용한 습식방사 및 겔방사로 섬유를 제조한다. (중략)

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