배면 갈매기형 절골술을 이용한 족저각화증의 수술적 치료

유성호,김부환,송무호,안성준,이민수,강석웅,Yoo, Seong-Ho,Kim, Bu-Hwan,Song, Mu-Ho,Ahn, Seong-Jun,Lee, Min-Su,Kang, Suk-Woong 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.1

Purpose: Painful plantar callosities under the second, third or fourth metatarsal head have been controverted about its treatment mordalities. We performed the vertical chevron osteotomy in patients with painful callosities on the second and third metatarsal head, and evaluated the outcome clinically. Materials and Methods: Fourteen cases from 10 patients who had plantar keratosis were operated by vertical chevron osteotomy from March 2005 to October 2008. We used K-wire fixation for all cases. We evaluated the clinical results by the patients' satisfaction and disappearance of plantar lesion. Results: The plantar keratosis was completely disappeared in 8 cases and partially in 5 cases. In 2 cases, patients expresses their pain caused by constant metatarsalgia that was suspected to be dorsal incisional pain and joint capsulitis. Transmetatarsalgia was not appeared. Conclusion: We consider vertical chevron osteotomy as a good surgical method for treatment of plantar keratosis.

무지 외반증 환자의 원위 갈매기형 절골술시 절골면 고정유무에 따른 치료결과 비교

유성호,김부환,송무호,안성준,서상혁,Yoo, Seong-Ho,Kim, Bu-Whan,Song, Moo-Ho,Ahn, Seong-Jun,Seo, Sang-Hyok 대한족부족관절학회 2006 대한족부족관절학회지 Vol.10 No.2

Purpose: The distal chevron osteotomy has gained popularity for the mild to moderate hallux valgus, but necessity of fixation is controversy. No fixation of distal chevron osteotomy cause instability, but fixation has problem which has pin site infection and irritability, extension of operation time, discomfort of rehabilitation. So, the author was going to analyse and compare with and without in the fixation of distal chevron osteotomy. Materials and Methods: Between 2004 and 2005, a total 18 patients (20 feet) following with and without in fixation of distal chevron osteotomies. The fixation group (A) was performed for the treatment of 10 patients (10 feet) and no fixation group (B) was done to 8 patients (10 feet). Results: On group A, the mean first MTP (metatarsophalangeal) angle corrected $17^{\circ}$ pre-operatively to average $29^{\circ}$ (range; $20-37^{\circ}$) and the mean first IM (intermetatarsal) angle corrected $10^{\circ}$ pre-operatively to average $15^{\circ}$ (range; $9-18^{\circ}$). On Group B, the mean first MTP angle corrected $16^{\circ}$ pre-operatively to average $29^{\circ}$ (range; $18-33^{\circ}$) and the mean first IM angle corrected $7^{\circ}$ pre-operatively to average $13^{\circ}$ (range; $9-16^{\circ}$) (P>0.05). Clinical results, based on AOFAS score showed an improvement in the overall results. Conclusions: Comparing the clinical and radiographic results of the distal chevron osteotomies no difference in with and without fixation of distal chevron osteotomies.

지간 신경종 보존적 치료에 영향을 미치는 인자

유성호,김부환,주인탁,장윤종,Yoo, Seong-Ho,Kim, Bu-Hwan,Chu, In-Tak,Chang, Yoon-Jong 대한족부족관절학회 2005 대한족부족관절학회지 Vol.9 No.1

Purpose: The purpose of this study was to investigate the clinical results of conservative treatment for Morton's neuroma and to analyze the factors which influenced on the results. Materials and Methods: In this retrospective study, 101 cases of 83 patients with interdigital neuroma were conservatively treated with follow-up period of at least 6 months. There was no significant difference in results among different age groups, sxes, and lesion sites. However, the results were significantly better if the treatment was started within 6 months after onset. Results: We had 28 excellent results (28%), and 13 good results (13%). Patients were grouped by sex, age, duration of symptom before treatment, affected location. The result of treatment was evaluated by comparing the subject pain and discomfort score of the first vist and last follow-up. Conclusion: There are excellent results over 41% by conservative treatment. The results of conservative treatment were not related to age, sex, and lesion site, but were related to pre-treatment period. The shorter the pretreatment period was, the better the results.

후 경골신경과 내측 족저신경 내에 발생한 결절종

유성호(Seong-Ho Yoo),안성준(Seong-Jun Ahn),김부환(Bu-Hwan Kim),송무호(Moo-Ho Song),신승호(Seoung-Ho Shin) 대한정형외과학회 2008 대한정형외과학회지 Vol.43 No.1

말초 신경 내에 발생하는 결절종은 그 발생 빈도가 드문 것으로 되어 있고 몇몇 발견된 경우에도 비골경부 및 슬관절부의 비골신경 내에서 주로 발생되는 것으로 보고되어 있다. 저자들은 최근에 우측 족관절부 후 경골신경과 그 분지인 내측 족저신경 내에 각각 발생한 결절종을 경험하였고 완전 절제로서 후유증 없이 치료하였기에 이를 문헌고찰과 함께 보고하는 바이다. Intraneural ganglion of the tibial nerve is very rare. We have experienced a case of the intraneural ganglion cyst in the tibial nerve and medial plantar nerve, which was located at the level of the ankle and foot. A 29-year-old male suffered from lumps causing numbness around the medial aspect of the sole and great toe. But there was no weakness and change of the motor function. We excised the cystic mass successfully and the neurologic symptoms disappeared.

유배우자 노인의 성생활 유지여부 및 성생활 빈도와 관련된 인구사회적 변인

유성호(Seong Ho Yoo),강숙연(Suk Yeon Kang) 한국노인복지학회 2003 노인복지연구 Vol.20 No.-

재미 한국 노인과 자녀간의 별거에 영향을 미치는 요인

유성호(Seong Ho Yoo) 한국노년학회 1993 한국노년학 Vol.13 No.2

지금까지 미국 사회노년학에서는 일반적으로 미국에 거주하는 한국 노인의 대부분이 자녀와 함께 살고 있는 것으로 인식되어왔다. 그러나 1980년과 1990년의 미국 인구보고서를 비교, 분석하여 보면 재미 한국 노인들은 지난 10년간 점차로 자녀와의 "공동주거" 형태에서 "독립주거" 형태로 전환하고 있음을 알 수 있다. 본 연구에서는 이와 같은 주거의 변화에 영향을 미치는 요인을 분석하였다. 이 연구에 필요한 정보 부족으로 가설을 제시하지 않았고, 미래의 이 분야의 연구를 위해 일반적 특성을 파악하는데 중점을 두었다. 연구 방법은 미국의 달라스 지역에 거주하고 있는 60세 이상의 한국 노인 102명을 비확률표출 (non-random sampling) 방법의 하나인 눈사람표출(Snowball Sampling)로 선정, 설문지를 통한 직접면담을 통해 자료를 수집하였다. 다변수 로지스틱 희귀분석(Multivariate Logistic Regression Analysis)과 기술분석(descriptive analysis)의 결과는 다음과 같다. (1) 미국정부의 노인들을 위한 복지제도, 특히 기본수입(생활)보장제도(Supplemental Security Income)와 정부보조아파트(Public Housing) 그리고 자녀들의 재정지원과 도움이 한국 노인들의 독립주거를 가능하게 했으며 (2) 한국 노인과 자녀간의 독립 주거에 영향을 미치는 가장 중요한 변수는 응답자의 수입과 대학학력이상 (13년 이상) 이었으며 (3) 응답자가 답한 건강상태와 친한 친구의 수는 독립주거와 반비례하였으며 (4) 통계적으로 중요한 변수는 아니지만, 가톨릭 신자와 비교해서 기독교 신자 그리고 미국에 거주한 지 오래된 한국 노인일수록 자녀와 독립주거하였으며 (5) "사생활 자유"의 유지가 독립주거를 선호하는 가장 중요한 이유였다. Contrary to the assumption of intergenerational family living prevalent in the gerontological literature, Census data show that Korean American aged in the United States exhibit a tendency to live apart from their adult children. This tendency has been particularly noticeable during the last decade. The goals of this study, therefore, were to identify the factors associated with separate living arrangements and to elicit the reasons Korean American aged give for this residence pattern. Given the dearth of information on this topic, no hypotheses were tested. A non-random sample of 102 Korean Americans aged 60 years and older living in the Dallas, Texas metropolitan area were interviewed. The results of this study based on multivariate logistic regression and descriptive analysis show that : (1) U. S. welfare programs, especially Supplemental Security Income(SSI) and public housing, and their children's financial contributions and other social supports made it possible for the Korean aged to live independently from their children; (2) income and college education were significantly related to separate living arrangements; (3) self-reported health and number of close friends were negatively related to separate living arrangements; (4) Protestant compared to Catholic religious affiliation and longterm residence in the U. S. were slightly associated with separate living patterns, and (5) the demand for privacy and freedom was the major reason for the preference of separate living arrangements.

상완골 원위부 AO-C형 골절의 수술적 치료는 초기 정형외과 의사에게 얼마나 어려운가?

유성호 ( Seong Ho Yoo ),강석웅 ( Suk Woong Kang ),송무호 ( Moo Ho Song ),김영준 ( Young Jun Kim ),배혁 ( Hyuck Bae ) 대한골절학회 2018 대한골절학회지 Vol.31 No.2

목적: 초기 정형외과 의사로서 상완골 원위부 C형 골절의 수술적 치료에서 초기 20예를 분석해 보고자 한다. 대상 및 방법: 상완골 원위부 AO-C형 골절 환자에서 수술적 치료를 시행한 초기 20예의 결과를 분석하였다. 2013년 3월부터 2015년 5월까지 최소 1년 이상 추시가 가능하였던 환자를 대상으로 하였다. 수술 시간, 골유합 시기, 주관절 운동 범위를 측정하였고, Mayo 주관절 수행 점수를 이용하여 기능적 평가를 하였다. 수술 직후부터 발생한 주, 부 합병증에 대해 분석하였다. 결과: 모든 환자에서 골유합을 얻었으며, 평균 골유합 기간은 16.4주, 평균 수술 시간은 112분이었다. Mayo 주관절 기능평가 점수는 우수 6예, 양호 10예, 보통 4예였으며, 평균 주관절 운동 범위는 굴곡 구축 14.5도, 후속 굴곡 120.7도였다. 총 6명에 대해 9회의 재수술을 시행하였다. 2예에서 재고정술을, 1예에서 척골신경 전위술을 시행하였다. 이외 척골 절골부위 전이, 표재성 감염, 고정핀의 이완 등으로 재수술을 시행하였다. 결론: 상완골 원위부 AO-C형의 경우 초기 정형외과 의사의 수술적 치료 시 수술 기법과 경험 부족으로 다양한 합병증을 일으킬 수 있어 수술 전, 후 철저한 준비로 좋은 결과를 얻을 수 있도록 해야겠다. Purpose: Twenty early surgical management cases of distal humerus type-C fractures were analyzed. Materials and Methods: This study analyzed 20 early patients, who received surgical management of distal humerus type-C fractures, and could be followed-ups for more than one year between March of 2013 and May of 2015. The operative time, bone union time, and elbow range of motion were analyzed. The Mayo’s functional score was used to evaluate their postoperative function. The primary and secondary complications of each patient immediately after each of their surgery were also reviewed. Results: All patient groups achieved bone union within an average period of 16.4 weeks. Based on the Mayo functional score, 6, 10, and 4 patients scored excellent, good, and fair, respectively. The average range of motion was a flexion contracture of 14.5° with a follow-up improvement averaging 120.7°. Six patients received nine revision operations due to major and minor complications. Two patients received revision fixation from an inadequate fixating power, and another patient received an ulnar nerve transposition. Other complications included olecranon osteotomy site displacement, superficial operational site infection, and pin loosening. Conclusion: Distal humerus fractures of the AO-C type can cause a range of complications and has a very high rate of revision due to its difficult nature of surgical manageability. Therefore, it is imperative for a surgeon to expect various complications beforehand and a careful approach to their postoperative rehabilitation is essential.

노인과 성인자녀의 별거를 결정하는 변인: 그 이론적 탐색 2

유성호(Seong Ho Yoo) 한국노인복지학회 2000 노인복지연구 Vol.8 No.-

This study tested a hypothesis that the Korean aged sharing a household only with their unmarried adult child(ren) should be excluded from the analysis when studying the determinants of the independent living arrangements among the Korean aged and their adult children. This insistence comes from the dominant Korean living culture which is characterized by the coresidence of older parents with their unmarried adult children almost regardless of the demographic, economic, and social circumstances of the former. A probability sample with 2,058 Korean aged 60 years and older originally conducted by the Korea Ministry of Health and Social Welfare in 1994 is analyzed for this study. For the purpose of the present study, ever-married Koreans aged 60+ with surviving children were included in the analysis. Those Korean aged who did not answer the questions of the relevant variables this study employed were excluded from the analysis. A total of 1,979 Korean aged were included for the analysis. Statistical techniques such as t-test, Chi-square, and logistic regression were employed for the analysis. Results show that compared to other Korean aged cohort, the Korean aged living only with their unmarried adult children) tend to be rich, healthy, young, and educated with a spouse living in cities. These factors are known highly associated with the separate living arrangements from adult children. The logistic regression analysis for the total sample(n=1,979) indicates that the monthly income, number of children, marital status, and residence region are related to the separate living arrangements. But the results excluded those elderly living only with their unmarried adult children(n=246) shows that other two factors such as educational level and age are also statistically significant determining independent living arrangements. This study finally concludes with a support of the study hypothesis. That is, the Korean elderly sharing a household only with their unmarried adult children must be excluded from the analysis when studying the determinants of the independent living arrangements among the Korean aged and their adult children.

쇄골 간부 골절의 최소 침습적 경피적 금속판 고정술과 관혈적 수술 비교

유성호(Seong-Ho Yoo),강석웅(Suk-Woong Kang),김부환(Bu-Hwan Kim),송무호(Moo-Ho Song),김영준(Yeong-Joon Kim),박규택(Gyu-Taek Park),곽창훈(Chang-Hun Kwack) 대한정형외과학회 2017 대한정형외과학회지 Vol.52 No.1

목적: 쇄골 간부 골절의 최소 침습적 경피적 금속판 고정술과 관혈적 고정술에 대한 후향적 분석을 통해 수술 결과를 비교하고자 한다. 대상 및 방법: 2011년 11월부터 2014년 5월까지 쇄골 간부 골절로 수술을 시행한 최소 1년 이상의 추시가 가능하였던 40예에서 최소 침습적 금속판고정술 20예를 A군, 관혈적 고정술 20예를 B군으로 나누어 두 군 간의 수술시간, 골유합, 기능적 평가(American Shoulder and Elbow Society score), 수술 반흔의 길이, 술 후 통증 완화(visual analogue scale) 및 합병증에 대해 비교 분석하였다. 결과: 모든 예에서 골유합이 이루어졌으며, 양 군에서 모두 양호한 결과를 보였다(p>0.05). 평균 수술 시간은 A군에서 47.5분, B군에서 58.7분이었고, 평균 절개의 길이는 A군에서 6.2 cm, B군 10.7 cm로 유의한 차이를 보였으며, 술 후 통증의 완화에서도 A군에서 초기 빠른 회복을 보였다. 합병증으로 A군에서 부정유합 1예, 피부 감각이상 2예를 보였으며, B군에서 피부 감각이상 6예 및 수술 반흔에 대한 미용상의 문제가 2예 있었다. 결론: 쇄골 간부 골절에서 A와 B 양 군에서 대체적으로 양호한 결과를 보였으나 A군이 B군에 비해 짧은 수술시간과 수술 절개, 초기 통증 완화 항목들에서 더 좋은 결과를 보였다. 하지만 부정유합, 방사선 노출 등의 합병증 및 장기 추시 결과에 대한 연구가 더 이루어져야 할 것으로 보인다. Purpose: To retrospectively compare minimally invasive percutaneous plate osteosynthesis (MIPPO) with open plate fixation for the treatment of clavicle midshaft fracture. Materials and Methods: Between November 2011 to May 2014, 40 cases that were followed for more than 1 year–among all cases of MIPPO and open plate fixation–were analyzed. The study population was divided into two groups: group A included 20 cases of MIPPO and group B included 20 open plate fixation cases. The comparative analysis between the two groups was based on the operative time, bone union, functional evaluation (American Shoulder and Elbow Society score), incision length, pain relief (visual analogue scale, VAS), and complication. Results: The bone union was successful for all the cases, and the functional evaluation scores of the shoulder joint were satisfactory for both groups (p>0.05). The operative time was 47.5 minutes and 58.7 minutes for group A and B, respectively (p<0.05). The incision length for group A was 6.2 cm and that for group B was 10.7 cm with statistical significance (p<0.05). Pain relief (VAS) after surgery for group A showed a quick recuperation in the early stages. For complications, there were 2 cases of dysesthesia and 1 case of malunion due to metal fixation failure in group A. There were 6 cases of dysesthesia and 2 cases of cosmetic problem due to hypertrophic scar in group B. Conclusion: Surgical results of clavicle shaft fracture were satisfactory for both groups, but group A had advantages of shorter operative time, minimal incision length, and better pain relief in the early stages compared with group B. However, we need further evaluations with long-term follow-up results and complications, such as malunion and exposure on radiation.

자녀수와 결혼한 성인자녀와의 동거가 노후생활만족에 미치는 영향

유성호(Seong Ho Yoo) 한국노년학회 1997 한국노년학 Vol.17 No.2

본 연구는 노후생활만족도와 관련된 변인을 조사한 선행연구 가운데 우리 나라 노년학의 제연구에 있어서의 문제점으로 성별의 차이를 거의 무시하고 있는 점과 우리 나라를 포함한 선진 외국의 경우 결혼상태에 따른 차이점에 별로 신경을 쓰지 않는 분석상의 문제점을 지적한다. 또한 자녀수와 노후생활만족도의 관계에 있어서 우리 나라와 미국을 비롯한 선진제국의 연구 결과가 서로 일치하지 않고 있음을 지적한다. 본 연구의 목적은 이러한 문제점을 보완하여 자녀수와 결혼한 성인자녀와의 동거가 노후생활만족에 어떠한 영향을 미치는 가를 조사하기 위하여 자녀가 있는 노인을 성별과 결혼상태에 따라 네 가지로 분류하여-- 즉 배우자 있는 남성노인, 배우자 있는 여성노인, 사별한 남성노인, 사별한 여성노인-- 독립변수인 자녀수와 결혼한 성인자녀와의 동거가 각 범주에 속한 노인들의 노후생활만족에 각각 어떠한 영향을 미치는가를 조사하는 것이다. 1994년 한국보건사회연구원이 우리 나라 노인생활의 실태를 조사하기 위하여 전체 노인 가운데 확률표집방법(probability sampling)에 의하여 표집된 60세 이상 재가노인 2,058명의 표본 자료를 이용하여 그 가운데에서 연구 목적에 맞는 1,611명을 대상으로 분석하였다. 그 결과 우리 나라 노인의 경우 노후생활만족도를 설명해 주는 변인들은 성별과 결혼상태에 따라 분명한 차이가 있는 것으로 나타났다. 배우자가 있는 남성노인의 경우 노후생활만족도를 설명해 주는 주요 변인은 건강상태와 소득이었고, 배우자와 사별한 남성노인의 경우는 건강상태였다. 배우자의 유무와 상관없이 여성노인에게 있어서 건강상태, 결혼한 성인자녀와의 동거 및 소득은 노후생활만족도를 설명해 주는 주요 변인이었다. 여성노인의 경우 통계학적으로 유의미하지는 않지만 자녀수와 노후생활만족과는 정적관계에 있었고, 배우자와 사별한 남성노인의 경우는 부정적인 관계에 있었다. 본 연구 결과를 바탕으로 비교적 짧은 역사를 가지고 있는 우리 나라 노년학의 미래 연구와 노인복지정책의 시행에 있어서 노인들간의 차이점 즉 '노인의 다양성 (diversity or heterogeneity)'에 신경을 써야 할 필요성에 대해 언급하고 있다. This study points out analytical problems of previous research on the determinants of life satisfaction among the elderly in which ignorance of differences of gender and marital status is frequently discovered. Also inconsistent findings of relationships between number of children and life satisfaction are discussed. By eliminating these deficiencies, this study aims to examine the effects of number of children and coresidence with married adult children on life satisfaction. The Korean elderly respondents are classified into four groups characterized by gender and marital status-married males, widowers, married females, and widows. For the study sample, a national data conducted by the Korean Ministry of Health and Social Affairs in 1994 was used. The data involve 2,058 uninstitutionalized Korean elderly aged 60 years and older. 1,611 individuals are selected for the purpose of this study. Study results show a definite difference by gender and marital status. For married males, self-rated health and income were predictors of life satisfaction. However, far the widowers, self-rated health was a statistically important variable explaining the dependent variable. Included as predictors of life satisfaction for both married females and widows were self-rated health, coresidence with married adult children, and income. An interesting finding was that number of children was positively related to the life satisfaction for females, though not statistically significant, and to the widowers, the relationship was negative, though statistically not significant. The concept of aged diversity(or heterogeneity) was suggested for the future research and social policy for the aged.