• Title/Summary/Keyword: 인공관절

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A Biomechanical Comparative Analysis of the Multi-Radius Total Knee Arthroplastry System for Go up Stair and Go down Stair (계단 오르기와 내리기 동안 다축범위(multi-radius) 무릎인공관절 수술자의 운동역학적 비교분석)

  • Jin, Young-Wan;Yoo, Byung-In;Kawk, Yi-Sub
    • Korean Journal of Applied Biomechanics
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    • v.16 no.1
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    • pp.31-41
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    • 2006
  • The primary purpose of a TKA is to restore normal knee function Therefore, ideally, a TKA should: (a) maintain the natural leverage of the knee joint muscles to ensure generating adequate knee muscle moments to accomplish daily tasks such as rising from climbing stairs; (b) provide adequate knee joint stability. A 16-channel MyoResearch XP EMG system was used to collect the differential input surface electromyography signals VM, VL, RF, BF, ST during climbing/descending stair tests. A Peak Motion Measurement System was used to collect the kinematic and kinetic data. AKIN-COM Ill isokinetic dynamometer was used for EMG of VM, VL, RF, BF and ST during maximal voluntary contraction. I Quadriceps EMG results for the VM of the passed 1year group limb demonstrated significant less RMS EMG than that of the passed 3year group limb $60^{\circ}-15^{\circ}$ of knee flexion(p<0.05). The VL of the passed 1year group limb also demonstrated significants less RMS EMG than that of the passed 3year group limb from $60^{\circ}-45^{\circ}$ of knee flexion(p<0.05). Similar to the VM and VL, the RF of the passed 1year group limb showed less RMS EMG than that of the passed 3year group limb from $60^{\circ}-30^{\circ}$ do knee flexion(p<0.05). Hamstring EMG results for the BF of the passed 1year group limb demonstrated less RMS EMG than that of the passed 3year group limb from $75^{\circ}-15^{\circ}$ of knee flexion(p<0.05). The passed 1year group limb tended to have less ADD displacement(p<0.071) than that of the passed 3year group limb. There was no significant difference of the ABD displacement between the passed 1year group and the passed 3year group limbs(p<0.73). The passed 3year group used compensatory adaptation movement strategies to compensate for the strength deficit of passed 3year group limbs. The passed 3year group limb also increased the quadriceps muscle activation level to produce more knee extension moment to compensate for the short quadriceps moment arm. The passe 3year group limb might have an unstable knee joint in the medio-Iateral direction during the climbing/descending by showing a tendency of more ADD displacement and greater hamming co-activation EMG than the passed 1year group limbs. The TKA design was not able to help the knee joint to produce adequate knee extension moment with less quadriceps muscle effort. I think that old man needs continuous exercise for muscle strength.

Full mouth rehabilitation of a partially edentulous patient with crossed occlusion using implant-retained RPD with zirconia occlusal table (엇갈린 교합을 가진 부분 무치악 환자에서 지르코니아 교합면을 가지는 Implant-Retained RPD 이용한 전악 수복 증례)

  • Kwon, Tae-Min;Seo, Chi-Won;Kim, Kyung-A;Ahn, Seung-Geun;Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.4
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    • pp.314-321
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    • 2016
  • Conventional removable partial dentures (RPDs) with distal extensions are associated with some problems, including lack of stability that calls for frequent relining, and cantilever actions of claps that can produce excessive loading to abutment teeth, and the need for unesthetic retentive arm clasps. Therefore, IARPDs (Implant-assisted RPD) that use implants to support or retain RPDs has been reported to improve stability, esthetics and masticatory performance of RPDs. Also, an IARPD that has zirconia occlusal table can prevent the incongruity of occlusal plane and the extrusion of antagonistic tooth. In this case of partially edentulous patient with crossed occlusion, each edentulous area was restored with implant fixed prosthesis and implant retained partial denture to suit each situation. Through the procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.

Wear Resistance of Crosslinked Ultra-high Molecular Weight Polyethylene (가교된 초고분자량 폴리에틸렌의 내마모성)

  • Im, Chae-Ik;Lee, Gwi-Jong;Jo, Jae-Yeong;Choe, Jae-Bong;Choe, Gwi-Won
    • Journal of Biomedical Engineering Research
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    • v.20 no.1
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    • pp.99-106
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    • 1999
  • Ultra-high molecular weight polyethylene (UHMWPE) was crosslinked in the melt state to enhance wear resistance, Dicumyl peroxide (DCP) and triallyl cyanurate (TAC) was used as a crosslinking agent and a promoter, respectively. With increasing amount of DCP and TAC used, gel content of crosslinked UHMWPE (XUMPE) increased, while the melting temperature, crystallizaiton temperature, crystallinity, and tensile properties decreased. The results of pin-on-disk wear test and ball-on-disk test with small applied load showed reduced wear volumes of XUMPE from that of the unmodified UHMWPE. As the wear mechanism effected in the experimental condition of this study was thought to be deformation rather than adhesion or fatigue, a new parameter, the ratio of maximum contact stress to yield stress, was proposed to correlate well with observed wear resistance. In ball-on-disk wear test with larger applied load, XUMPE showed higher wear volumes than that of the unmodified UHMWPE which were accompanied with increased friction coefficients and surface roughness of the wear tracks. When contact stress was well above yield stress, the failure of XUMPE, as well as deformation, was thought to be much accelerated.

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Seq2Seq model-based Prognostics and Health Management of Robot Arm (Seq2Seq 모델 기반의 로봇팔 고장예지 기술)

  • Lee, Yeong-Hyeon;Kim, Kyung-Jun;Lee, Seung-Ik;Kim, Dong-Ju
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.12 no.3
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    • pp.242-250
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    • 2019
  • In this paper, we propose a method to predict the failure of industrial robot using Seq2Seq (Sequence to Sequence) model, which is a model for transforming time series data among Artificial Neural Network models. The proposed method uses the data of the joint current and angular value, which can be measured by the robot itself, without additional sensor for fault diagnosis. After preprocessing the measured data for the model to learn, the Seq2Seq model was trained to convert the current to angle. Abnormal degree for fault diagnosis uses RMSE (Root Mean Squared Error) during unit time between predicted angle and actual angle. The performance evaluation of the proposed method was performed using the test data measured under different conditions of normal and defective condition of the robot. When the Abnormal degree exceed the threshold, it was classified as a fault, and the accuracy of the fault diagnosis was 96.67% from the experiment. The proposed method has the merit that it can perform fault prediction without additional sensor, and it has been confirmed from the experiment that high diagnostic performance and efficiency are available without requiring deep expert knowledge of the robot.

Neutral zone approach and external impression for rehabilitation of severely atrophic maxillary and mandibular ridges: a case report (치조제 흡수가 심한 무치악 환자에서 중립대 및 연마면 인상을 통한 총의치 수복 증례)

  • Jo, Yujin;Ko, Chang-woo;Park, Sang-Won;Yun, Kwi-Dug;Park, Chan;Lim, Hyun-Pil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.4
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    • pp.324-330
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    • 2018
  • In order to produce a stable denture for severe alveolar bone loss area, it is not only important that .0a suitable occlusion is established but also to consider compatibility with the surrounding muscle to form a suitable polished surfaces. Neutral zone is defined as a potential area where the neuromuscular system of the tongue, cheeks and lips is balanced can be determined through the neutral zone impression technique. And if artificial teeth are aligned within the neutral zone and the polished surface follows the anatomical form of the dynamic muscle, higher stability and retention of the denture may be obtained through coordination with the surrounding muscle tissue. This case is being reported since the concept of the neutral zone was applied to a patient with severely atrophic residual alveolar ridge and the result was clinically satisfactory in both function and aesthetics.

Temporary replacement of congenital missing incisors on mandible using temporary anchorage devices in growing patient: 2-year follow-up (성장기 아동에서 교정용 골성 고정원을 이용한 선천 결손 하악 전치의 임시 보철 수복: 2년 경과 관찰)

  • Choi, Youn-kyung;Kwon, Eun-Young;Jung, Kyung-Hwa;Choi, Na-Rae;Park, Soo-Byung;Kim, Seong-sik;Kim, Yong-il
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.272-281
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    • 2020
  • Agenesis of permanent tooth in adolescent patients can be treated either by orthodontic treatment for space closure or by maintaining the space until implant restoration can be carried out in adult. However, gradual atrophy of alveolar bone width makes it difficult to restore the prosthesis in the future or may cause unaesthetic results. Therefore, maintaining of not only the missing space but also the alveolar bone width should be considered. This case is a treatment whereby a temporary replacement of missing 2 mandibular incisors in adolescent patient was carried out using 2 temporary anchorage devices (TADs). Two TADs were placed horizontally 2 - 3 mm below the top of alveolar ridge, and fixed with artificial teeth by stainless steel wires extended. During the 2 year follow-up, neither gingival inflammation nor loss of the TADs have occurred. In the radiographic evaluation, the growth of the adjacent alveolar bone was not inhibited, and the width of the alveolar bone was maintained.

Deep learning algorithms for identifying 79 dental implant types (79종의 임플란트 식별을 위한 딥러닝 알고리즘)

  • Hyun-Jun, Kong;Jin-Yong, Yoo;Sang-Ho, Eom;Jun-Hyeok, Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.196-203
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    • 2022
  • Purpose: This study aimed to evaluate the accuracy and clinical usability of an identification model using deep learning for 79 dental implant types. Materials and Methods: A total of 45396 implant fixture images were collected through panoramic radiographs of patients who received implant treatment from 2001 to 2020 at 30 dental clinics. The collected implant images were 79 types from 18 manufacturers. EfficientNet and Meta Pseudo Labels algorithms were used. For EfficientNet, EfficientNet-B0 and EfficientNet-B4 were used as submodels. For Meta Pseudo Labels, two models were applied according to the widen factor. Top 1 accuracy was measured for EfficientNet and top 1 and top 5 accuracy for Meta Pseudo Labels were measured. Results: EfficientNet-B0 and EfficientNet-B4 showed top 1 accuracy of 89.4. Meta Pseudo Labels 1 showed top 1 accuracy of 87.96, and Meta pseudo labels 2 with increased widen factor showed 88.35. In Top5 Accuracy, the score of Meta Pseudo Labels 1 was 97.90, which was 0.11% higher than 97.79 of Meta Pseudo Labels 2. Conclusion: All four deep learning algorithms used for implant identification in this study showed close to 90% accuracy. In order to increase the clinical applicability of deep learning for implant identification, it will be necessary to collect a wider amount of data and develop a fine-tuned algorithm for implant identification.

Neutral zone and alveolar relation consideration for fabricating complete denture in a patient with severe alveolar bone resorption: a case report (치조제 흡수가 심한 환자에서 중립대 및 치조제 관계를 고려한 총의치 수복 증례)

  • Hyung-Jun Kim;Woo-hyung Jang;Chan Park;Kwi-dug Yun;Hyun-Pil Lim;Sang-Won Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.4
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    • pp.214-221
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    • 2023
  • In order to fabricate stable dentures in patients with severe resorption of residual ridges, various factors must be considered. One of them is the neutral zone, which is defined as the potential region in which the pressure of the tongue outward in the oral cavity and the pressure of the cheeks and lips directed inward from the outside of the oral cavity equalize during functioning. In patients with severe ridge resorption, if the teeth are usually arranged above the residual ridge, the teeth are located on the lingual side rather than the original position. Therefore, the functional space of the tongue is invaded, the tongue is positioned backward, and the sealing of the lingual border is broken, which acts as a factor reducing the maintenance of denture. In addition, it is also important for the stability of dentures to assume an interalveolar crest line connecting the maxillary and mandibular ridge crests, and to arrange the maxillary and mandibular artificial teeth to match the masticatory force to the interalveolar crest line. Therefore, good clinical results were obtained by fabricating dentures for the patient with poor alveolar residual ridge using neutral zone impression and ridge relationship analysis.

Complete denture fabrication of a skeletal class III edentulous patient considering anterior neutral zone: a case report (골격성 III급 무치악 환자에서 전치부 중립대를 고려한 총의치 제작 증례)

  • Su-Hun Kim;Hyung-Jun Kim;Sang-Won Park;Hyun-Pil Lim;Chan Park;Woo-hyung Jang
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.2
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    • pp.91-99
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    • 2024
  • In the case of skeletal class III edentulous patients, the stability of dentures can be achieved by using a crossbite by considering the residual ridge relationship when fabricating complete dentures. Forming the anterior teeth in a normal occlusal relationship in a skeletal class III ridge relationship may reduce the stability of the denture by increasing the anterior cantilever. However, when patients use complete dentures, not only functional aspects but also aesthetic aspects are important. The aesthetics of complete dentures depends on how the anterior artificial teeth are arranged, and cases of complete denture fabrication using normal occlusion or edge-to-edge bite in edentulous patients with skeletal class III ridge relationships have been reported. In this case, complete dentures were fabricated for an edentulous patient with a skeletal class III edentulous patients by forming anterior edge-to-edge bite considering neutral zone in maxillary anterior teeth, and good aesthetic and functional results were obtained.

Operative treatment for Proximal Humeral Fracture (상완골 근위부 골절의 수술적 요법)

  • Park Jin-Young;Park Hee-Gon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.168-175
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    • 2003
  • Fracture about proximal humerus may be classified as the articular segment or the anatomical neck, the greater tuberosity, the lesser tuberosity, and the shaft or surgical neck. Now, usually used, Neer's classification is based on the number of segments displaced, over 1cm of displaced or more than 45 degrees of angulation , rather than the number of fracture line . Absolute indication of a operative treatment a open fracture, the fracture with vascular injury or nerve injury , and unreductable fracture-dislocation . Inversely, the case that are severe osteoporosis, and eldly patient who can't be operated by strong internal fixation is better than arthroplasty used by primary prosthetic replacement and early rehabilitation program than open reduction and internal fixation. The operator make a decision for the patient who should be taken the open reduction and internal fixation, because it's different that anatomical morphology, bone density, condition of patient. The operator decide operation procedure. For example, percutaneous pinning, open reduction, plate & screws, wire tension bands combined with some intramedullary device are operation procedure that operator can decide . The poor health condition for other health problem, fracture with unstable vital sign and severe osteoporosis , are the relative contraindication. The stable fracture without dislocation is not the operative indication . The radiologic film of the prokimal humerus before the operation can not predict for fracture evaluation. It's necessary to good radiologic film for evaluation of fracture form. The trauma serise is better than the other radiologic film for evaluation. The accessary radiologic exam is able to help for evaluation of bone fragment and anatomy. The CT can be helpful in evaluating these injury, especially if the extract fracture type cannot be determined from plain roenterogram of the proximal humerus, bone of humerus head. If the dislocation is severe anatomically , we could consider to do three dimentional remodelling. The MRI doing for observing of bony morphology before the operation is not better than CT If we were suspicious of vascular injury, we could consider the angiography.

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