• Composites Research
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• 제23권6호
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• pp.55-60
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• 2010

본 연구에서는 열가소성 복합재료인 유리섬유/폴리프로필렌 복합재료를 이용한 복합재료 고정판의 적절한 성형조건을 찾기 위해 다양한 성형조건으로 제작된 시편의 인장실험과 굽힘실험을 수행하여 성형조건에 따른 기계적 거동을 비교하였다. 실험 결과 성형온도와 압력이 각각 $230^{\circ}C$, 3MPa일 때 가장 우수한 기계적 특성을 가짐을 확인하였다. 성형실험을 통해 결정된 성형조건을 이용한 복합재료 고정판의 성형방법으로는 고정판의 스크류 구멍을 한번에 성형하는 정형성형방법과 스크류 구멍을 후가공하는 방법을 사용하였으며, 성형실험과 굽힘실험 결과 스크류 구멍을 후가공 하는 경우 우수한 굽힘특성을 가지는 것을 확인하였다. 본 논문에서는 복합재료 고정판의 적절한 성형을 위해 유리섬유/폴리프로필렌 복합재료의 기초 성형정보와 그에 따른 고정판 성형에 대한 연구를 수행하였으며, 이 결과는 해당재료를 이용한 구조물 성형에 중요한 정보를 제공할 것으로 기대된다.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.458-464
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• 2011

Purpose: Metacarpal fractures are common hand injury that may require operative intervention to ensure adequate reduction and stabilization. Traditionally, titanium miniplate was used for rigid fixation of bone fractures. However, the use of permanent plate lends itself to multiple complications such as infection, exposure of the hardware, tendon adhesions, tendon rupture, prolonged pain, bony atrophy and osteoporosis (stress shielding), metal sensitization, and palpation under the skin. This study evaluated the usefulness and stability of biodegradable plates and screws for treatment of metacarpal bone fractures. Methods: There was 17 patients who had surgery for metacarpal bone fracture from April 2007 to June 2010. All patients had open reduction and internal fixation. We used absorbable plates and screws (Inion CPS$^{(R)}$) for internal fixation. Postoperative results were assessed with x-ray. Stability of plates and screws, healing process and its complications were observed by clinical and radiographic assessment. Results: All patients were successfully reduced of bone fracture, and fixations with absorbable plates and screws were stable. The mean follow up period was 7.1 months. 2 patients complained postoperative pain, but they were relieved with analgesics. All patients experienced transient stiffness, but they were relieved with active assistive range of motion after removal of splint. No patients suffered complications which could be occurred by using metallic plate. Conclusion: There was no critical complications such as re-fracture or nonunion among patients. No patients suffered side effects related with metallic implants. Biodegradable implants can offer clinically stable and attractive alternative to metallic implants to stabilize metacarpal bone fractures in the hand.

• 대한의용생체공학회:의공학회지
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• 제41권1호
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• pp.14-21
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• 2020

Recently, porous additive manufactured(AM) cages have been introduced to provide more desirable stiffness and may be beneficial to bone ingrowth. They are designed to attempt to reduce the subsidence problem of traditional titanium cage and to get osseointegrative property that PEEK doesn't have. This study was performed to evaluate the mechanical performance of newly developed lumbar porous AM cages. Three types of mechanical tests were performed in accordance with the ASTM standards: Static compression, compression-shear, and subsidence tests. The porous AM cages with 60% porosity showed similar device stiffness and strength as the various products submitted to FDA 510(k), and their wider contact area improved the subsidence test results by about 50%. In conclusion, the porous AM cages developed in this study were considered mechanically safe and could be an alternative to solid PEEK cages.

• Archives of Plastic Surgery
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• 제33권4호
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• pp.458-464
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• 2006

Purpose: Saddle nose deformity results from lack of support to the nasal dorsum. The integrity of both the cartilaginous or bony portion of the nose is compromised. Cantilever bone graft is the mainstay for correction of saddle nose deformity, but the problems of bone graft are stiffness of the nasal tip and resorption. Thus the authors propose a costochondral cantilever graft, with the bony and cartilaginous portion harvested as one block, using cartilaginous portion as support to the nasal tip. Methods: Between October of 1996 and July of 2005, 8 cases of saddle nose deformity were treated by the same surgeon. All patients had undergone costochondral cantilever graft. Postoperative evaluation included the depression of the nasal dorsum and tip. Comparisons of preoperative and postoperative photographs was done if possible. Results: The mean follow-up period was 5.9 years. The results were excellent aesthetically and there was no complication. Conclusion: The authors' method maximize the benefits of each bone and cartilage graft while minimizing their inherent limitations.

• Asian Spine Journal
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• 제12권6호
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• pp.1092-1099
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• 2018

Study Design: In-vitro biomechanical investigation. Purpose: To evaluate the biomechanical effects of the degeneration of the biodegradable cervical plates developed for anterior cervical discectomy and fusion (ACDF) on fusion and adjacent levels. Overview of Literature: Biodegradable implants have been recently introduced for cervical spine surgery. However, their effectiveness and safety remains unclear. Methods: A linear three-dimensional finite element (FE) model of the lower cervical spine, comprising the C4-C6 vertebrae was developed using computed tomography images of a 46-year-old woman. The model was validated by comparison with previous reports. Four models of ACDF were analyzed and compared: (1) a titanium plate and bone block (Tita), (2) strong biodegradable plate and bone block (PLA-4G) that represents the early state of the biodegradable plate with full strength, (3) weak biodegradable plate and bone block (PLA-1G) that represents the late state of the biodegradable plate with decreased strength, and (4) stand-alone bone block (Bloc). FE analysis was performed to investigate the relative motion and intervertebral disc stress at the surgical (C5-C6 segment) and adjacent (C4-C5 segment) levels. Results: The Tita and PLA-4G models were superior to the other models in terms of higher segment stiffness, smaller relative motion, and lower bone stress at the surgical level. However, the maximal von Mises stress at the intervertebral disc at the adjacent level was significantly higher in the Tita and PLA-4G models than in the other models. The relative motion at the adjacent level was significantly lower in the PLA-1G and Bloc models than in the other models. Conclusions: The use of biodegradable plates will enhance spinal fusion in the initial stronger period and prevent adjacent segment degeneration in the later, weaker period.

• 대한의용생체공학회:의공학회지
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• 제31권3호
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• pp.199-209
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• 2010

The locking compression plates-distal femur(LCP-DF) are being widely used for surgical management of the extra-articular complex fractures of the distal femur. They feature locking mechanism between the screws and the screw holes of the plate to provide stronger fixation force with less number of screws than conventional compression bone plate. However, their biomechanical efficacies are not fully understood, especially regarding the number of the screws inserted and their optimal configurations. In this study, we investigated effects of various screw configurations in the shaft and the condylar regions of the femur in relation to structural stability of LCP-DF system. For this purpose, a baseline 3-D finite element (FE) model of the femur was constructed from CT-scan images of a normal healthy male and was validated. The extra-articular complex fracture of the distal femur was made with a 4-cm defect. Surgical reduction with LCP-DF and bone screws were added laterally. To simulate various cases of post-op screw configurations, screws were inserted in the shaft (3~5 screws) and the condylar (4~6 screws) regions. Particular attention was paid at the shaft region where screws were inserted either in clustered or evenly-spaced fashion. Tied-contact conditions were assigned at the bone screws-plate whereas general contact condition was assumed at the interfaces between LCP-DF and bone screws. Axial compressive load of 1,610N(2.3 BW) was applied on the femoral head to reflect joint reaction force. An average of 5% increase in stiffness was found with increase in screw numbers (from 4 to 6) in the condylar region, as compared to negligible increase (less than 1%) at the shaft regardless of the number of screws inserted or its distribution, whether clustered or evenly-spaced. At the condylar region, screw insertion at the holes near the fracture interface and posterior locations contributed greater increase in stiffness (9~13%) than any other locations. Our results suggested that the screw insertion at the condylar region can be more effective than at the shaft during surgical treatment of fracture of the distal femur with LCP-DF. In addition, screw insertion at the holes close to the fracture interface should be accompanied to ensure better fracture healing.

• 한국인터넷방송통신학회논문지
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• 제9권3호
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• pp.45-54
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• 2009

본 논문은 신경외과 및 일반외과 영역에서 골 고정용 금속판으로 골 수술 및 치료를 하는 과정에서 골 고정요 금속판의 굴곡강도와 강성을 평가할 수 있는 강요평가 알고리즘을 구현하였다. 굴곡곡선의 최대 포인트 점은 0.2% 상쇄변위(offset displacement)에서 평형하게 접근 할 수 있는 포인트 P점을 최대 하중에 부여하는 굴곡 점으로 적용하였다. 실험에 사용한 플레이트(Plate)는 ${\Phi}13$와 ${\Phi}18$이며, 강도평가의 알고리즘은 플레이트 ${\Phi}13$, ${\Phi}18$, ${\Phi}13-{\Phi}18$ 비교하였으며, 플레이트에 압박하는 힘의 알고리즘을 산출한 결과 굽힘강도의 최대값이 311N, 387N, 410N, 474N로 나타났고, 변위(Displacement)에 따라 하중에 견디는 시점인 인장강도가274(N), 324(N), 382(N), 394(N)로 나타났음으로 이 시점이 금속판의 굴곡운동 값으로 결정되었다. 본 연구의 결과로 한 개의 축을 기준으로 발생하는 골 고정용 금속판의 강도 조절 문제를 평가알고리즘으로 구성함으로 해결할 수 있었고, 형태 변화에 따른 조절기능을 검증할 수 있는 시스템이 새로운 알고리즘 형성으로 가능할 것으로 예상된다.

• 대한기계학회논문집A
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• 제24권4호
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• pp.1055-1064
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• 2000

First, various specimen geometries, namely, coupon type, waisted type and dog-bone type, were examined to determine appropriate fatigue specimen of thermoplastic composite material AS4/PEEK and the n, fatigue strength of smooth and notched specimens of AS4/PEEK [-45/0/+45/90]2s was investigated. Fatigue tests were performed under load controlled condition at a stress ratio of 0. 1 at a frequency of 5Hz. Stiffness degradation of specimens with fatigue cycling was monitored using an automated unloading compliance technique. The waisted type specimen is found appropriate for smooth fatigue specimen geometry of AS4/PEEK. As for the effect of stress concentration, it is found that fatigue strength is higher for a 2mm-diameter hole notched specimen than a 5mm-diameter one. Fatigue notch factor decreases with the increase of fatigue life. These results are far different from the trend of fatigue strength of metallic materials. The stiffness variation of smooth specimen was only 4% at maximum until final fracture. On the other hand, the stiffness of hole notched specimen was reduced by 45% at maximum. Notched fatigue strength was compared between thermoplastic composite AS4/PEEK and thermosetting composite Graphite/Epoxy. In long-life fatigue (>104), the AS4/PEEK composite shows superior fatigue strength, but in short-life fatigue, the fatigue strength of the Graphite/Epoxy composite is nearly equal or somewhat higher than that of the AS4/PEEK composite.

• 구강회복응용과학지
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• 제29권2호
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• pp.163-173
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• 2013

하악의 개구운동 시, 과두-관절원판 복합체는 관절융기를 따라서 활주운동을 하게 되므로 관절융기의 형태는 측두하악관절의 기능적인 움직임을 이해하는데 매우 중요한 부분이다. 본 연구의 목적은 치과용 cone-beam CT를 이용하여 관절융기의 후방경사를 계측하고, 관절융기의 경사도에 대한 과두의 병적 변화의 영향을 평가하며, 성별과 연령에 따른 관절융기의 차이를 비교 하는 것이다. 이를 위해 원광대학교 산본치과병원에 내원한 102명(남자:43명, 여자:49명, 평균나이: 37.7세)의 204개 측두하악관절의 cone-beam CT 영상을 평가하였으며, 모든 영상은 측두하악관절 분석모드로 전환하여 양측 관절의 연속된 시상 단면 이미지와 관상 단면 이미지를 관찰하였다. 신뢰성있는 데이터를 얻기 위해 숙련된 3명의 치과의사가 동일한 이미지 파일을 보며 판독 작업을 시행하였고, 3명 중 2명의 판독 결과가 동일할 경우만 최종 판독 결과로 기록하였다. 정상과두(NCBC)와 골변화를 동반한 과두(CBC)의 관절융기 경사도는 내측이 $57.0^{\circ}$(NCBC)과 $51.8^{\circ}$(CBC), 중심이 $57.9^{\circ}$(NCBC)과 $52.4^{\circ}$(CBC), 그리고 외측이 $55.1^{\circ}$(NCBC)과 $49.5^{\circ}$(CBC)를 나타냈고, 골변화를 보이는 과두가 정상과두보다 낮은 관절융기 경사도를 보였다. 이러한 차이는 성별이나 연령에 따른 통계적 유의성은 없었다.

• Clinics in Shoulder and Elbow
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• 제15권1호
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• pp.32-36
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• 2012

목적: 쇄골 간부 불유합에서 개재 삼면피질 장골 이식술 및 금속판 고정술을 시행하고 그 방사선학적 및 임상적 결과를 알아보고자 하였다. 대상 및 방법: 2007년 9월부터 2011년 5월까지 쇄골 간부 불유합으로 개재 삼면피질 장골 이식술 및 금속판 고정술을 시행한 10예를 대상으로 하였으며, 평균 추시 기간은 30.7 (12~57)개월이었다. 불유합 부위의 경화된 골을 충분히 절제한 후 구조적 지지 및 쇄골 길이를 회복할 수 있도록 삼면피질 장골을 골 결손 부위에 개재한 후 금속판 고정술을 시행하였다. 술 후 방사선적 평가는 단순 방사선 사진을 이용하여 골 유합을 판단하였고, 임상적 평가는 UCLA, ASES, Quick DASH 평가 점수를 이용하였다. 결과: 전 예에서 골 유합을 얻을 수 있었으며, 평균 골 유합 기간은 18.4 (14~24)주였다. UCLA 점수는 술 전 평균 16.7점에서 최종 추시 시 평균 27.4점으로, ASES 점수는 술 전 평균 52.1점에서 최종 추시 시 평균 83.6점으로 호전되었다 (p<0.05). 최종 추시 시 Quick DASH 점수는 평균 40.5점이었다. 합병증으로 2예에서 견관절 강직이 있었으며, 그 중 1예는 술 후 11개월째 금속물 제거술과 함께 견관절 관절경 수술을 시행하였다. 그 외 고정물의 파손 및 감염 등의 합병증은 없었다. 결론: 쇄골 간부 불유합에서 개재 삼면피질 장골 이식술은 구조적 지지대 역할 뿐만 아니라 쇄골의 길이를 회복할 수 있는 좋은 술식으로 사료된다.