The Effectiveness of Plantar Aponeurosis Release for the Limitation in First Metatarsophalangeal Joint Extension after Hallux Valgus Surgery

최홍준,김대욱,강영훈,박종호,손찬모,Choi, Hong-Joon,Kim, Dae-Wook,Kang, Yeong-Hun,Park, Jong-Ho,Son, Chan-Mo The Korean Foot and Ankle Society 2017 대한족부족관절학회지 Vol.21 No.2

Purpose: Stiffness in the first metatarsophalangeal joint after surgery for hallux valgus has been reported. The goal of this study was to test the efficacy of releasing plantar aponeurosis for improving the range of extension in the first metatarsophalangeal joint that was limited after hallux valgus surgery. Materials and Methods: Thirteen patients (1 man, 12 women [17 feet]; median age, 54.4 years; range, 44~69 years) with limited first metatarsophalangeal joint extension after hallux valgus surgery, who underwent an additional procedure of plantar aponeurosis release between March 2015 and August 2015, were included. Subsequently, the passive range of extension in the first metatarsophalangeal joint was evaluated via knee extension and flexion positions. Hallux valgus angle, inter-metatarsal angle, distal metatarsal articular angle, and talo-first metatarsal angle were measured on weightbearing dorsoplantar and lateral radiographs of the foot preoperatively. Results: The mean range of extension for the first metatarsophalangeal joint improved significantly, from $2.5^{\circ}$ to $40.9^{\circ}$ in the knee extension position (p<0.00). The mean extension range for the first metatarsophalangeal joint also improved, from $18.2^{\circ}$ to $43.2^{\circ}$ in the knee flexion position (p<0.00). In all patients, congruence of the first metatarsophalangeal joint was recovered. Conclusion: Plantar aponeurosis release is an effective additional procedure for improving the extension range of the first metatarsophalangeal joint after hallux valgus surgery.

성인의 유연성 편평족에 대한 종골 연장술

최홍준,조재호,왕배건,Choi, Hong Joon,Cho, Jae Ho,Wang, Bae Gun 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.2

Purpose: Calcaneal lengthening osteotomy is one option for the treatment of symptomatic flexible flatfoot in adults. The aim of the study was to evaluate the short term clinical and radiologic results and analyze its complications. Materials and Methods: Twelve feet who had undergone calcaneal lengthening osteotomy without flexor digitorum longus transfer between December 2009 and July 2011 were included. The mean age was 40.6 years (23~75 years). The mean followup was 17.3 months (13~25 months). Clinical outcome were assessed using American Orthopadics Foot ans Ankle Society (AOFAS) score and visual analogue scale (VAS) for pain. Four radiologic parameters were measured from weightbearing radiographs to evaluate the difference between preoperatively and postoperatively measures. To analyze the complications, calcaneocuboid joint subluxation and degenerative change were measured postoperatively. Results: The mean AOFAS score improved from 55.3 points preoperatively to 82.2 points at lastest follow-up (p=0.000). The mean VAS improved from 6.3 points preoperatively to 3.2 points postoperatively (p=0.002).All radiologic parameters, the mean talonavicular coverage angle on AP view, the mean talo-1st metatarsal angle on AP and lateral view and the mean calcaneal pitch angle, significantly improved after calcaneal lengthening osteotomy. Nine feets (75%) were shown the degenerative change in the calcaneocuboid joint at latest follow-up radiographs. Conclusion: Calcaneal lengthening osteotomy for the symptomatic flexible flatfoot in adults produced significant improvement in clinical and radiologic parameters, but calcaneocuboid joint osteoarthritis occurred postoperatively remained a major problem.

거골 골연골 병변의 자가 골연골 이식술의 임상 결과

최홍준,문정석,이우천,고한석,Choi, Hong-Joon,Moon, Jeong-Seok,Lee, Woo-Chun,Ko, Han-Seok 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.2

Purpose: To evaluate clinical results of autologous osteochondral graft in osteochondral lesions of the talus. Materials and Methods: Twenty feet in twenty patients underwent osteochondral autologous transfer in the osteochondral lesions of the talus. Sixteen were men and four were women. The mean age was 40.8 years old. The mean follow up was 2 years 9 months. Eighteen cases were medial, one case was lateral and one case was both, respectively. The average duration of symptom was 4 years 3 months. AOFAS ankle/hindfoot score (AOFAS score), visual analogue scale (VAS), Lysholm knee score were evaluated preoperatively and at the final follow up. Results: Postoperative AOFAS score was 87.3 (range, 69-100), which was significantly improved from preoperative AOFAS score of 62.0 (p=0.000). Postoperative VAS was 2.9 (range, 0-7), which was significantly improved from preoperative VAS of 7.5 (p=0.000). Postoperative Lysholm knee score was 92.4 (range, 80-100). All osteotomy of medial malleolus was united by the 4th month after surgery. Postoperative VAS was conversely correlated with the follow up period (p=0.024). There was no complications associated with surgery. Conclusion: Autologous osteochondral grafts in osteochondral lesion of the talus demonstrated excellent results with a short-term follow up.

플로어플랜 기법에 따른 3차원 멀티코어 프로세서의 성능, 전력효율성, 온도 분석

최홍준,손동오,김종면,김철홍,Choi, Hong-Jun,Son, Dong-Oh,Kim, Jong-Myon,Kim, Cheol-Hong 한국정보처리학회 2010 정보처리학회논문지 A Vol.17 No.6

공정기술 발달로 인해 칩 내부 집적도가 크게 증가하면서 내부 연결망이 멀티코어 프로세서의 성능 향상을 제약하는 주된 원인이 되고 있다. 내부 연결망에서의 지연시간으로 인한 프로세서 성능 저하 문제를 해결하기 위한 방안 중 하나로 3차원 적층 구조 설계 기법이 최신 멀티코어 프로세서를 설계하는데 있어서 큰 주목을 받고 있다. 3차원 적층 구조 멀티코어 프로세서는 코어들이 수직으로 쌓이고 각기 다른 층의 코어들은 TSV(Through-Silicon Via)를 통해 상호 연결되는 구성으로 설계된다. 2차원 구조 멀티코어 프로세서에 비해 3차원 적층 구조 멀티코어 프로세서는 내부 연결망의 길이를 감소시킴으로 인해 성능 향상과 전력소모 감소라는 장점을 가진다. 하지만, 이러한 장점에도 불구하고 3차원 적층 구조 설계 기술은 증가된 전력 밀도로 인해 발생하는 프로세서 내부 온도 상승에 대한 적절한 해결책이 마련되지 않는다면 실제로는 멀티코어 프로세서 설계에 적용되기 어렵다는 한계를 지니고 있다. 본 논문에서는 3차원 멀티코어 프로세서를 설계하는데 있어서 온도 상승 문제를 해결하기 위한 방안 중 하나인 플로어플랜 기법을 다양하게 적용해 보고, 기법 적용에 따른 프로세서의 성능, 전력효율성, 온도에 대한 상세한 분석 결과를 알아보고자 한다. 실험 결과에 따르면, 본 논문에서 제안하는 온도를 고려한 3가지 플로어플랜 기법들은 3차원 멀티코어 프로세서의 온도 상승 문제를 효과적으로 해결함과 동시에, 플로어플랜 변경으로 데이터 패스가 바뀌면서 성능이 저하될 것이라는 당초 예상과는 달리, 온도 하락으로 인해 동적 온도 제어 기법의 적용 시간이 줄어들면서 성능 또한 향상시킬 수 있음을 보여준다. 이와 함께, 온도 하락과 실행 시간 감소로 인해 시스템에서의 전력 소모 또한 줄일 수 있을 것으로 기대된다. As the process technology scales down and integration densities continue to increase, interconnection has become one of the most important factors in performance of recent multi-core processors. Recently, to reduce the delay due to interconnection, 3D architecture has been adopted in designing multi-core processors. In 3D multi-core processors, multiple cores are stacked vertically and each core on different layers are connected by direct vertical TSVs(through-silicon vias). Compared to 2D multi-core architecture, 3D multi-core architecture reduces wire length significantly, leading to decreased interconnection delay and lower power consumption. Despite the benefits mentioned above, 3D design technique cannot be practical without proper solutions for hotspots due to high temperature. In this paper, we propose three floorplan schemes for reducing the peak temperature in 3D multi-core processors. According to our simulation results, the proposed floorplan schemes are expected to mitigate the thermal problems of 3D multi-core processors efficiently, resulting in improved reliability. Moreover, processor performance improves by reducing the performance degradation due to DTM techniques. Power consumption also can be reduced by decreased temperature and reduced execution time.

뮐러-와이스 병의 방사선학적 특징 및 수술적 치료의 결과

최홍준,Choi, Hong-Joon 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.2

Purpose: To present radiographic characteristics and report the clinical results of the operative treatment of M$\ddot{u}$ller-Weiss disease. Materials and Methods: This is a retrospective study including 13 patients, 14 feet who had been operated for M$\ddot{u}$ller-Weiss disease between April 2006 and December 2011. Osteoarthritis of the peri-navicular joints were radiographically evaluated. Various range of peri-navicular fusion and joint-preserving surgeries according to patients' symptoms and radiographic findings were done. The clinical results were evaluated by American Orthopaedics Foot and Ankle Society (AOFAS) midfoot scale and visual analogue scale (VAS). Results: On radiographs, osteoarthritic changes were presented at talonavicular joint in 11 cases, calcaneocuboid joint in 7 cases, subtalar joint in 6 cases, naviculo-cuneiform joint in 1 case. The mean anteroposterior talocalcaneal angle was 16.6 degrees. On hindfoot alignment view, 6 cases were varus, 5 cases were neutral and 3 cases were valgus alignment. Fusion comprised 6 cases in triple fusion, 1 case in talonavicular-cuneiform fusion, 2 cases in talonavicualr fusion and 1 case in talonavicular & calcaneocuboid fusion. Joint-preserving surgeries were bony fragment excision of the lateral part of navicular & medial displacement calcaneal osteotomy in 1 case, bony spur excision of talonavicular joint in 1 case and medial displacement calcaneal osteotomy in 2 cases. The postoperative AOFAS and VAS score were improved significantly (p=0.000, p=0.000). Conclusion: In cases of M$\ddot{u}$ller-Weiss disease without osteoarthritic changes at peri-navicular joints, fragment excision of navicular, bony spur excision with or without medial displacement calcaneal osteotomy were effective operative treatments.

무지 외반증에 동반된 중족 설상 관절염의 방사선학적 특징과 수술적 치료 결과

최홍준,Choi, Hong-Joon 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.2

Purpose: To evaluate the radiographic characteristics of the tarsometatarsal osteoarthritis with hallux valgus deformity and report the clinical results of the operative treatment. Materials and Methods: This is a retrospective study of 20 patients, 22 feet who had been operated for non-traumatic tarsometatarsal osteoarthritis with hallux valgus (TMT group) and control group of hallux valgus patients without tarsometatarsal osteoarthritis (26 patients, 28 feet) from April 2004 to July 2011. Radiographic characteristics were compared between the groups, using hallux valgus angle, $1^{st}-2^{nd}$ intermetatarsal angle, metatarsal length ratio, metatarsus adductus angle, talonavicular coverage angle, talus-$1^{st}$ metatarsal angle, calcaneal pitch angle and medial cuneiform height. Pre- and postoperative difference of $1^{st}-2^{nd}$ metatarsal declination angle and distance between the $1^{st}-2^{nd}$ metatarsal head were evaluated. The clinical results were evaluated by American Orthopaedics Foot and Ankle Society (AOFAS) midfoot scale and visual analogue scale (VAS). Results: Metatarsal length ratio was significantly larger in TMT group (p<0.001). Metatarsus adductus angle, talonavicular coverage angle, talus-$1^{st}$ metatarsal angle on lateral radiograph, calcaneal pitch angle and medial cuneiform height were different from control group (p<0.001, p<0.001, p=0.001, p=0.010, p=0.006). Postoperative declination of the $2^{nd}$ metatarsal and distance between the $1^{st}-2^{nd}$ metatarsal head were increased (p=0.009, p=0.001). The AOFAS and VAS score were improved (p<0.001, p<0.001). Conclusion: Non-traumatic osteoarthritis of the tarsometatarsal joints seems to be associated with long 2nd metatarsal length, metatarsus adductus and flatfoot deformity. Spur excision may be successful to relieve symptoms when the arthritis was diagnosed in early stage.

범용 그래픽 처리 장치의 메모리 설계를 위한 그래픽 처리 장치의 메모리 특성 분석

최홍준,김철홍,Choi, Hongjun,Kim, Cheolhong 한국스마트미디어학회 2014 스마트미디어저널 Vol.3 No.1

소비전력 증가와 같은 문제점들로 인하여, 마이크로프로세서만으로는 컴퓨팅 시스템의 성능을 향상시키기 점점 어려워지고 있다. 이와 같은 상황에서, 대용량 병렬 연산에 특화된 그래픽 처리 장치를 활용하여 중앙 처리 장치가 담당하던 범용 작업을 수행하게 하는 범용 그래픽 처리 장치 기술이 컴퓨터 시스템의 성능을 개선시킬 수 있는 방안으로 주목을 받고 있다. 하지만, 그래픽스 관련 응용프로그램과 범용 응용프로그램의 특징은 매우 상이하기 때문에, 그래픽 처리 장치가 범용 응용프로그램을 수행하는 경우에는 많은 제약 사항으로 인하여 자신의 뛰어난 연산 자원을 활용하지 못하는 실정이다. 일반적으로 그래픽스 관련 응용프로그램에 비해 범용 응용프로그램은 메모리를 매우 많이 요청하기 때문에 범용 그래픽 처리 장치 기술을 효율적으로 활용하기 위해서는 메모리 설계가 매우 중요하다. 특히, 긴 접근 시간을 요구하는 외부 메모리 요청은 성능에 큰 오버헤드이다. 그러므로 외부 메모리로의 접근 횟수를 줄일 수 있는 다중 레벨 캐쉬 구조를 효율적으로 활용할 수 있다면, GPU의 성능은 크게 향상 될 것이 분명하다. 본 논문에서는 다중 레벨 캐쉬 구조에 따른 그래픽 처리 장치의 성능을 다양한 벤치마크 프로그램을 통하여 정량적으로 분석하고자 한다. Even though the performance of microprocessor is improved continuously, the performance improvement of computing system becomes hard to increase, in order to some drawbacks including increased power consumption. To solve the problem, general-purpose computing on graphics processing units(GPGPUs), which execute general-purpose applications by using specialized parallel-processing device representing graphics processing units(GPUs), have been focused. However, the characteristics of applications related with graphics is substantially different from the characteristics of general-purpose applications. Therefore, GPUs cannot exploit the outstanding computational resources sufficiently due to various constraints, when they execute general-purpose applications. When designing GPUs for GPGPU, memory system is important to effectively exploit the GPUs since typically general-purpose applications requires more memory accesses than graphics applications. Especially, external memory access requiring long latency impose a big overhead on the performance of GPUs. Therefore, the GPU performance must be improved if hierarchical memory architecture which can reduce the number of external memory access is applied. For this reason, we will investigate the analysis of GPU performance according to hierarchical cache architectures in executing various benchmarks.

ABS 수지의 저온 열분해에 의한 액화특성 연구

최홍준 ( Hong Jun Choi ),정상문 ( Sang Mun Jeong ),이봉희 ( Bong Hee Lee ) 한국화학공학회 2011 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.49 No.4

The low temperature pyrolysis of ABS resin has been carried out in a batch reactor under the atmospheric pressure. The effect of the reaction temperature on the yield of pyrolytic oils has been determined in the present study. The oil products formed during pyrolysis were classified into gas, gasoline, kerosene, gas oil and heavy oil according to the petroleum product quality standard of Ministry of Knowledge Economy. The conversion reaches 80% after 60 min at 500℃ in the pyrolysis of ABS resin. The amount of the final product was ranked as gas heavy oil> gasoline> gas oil> kerosen based on the yield. The yields of heavy oil and gas oil increase with an increase in the reaction time and temperature.

Clinical and histological significance of atypical glandular cells on cervical cytology(초)

최홍준 ( Hong Jun Choi ),( Woo Chul Kim ),( Ho Soap Hahn ),( Seok Geun Yoon ),( Yong Soon Kwon ),( In Ho Lee ),( Kyung Taek Lim ),( Ki Heon Lee ),( Jae UK Shim ),( Jung Eun Mok ),( Yi Kyeong Chun2 ),( Ta 대한산부인과학회 2009 대한산부인과학회 학술대회 Vol.95 No.-

ABS-Polyethylene 혼합물의 저온 열분해 특성평가

최홍준 ( Hong Jun Choi ),정상문 ( Sang Mun Jeong ),이봉희 ( Bong Hee Lee ) 한국화학공학회 2012 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.50 No.2

The low-temperature pyrolysis of ABS, polyethylene (PE) and an ABS-polyethylene (ABS-PE) mixture was conducted in a batch reactor at 450˚C. The conversion and the product yield were measured as a function of the reaction time with a variation of the mixture composition. The oil products formed during pyrolysis were classified into gas, gasoline, kerosene, gas oil and heavy oil according to the petroleum product quality standard of the Ministry of Knowledge Economy. The pyrolysis conversion increases with an increase in the content of PE. The yield of the pyro-lytic products was ranked as heavy oil>gas>gasoline>gas oil>kerosene as the content of PE in the mixture increases.