족관절 체중 부하 중립위에서 배굴 상태 변화에 따른 정상 원위 경비 결합의 방사선학적 측정

신성기 ( Seong Kee Shin ),김기천 ( Ki Chun Kim ),송세용 ( Se Yong Song ),양기원 ( Ki Won Young ),이경태 ( Kyung Tai Lee ) 대한스포츠의학회 2021 대한스포츠의학회지 Vol.39 No.1

Purpose: Reliable landmarks of ankle syndesmosis change in various positions is important for managing ankle injury. The purpose of our study was to investigate and compare radiographic landmarks of normal ankle in various positions. Methods: The study involved both ankle radiographs of 30 subjects (15 males, 15 females) without clinical or radiographic abnormality. Tibiofibular clear space (TFCS) and tibiofibular overlap (TFO) were measured on anteroposterior (AP) and mortise radiographs in non-standing (NS) and standing (S) neutral and dorsiflexion 10° (DF10) and 20° (DF20). The radiographic measurements were used to calculate means, standard deviations, and intra- and interobserver reliabilities, and compare TFCS and TFO in various positions and genders. Results: On the AP view, the mean TFCS in NS, S, DF10, and DF20 positions were 4.00±0.97, 4.00±0.83, 4.35±0.95, and 4.45±0.89 mm and the mean TFO on the same positions were 6.58±2.27, 4.27±1.90, 3.44±1.96, and 2.38±1.91 mm. On the mortise view, the mean TFCS in NS, DF10, and DF20 positions were 3.62±0.88, 4.08±0.86, and 3.88±0.97 mm and the mean TFO on the same positions were 3.57±2.13, 2.31±1.77, and 3.57±2.14 mm. The reliabilities in all positions except TFCS on some positions were excellent. No measurement was significantly different between females and males except TFO in NS on mortise view (p=0.006) and DF10 on AP view (p=0.032). Conclusion: Increase of TFCS and decrease of TFO on AP view reflects syndesmosis change from NS to DF20 on standing. Clinically, the effect of weight-bearing and reliability of TFO should be considered.

GC/MS에 의한 저장중 츄잉껌 향기성분 변화연구

신성기(Seong-Kee Shin),김상호(Sang-Ho Kim),이윤형(Yoon-Hyung Lee),이규순(Kyu-Soon Rhee) 한국식품과학회 1992 한국식품과학회지 Vol.24 No.1

전방 십자 인대 재 재건술 단기 추시 결과

안진환,조용진,이용석,신성기,Ahn Jin-Hwan,Cho Yong-Jin,Lee Yong-Seuk,Shin Seong-Kee 대한관절경학회 2003 대한관절경학회지 Vol.7 No.2

목적 : 실패한 전방십자인대 재건술후 시행한 전방십자인대 재 재건술의 단기추시 결과를 평가하고자 하였다. 대상 및 방법 : 1997년 8월부터 2002년 2월까지 실패한 전방십자인대 재건술에 대하여 재 재건술을 시술 받았던 18예를 대상으로 하였으며, 재건술후 재 재건술까지의 평균기간은 39$(7\~120)$개월 이었으며, 동종이식건 14예$(78\%)$, 자가이식건 4예$(22\%)$를 관절경을 이용하여 전방십자인대 재 재건술을 시술하였다. 주 증상으로는 불안정성이 16예$(89\%)$로 가장 많았고, 전방십자인대 재건술을 한번 시행받았던 경우가 16예$(89\%)$, 두번 시행받았던 경우가 2예$(11\%)$였다. 술전, 술후 및 추시관찰시 Lachman test, pivot shift test, KT 2000 및 방사선학적으로 전방십자인대의 안정성을 평가하였으며, Lysholm score 및 HSS score를 비교 분석하였고 환자의 주관적 만족도를 조사하였다. 결과 : 평균 추시관찰 기간은 27$(12\~60)$개월이었으며, 술전 Lachman test 및 pivot shift test는 전예에서 양성의 소견을 보였으나 술후 대부분의 예에서 음성으로 나타났으며, KT 2000은 술전 7.75$(3.5\~12.5)$mm에서 술후 최종추시시 2.36$(1.0\~6.0)$mm로 안정되었다. Lysholm score 및 HSS score는 각각 술전 72.6$(66\~77)$점, 72.5$(68\~78)$점에서 술후 최종추시 시 89.2$(80\~92)$점, 88.2$(81\~92)$점으로 향상되었다. 환자의 대부분은 수술결과에 만족$(89\%)$하고 있었다. 전방십자인대 재건술의 실패원인으로는 대퇴터널의 부정위치가 11예$(61\%)$로 가장 많았다. 결론 : 실패한 전방십자인대 재건술의 치료로 적절한 이식건을 이용하여 관절경적 전방십자인대 재 재건술을 시술함으로서 주관적 및 객관적으로 비교적 안정적인 슬관절을 얻을 수 있었으나, 일차 전방십자인대 재건술의 가장 많은 실패의 원인이 수술 수기의 오류임을 감안한다면 정확한 수술 수기로 전방십자인대 재건술을 시술하는 것이 중요할것으로 사료된다. Purpose : The purpose was to evaluate the early result of revision of failed anterior cruciate ligament (ACL) reconstruction. Materials and Methods : From August 1997 to February 2002, this report presents the findings of 18 patients who had revision surgery for failed ACL reconstruction. There was an average of 39 $(7\~120)$months from index procedure to the time of revision. Allografts were used in 14 $(78\%)$cases and autografts were used in 4 $(22\%)$cases and the revision procedures were assisted by arthroscopic technique. The majority of chief complaints were instability in 16 $(89\%)$cases. Sixteen $(89\%)$ cases had 1 previous reconstruction, 2 $(11\%)$ cases had 2. Before and after revision, patients were evaluated by Lachman test, pivot shift test, KT 2000, radiographs, Lysholm score and HSS score and subjective satisfaction. Results : Average length of followup was 27 $(12\~60)$months. Preoperatively, all cases were positive in Lachman test and pivot shift test. After revision the majority of cases were negative. Objectively improving stability was confirmed by KT 2000 and all average KT 2000 was 7.75 $(3.5\~12.5)$mm preoperatively and 2.36 $(1.0\~6.0)$mm at final followup. Lysholm score and HSS score were also improved from 72.6 $(66\~77)$ and 72.5 $(68\~78)$ preoperatively to 89.2 $(80\~92)$ and 88.2 $(81\~92)$ at final followup. Most $(89\%)$ of patients were satisfied with their results. The most common causes of failed ACL reconstruction were malposition of femoral tunnel in 11 $(61\%)$cases. Conclusion : Arthroscopic revision ACL surgery with adequate graft for failed ACL reconstruction was successful in objectively and subjectively improving stability. However, considering the most common causes of failure after ACL reconstruction were errors in surgical technique, it is important that the primary ACL reconstruction should be performed with correct surgical technique.

유경 혈관화 골 이식술을 이용한 주상골 불유합의 치료

박민종(Min Jong Park),이재성(Jae Sung Lee),신성기(Seong Kee Shin) 대한정형외과학회 2006 대한정형외과학회지 Vol.41 No.5

목적: 주상골 불유합의 치료를 위하여 원위 요골에서 유경 혈관화 골 이식술을 시행한 환자를 대상으로 치료 결과를 분석하였다. 대상 및 방법: 주상골 불유합으로 유경 혈관화 골 이식술을 시행 받은 환자 21명을 대상으로 하였고 나이는 평균 29.3세(16-47세), 추시 기간은 평균 19.6개월(12-36개월)이었다. 모든 예에서 원위 요골 부위에서 1, 2 구획 간 상지대 동맥을 이용한 유경 혈관화 골 이식술 및 K-강선 고정술을 시행하였다. 수술 중 근위 골편 출혈을 육안적으로 평가한 결과 완전한 무혈성 골 괴사가 10예(47.5%)였다. 결과: 21예 중 19예에서(90%) 방사선학적으로 골유합을 확인할 수 있었으며 나머지 2예는 방사선학적으로 골유합 소견이 불확실하나 임상적으로는 유합된 것으로 판단하여 임상적 유합으로 판정하였다. 술 후 방사선학적 골유합까지의 평균 기간은 10.7주(6-16주)였다. 근위 골편이 완전한 무혈성 골 괴사였던 10예 중에서는 8예 (80%)에서 방사선학적 유합을 확인하였다. 주상골 평가 점수를 기준으로 평가한 기능적 및 주관적인 만족도에서 양호 이상이 16예(76%)였다. 결론: 주상골 불유합에서 유경 혈관화 골 이식술은 골유합을 얻을 수 있는 좋은 방법이며 특히 주상골 근위 골편의 무혈성 괴사가 동반된 경우 골유합의 확률이 기존의 골 이식술보다 높아 좋은 적응증이 될 수 있을 것으로 생각된다. Purpose: This study examined the clinical usefulness of a pedicled vascularized bone graft for the treatment of a scaphoid nonunion. Materials and Methods: Twenty-one patients with a scaphoid nonunion were treated with a pedicled vascularized bone graft using the 1, 2 intercompartmental supraretinacular branch of the radial artery. The average age of the patients was 29.3 years (range, 16-47) and the mean follow-up period was 19.6 months (range, 12-36). Punctate bleeding of the proximal fragment was evaluated intraoperatively and complete avascular necrosis was observed in 10 patients (47.5%). Results: Radiographic union was observed in 19 patients (90%). The other 2 patients were considered to have clinical union although it was unclear radiographically. The average union time was 10.7 weeks (range, 6-16). Eight of the ten patients with an avascular proximal pole showed radio-graphic union. Sixteen patients (76%) showed satisfactory subjective results at the time of the last follow up based on the scaphoid score. Conclusion: Pedicled vascularized bone graft is a good method for treating a scaphoid nonunion and is strongly recommended in cases of scaphoid nonunion with proximal pole avascular necrosis.

동사무소 기능전환에 따른 공간 이용실태 및 주민자치센터의 프로그램 운영실태 조사연구 : 마산시 소재 동사무소를 중심으로

이강훈,신성기 경남대학교 경남지역문제연구원 2008 경남지역연구 Vol.13 No.-

This Study aim to make a search for scheme, as analysing plan and practical survey and making up question facing to government employee and inhabitants, the use of space and actual conditions of management. This study has 27 cases of Office for investigation. Then it has some results of actual status of space. So those are followings. The first, in the gross area of Office, under 500㎡ in gross area is 6 cases. between 500㎡ and 1,000㎡ in gross area is 15 cases, between 1,000~2,000㎡ is 10 cases, 2,000㎡ or more is just 1 case. In the aspect of population, 50,000 (persons) or more is 1 case, 20,000 or more is 1 case, 10,000 or more is 12 cases, 5,000 or more is 13 cases, and under 5,000 is 4 cases. Those cases for population is distributed. The second, the average of area in each space is 360.3㎡ in space for civil application, 98.7㎡ m space for civil waiting hall, 239.2㎡ in multi-use room, 130.5㎡ in performance, 125.8㎡) in library, 84.2㎡ in classroom, 33.9㎡ in computer lab, 94.1㎡ in inhabitant's office, 135.4㎡ in room for yoga & aerobics. The third, making mention of managing program, there is 19 cases of sports-dance & yoga, 11 cases of learning singing, 6 cases of calligraphy, 9 cases of playing farmers' musical instruments. At the average of each participants, it is orderly analyzed to have 50.3 people in learning singing, 39.6 people in yoga, 36.7 people in sports dance, 22.5 people in calligraphy. Of those questioned about the use of space and managing program to go along with functional change of Office are following. The first, the answers to question of needed facility are orderly 11.6% to fitness center, 9.4% to recreational room, 8.3% to computer lab. Additionally, of those questioned about additional needed facilities are orderly 36.8% to fitness center, 7.9% to staff members' resting space, and equally 7.9% to computer lab. This is attributed to the changing trend who take cognizance of health. The second, in the period of time in use, it turn up as 60.4% in 9-12 am, 27.2% in 3-6 pm. The third, most of user to office comprised of 81.6% of housekeepers, 11.1% of graybeard. The fourth, the answers to question of well managing programs attach importance to physical practice. It document 27.21% and orderly tea, flower arranging, singing lesson, computer class.