• Title/Summary/Keyword: 정형성형

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Etiology and Treatment of Revision Shoulder Arthroplasty (견관절 인공관절 재치환술의 원인과 치료)

  • Kim, Young-Kyu;Jung, Kyu-Hak
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.100-109
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    • 2019
  • The rapidly increasing rate of shoulder arthroplasty is certain to increase the number of revision arthroplasties because of parallel increases in complication numbers. It has been widely reported that the causes of revision shoulder arthroplasty include rotator cuff deficiency, instability, glenoid or humeral component loosening, implant failure, periprosthetic fracture, and infection. Revision arthroplasty can be technically challenging, and surgical options available for failed shoulder arthroplasty are limited, especially in patients with glenoid bone loss or an irreparable rotator cuff tear. Furthermore, the outcomes of revision arthroplasty are consistently inferior to those of primary arthroplasty. Accordingly, surgical decision making requires a good understanding of the etiology of failure. Here, we provide a review of indications of revision arthroplasty and of the surgical techniques used by failure etiology.

Cauda Equina Syndrome after Percutaneous Balloon Kyphoplasty for Pathologic Compression Fracture (병적 척추체 압박 골절 환자에서 경피적 풍선 척추 성형술 시행 후 발생한 마미 증후군)

  • Park, Sung Jun;Park, Myung Hoon;Park, Jae Woo;Cho, Kyu Jung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.90-94
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    • 2020
  • Percutaneous balloon kyphoplasty is an option for pain relief in pathological vertebral compression fractures. Complications related to cement leakage through cortical defects have been reported. On the other hand, dural compression due to retropulsion of the tumor mass is rarely reported. The authors report a case of a 65-year female patient who had cauda equina syndrome after a percutaneous balloon kyphoplasty in a pathological vertebral fracture, even though epidural compression were not found prior to surgery. Magnetic resonance imaging revealed retropulsion of the tumor mass into the spinal canal through the disrupted posterior vertebral cortex.

Early Onset Subsequent Vertebral Compression Fracture after Percutaneous Verteroplasty (경피적 척추 성형술 후 조기에 발생한 새로운 척추 압박골절)

  • Kim, Jong-Kil;Choi, Byeong-Yeol;Park, Young-Chul;Kim, Dong-Hyun
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.24-29
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    • 2019
  • Purpose: To evaluate the characteristics and the risk factors of early onset subsequent vertebral compression fractures after percutaneous vertebroplasty. Materials and Methods: A total of 44 patients, who had a new subsequent vertebral fracture after percutaneous vertebroplasty for an osteoporotic vertebral compression fracture between January 2013 and December 2015, were recruited. The patients were divided into two groups according to the onset period of subsequent fracture. The number of patients who had a fracture within 3 months following vertebroplasty were 22 cases (Group A); after 3 months were 22 cases (Group B). Variables, including age, sex, bone mineral density (BMD), body mass index (BMI), preexisting vertebral compression fracture, location of the initial fracture, intradiscal cement leakage, injected cement volume, restoration of vertebral body height, and correction of kyphosis, in the two groups were analyzed and compared retrospectively. Results: The age, sex, BMD, BMI, preexisting vertebral compression fracture, location of the initial fracture, intradiscal cement leakage, and correction of kyphosis were similar in the two groups. Both a greater volume of bone cement injected and a greater degree of vertebral height restoration contributed significantly to the risk of fracture within 3 months. Conclusion: The cement volume and degree of height restoration are risk factors for early onset fracture at the adjacent vertebrae after percutaneous vertebroplasty and close attention is needed during the follow-up period.

A Finite Element Analysis for Near-net-shape Forming of Al6061 Powder under Warm Pressing (온간 성형 하에서 Al 합금 분말의 정밀정형에 대한 유한요소해석)

  • Kim, Ki-Tae;Yang, Hoon-Chul;Kim, Jong-Kwang
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.507-512
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    • 2003
  • A finite element analysis for near-net-shape forming of Al6061 powder was performed under warm pressing. The advantages of warm compaction by rubber isostatic pressing were discussed to obtain parts with better density distributions. To simulate densification and deformed shape of a powder compact during warm pressing, the elastoplastic constitutive equation based on yield function of Shima-Oyane was implemented into a finite element program(ABAQUS). The hyperelastic constitutive equation based on the Ogden strain energy potential was employed to analyze nonlinear elastic response of rubber. Finite element results were compared with experimental data for Al6061 powder compacts under warm pressing.

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The Effect of Solid Fraction on the Casting Formability in Vertical Type Squeeze Casting Process

  • Seo, Pan-Ki;Sohn, Sung-Man;Kang, Chung-Gil
    • Journal of Korea Foundry Society
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    • v.28 no.1
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    • pp.41-44
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    • 2008
  • 레오다이캐스팅 공정은 용탕상태의 원소재로부터 최종형상에 가장 가까운 정형제품(near-net shape)을 원하는 기계적 성질과 동시에 경제적으로 생산할 수 있는 제조방법으로 개발되어 왔다. 본 논문에서는 전자교반 시스템을 이용하여 결정립이 제어된 반용융 상태의 소재를 수직형 다이캐스팅기를 사용하여 리어파트(rear parts) 자동차 부품을 성형실험 하였다. 성형된 시제품들은 성형조건에 따른 조직 및 인장강도를 관찰하였으며, 시효경화 시간에 따른 T6 최적 열처리 조건을 조사하였다.