• 제목/요약/키워드: Artificial hip joint

검색결과 44건 처리시간 0.026초

인체관절의 회전중심 추정을 위한 구적합법의 비교 (The Comparison of Sphere Fitting Methods for Estimating the Center of Rotation on a Human Joint)

  • 김진욱
    • 한국운동역학회지
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    • 제23권1호
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    • pp.53-62
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    • 2013
  • The methods of fitting a circle to measured data, geometric fit and algebraic fit, have been studied profoundly in various areas of science. However, they have not been applied exactly to a biomechanics discipline for locating the center of rotation of a human joint. The purpose of this study was to generalize the methods to fitting spheres to the points in 3-dimension, and to estimate the center of rotation of a hip joint by three of geometric fit methods(Levenberg-Marquardt, Landau, and Sp$\ddot{a}$th) and four of algebraic fit methods(Delogne-K${\aa}$sa, Pratt, Taubin, and Hyper). 1000 times of simulation experiments for flexion/extension and ad/abduction at an artificial hip joint with four levels of range of motion(10, 15, 30, and $60^{\circ}$) and three levels of angular velocity(30, 60, and $90^{\circ}$/s) were executed to analyze the responses of the estimated center of rotation. The results showed that the Sp$\ddot{a}$th estimate was very sensitive to the marker near the center of rotation. The bias of Delogne-K${\aa}$sa estimate existed in an even larger range of motion. The Levenberg-Marquardt algorithm of geometric fit and the Pratt of algebraic fit showed the best results. The combination of two methods, using the Pratt's estimate as initial values of the Levenberg-Marquardt algorithm, could be a candidate of more valid estimator.

가정 방문 물리치료의 전략 (A Strategy of the Home Visiting Physical Therapy)

  • Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.180-189
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    • 2003
  • The purpose of this study was to emphasize the strategy of the home visiting physical therapy for elderly patients who have joint and musculoskeletal problems, disabled person who staying in home and early discharged person who staying in home with replacement of artificial hip joint and central nerve system problems with CP, CVA, SCI etc. Home visiting physical therapist can provide evaluation and diagnosis, treatment with their special knowledge and techniques, treatment council and education for the patients and family member and refer the patients to other specialist. Home visiting physical therapy can expects that patients will have better treatment with emotionally, economically and for long term care patients.

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일반보행보조기(RGO)와 동력보행보조기(PGO)의 보행시 에너지 소모도 비교 평가 분석 (Comparison of Energy Consumption of Reciprocating Gait Orthosis(RGO) and Powered Gait Orthosis(PGO) during Gait)

  • 강성재;류제청;문무성
    • 한국정밀공학회지
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    • 제25권8호
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    • pp.104-110
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    • 2008
  • The aim of this study ultimately is verifying that PGO gait is more efficient than RGO fur paraplegics because the air muscle assists hip flexion power in heel off movement. The gait characteristics of the paraplegic wearing the PGO or RGO are compared with that of a normal person. PGO with air muscles was used to analyze the walking of patients with lower-limb paralysis, and the results showed that the hip joint flexion and pelvic tilt angle decreased in PGO. In comparison to RGO gait, which is propelled by the movements of the back, PGO uses air muscles, which decreases the movement in the upper limb from a stance phase rate of 79$\pm$4%(RGO) to 68$\pm$8%. The energy consumption rate was 8.65$\pm$3.3 (ml/min/Kg) for RGO, while it decreased to 7.21t2.5(ml/min/Kg) for PGO. The results from this study show that PGO decreases energy consumption while providing support for patients with lower-limb paralysis, and it is helpful in walking for extended times.

컴퓨터 응용 인공고관절 모사 시술 방법 연구 (A Study on Computer Aided Surgical Simulation Method for Total Hip Arthroplasty)

  • 김상후;한승무
    • 대한의용생체공학회:의공학회지
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    • 제25권6호
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    • pp.455-464
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    • 2004
  • 현재 인공고관절 전치환 수술 과정의 높은 난이도 때문에 숙련된 의사의 경험에 상당히 의존하고 있는 실정이다. 비구컵과 대퇴 임플란트의 위치 선정은 수술의 성공 여부와 밀접한 관계가 있지만 아직까지는 의사의 눈대중에 의해 이루어지는 경우가 많다. 이러한 이유로 인하여 인공삽입물(비구컵, 대퇴시스템) 삽입의 정확성이 낮아서 재치환술을 해야 하는 경우가 자주 발생한다. 본 연구에서는 환자 골반골(pelvis)과 대퇴골(femur)의 3차원적인 고유 기하학적 정보를 이용하는 모사 시술을 통하여 비구컵과 대퇴 임플란트의 정확한 위치를 선정하는 방법을 결정하였다. 이를 위하여 우선 비구컵의 위치 변화에 따른 대퇴 전염각 및 대퇴 경간각의 변화 양상을 살펴보았고 또한 대퇴 임플란트의 삽입 위치에 따른 대퇴스템 경부 길이 및 대퇴스템각의 변화 양상을 조사하였다. 본 연구에서 다양한 모사 시술을 통한 기하학적 정보의 분석 결과 비구컵과 대퇴 임플란트의 정확한 위치 선정이 가능함을 확인하였다. 본 연구의 모사 시술 방법을 이용하여 의사가 인공고관절 수술을 선행한다면 수술의 정확도와 숙련도를 향상시킬 수 있을 것으로 기대된다.

유한요소해석을 이용한 하중조건에 따른 대퇴골의 거동예측 (Predicted the behavior of the femur according to the loading condition using FEM)

  • 송승엽;최성대
    • 한국기계가공학회지
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    • 제12권4호
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    • pp.3-9
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    • 2013
  • Falling related injuries are categorized as the most serious and common medical problems experienced by the elderly. Hip joint fracture, one of the most serious consequences of falling in the elderly, occurs in only about 1% of falling. In this study, according to the loading conditions, the analysis is the behavior of the femur. The CT images using the commercial program "Mimics" the bones of three-dimensional CAD data generated, and we will analyze the results of finite element analysis. The boundary conditions on the basis of existing research has been simplified. In this paper, the whole femur was assumed to be isotropic linear elastic material. Predicted the behavior of the femur according to the loading condition, it can be help the development of high-precision artificial bones and joints can be treated with surgery and will be able to perform efficiently.

정맥혈전 색전증 고위험군에서 시행한 혈전색전 예방요법(American College of Chest Physicians 지침 및 American College of Orthopedic Surgeons 지침)의 준수율 비교 연구 (Comparative Study of Compliance for Venous Thromboembolism Prophylaxis (American College of Chest Physicians Guideline and American College of Orthopedic Surgeons Guideline) in High Risk Patients with a Venous Thromboembolism)

  • 서유성;노재휘;장병웅;강덕원;원성훈
    • 대한정형외과학회지
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    • 제54권4호
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    • pp.317-326
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    • 2019
  • 목적: 인공관절 치환술 및 고관절 골절 환자에서 시행한 2가지 정맥혈전 색전증 예방요법의 준수율을 비교 분석하고자 하였다. 수술 후 발생하는 정맥혈전 색전증은 인공 슬관절 치환술이나 인공 고관절 치환술 및 고관절 골절 수술 후 발생하는 가장 심각한 합병증이다. 이에 대한 적절한 예방이 무엇보다 중요하기 때문에 항응고제 사용의 필요성 또한 증가하고 있다. 대상 및 방법: 2009년 3월부터 2011년 2월, 2012년 3월부터 2014년 2월까지 순천향대학교 부속 서울병원에서 인공 슬관절 치환술, 고관절 전치환술 및 고관절 골절로 고관절 반치환술 및 내고정술을 시행받은 환자들을 의무 기록과 영상 검사를 검토하여 각각 American College of Chest Physicians (ACCP) 가이드라인과 American College of Orthopedic Surgeons (AAOS) 가이드라인에 따라 시행한 정맥혈전 색전증 예방요법의 준수율을 후향적으로 비교 분석하였다. 결과: 인공관절 치환술 및 고관절 골절 환자에서 정맥혈전 색전증 예방을 위한 가이드라인이 적용되고 있으며 실제로 ACCP 가이드 라인에 따라 준수하고 있는 경우가 화학적 요법에서는 수술 전에 56.0%, 수술 후에는 67.0%, 물리적 요법에서는 80.5%의 준수율을 보였다. 또한 AAOS 가이드라인에 따라 준수하고 있는 경우가 화학적 요법에서는 74.1%, 물리적 요법에서는 88.3%의 준수율을 보이며 ACCP 가이드라인에 비해 높은 준수율을 보였다. ACCP 가이드라인의 수술 전 후 화학적 예방요법과 물리적 예방요법의 준수율과 AAOS 가이드라인의 화학적 예방요법과 물리적 예방요법의 준수율을 비교 분석하였으며, 인공 슬관절 치환술의 수술 전과 후, 고관절 골절 수술의 수술 전과 후, 전체 고위험군 수술에서 수술 전과 후 유의한 차이를 보였다(p<0.05). 결론: 정맥혈전 색전증 고위험군 수술에서 정맥혈전 색전증 예방요법의 가이드라인에 따른 준수율을 전반적으로 높여서 적절한 예방이 이루어지도록 해야 하며, 일선 정형외과의를 위한 통일된 방향의 가이드라인이 필요할 것이다.

골관절염 환자의 슬관절 전치환술 경험 (A Study on Experiences of Total Knee Replacement in Patients with Osteoarthritis)

  • 박현옥;박경숙
    • 근관절건강학회지
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    • 제3권2호
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    • pp.135-150
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    • 1996
  • This study was performed to analyze the patient's experience during the progress of disease in the patients with osteoarthritis, who are taken the replacement surgery of knee Joint. The examine was consisted of five patients with osteoarthritis, who are taken the replacement surgery of knee joint from Dec. 4. 1995 to May, 20, 1996 at C university hospital. After hospitalization, the physical and psycho-logical status of the patients during preoperation, postoperation and discharge was examined. The data were examined according to the ethnographic method. The results are as follows. The patients experienced the periods of embarrasment, conflict, before surgery suffering, acceptance period after surgery. In the embarrasment period, the patients take a multiple medication therapy including hospital treatment, oriental medication and folk medication to ameliorate joint pain after first diagnosis on arthritis. The embarrasment period includes compulsive drug medication, oriental medication, folk medication, trouble some, sadness and survey of hospitals. In the conflict period, the patients consider the operation of knee because of working difficulty and severe Joint Pain, while they feel anxiety about the surgery. They condemn their physical situations. They have the conflict and anxiety on surgical operation. they consider the quality of life. They hope the surgery makes patients to improve walking ability. This period includes self-condemned, sorry, tiresomeness, expectation, worrisomeness, anxiety and hesitance. In the suffering period, the patients experience post operation physical discomfort after the total knee replacement. They do physical exercise, including extension and straight leg raising to maintain walking ability, while they endure to wait approximately 6 months for normal walking movements and they are also unstable to environmental people's sight. This period includes postoperative pain, continuous discomfort, inability and communication difficulty to other's people. In the acceptance period, the patients consider longerity of artificial Joint and also endure mild remaining joint pain. Some of them have religions for their wellbeing of life. This period include a self-protesting policy, abandonment, self-consolation, dependence on religions. According to the result from this study I suggested these shown below. 1) After replacement surgery of knee joint, continuous investigation on outcome patient is necessary. 2) It is also necessary to analyze on patient's experiences, who are taken the replacement surgery of hip Joint. 3) Study on disease experiences of patients with rhematoid arthritis, who take drug medication and physical therapy alone without surgery, is necessary. 4) Investigation on patient's favorable folk medication may be helpful to analyze disease experience of patients with osteoarthritis.

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Tribological performance of UHMWPE reinforced with carbon nanotubes in bovine serum

  • Zoo, Yeong-Seok;Lim, Dae-Soon
    • 한국윤활학회:학술대회논문집
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    • 한국윤활학회 2002년도 proceedings of the second asia international conference on tribology
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    • pp.363-364
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    • 2002
  • Although the factors that cause the failure of orthopedic implants were not clearly determined, it was reported that the shapes of wear debris affect the tribological behavior of artificial implant. Many researches were conducted to examine the wear mechanism by debris but the role of debris shape in inflammatory reaction remains unclear. To observe the debris shape by addition of reinforcement, carbon nanotubes ( CNTs ) were added to ultra high molecular weight polyethylene ( UHMWPE ) to investigate the reinforcement effect of CNTs. CNTs which have a diameter of about 10-50 nm, while their length is about 3-5 nm were produced by the catalytic decomposition of the acetylene gas using a tube furnace. Plate on disc type wear test were performed to evaluate the tribological performance of UHMWPE composites reinforced with CNTs in lubricating condition ( bovine serum ). The wear losses of CNT added UHMWPE in bovine serum were significantly reduced. Worn surface and wear debris of UHMWPE with CNTs and without CNTs were compared to investigate the reinforcement effect of CNT on tribological behavior.

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방전플라즈마소결법에 의해 제조된 저탄성 타이타늄 다공질체의 생체적합성 평가 (Biocompatibility of Low Modulus Porous Titanium Implants Fabricated by Spark Plasma Sintering)

  • 송호연;김영희;장세훈;오익현
    • 한국재료학회지
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    • 제17권2호
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    • pp.107-114
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    • 2007
  • Porous Ti compacts were fabricated by spark plasma sintering (SPS) method and their in vitro and in vivo biocompatibilities were investigated. Alkaline phosphatase (ALP) activity representing the activity of osteoblast was increased when osteoblast-like MG-63 cells were cultured on the Ti powder surface. Some genes related to cell growth were over-expressed through microarray analysis. The porous Ti compact with 32.2% of porosity was implanted in the subcutaneous tissue of rats to confirm in vivo cytotoxicity. 12 weeks post-operation, outer surface and inside the porous body was fully filled with fibrous tissue and the formation of new blood vessels were observed. No inflammatory response was confirmed. To investigate the osteoinduction, porous Ti compact was implanted in the femur of NZW rabbits for 4 months. Active in-growth of new bone from the surrounded compact bone was observed around the porous body. From the results, The porous Ti compacts fabricated by spark plasma sintering might be available for the application of the stem part of artificial hip joint.

Tribological Properties of Carbon/PEEK Composites

  • Yoon, Sung-Won;Kim, Yun-Hae;Lee, Jin-Woo;Kim, Han-Bin;Murakami, Ri-Ichi
    • International Journal of Ocean System Engineering
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    • 제3권3호
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    • pp.142-146
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    • 2013
  • In this study, the effect of Carbon/PEEK composites on the tribological properties has been investigated. Also, its validity has been tested in the capacity of alternative materials of the Ti-based materials used for artificial hip joint. Moreover, this work evaluated the mechanical properties according to the fiber ply orientation, along with the fractured surfaces of the carbon/PEEK composites. The composites with a unidirectional orientation had higher tribological properties than those with a multidirectional orientation. This was caused by the debonding between the carbon fiber and the PEEK, which was proportional to the contact area between the sliding surface and the carbon fiber. The friction test results showed that there were no significant differences in relation to the fiber ply orientation. However, the friction properties of the carbon/PEEK composites were higher than those of the carbon/epoxy composites. In addition, the results showed that a composite that slid in a direction normal to the prepreg lay-up direction had a smaller friction coefficient than one that slid in a direction parallel to the prepreg lay-up direction.