• Title/Summary/Keyword: Biomechanical technique

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ACL Reconstruction: Bone-Patellar Tendon-Bone Autograft (전방 십자 인대 재건술: 골-슬개건-골 자가이식물)

  • Koh, Hae-Seok
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.102-108
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    • 2005
  • The incidence of anterior cruciate ligament tears is increasing as a result of the increasing participation of individuals of all ages in high-risk sports. Endoscopic anterior cruciate ligament reconstruction using autogenous central third bone-patellar tendon-bone graft is the most commonly used method. With regard to BPTB graft as the go]d standard in ACL reconstruction, there are no data that refute this claim to date. Author reviewed the biomechanical properties, donor site morbidity and selection of the bone-patellar tendon-bone graft and described the surgical technique of endoscopic ACL reconstruction using BPTB autograft.

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Application of the Chaos Theory to Gait Analysis (카오스 이론을 적용한 보행분석 연구)

  • Park, Ki-Bong;Ko, Jae-Hun;Moon, Byung-Young;Suh, Jeung-Tak;Son, Kwon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.30 no.2 s.245
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    • pp.194-201
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    • 2006
  • Gait analysis is essential to identify accurate cause and knee condition from patients who display abnormal walking. Traditional linear tools can, however, mask the true structure of motor variability, since biomechanical data from a few strides during the gait have limitation to understanding the system. Therefore, it is necessary to propose a more precise dynamic method. The chaos analysis, a nonlinear technique, focuses on understand how variations in the gait pattern change over time. Eight healthy eight subjects walked on a treadmill for 100 seconds at 60 Hz. Three dimensional walking kinematic data were obtained using two cameras and KWON3D motion analyzer. The largest Lyapunov exponent from the measured knee angular displacement time series was calculated to quantify local stability. This study quantified the variability present in time series generated from gait parameter via chaos analysis. Knee flexion-extension patterns were found to be chaotic. The proposed Lyapunov exponent can be used in rehabilitation and diagnosis of recoverable patients.

Biomechanical Analysis of the Rotator Cuff Function During Elevation Motion in Scapula Plane using a Skeletal Muscle Model

  • Tanaka, Hiroshi;Nobuhara, Katsuya
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2009.03a
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    • pp.74-74
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    • 2009
  • The purpose of this study was to estimate force of muscles that constituted the rotator cuff during elevation motion in scapula plane, using a skeletal muscle model and quantitatively evaluate rotator cuff function in vivo. A healthy volunteer was measured with an open MR and CT system at elevation positions in scapula plane (MR: $30^{\circ}$, $60^{\circ}$, $90^{\circ}$, $120^{\circ}$, $150^{\circ}$, CT: $0^{\circ}$). After reconstruction three-dimensional MRI-based and CT-based bone surface models, matched each models with registration technique. Then supraspinatus, infraspinatus, subscapularis, teres minor, deltoid (anterior, middle, posterior portions) represented as plural lines. These lines were proportional to physiologic cross-sectional area (PCSA) and defined straight line to bind origin and insertion. Force of supraspinatus became greatest at $59^{\circ}$ of elevation. Subsequently force of deltoid middle portion became greatest at $89^{\circ}$ of elevation. Infraspinatus and subscapularis were active at the meantime. In addition, supraspinatus was active during elevation. These results resembled clinical finding and were proved force couples that contribute to mobility and stability of shoulder complex.

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Dynamic response of heat and mass transfer in blood flow through stenosed bifurcated arteries

  • Charkravarty S.;Sen S.
    • Korea-Australia Rheology Journal
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    • v.17 no.2
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    • pp.47-62
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    • 2005
  • The present study deals with a mathematical model describing the dynamic response of heat and mass transfer in blood flow through bifurcated arteries under stenotic condition. The geometry of the bifurcated arterial segment possessing constrictions in both the parent and the daughter arterial lumen frequently appearing in the diseased arteries causing malfunction of the cardiovascular system, is formulated mathematically with the introduction of the suitable curvatures at the lateral junction and the flow divider. The blood flowing through the artery is treated to be Newtonian. The nonlinear unsteady flow phenomena is governed by the Navier-Stokes equations while those of heat and mass transfer are controlled by the heat conduction and the convection-diffusion equations respectively. All these equations together with the appropriate boundary conditions describing the present biomechanical problem following the radial coordinate transformation are solved numerically by adopting finite difference technique. The respective profiles of the flow field, the temperature and the concentration and their distributions as well are obtained. The influences of the stenosis, the arterial wall motion and the unsteady behaviour of the system in terms of the heat and mass transfer on the blood stream in the entire arterial segment are high­lighted through several plots presented at the end of the paper in order to illustrate the applicability of the present model under study.

Suggestion of New Terminology and Classification of the Hand Techniques by Angular Momentum in the Taekwondo Poomsae

  • Yoo, Si-Hyun;Jung, Kuk-Hyun;Ryu, Ji-Seon
    • Korean Journal of Applied Biomechanics
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    • v.26 no.1
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    • pp.51-69
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    • 2016
  • Objective: The purpose of this study is to suggest new terminology for the ninety-five hand techniques based on the significance of their angular momentum, determined by analyzing each technique's influence or impact on the compartmentalized angular momentum of the trunk, upper arm, and forearm in the Taekwondo Poomsae. Method: An athlete who won the 2014 World Taekwondo Poomsae championship was selected and agreed to participate in the data collection phase of our investigation. The video data was collected using eight infrared cameras (Oqus 300, Qualysis, Sweden) and the Qualisys Track Manager software (Qualisys, Sweden). The angular momentum of each movement was then calculated using the Matlab R2009a software (The Mathworks, Inc., USA). Results: The classification of the ninety-five hand techniques in the Taekwondo Poomsae based on the significance of each segment's momentum is as follows. Makgi (blocking) is classified into fourteen categories, jireugi (punching) is classified into three categories, chigi (hitting) was classified into six categories, palgupchigi (elbow hitting) was classified into four categories, and jjireugi (thrusting) was classified two categories. Conclusion: This study offers a new approach, based on a biomechanical method, to the classification of the hand techniques that reflect kinesthetic motions in the Taekwondo Poomsae.

Effects of Operative Technique, Pedicle Screws, or Fusion on Loading of Adjacent Segments after Lumbar Fusion: Finite Element Biomechanical Analysis (요추 유합술 후, 인접분절의 위험을 초래하는 원인들에 대한 생체 역학적 분석)

  • Kang, Kyoung-Tak;Jung, Hyung-Jin;Chun, Heoung-Jae;Kim, Ho-Joong
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2010.04a
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    • pp.280-283
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    • 2010
  • 척추경 나사못을 이용한 요추 유합술은 가장 보편적으로 사용되는 수술 적 치료 방법이다. 과거 여러 연구들에서 이러한 척추 유합술의 임상적 우수성은 이미 입증 되었으며, 척추경 나사못은 시술 부위의 운동을 완전히 제한함으로써 높은 유합율을 얻을 수 있으나, 상대적으로 인접 분절의 조기 퇴행성 변화의 요인 중 하나로 보고되고 있다. 또한 유합술을 수행 할 때 후방조직의 절제 또한 인접 분절의 퇴행을 초래하는 원인으로 보고되고 있다. 따라서 본 연구에서는 유한요소해석 방법을 이용하여 척추경 나사못 과 후방조직을 절제하는 시술 방법을 비교하여 척추체의 운동범위의 증가량을 계산하였고, 척추경 나사못 모델과 후방조직을 제거한 모델을 개발하여 시술하기 전 정상모델과 비교하였다. 개발된 모델과 정상 모델을 생체 역학적 측면에서 분석하여 인접분절의 조기 퇴행성 변화를 일으키는 가장 큰 원인이 무엇인지 정량적으로 분석하였고, 이를 근거 하여 임상적 효과와 그 이론적 근거를 제시하고자 한다.

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Ankle Arthrodesis Using an Anterior T Plate in treating the Charcot joint of Ankle in a diabetic patient - A Case Report - (당뇨환자의 불안정 족관절에 있어서의 전방 T자형 금속판을 이용한 족관절 고정술)

  • Hwang, Kuhn-Sung;Sung, Il-Hoon;Cho, Soo-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.5 no.1
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    • pp.23-27
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    • 2001
  • It has been known that the ankle arthrodesis is a common surgical procedure for treating the ankle arthrosis and deformity that do not respond to the non-operative treatment. To date, various surgical techniques for the ankle arthrodesis have been reported. Clinical and biomechanical trials have shown that the rigid internal fixation leads the increased rate of the union. The ankle arthrodesis may be complicated with the nonunion, delayed union, malunion, and infection. In cases of the Charcot joint of the ankle in diabetic patients, however, arthrodesis could reduce the disadvantage of the nonoperative treatment, such as the loss of the reduction, progressive collapse, multiple ulcerations and infection. The object of this case report is to report our experience of a successful ankle arthrodesis using an anterior T plate in treating the unstable ankle of a diabetic patient, associated with the ankle fracture and the neuropathy. The surgical approach of this technique is simple so that it would allow less soft tissue injury, and this procedure would be regarded as one alternative to provide the rigid internal fixation in the ankle arthrodesis.

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Electrical Transmission Line Modelling of the Cochlear Basilar Membrane (다팽이관 기저막의 전기 전달선 모델링)

  • Jarng, Soon-Suck
    • Journal of Biomedical Engineering Research
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    • v.14 no.2
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    • pp.125-136
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    • 1993
  • The study of Cochlear biomechanics is to clearly define three biomechanical principles of the Cochlea : Activity, Nonlinearity and Feedback. In this article, the Cochlea is linearly and actively modelled in one dimensional time domain. The sharp tunning of the Basilar Membrane displacement is shown when the amplifying activity of hair cells is added to the model. The amplified energy of the travelling displacement wave is emitted throughout the Cochlear fluid, so that the model becomes unstable. A new technique is introduced to reduce strong echos fro the Helicotrema. It makes the model less unstable. Both pure and click tones are used as input stimuli onto the ear durm. When the model is normal, the click response of the model shows that the backward emission of the amplified fluid pressure has mainly the echos from the Helicotrema. However, when the linear and active model is assumed to be abnormal, that is, some of hair cells are damaged not to produce the active process, the effect of the hair cell damage is resulted in the Oto-acoustic emission. The frequency response of the abnormally emitted sound pressure shows that the Oto-acoustic emission has the information about the characteristic frequency of the damaged hair cell. The main aim of this paper is to demonstrate the active biomechanics of the Chchlea in the time domain.

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ACL Reconstruction - Remnant Preserving Technique - (전방십자인대 재건술 - 잔류조직 보존술식 -)

  • Lee, Byung-Ill;Chun, Dong-Il
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.97-104
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    • 2009
  • Optimal treatment of the torn anterior cruciate ligament (ACL) remains controversial. The complexity of surgically reproducing the natural biomechanical and anatomical function of the ACL has led to a diversity of reconstructive procedures. Controversy continues to exist regarding the best reconstructive procedure for the ACL deficient knee, but currently, there is no ideal method. Because of the increased frequency of ACL injury and the functional impairment resulting from that, the role of mechanoreceptors in the ACL recently has attracted considerable attention. Proper reconstruction of the ruptured ACL does not always have good results. Success after operation may depend not only on the mechanical stability but also on the quality of recovery of proprioception. It is well known that most ACL are ruptured in proximal half and most mechanoreceptors have been reported to be located in the subsynovial layer and near the tibial insertion of the ACL. Expected roles of tibial remnant is to enhance the revascularization and cellular proliferation of the graft, to preserve proprioceptive function, and to be able to acquire anatomical placement of the graft without roof impingement. The remnant of the ruptured ACL has been removed to clearly visualize the ACL footprint or decrease the risk of impingement and Cyclops lesion in most current techniques for ACL reconstruction. Therefore it seems reasonable to assume that preserving the tibial remnant as much as possible as a source of reinnervation, if technically possible without causing impingement, would be of potential benefit to the patient. In addition, it will facilitate the vascular ingrowth and ligamentization of the grafted ACL.

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Musculoskeletal Models to Predict Patient-specific Gait Patterns Using Function-based Morphing Technique (기능기반 형상변형기술을 응용한 환자맞춤형 근골격 모델의 보행패턴 예측에 관한 연구)

  • Park, Byoung-Keon;Koo, Bon-Yeol;Park, Eun-Joo;Chae, Jae-Wook;Lee, Soon-Hyuk;Kim, Jae-Jung
    • Korean Journal of Computational Design and Engineering
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    • v.17 no.6
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    • pp.443-455
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    • 2012
  • The configuration of a musculoskeletal (MS) system is closely related to the individual motions of the human body. Many researches have been focused on evaluating the associations between the MS configuration and the individual motion using patient-specific MS models, but it still remains a challenging issue to accurately predict the motion by differed configurations of the MS system. The main objective of this paper is to predict the changes of a patient-specific gait by altering the geometric parameters of the hip joint using function-based morphing method (FBM). FBM is suitable for motion analysis since this method provide a robust way to morph a MS model while preserving the biomechanical functions of the bones. Computed-muscle control technique is used to calculate the muscle excitations to reproduce the targeted motion within a digital MS model without the motion-captured data. We applied this approach to a patient who has an abnormal gait pattern. Results showed that the femoral neck length and the angle significantly affect to the motion especially for the hip abduction angle during gait, and that this approach is suitable for gait prediction.