• 건강소식
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• v.31 no.10 s.347
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• pp.6-13
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• 2007

우리의 몸은 약 2백 개의 크고 작은 뼈로 구성돼 있다. 관절은 이들 뼈와 뼈 사이의 이음매 역할을 하는 기관이다. 우리가 팔, 다리와 목, 허리 등을 여러 방향으로 움직일 수 있는 것은 관절부위가 회전하거나 굴곡함으로써 가능한 것이다. 사람이 일상생활에서 관절을 움직이는 경우는 1일 10만여 회나 된다고 한다. 관절은 우리 신체의 모든 활동을 원활하게 할 수 있도록 돕는 소중한 기관이다. 관절을 위한 건강한 정보를 제안하고자 이번 호에서는 관절척추전문 세란병원 인공관절센터 오덕순 박사와 세정병원 고재현 병원장의 도움말로 알아본다.

• Proceedings of the KIEE Conference
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• 2007.04c
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• pp.37-38
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• 2007

로봇의 메커니즘 중 가장 어렵고 필수 구성 수단인 부품으로 여겨지는 것은 관절이다. 이에 관해서 오래 전부터 많은 연구가 수행되고 있다. 본 논문은 이 로봇관절에 대한 것으로 축에 연결된 구형 또는 반구형 영구자석을 이용하여 관절의 자유도를 늘림과 동시에 응답속도를 빠르게 하기 위한 장치에 대한 연구로서 영구 자석과 고정자 사이에 공극을 두고 서로 수직으로 교차하도록 고정자 권선을 배치하고 권선에 전류를 흘려서 관절을 움직이게 하는 방법이다. 구형 또는 반구형자석이 장착된 축과 반구형 쉘(shell) 내부에 교차하는 두 개의 고정자 권선이 장착된 축으로 구성된 것을 특징으로 한다.

• Journal of Korean Foot and Ankle Society
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• v.26 no.3
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• pp.111-117
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• 2022

Despite the lack of evidence-based standard guidelines to select the best surgical treatment option for end-stage ankle osteoarthritis, the rate of total ankle arthroplasty (TAA) is increasing rapidly relative to ankle arthrodesis (AA) with the development of implant designs and surgical techniques. Physicians and patients would benefit from a more comprehensive understanding of the differences in postoperative pain relief, functional improvement, the rates of complication or reoperation, and restoration of gait ability and sports activity. This paper overviews the current consensus on indications and contraindications for TAA and provides a literature review on a comparison of the clinical and functional results between TAA and AA.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 1999.03a
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• pp.32-32
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• 1999

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2005.11a
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• pp.110-115
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• 2005

• Transactions of the Korean Society of Mechanical Engineers A
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• v.35 no.5
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• pp.533-541
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• 2011

This paper presents a frequency-response test performed on an antagonistic actuation system consisting of two Mckibben pneumatic artificial muscles and a pneumatic circuit with pressure valves. Varying switching frequency to pressure valves from 0.1 Hz to 5 Hz, parameters of a linear model were estimated optimally to predict dynamic characteristics of the antagonistic actuation. A model-base control scheme with estimated parameters was built for the precise trajectory tracking of the antagonistic structure and realized on a reconfigurable embedded control system, CompactRIO. Experimental results showed that the proposed model-based control scheme gave good performance in trajectory tracking comparing with a PD control scheme when square wave and sinusoidal wave were given as references to follow.

• Journal of the Korean Orthopaedic Association
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• v.54 no.1
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• pp.52-58
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• 2019

Purpose: Fungal periprosthetic joint infection (PJI) is a rare but devastating complication following total knee arthroplasty (TKA). On the other hand, a standardized procedure regarding an accurate treatment of this serious complication of knee arthroplasty is lacking. The clinical progress of staged reimplantation in patients who had fungus-related PJI after TKA was reviewed retrospectively. Materials and Methods: Ten patients who had a fungal related PJI after TKA between 2006 and 2017 using staged reimplantation surgery were reviewed. These patients were compared with 119 patients who had a PJI in the same period. The failure rate of infection control, intravenous antimicrobial using the period, and the clinical results were evaluated by comparing the range of motion and Korean knee score (KKS) between pre-staged reimplantation and the last follow-up. Results: In the fungal infection group, 7 out of 10 cases (70.0%) had failed in infection control using staged reimplantation and in the non-fungal group, 7 out of 119 cases (5.9%) had failed (p=0.04). In the non-fungal group, the mean duration of antibiotics was 6.2 weeks. In the fungus group, the mean duration of antibiotics was 15.3 weeks, which was 9.1 weeks longer (p<0.001). The range of motion of the knee was increased in the two groups (p=0.265). At the last follow-up, the KKS was 71.01 points in the non-fungal group and 61.3 points in the fungal group (p=0.012). Erythrocyte sedimentation rate and C-reactive protein (CRP) decreased in the two groups, but the CRP was significantly different in the two groups (p=0.007). Conclusion: The treatment of fungus-related PJIs using staged reimplantation showed uneven clinical progress and unsatisfactory clinical improvements compared to non-fungal PJI. Therefore, it is necessary to consider the use of an antifungal mixed cement spacer at resection arthroplasty and oral antifungal agent after reimplantation.

• Journal of the Korean Orthopaedic Association
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• v.56 no.1
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• pp.42-50
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• 2021

Purpose: Periprosthetic fractures of a tumor prosthesis are rare but have difficulties in achieving sound fixation because of the poor bone quality, which increases the risk of loosening or re-fracture, even after bone union. A cortical strut onlay allograft was adopted for peri-prosthetic fractures after hip arthroplasty into the periprosthetic fracture of a tumor prosthesis, assuming that it would assist in firm fixation, shorten the time to union, and increase the bone stock, thereby, lower the chance of loosening and re-fracture. Materials and Methods: This study reviewed 27 patients (30 cases) of periprosthetic fracture of tumor prosthesis. Sixteen cases (allograft group) had augmentation with an onlay allograft, while 14 cases (conventional group) had internal fixation or conservative treatment. The following were assessed; mode of periprosthetic fracture, difference in the time to union between a strut cortical onlay allograft and without it, and survival of prosthesis, complication, and functional outcome between the two groups. Results: According to the unified classification system (UCS), 21 cases were type B (70.0%; B1, 14; B2, 1; B3, 6) and 9 cases were type C. The five-, 10-year survival of the 30 reconstructions by Kaplan-Meier plot was 84.5%±4.18% and 42.2%±7.83%, respectively. The average time to bone union of the entire cohort was 5.1 months (range, 2.0-11.2 months). The allograft group (3.5 months) showed a shorter period for union than the conventional group (7.2 months) (p<0.0001). All four cases of major complications occurred in the conventional group. Two cases with loosening and anterior angulation were treated with a change of prosthesis, and another with infection underwent amputation. The remaining case with loosening had conservative management. At the final follow-up, the average Musculosketal Tumor Society score of the allograft group (26.1) was better than that of the conventional group (20.9). Conclusion: Bone union in periprosthetic fractures of a tumor prosthesis can be achieved, but the minimization of complications is important. An onlay allograft facilitates firm fixation and increases the bone stock with a shortened time to union. This simple method can minimize the risk of loosening, joint contracture, and re-fracture.

• 대한방사선치료학회:학술대회논문집
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• 1996.06a
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• pp.22-23
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• 1996

• Journal of the Korean Orthopaedic Association
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• v.56 no.1
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• pp.87-92
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• 2021

The radiographic findings of an osteolytic lesion in the knee may indicate numerous possible impressions. Furthermore, osteolysis is a possible cause if there is a surgical history of total knee arthroplasty (TKA). The authors diagnosed osteolysis of the fibular head after aseptic loosening of the tibial component of a cemented TKA in an 83-year-old female patient who visited with right knee pain and report their treatment with revision TKA along with a literature review.