• Title/Summary/Keyword: 인공관절

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Nonsubmerged Implant의 임상적 우위성

  • Kim, Hong-Gi
    • The Journal of the Korean dental association
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    • v.33 no.4 s.311
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    • pp.264-273
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    • 1995
  • 2000년대에 있어서 세계의학계는 인공심장의 완성과 인공신장, 인공 간, 인공수족과 인공골, 관절, 혈관 등의 인공장기이식의 눈부신 연구, 발전에 의하여 인간의 수명은 더욱 연장될 것이며 사망률을 낮추는 치료의학은 한없이 발전하게 될 것이다. 치과의학의 과제는 상실된 치아와 악골, 구강내외 장기의 수복을 위한 인공치아 및 장기이식의 치료요법의 발전이 될 것이다. 인공치아 치료요법의 한가지인 nonsubmerged and one stage operation type인 I.T.I. 임프란트 시스템은 골성접착과 결합이 이루어지는 인공치아 이식술로서 그 단순한 시술과 높은 성공률에 의해 전세계에 각광을 받는 치료방법의 하나이다.

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The Convergent Influence of the Incidence of Delirium in Patients after Arthroplasty (인공관절치환 수술 후 발생하는 섬망에 따른 융복합적 영향)

  • Kim, Young-Hee;Kwon, Young-Chae
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.369-377
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    • 2016
  • This study examined artificial joint replacement surgery for early intervention and prevention of the occurrence of delirium surgery. Data of study were analysed using the sample through the EMR (Electronic Medical Record) and after surgery to provide basic data. The subjects were elderly aged 60 years or more and the number of the sample was 821. Data were analysed by using SPSS 20.0 with t-test, $x^2$-test and multiple logistic regression analysis. The study results showed patients with artificial joint replacement surgery incidence of delirium was 13.5%, findings of these variables insisted that the main influencing factors of delirium were caused by age, fall history, physical activity, emotional status, body mass index (BMI) before surgery. The study suggested that the above findings are required for early intervention, early detection and prevention of delirium.

Total Ankle Replacement in Pigmented Villonodular Synovitis of Ankle Joint (A Case Report) (색소 융모결절종 환자에 시행한 족관절 인공관절 치환술(1예 보고))

  • Ha, Jung-Min;Choi, Sun-Jin;Lee, Chang-Bum;Ha, Jeong-Han;Park, Hyung-Taek
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.101-104
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    • 2010
  • Pigmented villonodular synovitis (PVNS) is a rare proliferative disease affecting joint synovium, tendon sheaths, bursae. The usual treatment for PVNS is a surgical excision. If destructive joint lesions have occurred, complete resections must be performed followed by arthrodesis or arthroplasty. We report a case of a pigmented villonodular synovitis involving an ankle joint which was treated by total ankle replacement for recurrence after simple synovectomy.

Total Ankle Replacement Arthroplasty (족관절의 인공관절 치환술)

  • Sung, Il Hoon;Kim, Hyun Uk
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.1
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    • pp.1-6
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    • 2015
  • Total ankle replacement has been performed for treatment of end stage arthritis of the ankle, hopefully being an alternative to ankle arthrodesis. However, due to its high failure rates, earlier versions of ankle replacements were not regarded as successful procedures. The latest design has shown increasingly positive results. Total joint replacement of the ankle itself is still regarded as a demanding procedure and much more challenging than that of the hip and knee in many aspects. Several studies, however, have pointed out that it is becoming the viable, accepted alternative for arthrodesis with advanced implants, appropriate patient selection, and proper training experience of procedures. Compared with arthrodesis, it shows equal or better outcomes in pain relief, range of motion, and patient's satisfaction. We are attempting to review its biomechanical characteristics, implant design, indications, complications, clinical outcomes, and survival rate.

Total Ankle Arthroplasty in Ankle Arthritis with Coronal Plane Deformity (관상면 변형이 동반된 족관절염에서의 인공관절 치환술)

  • Yeo Kwon, Yoon;Kwang Hwan, Park;Jae Yong, Park
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.4
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    • pp.157-162
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    • 2022
  • Total ankle arthroplasty has become a viable motion-preserving alternative to ankle arthrodesis, especially in the last two decades. Recent improvements have been achieved in the strength of implant design and surgical technique. Nevertheless, addressing preoperative deformities is essential for successful outcomes of total ankle arthroplasty. Residual malalignment can produce instability and edge loading, causing acceleration of polyethylene wear, followed by osteolysis and an increased risk of revision surgery. Therefore, the accompanying deformities and their correction techniques need to be comprehensively elucidated and understood. In this article, we provide a review of the application of total ankle arthroplasty in arthritis with coronal plane varus and valgus deformities.

Outcomes of Meniscal Allograft Transplantation (동종 반월상 연골 이식술의 결과)

  • Cho, Chong-Hyuk;Choi, Yun-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.1
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    • pp.36-41
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    • 2011
  • Treatment options are limited for young, meniscal-deficient patients with pain. This patient population is not age appropriate for total joint replacement, but the loss of the meniscus leaves them at significant risk for the development of osteoarthritis. One increasingly popular option is the use of allograft meniscal transplantation. However, many questions still surround allograft meniscus transplantation. Furthermore, most reports in the literature on the results of meniscal transplantation describe small case series using clinical outcome measures and/or incomplete direct evaluation of the meniscus. Therefore, the results of meniscal allograft transplantation have been difficult to interpret and compare due to many confounding variables. In this study, we reviewed the current research of concerns on the results of meniscal allograft transplantation.

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An Integrated and Complementary Evaluation System for Judging the Severity of Knee Osteoarthritis Using CNN (CNN 기반 슬관절 골관절염 중증도 판단을 위한 통합 보완된 등급 판정 시스템)

  • YeChan Yoon
    • Journal of Korea Society of Industrial Information Systems
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    • v.29 no.4
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    • pp.77-89
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    • 2024
  • Knee osteoarthritis (OA) is a very common musculoskeletal disorder worldwide. The assessment of knee osteoarthritis, which requires a rapid and accurate initial diagnosis, is determined to be different depending on the currently dispersed classification system, and each classification system has different criteria. Also, because the medical staff directly sees and reads the X-ray pictures, it depends on the subjective opinion of the medical staff, and it takes time to establish an accurate diagnosis and a clear treatment plan. Therefore, in this study, we designed the stenosis length measurement algorithm and Osteophyte detection and length measurement algorithm, which are the criteria for determining the knee osteoarthritis grade, separately using CNN, which is a deep learning technique. In addition, we would like to create a grading system that integrates and complements the existing classification system and show results that match the judgments of actual medical staff. Based on publicly available OAI (Osteoarthritis Initiative) data, a total of 9,786 knee osteoarthritis data were used in this study, eventually achieving an Accuracy of 69.8% and an F1 score of 76.65%.

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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