• 제목/요약/키워드: Prosthetic

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골육종에 시행한 Kotz prosthesis의 역학적 실패 - 증례 보고 - (Mechanical Failure of Kotz Prosthetic Replacement for Osteosarcoma - A Case Report -)

  • 조덕연;김희천;심면보
    • 대한골관절종양학회지
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    • 제2권1호
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    • pp.101-105
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    • 1996
  • Prosthetic reconstruction of musculoskeletal defects about the knee for tumor has many advantages, particularly the maintenance of motion and immediate functional restoration. But, prosthetic reconstruction has inherent limitations in terms of long-term durability. The authors have reported here a patient who had mechanical failure at 61 months later following use of a modular resection system to reconstruct the segmental defect of proximal tibia in osteosarcoma. In this case, another technique of extensor mechanism reconstruction using Achilles tendon allograft was attempted. Because of the concerns involving durability of tumor prosthesis, increased emphasis has to be placed on innovation in prosthetic design.

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Cineangiogram 을 이용한 대동맥판막의 수술전 인공판막 치수의 예 (Prediction of the Prosthetic Valve size by use of Supraaortic Cineangiogram)

  • 이영탁;안혁;박재형
    • Journal of Chest Surgery
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    • 제20권1호
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    • pp.60-64
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    • 1987
  • We compared between prosthetic aortic valve size and aortic annulus size in supravalvular aortic cineangiogram in 30` RAO view postoperatively. Retrospectively, supraaortic cineangiogram of 27 patients among the patients underwent aortic valve replacement only or double valve replacement from April, 1986 to January, 1987 was examined and measured the aortic annulus size. In comparing the two values, the cases within 1mm is 22, and the cases within 2mm is 25, correlation coefficient yield r = 0.92. In two cases, the difference between two values is within 3mm We concluded that to prevent the complication from mismatching the prosthetic aortic valve size to patient`s annulus size [e.g. left ventricular failure, hemolysis, limited exercise tolerance], prediction of the prosthetic valve size preoperatively by use of cineangiogram is useful.

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임신중 발생한 인공승모판 혈전증의 혈전 용해제를 이용한 치료 -치험 1례 보고- (Thrombolytic Therapy for Prosthetic Mitral Valve Thrombosis of Pregnant Patient -A Case Report-)

  • 김영대
    • Journal of Chest Surgery
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    • 제27권10호
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    • pp.858-861
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    • 1994
  • Prosthetic valve thrombosis is rare but it is one of fatal complication after heart valve surgery. Improvements of the valve design and the material have decreased the frequency of thrombosis but have not eliminated completely. And some cases of prosthetic valve thrombosis during pregnancy were reported inspite of adequate anticoagulation therapy.Urgent surgical intervention is indicated for prosthetic valve thrombosis but it is associated with high operative risk, therefore medical thrombolytic therapy such as urokinase or streptokinase therapy is regarded as an alternative therapy. This is a case report of the successful thrombolytic therapy for valve thrombosis in a pregnant patient after mechanical mitral valve replacement.

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인공판막의 판막음 스펙트럼 분석방법 비교 (Comparison of Spectral Analysis Methods of Prosthetic Heart Valve Sound)

  • 이희종;김상현;장병철;탁계래;조범구;유선국
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 춘계학술대회
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    • pp.402-405
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    • 1997
  • The analysis of heart sounds is a noninvasive diagnostic method useful to diagnose heart valve function. In this paper we compared the ability of spectral analysis method for prosthetic heart valve sounds. Phonocardiograms of prosthetic heart valve were analyzed in order to derive frequency domain feature suitable for the classification of the valve state. The FFT-based methods did not provide sufficient frequency resolution to completely characterize the spectrum of prosthetic heart valve sounds. A high resolution parametric methods were shown to give superior frequency resolution. In parametric methods, all methods provide a 1st & 2nd & 3rd frequency component. But Shank method provided a most dominant frequency peak.

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Telescopic Attachment와 ASC(52) Attachment를 이용한 Mouth Reconstruction의 증례 (Case Report of Mouth Recnstruction by Partial Dentures with Telescopic System and ASC(52) Attachment)

  • 김인철;이호용;모경집;권명대
    • 대한치과의사협회지
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    • 제11권11호
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    • pp.731-734
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    • 1973
  • In difficult case of mouth rehabilitation by making the fixed bridge, we obtained the satisfied results by reconstructing of partial dentures with telescopic system and ASC(52) attachments instead of clasped partial dentures.

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체계적 계획을 통한 전악고정성 보철물 제작 증례 (Full mouth prosthetic rehabilitation base on making plan: a case report)

  • 김욱태
    • 대한치과기공학회지
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    • 제40권3호
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    • pp.183-190
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    • 2018
  • Purpose: The purpose of this study was to evaluated the process of model analysis, design, and production for a full mouth prosthetic rehabilitation of function, esthetics, and pronunciation. Methods: This is a case report of class III malocclusion with a severe anterior incisor occlusion and a prosthetic treatment of patient with poor occlusion of posterior teeth. A provisional restoration based on the diagnostic wax-up was applied to the patient. And then functions, esthetics, and occlusal stability were observed during 4 week tracking period. Final restorations were delivered and evaluated based on a systematic analysis, diagnosis and treatment plan. Results: We confirms that this case study obtained the satisfactory results in terms of functions and esthetics. Conclusion : If we can give the patient the continuous evaluation and progress monitoring, we expect the dentist and the dental technician to design the prosthesis successfully.

인공의족의 외반 특성이 하퇴절단자의 무릎과 발목에 미치는 영향 (Effect of Foot Eversion on Knee and Ankle of Trans-tibial Amputees)

  • 배태수;장윤희;김신기;문무성
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1505-1508
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    • 2008
  • One of the important functions of prosthetic foot is the foot inversion-eversion which is so important when walking on uneven surfaces. The aim of our study was to evaluate the effect of foot eversion angle especially on knee and ankle joint for transtibial amputees by motion analysis. The experimental data were collected from three transtibial amputees and then ten healthy individuals. To simulate walking on side sloping ground, we used custom-made slope (5, 10, 15 degrees). Motion analysis was performed by 3-dimensional motion analyzer for 6 dynamic prosthetic feet. The results showed that knee abduction moments of amputated leg were decreased but those of sound leg were mainly increased as foot eversion angle increased. And ankle abduction moments of sound leg were inconsistent in magnitude and tendency between control and experimental group. Therefore foot eversioncharacteristics should be considered to develop advanced prosthetic foot.

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후천성 심질환의 인공판막치환술에 대한 임상적 고찰 (Clinical Analysis of Prosthetic Valve Replacement on Acquired Heart Disease)

  • 이준영;지행옥
    • Journal of Chest Surgery
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    • 제22권6호
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    • pp.951-959
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    • 1989
  • Between September, 1972 and September, 1989, total 359 patients were operated for acquired heart disease at Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital. A consecutive series of 293 prosthetic valve replacement was also performed during this period. The results were summarized as follows; 1. There were 141 men and 218 women, whose ages ranged from 6 to 64 years, [mean 35.5 years] 2. Out of 293 cases, mitral valve replacement was 182 cases, aortic valve replacement was 39 cases and double valve replacement was70 cases. 3. Early post-operative death was 30 cases [Mortality; 8.4 %] and late death was 9 cases in the survivors. 4. Re-operation was 30 cases and operative mortality was 10%. 5. Mean post-operative interval was 76 months. [Ranged from 216 months to 2 months] 6. Among re-operation cases, primary prosthetic valve failure was 16 cases and paravalvular leakage was 2 cases. 7. Since January 1988, 79 cases of prosthetic valve replacement were performed and then 1 case was expired. [Mortality; 1.2 %]

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수평 및 수직 공간 회복을 위한 보철 교정 (ORTHODONTIC MANAGEMENT OF HORIZONTAL AND VERTICAL SPACE PROBLEMS IN PROSTHODONTICS)

  • 황현식
    • 대한치과보철학회지
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    • 제38권4호
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    • pp.412-420
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    • 2000
  • A treatment should be functional, esthetic, conservative and periodontally healthy in order to meet criteria of an ideal dental procedure. In a prsthodontic patient with horizontal and/or vertical space deficiency, orthodontic tooth movement should be considered as a pre-prosthetic procedure. With a conventional technique, orthodontic treatment is a time-consuming and uncomfortable procedure. Pre-prosthetic orthodontic treatment, however, is no longer difficult procedure with the help of recently developed techniques, such as passive bracketing. The present article outlines the problems and causes of horizontal and vertical space deficiency in prosthodontic patients, and presents efficient pre-prosthetic orthodontic treatment modalities with typical clinical cases.

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