관혈적 정복술 및 내고정술 후 군인에게 발생한 경비골 원위부 골결합증(1예 보고)

이준영,남기영,송경철,Lee, Jun-Young,Nam, Ki-Young,Song, Kyoung-Chul 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.1

The scanty literature on distal tibiofibular synostosis includes descriptions of relatively few specific complaints. Here we report a case of a 24-year-old young soldier who sustained a left ankle lateral malleolar fracture about 6 months ago and was initially treated by the open reduction and internal fixation with plate & screw. But 6 months later, he suffered from an vague ankle pain, each time the symptoms occurred right after an active ambulation, ankle dorsiflexion, especially when he had exercised aggressively. The radiographs revealed that there was a mature distal tibiofibular synostosis. We treated the patient with surgical excision of synostosis. Post-operative condition was satisfied to all concern and the result was found to be excellent during one-year follow-up.

인터넷 중독 고위험 청소년의 성별에 따른 임상적, 정신병리적 특성

이지윤(Ji Yoon Lee),권준근(Jun-Gun Kwon),이준영(Jun-Young Lee),정희연(Hee Yeon Jung),손보경(Bo Kyung Sohn),최삼욱(Sam Wook Choi),김대진(Dai Jin Kim),최정석(Jung-Seok Choi) 한국중독정신의학회 2016 중독정신의학 Vol.20 No.1

Objectives : Most previous studies of Internet addiction (IA) have been performed on males, and little is known about gen-der differences in IA. We examined gender differences in the clinical and psychopathological features related to high-risk for IA among adolescents. Methods : 714 (male : N=389 ; fe-male : N=325) have reported questionnaires as follows ; 1) clinical and psychopathological features (depression, anxiety, Attention Deficit Hyperactivity Disorder (ADHD) symptoms, Smartphone addiction, impulsivity, behavioral inhibition and approach systems, state-trait anger, aggression, beliefs about aggression, and resilience) 2) Internet and Smartphone usage patterns. In 691 who completed the Young’s Internet Addiction Test (YIAT), A total of 487 adolescents were classified into the normal Internet use group, with YIAT scores of 20-39 (male :N=232 ; female : N=255) and 204 adolescents were classified into high-risk for IA group (male : N=144 ; female : N=60). Results : Most factors described above predicted high-risk for IA in male and female adolescents. Especially, the present study found that psychological resilience had negative association with possibility of IA in female, while cognitive impulsivity and hostile aggression were associated with possibility of IA in male adolescents. Conclusion : This study found gender-re-lated features in adolescents at high-risk for IA. Thus, gender-specific strategies are needed to maximize prevention and treatment effectiveness of IA.

관절외 배부 폐쇄 쐐기 절골술을 이용한 Freiberg병의 치료 결과

이준영,김웅희,정성,양성훈,Lee, Jun Young,Kim, Woong Hee,Jung, Sung,Yang, Sung Hun 대한족부족관절학회 2016 대한족부족관절학회지 Vol.20 No.3

Purpose: The aim of this study was to evaluate the result of extraarticular dorsal closing wedge osteotomy in Freiberg's disease. Materials and Methods: Between February 2012 and July 2014, total 10 patients who underwent dorsal closing wedge osteotomy and followed up more than 1 year were selected for inclusion. Average age was 16.3 years, and average follow-up period was 15.5 months. The diagnosis was made using magnetic resonance imaging of those with a limitation in walking or usual activity due to pain in the metatarsal head. During operation, we removed loose body, and synovectomy was done. Osteotomy at the metatarsal neck and fixation with Kirschner wire were performed. X-ray was taken to check shortening of 2nd metatarsal and bone union. Moreover, we checked the active range of motion of 2nd metatarsophalangeal joint before and after surgery. At the last follow-up, the shortening of metatarsal, American Orthopaedic Foot and Ankle Society (AOFAS) score, visual analogue scale (VAS), and patient's subjective satisfaction were evaluated. Results: According to the Smillie's stage, there were 3 cases of stage II, 4 cases of stage III, and 3 cases of stage IV. Average bone union time on the osteotomy site was 8 weeks. Average shortening of metatarsal was 2.53 mm. Average AOFAS score improved significantly from 56.9 to 82.8 points at final follow-up (p<0.05), and average VAS score also improved significantly from 6.4 to 1.4 points at final follow-up (p<0.05). Average active range of motion at metatarsophalangeal joint improved from $28.0^{\circ}$ preoperatively to $46.5^{\circ}$ at the final follow-up. Other complications, such as metatarsalgia and arthritis, were not found; however, there was 1 case of delayed union with no symptom. Conclusion: In Freiberg's disease, dorsal closing wedge osteotomy is recommended for the improvement of clinical symptoms and range of motion.

경거골유합술 후 발생하는 불유합과 관련된 인자에 대한 분석

이준영,김보선,이정우,Lee, Jun Young,Kim, Bo Sun,Lee, Jung Woo 대한족부족관절학회 2017 대한족부족관절학회지 Vol.21 No.3

Purpose: The aim of this study was to analyze the factors related to nonunion in tibiotalar arthrodesis. Materials and Methods: Eighty cases of ankle arthritis treated with tibiotalar arthrodesis in our hospital from November 2008 to November 2015 with more than one year follow up were analyzed. Simple anteroposterior and lateral radiographs after 6 and 12 months of surgery were analyzed. Union was defined as more than 50% connection of the trabecular bone at the ankle joint surface in the anteroposterior and lateral radiographs. The nonunion group was defined as no signs of union with persistent pain 9 months after surgery. The surgical approach, type of used screw, preoperative and postoperative ankle alignment, body mass index (BMI), bone mineral density, and patients' prior history were compared between the two groups. Results: There were 69 union cases and 11 nonunion cases. In the patient factors, the gender and BMI was related to nonunion (p<0.05). The mean preoperative and postoperative ankle alignment in the nonunion group was $9.93^{\circ}{\pm}6.92^{\circ}$ and $5.43^{\circ}{\pm}3.35^{\circ}$ respectively, and $9.80^{\circ}{\pm}7.55^{\circ}$ and $5.63^{\circ}{\pm}3.45^{\circ}$ in the union group, respectively; the difference was not statistically significant (p>0.05). In the technical factors, the transfibular approach showed a better relationship but the association was not significant (p<0.05). In 40 cases of the transfibular approach, 12 cases used cancellous screws, and 4 cases showed nonunion due to screw breakage. Conclusion: Technical factors, such as the surgical approach and the type of screw used can be a risk factor in nonunion. In addition, patients' factors, such as gender and BMI, must be considered to reduce the nonunion rate.

면 축약 방식을 이용한 체적 보존 메쉬 간략화

이준영,장태정,Lee, Jun-Young,Jang, Tae-Jeong 대한전자공학회 2005 電子工學會論文誌-CI (Computer and Information) Vol.42 No.5

본 논문에서는 면 축약 방식을 이용하면서 3D 모델의 체적이 보존되는 메쉬 간략화 알고리즘을 제안하였다. 면 축약은 축약 대상 삼각형의 세 정점을 새로운 정점 하나로 모아 한 번에 4개의 면을 제거함으로써 에지 축약에 비해 빠른 간략화를 수행하는 방식이다. 어떤 방식이든 어느 면 또는 에지부터 축약할 것인가 하는 간략화 우선순위 척도가 매우 중요한데, 본 논문에서는 면 축약에 있어서 최근 제시되었던 한 방법의 문제점을 지적하고 이를 보완한 새로운 가중치 함수를 사용하여 축약 우선순위를 결정하였다. 또한 축약 대상 삼각형들을 대신할 새로운 한 정점을 결정하는데 있어서 체적이 보존되면서 삼각형 세 정점 주변의 곡률 차이 등을 반영할 수 있는 체적 기준점을 결정하는 새로운 방법을 제시하였다. 시뮬레이션을 통하여 본 논문에서 제시한 방식이 체적을 보존하면서 기존의 다른 방식에 비해 뒤지지 않는 축약 성능을 보여주는 것을 확인하였다. In this paper, a mesh simplification algorithm using face constriction is proposed which considers the conservation of the volume of a 3D model. The face constriction method replaces three vertices of the candidate triangle with a new vertex, removing four faces at once. We propose a modified method, compensating an existing method, of considering curvature in the decision of the removing order of triangles. We also propose a method of determining a new vertex replacing the candidate triangle, which reflects curvature difference of the three surrounding areas of the three vertices of the triangle, while conserving the volume. It is shown by simulation that the proposed method conserves the volume and shows good constriction performance comparable to the other methods.

운동 선수에게 발생한 급성 비골건 아탈구의 수술적 치료: 증례 보고-2예

이준영,이자용,Lee, Jun-Young,Lee, Ja-Yong 대한족부족관절학회 2005 대한족부족관절학회지 Vol.9 No.1

Acute subluxation of the peroneal tendon is an uncommon injury which is predominantly associated with a trauma. Traumatic peroneal tendon subluxation in athletes is an uncommon cause of ankle pain. As a result, the diagnosis is often delayed. Numerous surgical techniques have been described for chronic peroneal subluxation or dislocation, however reports in acute cases are rare. Authors experienced two cases of acute subluxation of peroneal tendon in athletes which were treated by simple primary repair of superior peroneal retinaculum with good results.

Cost Effective Fabrication of a Triboelectric Energy Harvester Using Soft Lithography

이준영,성태훈,여종석,Lee, Jun-Young,Sung, Tae-Hoon,Yeo, Jong-Souk The Korean Vacuum Society 2013 Applied Science and Convergence Technology Vol.22 No.4

에너지 수확은 우리주변에 존재하는 버려지는 에너지를 유용한 전기에너지로 변환하는 기술이다. 마찰전기 소자는 접촉을 통한 정전기를 유도하는 원리로 동력학적 에너지를 전기에너지로 전환하는 소자이다. 본 연구에서는 소프트 식각 기술을 활용하여 제작 단계를 최소화한 마찰전기 에너지 수확소자를 개발하고, 그 전기적 특성을 측정하였다. 마찰전기를 통한 발전은 마이크로패턴을 통해 마이크로 거칠기를 가진 알루미늄 층과 PDMS 층 사이에서 발생한다. 이때 PDMS 층의 마이크로 패턴은 마스크리스 식각을 통해 만들어진 알루미늄 층의 마이크로 패턴을 소프트 식각법으로 바로 본뜨는 방식으로 제작되었다. 본 소자는 2 V와 20 nA의 발전 성능을 나타낸다. Energy harvesting refers to converting ambient energy from our surroundings, which would be otherwise wasted, into useful electrical energy. A triboelectric energy harvester is a self-charged device for harnessing mechanical energy based on a coupled process of contact charging and electrostatic induction. In this research, we demonstrate simple fabrication of prototype triboelectric energy harvester using soft lithography and its electrical characterization. Triboelectric generation occurs between the two micro patterned layers of Au and PDMS. A micro pattern is simply replicated directly from the bottom layer to the top layer using soft-lithography without an extra transfer process. This generator can produce an output voltage of 2 V and output current of 20 nA.

중등도 및 중증의 무지 외반증 환자 치료에 변형된 중족골 원위부 갈매기형 절골술과 근위부 갈매기형 절골술에 대한 비교

이준영,박상수,Lee, Jun-Young,Park, Sang-Soo 대한족부족관절학회 2012 대한족부족관절학회지 Vol.16 No.1

Purpose: The purpose of our study is the comparison of radiological and clinical outcomes between modified distal chevron osteotomy and proximal metatarsal osteotomy for the patients who had moderate to severe hallux valgus deformity. Materials and Methods: In this retrospective study, we included 54 patients (65 feets) who underwent the operation of moderate to severe hallux valgus in our hospital from May 2007 to August 2010. Our study compares two groups. For Group 1, a modified distal chevron osteotmy and a distal soft tissue procedure were done and for Group 2, a proximal metatarsal osteotmy and a distal soft tissue procedure were done. The group 1 were 29 feets; the group 2 were 36 feets, and the average follow up was 9 months. Results: The radiological results show that the hallux valgus angle and the first-second intermetatarsal angle were significantly decreased in two groups. In each parameter, the correction of the hallux valgus angle was $19.1^{\circ}$ (Group 1) and $24.3^{\circ}$ (Group 2), the correction of the first-second intermetatarsal angle was $9.6^{\circ}$ (Group 1) and $10.3^{\circ}$ (Group 2). Shortening of the first metatarsal length was 0.87 mm (Group 1) and 0.77 mm (Group 2). There are no significant clinical results (American Orthopaedic Foot and Ankle Society score, AOFAS score) in two groups. Conclusion: It is thought that a modified distal chevron osteotomy and a distal soft tissue procedure are a considerable operative treatment of moderate to severe hallux valgus deformity because of the similar cilinical results, more simple operative techniques, and less complications than a proximal metatarsal osteotomy.

전위된 관절 내 종골 골절의 치료

이준영,나웅채,Lee, Jun Young,Na, Woong Chae 대한족부족관절학회 2015 대한족부족관절학회지 Vol.19 No.4

Recently, open reduction and internal fixation has been the treatment of choice for displaced intra-articular calcaneal fractures for many orthopaedic surgeons. However controversy still surrounds the optimal treatment with regard to whether displaced intra-articular calcaneal fractures should be treated operatively or conservatively. Conservative treatments include use of splint, rest, leg elevation, icing, use of analgesics and early mobilization. Operative treatment is open reduction and internal fixation, performed through an extensile lateral approach with interfragmentary screws and application of a neutralization plate. We reviewed the question of whether operative treatment by open reduction and internal fixation provides a benefit compared with conservative treatment for displaced intra-articular calcaneal fractures.

당뇨병성 신부전증 환자의 선단 궤양에 의한 하지절단(1예 보고)

이준영,유재철,Lee, Jun-Young,Yu, Jae-Cheol 대한족부족관절학회 2009 대한족부족관절학회지 Vol.13 No.1

Calciphylaxis is a rare disease that appear in patients with secondary hyper-parathyroidism or chronic renal failure or that show defect in calcium phosphate metabolism which is characterized by fibrin deposit or calcification of medial wall of vessels causing gradual ischemic skin necrosis. Calciphylaxis is a disease with poor prognosis as skin necrosis can progress rapidly. If left untreated, calciphylaxis will progress to sepsis with high mortality. The treatment is controversial but kidney transplantation or parathyroidectomy is suggested to recover calcium-phosphate metabolism. The authors have experienced calciphylaxis in a patient with chronic renal failure caused by DM nephropathy with characteristic skin lesion and rapid skin necrosis. We describe this case with documentary reviews.