• Title/Summary/Keyword: 인공관절

Search Result 315, Processing Time 0.022 seconds

Partial Resection of Osteosarcoma in Proximal Tibia - A Case Report - (근위 경골 골육종의 부분 절제술 - 증례 보고 -)

  • Song, Won-Seok;Lee, Seung-Jun;Won, Ho-Hyun;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.14 no.2
    • /
    • pp.140-145
    • /
    • 2008
  • After limb salvage operation becomes popular, reconstruction method of epi-metaphyseal osteosarcoma is relatively standardized though it may be operator's matter of preference. Most limb salvage techniques presently used are prosthesis reconstruction and osteoarticular allograft. In the case of prosthesis, it is very stable and shows good postoperative functional score, however, finally, it has a weak point of requirement for removal procedure due to failure. In the long run, allograft reconstruction has a good merit. But, it has a weak point of difficulties in securing the demanded size and shape. Allograft reconstruction should be performed only in the case of safe margin and established indication. In limb salvage operation, intercalary reconstruction is useful method in diaphyseal osteosarcoma, however, in metaphyseal osteosarcoma, the indication is not confirmed. We treated 17 year old osteosarcoma patient with localized in the tibial medial condyle with proximal medial condylectomy and pasteurized bone reconstruction in the conviction of safe surgical margin. We report this case because we guess if this procedure may be applied to premature patients, despite failure hemiarthroplasty can be tried successfully.

  • PDF

A Biomechanical Comparative Analysis between Single-Radius and Multi-Radius Total Knee Arthroplasty for Sit-to-Stand Movement (앉았다 일어나는 동작동안 단축회전반경 무릎인공관절 수술자와 다축회전반경 무릎인공관절 수술자의 운동역학적 비교분석)

  • Jin, Young-Wan
    • Journal of Life Science
    • /
    • v.16 no.5
    • /
    • pp.773-779
    • /
    • 2006
  • Eight of the individuals had a unilateral S-RAD TKA and Multi-Radius TKA ($Scorpio^{TM}$ PS, Howmedica-Osteonics, Inc.). The instrument were used Peak Motion Measurement $System^{TM}$, $MYOPAC^{TM}$EMG System, KIN-COM $III^{TM}$ System. The Figure 3 shows that the average time for the S-RAD group to accomplish the sit-to-stand movement was 1.59 s, which was 0.19 s less than the M-RAD group (p= 0.033). In Figure 5, the S-RAD TKA group tended to have $7^{\Omega}{\cdot}S^{-1}$ less trunk flexion velocity than that of the M-RAD group (p= 0.058). The Figure 6 shows that the S-RAD TKA limb tended to have less ADD displacement (p = 0.071) than that of the M-RAD TKA limb. We failed to find significant differences for ABD and ADD displacements between the S-RAD and M-RAD N-TKA limbs (p= 0.128 and 0.457, respectively). The VM of the S-RAD TKA limb demonstrated significant less RMS EMG than that of the M-RAD TKA limb from $60^{\Omega}$ to $15^{\Omega}$ of knee flexion (p 0.05). The VL of the S-RAD TKA limb also demonstrated significant less RMS EMG than that of the M-RAD TKA limb from $60^{\Omega}$ to $45^{\Omega}$ of knee flexion (p 0.05). Similar to the VM and VL, the RF of the S-RAD TKA limb showed less RMS EMG than that of the M-RAD TKA limb from $60^{\Omega}$ to $30^{\Omega}$ of knee flexion (p 0.05).

May-Thurner Syndrome with Deep Vein Trombosis after Total Knee Arthroplasty (인공 슬관절 전치환술 후 발생한 메이-터너 증후군 및 심부정맥 혈전증)

  • Lee, Hwa-Sung;Kim, Yong-Woo;Jung, Se-Hoon;Lee, Se-Won
    • Journal of the Korean Orthopaedic Association
    • /
    • v.55 no.4
    • /
    • pp.343-347
    • /
    • 2020
  • May-Thurner syndrome (MTS), also known as iliac vein compression syndrome, is a condition, in which compression of the common venous outflow tract of the left lower extremity can cause discomfort, swelling, pain or blood clots in the iliofemoral veins. The problem is due to left common iliac vein compression by the overlying right common iliac artery. This paper describes the case of a 75-year-old female with MTS after performing right total knee replacement arthroplasty. The authors diagnosed MTS through intravenous angiography and angiographic computed tomography on swelling and pain of the left lower extremities after performing right total knee replacement arthroplasty. The thrombus was removed using a thrombolytic agent and mechanical thrombectomy, and an intravenous stent then inserted after angioplasty. No case of MTS after performing total knee replacement arthroplasty has been reported in Korea. Therefore, this case is reported along with review of the relevant literature.

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
    • /
    • 2002.04a
    • /
    • pp.215-218
    • /
    • 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)

  • PDF

Normal Glenoid Size of the Korean in 7th and 8th Decades (한국인 60~70대의 정상 견갑골 관절와의 크기)

  • Moon, Young-Lae;Ha, Sang-Ho;Noh, Kyung-Hwan
    • Clinics in Shoulder and Elbow
    • /
    • v.11 no.1
    • /
    • pp.37-40
    • /
    • 2008
  • Purpose: We wanted to evaluate the normal glenoid size of Koreans in their 7th and 8th decades by conducting Computed tomographic (CT) studies. Materials and Methods: The CT images were obtained from the normal scapulae of the patients (mean age: 68.8) who had humeral fracture. A display workstation version 2.0.73.315 was used to measure the scans to determine the maximal superoinferior (SI) and anteroposterior (AP) diameters of the glenoid vault. Results: The average diameters of curvature of the glenoid were 31.2 mm (range: 27 to 34 mm) in the superior-inferior direction and 26.1mm (range: 22 to 31mm) in the anterior-posterior direction. Conclusion: This study showed the normal glenoid size of Koreans and it is different from the size that the international literature reported. It should be an important factor for the treatment of fracture or in designing arthroplasty implants.

End Stage Ankle Arthritis with Ankle Instability Patients Treatment Results Using Autograft Ligament Reconstruction with Total Ankle Arthroplasty (인대 불안정성이 동반된 말기 족근 관절염 환자의 자가 인대 재건술과 인공관절 치환술의 치료 결과)

  • Choi, Jae-Hyuck;Kim, Jeong-Ryoul;Kim, Dong-Hyun;Chung, Woo-Chull;Yoon, Jung-Ro;Yeo, Eui-Dong;Lee, Kyung-Tai
    • Journal of Korean Foot and Ankle Society
    • /
    • v.14 no.1
    • /
    • pp.47-52
    • /
    • 2010
  • Purpose: We report the clinical and radiographic result of ligament reconstruction using plantaris and total ankle replacement in end-stage ankle arthritis with ankle instability. Materials and Methods: The study is based on the 9 cases among total 48 patients of end-stage ankle arthritis that were treated with total ankle prosthesis and ligament reconstruction from 2007 to 2009 at least 12 months follow-up. We evaluated the VAS (Visual analogue scale) pain score, AOFAS (American orthopedic foot and ankle society) score and radiographic measurements. Results: Average age was 59.4 years (53~67 years) old. VAS pain score improved from preoperative average $8.2{\pm}0.9$ (range, 7~10) to $2.7{\pm}1.7$ (range, 0~6) and the AOFAS score improved from $46.4{\pm}14.6$ points (range, 23~69) to $80.1{\pm}9.3$ points (range, 65~95) at final follow-up. Anterior draw test improved $15.2{\pm}3.4$ mm (range, 12~23 mm) to $8.8{\pm}2.6$ mm (range, 6~13mm), varus stress test improved from $13.9{\pm}4.6^{\circ}$ (range, $10-18^{\circ}$) to $6.2{\pm}4.7^{\circ}$ (range, $2-18^{\circ}$) at final follow up. Conclusion: Plantaris ligament reconstruction is good option as part of the management of ankle instability with end-stage ankle arthritis. We achieved good clinical and radiographic results.

Outcomes of Ankle Arthroplasty with Preoperative Varus Deformity of More Than 20 Degrees: Comparison with the Group of Varus Deformity of Less Than 20 Degrees (20도 이상의 술전 내반 변형이 있었던 족관절에서 인공관절 치환술의 결과: 내반 변형 20도 미만 군과의 비교)

  • Kim, Hyunho;Lee, Myoungjin
    • Journal of Korean Foot and Ankle Society
    • /
    • v.20 no.1
    • /
    • pp.19-22
    • /
    • 2016
  • Purpose: We compared the results of total ankle arthroplasty in patients with preoperative varus deformity of more than $20^{\circ}$ with those of patients with varus deformity less than $20^{\circ}$. Materials and Methods: From January 2005 to January 2013, 9 ankles with preoperative varus deformity of more than $20^{\circ}$ (varus group) and 31 ankles with varus deformity less than $20^{\circ}$ (control group) underwent total ankle arthroplasty. Clinical results were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) score, and radiographic results were assessed using tibiotalar varus angle in standing anteroposterior radiographs taken preoperatively and at the last follow-up. Results: The mean duration of clinical follow-up was 42.8 months (14~60 months). The AOFAS score was improved by a mean 47.0 points in the varus group and 37.6 points in the control group. Statistically significant difference was observed between the two groups (p=0.041). Tibiotalar varus angle measured at the last follow-up radiograph was $2.5^{\circ}$ in the varus group and $1.0^{\circ}$ in the control group and the difference was not statistically significant (p=0.820). Conclusion: Satisfactory clinical and radiographic results can be achieved in patients with varus deformity more than $20^{\circ}$ by precise bone resection and soft tissue release.

Effect of Exoskeleton Orthosis for Assistance of Dorsiflexion Torque in Walking Pattern and Lower-limb Muscle (족배굴곡 보조용 외골격 보조기가 보행자의 보행패턴 및 하지근육에 미치는 효과)

  • Oh, H.J.;Kim, K.;Jeong, G.Y.;Jeong, H.C.;Kwon, T.K.
    • Journal of rehabilitation welfare engineering & assistive technology
    • /
    • v.8 no.3
    • /
    • pp.177-185
    • /
    • 2014
  • In this study, the exoskeleton orthosis for the assistance of dorsiflexion torque in ankle joint to prevent foot-drop was developed. It was consist of three part; 1) the power part using artificial pneumatic actuator, 2) wearing part of ankle and knee joints to fix the orthosis, and 3) control part to detect the gait phase using physiological signal. The dorsiflexion torque was generated by the artificial pneumatic actuator connected with wearing part between ankle and knee joint. The accurate timing to assist dorsiflexion torque is made up of physiological signal in foot sole part that detect the gait phase, that is, stance and swing phase in each foot. We conduct the experiment to investigate the effect of exoskeleton orthosis to the 7 elderly people and 10 healthy people. The result showed that the muscular activities in tibialis anterior muscle were reduced because of the assistance of dorsiflexion torque in ankle joint using the exoskeleton orthosis.

  • PDF