• Title/Summary/Keyword: Joint Replacement

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Proprioception After Total Knee Replacement (슬관절 전치환술 이후의 고유수용성 감각 변화)

  • Kim, Jae-Hun
    • PNF and Movement
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    • v.9 no.1
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    • pp.39-45
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    • 2011
  • Purpose : The purpose of this article was to review the literature on change of knee position sense after total knee replacement intervention in knee rehabilitation. Methods : This review outlines scientific findings regarding different literature data in knee rehabilitation, and discusses proprioceptive change of knee joints after total knee replacement intervention. Result : Severe pain and diminished joint sensation may precipitate degenerative changes of knees joint, and a strong association between decreased proprioception and function has been identified in elderly patients with knee osteoarthritis. Total knee replacement(TKR) of the knee joint are effective surgical procedures in osteoarthritis patients, resulting in decreased pain, and improved physical function and quality of life in patients. After total knee replacement, joint position sensation is partially recovered, which may improve functional stability of the knee, but aspects of physical functioning are not fully restored to preoperative status. Conclusions : Thus, recovery rate in proprioception after TKR also is considered to be important because it may be a significant risk factor in failure of total knee replacement and knee rehabilitation intervention.

Total Hip Replacement for Treatment of Chronic Coxofemoral Joint Dislocation in 7 Dogs

  • Yoon, Jang-Won;Heo, Su-Young;Jeong, Seong-Mok;Lee, Hae-Beom
    • Journal of Veterinary Clinics
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    • v.36 no.4
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    • pp.229-232
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    • 2019
  • Total Hip Replacement in a patient with chronic coxofemoral joint dislocation is a challenging problem because chronic coxofemoral joint dislocation causes severe morphological changes. These challenging factors make surgery more difficult and increase the possibility of postoperative complications including cup implant dislocation and prosthetic joint luxation. All patients were diagnosed having at least 2 months of coxofemoral joint dislocation. On physical examination, crepitus was noted in the coxofemoral joint. Radiographs revealed hip joint dislocation with mild to severe degenerative changes. Total hip replacement was planned for all patients. Dorsal acetabular rim deficiency in 3 cases was augmented using a locking plate and polymethylmethacrylate bone cement. All cases have shown difficulty in prosthetic joint reduction. Pectineus and rectus femoris muscle origin were released in all cases. At 12 months follow up, all patients showed satisfactory ambulation. The issues on perioperative prosthetic joint reduction and luxation due to chronic coxofemoral joint luxation with muscle contracture and dorsal acetabular rim deficiency can be resolved by muscle releasing and dorsal acetabular rim augmentation.

Development of Hip Joint Simulator to Evaluate The Wear of Biomaterials Used in Total Hip Joint Replacement (인공고관절 생체재료 마멸평가를 위한 시뮬레이터 개발)

  • 이권용;윤재웅;전승범;박성길
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 2001.06a
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    • pp.265-270
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    • 2001
  • Hip joint simulator which Is an essential device for evaluating the wear of biomaterials (ultrahigh molecular weight polyethylene, Co-Cr alloy, alumina, etc.) used in total hip joint replacement was developed. This hip joint simulator mimics the joint motion and joint loading of human gait by adapting the 4 degree of freedom in kinematic motion (flexing/extension, adduction/abduction, Internal rotation/external rotation) and axial loading, Four stations are operated by 8 servo-motors and harmony drives. Joint leading was imposed by displacement control from a ball screw, LM guide, and spring system. Each kinematic link system operates separately or coupled modes. A heater and a thermocouple were installed for keeping the body temperature in each station.

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Treatment of Temporomandibular Joint Disorder by Alloplastic Total Temporomandibular Joint Replacement

  • Roh, Young-Chea;Lee, Sung-Tak;Geum, Dong-Ho;Chung, In-Kyo;Shin, Sang-Hun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.412-420
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    • 2013
  • The literature on alloplastic total temporomandibular joint (TMJ) replacement is encouraging, with acceptable improvement of treatment outcomes in terms of both pain level and jaw function. This is a case report on patients who suffered from degenerative joint disease and ankylosis after mandibular condyle fracture or prior TMJ surgery and were treated by TMJ replacement with condyle prosthesis. We obtained good results from the procedures, including total TMJ replacement.

A Study on the Contact Stress Analysis of the Artificial Hip Joint Using Finite Element Method (유한요소법을 이용한 인공 고관절의 접촉응력 해석에 관한 연구)

  • 김청균;윤종덕
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 1996.10a
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    • pp.189-194
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    • 1996
  • The modern orthopaedics frequently uses the total hip replacement in the artificial hip joint. The wear in this joint requires the re-replacement of the hip joint beacuse it is under the severe load and friction conditions. To solve these problems the previous studies have been mainly focused on the development of the new materials. The research of new material, however, needs much time and effort since it should be experimented for its bio-compatibility, friction, and wear characteristics. To reduce the work, in this study, the finite element analysis is applied to find the new combination of the materials in the total hip replacement which has the excellent contact characteristics. The finite element uses MARC and the 5-node aximetric element. The results show that in case of acetabulum UHMWP has good characteristics, in femoral head, the $Al_2O_3$, and in stem, Ti6Al4V.

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Joint Optimization of Age Replacement and Spare Provisioning Policy (수명교체와 예비품 재고 정책의 통합 최적화)

  • Lim, Sung-Uk;Park, Young-Taek
    • Journal of Korean Society for Quality Management
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    • v.40 no.1
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    • pp.88-91
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    • 2012
  • Joint optimization of preventive age replacement and inventory policy is considered in this paper. There are three decision variables in the problem: (i) preventive replacement age of the operating unit, (ii) order quantity per order and (iii) reorder point for spare replenishment. Preventive replacement age and order quantity are jointly determined so as to minimize the expected cost rate, and then the reorder point for meeting a desired service level is found. A numerical example is included to explain the joint optimization model.

Effects of Resistance Exercise with Pressure Biofeedback Unit on the Gait Ability and Knee Joint Function in Subject with Total Knee Replacement Patients

  • Jin Park
    • The Journal of Korean Physical Therapy
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    • v.36 no.1
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    • pp.27-32
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    • 2024
  • Purpose: This study was conducted to verify the effect of applying a pressure biofeedback unit on walking ability and knee joint function while performing knee joint extensor strengthening exercises using resistance exercise equipment in total knee replacement (TKR) patients. Methods: This study was conducted on twelve patients receiving rehabilitation treatment after being admitted to a rehabilitation hospital post-TKR. Of these, six were allocated to a feedback group with a pressure biofeedback unit, and the other 6 were allocated to a control group without a pressure biofeedback unit. The subjects performed an exercise program for 45 minutes per session, five times a week, for two weeks. Walking ability and knee joint function were evaluated and analyzed before and after exercise. Results: The feedback group showed significantly better improvements in walking speed, gait cycle, step length on the non-operation side, time on the foot on the operation side, K-WOMAC stiffness, and K-WOMAC function than the control group (p<0.05). Conclusion: When strengthening the knee joint extensor muscles using resistance exercise equipment in TKR patients, the provision of a pressure biofeedback unit was found to improve walking ability and knee joint function by inducing concentric-eccentric contraction of the knee joint extensor muscles. Therefore, the study shows that exercise based on the provision of a pressure biofeedback unit should be considered when strengthening knee joint extensor muscles to improve the walking ability and knee joint function of TKR patients in clinical practice.

Alloplastic total temporomandibular joint replacement (임상가를 위한 특집 2 - 인공 턱관절 전치환술)

  • Huh, Jong-Ki
    • The Journal of the Korean dental association
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    • v.50 no.5
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    • pp.256-261
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    • 2012
  • Temporomandibular joint (TMJ) prosthesis have been hesitated to use because of bitter memories about Proplast-Teflon interpositional TMJ implants. Many clinicians, however, are trying to use total TMJ prosthesis with getting continuous long-term follow-up results. Alloplastic total TMJ replacement have been applied to much more patients who have failed previous TMJ prostheses or TMJ implants, fibrous/bony ankylosis, severe osteoarthritis, degenerative joint disease, idiopathic condylar resorption, condyle loss by trauma or tumor resection, and other bony destructive diseases. Nowadays three types of total TMJ prosthesis are widely used. In this article, indications, types of prosthesis, safety and stability would be demonstrated with a case report.

Comparison of Costochondral Graft and Customized Total Joint Reconstruction for Treatments of Temporomandibular Joint Replacement

  • Lee, Woo-Young;Park, Young-Wook;Kim, Seong-Gon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.4
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    • pp.135-139
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    • 2014
  • Purpose: We review published research on temporomandibular joint (TMJ) total replacement that compares costochondral graft and customized total joint reconstruction (especially TMJ concepts), focusing on effectiveness. Methods: We searched PubMed databases, including prospective, retrospective, case-control or longitudinal studies and significant statistical analysis. In data analysis, we divided outcomes into 'Acceptable' or 'Non-acceptable'. Results: There were seven articles found dealing with costochondral graft and 180 patients. The majority of patients had satisfactory treatment outcomes (n=109, 61%). There were six articles including 275 patients using the alloplastic material TMJ concepts. Almost all patients had satisfactory treatment outcomes (n=261, 95%). Conclusion: Comparing customized total joint reconstruction with costochondral graft, use of TMJ concepts resulted in increased quality of life and fewer complications. In conclusion, we judged that alloplastic material such as TMJ concepts is more effective device in total joint replacement than costochondral graft.