• Title/Summary/Keyword: Joint Replacement

Search Result 233, Processing Time 0.028 seconds

Customized spacers in provisional treatment of temporomandibular joint ankylosis: a case report

  • Caio Augusto Munuera Ueti;Felipe Burigo Daniel Dos Santos;Murillo Chiarelli;Luiza Brum Porto;Matheus Brum Marques Bianchi Savi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.50 no.3
    • /
    • pp.166-169
    • /
    • 2024
  • Ankylosis of the temporomandibular joint (TMJ) is a condition in which the mandibular condyle fuses with the mandibular fossa through fibrous or bone tissue. It is a debilitating pathology that interferes with chewing, speaking, and oral hygiene. Currently, alloplastic reconstruction is considered the gold standard for treating severely compromised TMJs, such as in ankylosis. The article describes a patient with a history of facial trauma, with bilateral ankylosis of the TMJs, inability to open his mouth, and poor dental condition. Due to a long period of immobilization of approximately 40 years, the initial treatment plan was to remove the ankylosis bilaterally and install customized PMMA (polymethylmethacrylate) spacers. The patient gained mouth opening and improved chewing quality with one year of customized spacer use prior to definitive alloplastic replacement with stock-type TMJ prostheses. Customized joint spacers are a provisional treatment option when definitive alloplastic reconstruction is not indicated. Spacers provide the patient with progressive jaw function and mobility gains.

Popularity Based Cache Replacement Scheme to Enhance Performance in Content Centric Networks (콘텐츠 중심 네트워크에서 성능 향상을 위한 인기도 기반 캐시 교체 기법)

  • Woo, Taehee;Park, Heungsoon;Kim, Hogil
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.40 no.11
    • /
    • pp.2151-2159
    • /
    • 2015
  • Unlike an existing IP routing methods, the Content Centric Network(CCN) is new networking paradigm to find the contents by content name. The CCN can effectively process the content requested repeatedly by the user because of the cache which can be storing a content. This paper proposes a popularity based cache replacement scheme. The proposed scheme improves the hit rate better than a existing scheme. Accordingly reducing the load of server and Round Trip Time(RTT).

THE EFFECT OF COSTCHONDRAL GRAFT ON THE RECONSTRUCTION OF TEMPOROMANDIBULAR JOINT (측두하악 관절의 재건을 위한 늑연골 이식의 효과)

  • Kim, Tae-Kyu;Park, Sang-Jun;Shin, Sang-Hun;Kim, Sung-Gil;Seo, Jong-Chun;Chung, Gi-Deon;Lee, Seong-Geun
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.18 no.3
    • /
    • pp.378-387
    • /
    • 1996
  • We performed costochondral grafting in mmandibular reconstruction including condyle replacement in 5 patients which have 4 cases of ameloblastoma, 1 case of resorption of left condyle due to osteomyelitis. We harvested the 6 th costochondral cartilage of unaffected side. No specific complications were appeared with unexpected fracture of costochondral junction and infection of operation site, These patients show 30-45mm at month opening, near normal of affected side, near normal or normal of unaffected side at lateral excursion. Postoperative coureses was uneventful with improved cosmetic and functional results. Our report is indicated that the costochondral graft is satisfactory to reconstruct mandibular defect including condyle replacement, especially in growing patients.

  • PDF

Classification and surgical management of temporomandibular joint ankylosis: a review

  • Upadya, Varsha Haridas;Bhat, Hari Kishore;Rao, B.H. Sripathi;Reddy, Srinivas Gosla
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.47 no.4
    • /
    • pp.239-248
    • /
    • 2021
  • The paper reviews various classifications and surgical techniques for the treatment of temporomandibular joint ankylosis. PubMed, EBSCO, Web of Science, and Google Scholar were searched using a combination of keywords. Articles related to classification, resection-reconstruction of the temporomandibular joint, and management of airway obstruction were considered and categorized based on the objectives. Seventy-nine articles were selected, which included randomized clinical trials, non-randomized controlled cohort studies, and case series. Though several classifications exist, most classifications are centered on the radiographic extent of the ankylotic mass and do not include the clinical and functional parameters. Hence there is a need for a comprehensive staging system that takes into consideration the age of the patient, severity of the disease, clinical, functional, and radiographic findings. Staging the disease will help the clinician to adopt a holistic approach in treating these patients. Interpositional arthroplasty (IA) results in better maximal incisal opening compared with gap arthroplasty, with no significant difference in recurrent rates. Distraction osteogenesis (DO) is emerging as a popular technique for the restoration of symmetry and function as well as for relieving airway obstruction. IA, with a costochondral graft, is recommended in growing patients and may be combined with or preceded by DO in cases of severe airway obstruction. Alloplastic total joint replacement combined with fat grafts and simultaneous osteotomy procedures are gaining popularity. A custom-made total joint prosthesis using CAD/CAM can efficiently overcome the shortcomings of stock prostheses.

A method for evaluation of longitudinal joint connections of decked precast concrete girder bridges

  • Smith, Matthew Z.;Li, Yue;Bulleit, William M.
    • Structural Engineering and Mechanics
    • /
    • v.40 no.3
    • /
    • pp.297-313
    • /
    • 2011
  • As bridge conditions in the United States continue to deteriorate, rapid bridge replacement procedures are needed. Decked precast prestressed concrete (DPPC) girders are used for rapid bridge construction because the bridge deck is precast with the girders eliminating the need for a cast-in-place slab. One of the concerns with using DPPC girders as a bridge construction option is the durability of the longitudinal joints between girders. The objectives of this paper were to propose a method to use a spring element modeling procedure for representing welded steel connector assemblies between adjacent girders in DPPC girder bridges, perform a preliminary study of bridge performance under multiple loading scenarios and bridge configurations, and discuss model flexibility for accommodating future field data for model verification. The spring elements have potential to represent the contribution of joint grout materials by altering the spring stiffness.

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

  • Bae Sung-soo
    • The Journal of Korean Physical Therapy
    • /
    • v.15 no.4
    • /
    • pp.180-189
    • /
    • 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.

  • PDF

A Joint Optimization of Ordering and Replacement Policy Under Minimal Repair (최소수리가 가능한 시스템의 주문 및 교체정책 통합 최적화)

  • Ihn, Jae-Soon;Kim, Jun-Hong;Chon, Ho-Ki
    • Journal of Korean Society of Industrial and Systems Engineering
    • /
    • v.33 no.2
    • /
    • pp.170-175
    • /
    • 2010
  • Maintaining a complex repairable system can be achieved by repairing, replacing, or any other activities. This paper proposes a joint optimization policy that is composed with ordering and replacing under minimal repair for the complex system. For this purpose, we derive the expected cost due to the minimal repair, ordering, downtime, inventory costs, and salvage value of units that follow generally distribution. Some properties about the optimum ordering policy that are suggested for our purpose shows that the optimum ordering policy minimizing the expected cost is either one of the two typical policies : (1) the original unit is replaced as soon as the ordered spare is delivered, or (2) the delivered spare is used as inventory part until the original unit fails.

Interoperable System Construction with Urban Signalling System (ATS) for Train Control system (열차제어시스템 적용을 위한 기존 신호시스템(ATS)과의 상호운영체계 구축)

  • Ko, Yang-Ok;Lee, Gi-Seung;Lee, Nam-Il;Jung, Ho-Hung
    • Proceedings of the KSR Conference
    • /
    • 2011.10a
    • /
    • pp.204-210
    • /
    • 2011
  • This paper present investigation of interoperable process and interaction-facts between urban and new ATS signalling system for degrading, improvement or replacement in wireless communication-based train control system of urban driverless transit, and investigate interoperable requirement from joint program of cooperation-"wireless communication-based train control system's standard process construction and performance evaluation on urban transit" of first year result.

  • PDF

Development of Ultralight Composite Wheelchair Frame (초경량 복합재 의자차 차체 개발)

  • 강지호;김수현;김천곤
    • Proceedings of the Korean Society For Composite Materials Conference
    • /
    • 2002.05a
    • /
    • pp.215-218
    • /
    • 2002
  • In this paper, we applied composite material of high specific stiffness and strength to the fabrication of a folding wheelchair frame for the replacement of conventional metal wheelchair frames. A one-body composite frame was designed and the finite element analysis was performed on this design. Some specimens of joint parts were manufactured and strength test was done. With the results of analysis and test, some modification was done and a prototype was produced.

  • PDF

3D Avatar´s movement creation and control technique

  • Jang, Moon-Sung;Kuc, Tae-Yong;Kim, Si-Jung
    • 제어로봇시스템학회:학술대회논문집
    • /
    • 2001.10a
    • /
    • pp.117.4-117
    • /
    • 2001
  • This paper introduces the movement creation and control technique of an avatar, whose replacement of the user is increasing due to the rapid development of the internet and hardware that generalizes the VR. A 3D avatar´s movement is usually created through the key-framing technique or motion-capture equipment. This paper introduce the production of the avatar´s movement by constructing a articulated avatar whose speed and movement are automatically created by the neural oscillatory network and avatar´s joint is controlled by the use of kinematics and motion editor.

  • PDF