• Title/Summary/Keyword: Joint Replacement

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Korean Medical Rehabilitation for Total Knee Replacement (슬관절 전치환술 후 한방재활치료의 효과 보고)

  • Kim, Chang-Gon;Lee, Jin-Hyun;Jo, Dong-Chan;Moon, Su-Jeong;Park, Tae-Yong;Ko, Youn-Suk;Song, Young-Sun;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.1
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    • pp.111-118
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    • 2014
  • The objective of this study is to report the effectiveness of Korean medical rehabilitation for total knee replacement. Three female patients who had total knee replacement were treated by Korean medical rehabilitation with protocol. We evaluated the consequences by checking numeric rating scale (NRS), Lysholm knee score, physical examination of knee joint and walking state. After Korean medical rehabilitation, we find out that the pain and function were improved. NRS, Lysholm knee score, physical examination of knee joint, walking state of patients were also improved. Korean medical rehabilitation can be effectively used for total knee replacement patients. There is a limit that this study hasn't sufficient number of cases. Further studies are needed to set up a Korean medical rehabilitation protocol.

The Problem-Solving Approach for Improving Walking Ability in Patient with Total Hip Replacement: Applied ICF Tool for Case Study (고관절 인공관절 치환술 환자의 보행능력 증진을 위한 문제해결 접근: ICF Tool을 적용한 단일사례연구)

  • Song, Hyun-seung;Kim, Suhn-yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.21 no.2
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    • pp.63-71
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    • 2015
  • Background: The purpose of the study, using the ICF Tool in the process of rehabilitation of artificial joint replacement surgery of the hip joint, goal setting and understanding of the problem, through the process of creating intervention strategies, useful clinical practical course for rehabilitation I try to present the data. Methods: Fracture was the left total hip replacement (THR) surgery due to women of 76 years old. I proceed in order screening, evaluation, diagnosis, prognosis, treatment planning and intervention, re-screening. Needs of the patient was walking short distances for using the toilet. In order to improve was carried out arbitration, after you have created a list of issues that limit the ability to walk short distances. Results: It was revealed improved results in self-paced walk test (SPWT) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to examine whether the goals. In addition, MMT VAS, DGI, and TUG is a detailed goal was improved. Conclusions: It can be shown objectively the results of interventions performed for the purpose of solving the problem which is grasped through clinical Practical course for short-range walking ability enhance patient THR. I considered practical clinical course using the ICF Tool would be useful.

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Surgical Simulation Environment for Replacement of Artificial Knee Joint (CT 영상을 이용한 무릎관절 모의 치환 시술 환경)

  • Kim, Dong-Min
    • Journal of IKEEE
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    • v.7 no.1 s.12
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    • pp.119-126
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    • 2003
  • This paper presents a methodology for constructing a surgical simulation environment for the replacement of artificial knee join using CT image data. We provide a user interface of preoperative planning system for performing complex 3-D spatial manipulation and reasoning tasks. Simple manipulation of joystick and mouse has been proved to be both intuitive and accurate for the fitness and the wear expect of joint. The proposed methodology are useful for future virtual medical system where all the components of visualization, automated model generation, and surgical simulation are integrated.

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AUTOGENOUS AURICULAR CARTILAGE GRAFT FOLLOWED BY DISCECTOMY OF THE TEMPOROMANDIBULAR JOINT (악관절원판 절제술 후 이개연골 이식)

  • Chung, Hoon;Sung, Choon-Su
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.15 no.2
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    • pp.81-91
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    • 1993
  • Arthrosis of the temporomandibular joint is defined as a disease of a joint with chief complaint of pain, clicking, limited jaw movements. Generally, most patients with the temporomandibular arthrosis can be treated conservatively with muscle relaxation therapy combined with mandibular repositioning prostheses, followed by occlusal equilibration, restorative dentistry and/or orthodontics, and many other forms of treatment. In case prior nonsurgical treatment proved to be ineffective or the disease is chronic and severe, surgical operation is recommended. For patients with arthrosis of the temporomandibular joint, only discectomy as therapeutic method of the surgical treatment should not be applied and the removed articular disc of the temporomandibular joint should be replaced. Allograft such as Proplast-Teflon, Silastic, etc have been used as replacements of removed articular disc. However, these allograft materials have caused complications such as inflammatory changes, foreign body reactions. As a result, a replacement material which is autogenous, space occupying, easy to harvest and less inflammatory change has been developed. Auricular cartilage with perichondrium satisfies many of these requirements. The apparent advantages of autogenous auricular cartilage as an interpositional graft after a discectomy are as follows, (1) the form of the external ear corresponds to joint morphology, (2) a graft of adequate size can be harvested, (3) the form of the external ear remains unchanged after surgery, (4) the graft can be obtained adjacent to the surgical site, (5) biologically acceptable material is used, (6) the additional expense of allogenic graft is avoided. Because we considered autogenous auricular cartilage as a good replacement material, removed articular disc has been replaced with fresh autogenous auricular cartilage in the case of three patients. The result of the treatment is favorable, and the cases being presented here.

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Optimal Stocking for Age-replaced Non-repairable Items (수리 불가능한 품목의 수명교환을 위한 최적 재고정책)

  • Park, Young-Taek;Park, Kyung-Soo
    • Journal of the Korean Operations Research and Management Science Society
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    • v.14 no.2
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    • pp.75-86
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    • 1989
  • Joint stocking and preventive age replacement policy is considered for non-repairable items assuming instantaneous replenishment. A recursive relationship among the optimal preventive replacement ages is obtained, which shows that the preventive replacement ages in a replenishment cycle form an increasing sequence due to the inventory carrying cost. Using this relationship, a procedure is given for determining how many units to purchase on each order and when to replace each unit after it has begun operating so as to minimize the total cost per unit time over an infinite time span. The problem can be simplified if equal preventive replacement ages are assumed, and the solution is very close to that of the original unconstrained problem.

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Simulation of Three Dimensional Motion of the Knee Joint in Total Knee Arthroplasty (인공 무릎 관절의 3차원 운동 시뮬레이션)

  • Moon, Byung-Young;Son, Kwon;Kim, Ki-Bum;Seo, Jung-Tak
    • Journal of the Korean Society for Precision Engineering
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    • v.21 no.9
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    • pp.188-195
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    • 2004
  • Severe osteoarthrosis of the knee joint often requires total knee arthroplasty(TKA) to yield adequate knee function. The knee joint with TKA is expected ideally to restore the characteristics, however, this is not necessarily 1.ue in the clinical cases. In this study the motion of the intact joint and the joint after. TKA were investigated numerically using computer simulation. For active knee extension from 90 degrees of flexion to full extension, the intact knee joint exhibited anterior tibial translation near the full extension and it showed only rotation at other flexion angles. Physiologic external rotation of the tibia near full extension known as screw home movement was also noted in the analytical model. The analysis of the tibial insert of three different shapes (flat, semicurved, and curved types) demonstrated characteristic rotational and sliding motion as well as different contact forces.

A Study of Joint Therapy (II) (관절치료에 관한 연구 (II))

  • Bae, Sung-soo;Lee, Myung-hee;Lee, Sang-yeul;Kim, Sang-soo
    • PNF and Movement
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    • v.7 no.4
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    • pp.17-23
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    • 2009
  • Purpose : The objective of this study was conducted to find out treatment of weight bearing joint problems. Method : This is a literature study with books, seminar note and international PNF course books. Result : In joint therapy have to consider that what kind joint mechanics during movement, what kind relation between rotatory component of the force and translatory component of the force, what kind muscles are in the global mobilizer(GM) and local stabilizer(LS). One joint has muscle imbalance between GM and LS. It will make joint surface degenerative change which will make joint pain. Conclusion : Joint therapy is not only joint mobilization but also biomechanics of joint and GM's and LS's role. Total knee of hip joint replacement is not perfect. Before surgery have to be find out problem solving method within the physical medicine.

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