경골과 골절에 대한 임상적 고찰

박상원,김학윤,공보석,전제영,이홍건 대한골절학회 1989 대한골절학회지 Vol.2 No.1

The tibial condylar fractrue involving articular surface of the proximal tibia is common in traffic accidents, In the tibial'condylar fracture, the injuries of soft tissue such as ligaments and menisci are frequently accompanied and the weight bearing surface are involved, too. So significant disability of the knee joint often results from the tibial condylar fracture. The fifty cases of the tibial condylar fracture treated at the orthopaedic department of Korea Univerity Hospital from January, 1982 to December, 1986 have been followed for 1 to 3 year The results obtained were aa follows: l. Among the fifty patients, the ratio of sex was 2.1:1 as male predominant, and the prevalent age distributions were in the 3rd and 6th decade. 2. The most common cause of injury was traffic accident in 32 cases(64%). Second in frequency were falls in 7 cases(14%). 3. The laterality of injury was left in 29 cases(58%), right in 21 cases(42%) The locations of injury were lateralcondyle in 34 cases(64%),medial condyle in eight cases(16%) and bicondyles in eight cases(16%). 4. According to the Hohls dassification, the most common was type g in nineteen cases(38%). 5. The most common associated injuries were ipsilateral fibular fracture in 15 cases(30%) and ligament injury in 15 cases(30%) especially frequent in type g and m Among the ligament injuries, the medial collateral ligament tearing was eight cases(53%) as predominant 6. Fifteen cases(30%) were treated by cast immobilization, two cases(4%) by skeletal traction. Thirty-three cases(66%) were treated by operative method. 7. Thirty-seven cases(74%) revealed the rating of acceptable$quot; group according to Roberts criteria.

1920년대 유럽시건축가의 집합주거에 관한 비교연구 : Oud와 May의 사례를 중심으로 focused on the cases of Oud and May

박상원,김기현,권종욱 대한건축학회 2000 대한건축학회논문집 Vol.16 No.7

정부의 양극화 해소방안에 대하여 2

박상원,Park, Sang-Won 한국인삼전략화협의회 2006 인삼·약초 Vol.4 No.3

2006년 한국경제 전망

박상원,Park, Sang-Won 한국인삼전략화협의회 2006 인삼·약초 Vol.4 No.1

골시멘트를 사용하지 않는 인공고관절 성형술에서 대퇴 스템주위의 골용해에 대한 분석 : 이극성 반치환 성형술과 전치환 성형술의 비교 Comparison between Bipolar Hemiarthroplasty and Total Hip arthroplasty inserted without Cement

박상원,구자성 고려대학교 의과대학 1996 고려대 의대 잡지 Vol.33 No.2

Periprosthetic osteolysis may be the most common cause of late failure of total hip arthroplasty perfomed without cement and its incidence is increasing with time. Several studies demonstrated high rate of femoral osteolysis of the cementless total hip arthroplasty. However, there are a few reports about the higher rate of femoral osteolysis in bipolar hemiarthroplasty inserted without cement than its incidence in cementless total hip arthroplasty. The purpose of this study was to find out the incidence and the characters of the periprosthetic osteolysis and to analyse its relation with the possible factors; age, sex, size of the acetabular cup or the femoral stem, stability of the femoral stem, and clinical score with osteolysis in bipolar hemiarthroplasty and total hip arthroplasty inserted without cement. The authors analysed twenty-one cases in eighteen patients of bipolar hemiarthroplasty and twenty-eight cases in twenty-five patients of total hip arthroplasty inserted with non-circumferential porous coated femoral stem of Harris-Galante type and femoral head of 28 millimeter diameter from Jan. 1985 to Dec. 1991. All of the patients were followed up for a t least four years. The average follow up period was 59.6 months(48 to 96 months) in bipolar hemiarthroplasty group and 60.8 months(48 to 96 month) in total hip arthroplasty group. The results obtained were as follows : 1. Overall incidence of periprosthetic osteolysis was 38% in bipolar hemiarthroplasty and 35.7% in total hip arthroplasty. 2. The pattern of osteolysis in bipolar hemiarthroplasty was 3 focal, 4 multifocal and 1 difuse osteolysis and in total hip arthroplasty, 3 focal, 4 multifocal, and 3 diffuse osteolysis. 3. The location of osteolysis around the femoral stem was more frequent in remote areas(zone Ⅱ to Ⅳ) fro the joint than periarticular region (zone Ⅰand Ⅳ) 4. There were no significant relationship between the age, sex, ody weight, size of the acetabular cup, size of the femoral stem, stability of the femoral stem, clinical score and incidence of the periiprosthetic osteolysis. Above results suggest that the incidence of the periprosthetic osteolysis after bipolar hemiarthroplasty or total hip arthroplasty inserted with non-circumferential porous coated femoral stem is assumed to be increasing with time, but there was no significant difference in incidence of osteolysis between bipolar hemiarthroplasty and total hip arthroplasty.

정부의 양극화 해소방안에 대하여

박상원,Park, Sang-Won 한국인삼전략화협의회 2006 인삼·약초 Vol.4 No.2

한국경제의 미래와 비전

박상원,Park, Sang-Won 한국인삼전략화협의회 2005 인삼·약초 Vol.3 No.6

활강 압박 고나사를 이용한 대퇴골 전자간 골절의 치료에 있어서 대퇴경부내 지연나사의 위치에 따른 수술후 각변형

박상원,오광준,왕승용 대한골절학회 2002 대한골절학회지 Vol.15 No.1

목적: 서양인에 비해서 대퇴골 경간각이 작은 한국인의 대퇴골 전자간 골절 치료시 135도 활강 압박 고나사의 대퇴경부내 위치가 수술 후 지연나사의 활강에 따른 각변형에 미치는 영향을 후내측 피질골의 접촉 여부에 따라 나누어 분석하고자 한다. 대상 및 방법: 1998년 5월부터 2000년 4월까지 활강 압박 고나사를 이용한 대퇴골 전자간 골절중 수술직후의 골절의 정렬과 전위의 정도가 전후면 방사선 사진에서 건측과 비교하여 각변형이 5도이하, 골절편 전위가 4㎜ 이하인 우수 정복군만을 선별한 후 1년이상 추시가 가능했던 환자 29명을 대상으로 하였다. 수술 당시 연령은 평균 60.0세(45-81)였으며 골절양상은 Evans골절분류상 모두 제 1형에 해당되었고 이 중 내측 피질골이 밀착된 안정성 골절(Group Ⅰ)이 13례, 내측 피질골이 밀착되지 못한 불안정성 골절(Group Ⅱ)이 16례였다. 수술직후와 최종 추시상 경간 각, 지연나사의 활강정도 및 골두내 감입정도의 방사선학적 변화를 비교 관찰하였다. 결과: 수술시 대퇴경부내 지연나사의 위치에 따른 최종 추시상 각변형은, 골절정복후 내측 피질골이 밀착된 안정성 골절의 경우(Group Ⅰ)에는 내외반 변형이 지연나사가 중앙에 위치한 경우 평균 3.3도, 지연나사가 하방에 위치한 경우 평균 3.6도였다. 골절정복후 내측 피질골이 밀착되지 못한 불안정성 골절의 경우(Group Ⅱ)에는 내외반 변형이 지연나사가 중앙에 위치한 경우 평균 6.1도, 지연나사가 하방에 위치한 경우 평균 1.5도 이었다. 결론: 활강 압박 고나사를 이용한 대퇴골 전자간 골절의 수술에서, 골절정복 후 내측 피질골이 밀착된 경우에는 지연나사가 대퇴경부의 중앙부 또는 하방에 위치 하였을 때 각변화의 차이가 없으나, 내측 피질골이 밀착되지 못한 경우에는 대퇴경부 하방에 지연나사를 삽입하는 것이 활강에 따른 각변형이 작으리라 사료된다.

미소 전류 자극이 TPS-IMZ 임프란트 주위의 골유착과 골형성에 미치는 영향

박상원,양홍서,Park, Sang-Won,Yang, Hong-So 대한치과보철학회 1996 대한치과보철학회지 Vol.34 No.4

The purpose of this study is to investigate the effect of constant direct current electrical stimulation in healing the bone defects and surrounding tissues of the endo-oseous(TPS-IMZ) implants. Implants were inserted in the femur of adult dogs. Then a constrant direct current of approximately $10{\mu}A$ was applied. Artificial bone defects were prepared on one side of the implant site. Experimental groups were divided into 4 : control group : bone defect without treatment group I : bone defect filled with hydroxyapatite powders group II : bone defect, in which a negative and positive electrodes were inserted 5mm apart from both sides of the implant group III : bone defect, in which negative current was directly connected to the IMZ implant and a positive electrode was placed 10mm apart from the implant The animals were sacrificed in the 1st, 2nd, 4th and 8th week after implantation for the light microscopic examination. The results obtained were as follows : 1. In electrically stimulated experimental groups, new bone formation and osseointegration around implants were accelerated. 2. Group III showed the greatest activity in new bone formation. Osteoconductivity around HA particles was observed in group 1. 3. The defect area of the control group was healed by forming new bone, which grew from the underlying cancellous bone. The defect areas of the electrically stimulated experimental groups were healed by newly formed bone, which grew upward from the cancellous bone and downward from the periosteum. 4. 8 weeks after implantation, all the groups showed good osseointegration between the surrounding bone and implants.

다기관 기능부전을 초래한 치명적인 삼일열 말라리아 증례

박상원,김동우,박주원,이순일,신영학,김의종,오명돈,최강원 대한감염학회 2005 감염과 화학요법 Vol.37 No.2

삼일열 말라리아는 국내에서 재유행하고 있는 감염질환으로, 일반적으로 양성의 임상경과를 거친다. 저자들은 특이한 질병력이 없이 건강하였던 젊은 성인이 국내에서 삼일열 말라리아에 걸린 후 다기관기능부전과 폐출혈으로 사망한 증례를 경험하였다. 환자의 중증 임상경과를 설명할 만한 특이한 인자가 발견되지 않았다. Vivax malaria is a re-emerging infectious disease in Korea with cumulating 19,416 cases as of December 2003 since 1993. Vivax malaria is generally a benign disease with few severe complications. Even in the worldwide literature, there are only small number of case reports on severe complications. We experienced a fatal vivax malaria in a previously healthy young adult with severe multi-organ failure and fatal massive pulmonary hemorrhage. The patient presented with abdominal pain and shock. There were splenic hemorrhage, disseminated intravascular coagulation, oliguric acute renal failure requiring dialysis, and pulmonary hemorrhage leading the patient finally to death. The initial parasitemia was 2,046/μL. Thin smear and PCR revealed only Plasmodium Vivax. There was no explainable cause of death except for the only serological suggestion of Mycoplasma pneumoniae infection without correlating clinical evidence. This is a first case of fatal vivax malaria in Korea since its re-emergence in 1993. Further case monitoring is needed to define whether this is a index case or an isolated one.