성인 쇄골 간부 골절에서 두 가지 수술적 치료군 간의 결과 비교: 금속판을 이용한 관혈적 정복 및 내고정술과 Steinmann Pin을 이용한 경피적 겸자 정복 및 골수강내 고정술의 결과 비교

허성식 ( Sung Sik Ha ),심재천 ( Jae Chun Sim ),홍기도 ( Ki Do Hong ),김재영 ( Jae Young Kim ),강정호 ( Jung Ho Kang ),박광희 ( Kwang Hee Park ) 대한골절학회 2007 대한골절학회지 Vol.20 No.3

목적: 성인 쇄골 간부 골절에서 금속판을 이용한 관혈적 정복 및 내고정술과 Steinmann pin을 이용한 경피적 겸자 정복 및 골수강내 고정술의 결과를 분석하여 비교하였다. 대상 및 방법: 2002년 3월부터 2006년 1월까지 본원에서 치료한 총 68예의 쇄골 간부 골절을 대상으로 하였으며, 금속판을 이용한 33예, Steinmann pin을 이용한 35예의 치료 결과를 분석하였다. 최종 결과 판정은 강 등의 기준에 의한 임상적 결과와 방사선학적 골유합 기간으로 하였고, 수술 시간을 비교하였다. 결과: 임상적 결과는 우수 이상의 예가 금속판을 이용한 군의 경우 총 33예 중 29예로 88%, Steinmann pin을 이용한 군의 경우 총 35예 중 32예로 91%의 결과를 보였다. 방사선학적 골유합 시기는 각각 평균 8.9주와 9.1주였고, 수술 시간은 금속판 군에서 평균 72분, Steinmann pin 군에서 평균 18분이었다. 결론: 성인 쇄골 간부 골절의 치료에 있어 금속판을 이용한 수술 군과 Steinmann pin을 이용한 수술 군은 임상적, 방사선학적 결과 면에서 통계학적으로 큰 차이를 보이지 않았으나, Steinmann pin을 이용한 수술 군에서 수술 시간 및 회복기간의 감소로 인하여 경제적인 면과 수술반흔의 감소에 따른 미용적인 면에서 더 만족스런 결과를 보였다. Purpose: To evaluate the results between open reduction and internal fixation with the plate and percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin for clavicle shaft fractures in adult. Materials and Methods: We have studied the results in 33 cases with the plate. 35 cases with the Steinmann pin among total 68 cases of clavicle shaft fracture. The patients were followed up over a period of at least 12 months. The final postoperative outcome was analyzed with the clinical outcomes using Kang`s criteria. radiological union time and operation time. Results: The clinical outcome that was good or excellent according to the Kang`s criteria showed a distribution of 88% in the group using the plate with 29 cases out of total 33 cases. 91% in the group using the Steinmann pin with 32 cases out of total 35 cases. The mean radiological union time was 8.9 weeks in the group using the plate. 9.1 weeks in the group using Steinmann pin. The mean operation time was 72 minutes in the group using the plate, whereas was 18 minutes in the group using Steinmann pin. Conclusion: In the treatment of adult clavicle shaft fracture. two groups did not show a significant statistical difference in clinical and radiological outcomes. However, the operation time and postoperative functional recovery was significantly shorter and faster in the group using Steinmann pin. Additionally economic and cosmetic aspect was more satisfactory in the group using Steinmann pin.

Locking Compression Plate를 이용한 전위성 쇄골 간부 골절의 수술적 치료

정남식,홍기도,하성식,박성준,강정호,심재천,Chung, Nam-Sik,Hong, Ki-Do,Ha, Sung-Sik,Park, Sung-Joon,Kang, Jung-Ho,Sim, Jae-Cheon 대한정형외과스포츠의학회 2006 대한정형외과스포츠의학회지 Vol.5 No.1

목적: 전위성 쇄골 간부 골절의 치료로 관혈적 정복술 후 LCP를 사용하여 내고정을 시행한 환자를 대상으로 방사선학적, 임상적 결과를 분석하여 전위성 쇄골 간부 골절의 치료에 있어서 LCP의 유용성을 알아보고자 하였다. 대상 및 방법: 2003년 5월부터 2004년 11월까지 본원에서 쇄골 간부 골절에 대해 LCP를 이용한 관혈적 정복, 금속내 고정술을 시행하고 6개월 이상 추시가 가능하였던 26례를 대상으로 하였다. 수술 후 최종 평가는 방사선 결과와 fang s criteria를 이용한 임상적 결과로 분석하였다. 결과: 수술 후 평균 9.3주에 모든 예에서 지연유합 없이 골유합 되었으며 임상적으로 Kangs criteria에 따라 구분한 결과, 우수 이 상이 22례로 나타났다. 특히, 견관절 운동은 상완골 골절이 동반된 두 경우를 제외한 24례에서 2.9주내에 정상 범위로 빠른 회복을 보였다. 합병증으로는 견관절 운동 장애 2례, 수술 절개 부위의 켈로이드 형성 1례였으며 그 이외에 다른 주요 합병증은 없었다. 결론: 전위성 쇄골 간부 골절에서 LCP를 이용한 관혈적 정복 및 금속내 고정술은 기존의 금속판에 비해 수술 후 합병증을 줄이고 효과적인 골유합과 조기 견관절 운동에 도움을 줄 수 있는 좋은 치료 방법 중 하나라고 사료된다. Purpose: To assess the effectiveness of the Locking compression plate (LCP) after open reduction for the treatment of the displaced clavicular shaft fracture, the clinical and radiologic outcome of the patients who were managed with the LCP for internal fixation after open reduction has been analyzed. Materials and Methods: We reviewed 26 cases with a displaced clavicular shaft fracture treated by internal fixation using Locking compression plate after open reduction between May 2003 and November 2004. The patients were followed up for at least six months period, and final postoperative outcome was evaluated using clinical results based on Kang's criteria, radiologic signs of fusion. Results: All fractures united by an average of 9.3 weeks without delayed union and showed fast recovery of motion fraction and shoulder function. In addition,24 cases without the fractures of proximal humerus recovered to normal range of shoulder notion within 2.9 weeks. Clinically, according to Kang's criteria, the outcome was good or better in 22 patients. The complications included shoulder joint dysfunction in two cases and keloid formation in one case, and no other complications were observed. Conclusion: The internal fixation using LCP for the treatment of displaced clavicular shaft fracture is a safe, reliable method of treatment, with few complications, and offers rapid recovery of shoulder joint function and bone union.

核分裂飛跡에 依한 黑曜石의 年代測定

姜榮浩,金道聖,高在杰 慶北大學校 1981 論文集 Vol.32 No.-

Charged particles create their tracks in most dielectric solids. These tracks can be viewed under optical microscope after proper chemical etching. Tracks of uranium fission fragments in obsidians also can be viewed after etching by HF solution and used for age dating. In this paper, dating formula and experimental procedures for fission track dating are introduced. And spontaneous and induced fission tracks by thermal neutrons are counted under optical microscope (magnification of 400x). Measured fission track ages of obsidian samples, OM No. 147 and HM No. 40 are 8.86 x 10 exp (5)y and 7.67 x 10 exp(5)y, respectively.

무증상군의 요추부 유연성과 그라프 불안정 정도

강재도,김광열,김형천,정경칠,유호섭 침례병원 1998 浸禮病院學術誌 Vol.14 No.-

TSRH 기기를 이용한 수술적 치험

강재도,김광렬,곽동길,박재본 침례병원 1994 浸禮病院學術誌 Vol.11 No.

核分裂 飛跡에 依한 黑曜石의 年代測定

姜榮浩,金道聖,高在杰 慶北大學校 物理化學硏究所 1984 硏究論文集 Vol.5 No.-

Charged particles create their tracks in most dielectric solids. These tracks can be viewed under optical microscope after proper chemical etching. Tracks of uranium fission fragments in obsidians also can be viewed after etching by HF solution and used for age dating. In this paper, dating formular and experimental procedures for fission track dating are introduced. And spontaneous and induced fission tracks by thermal neutrons are counted under optical microscope (magnification of 400x). Measured fission track ages of obsidian samples, OM No. 147 and HM No. 40 are 8.86 × 10 exp(5)y and 7.67 × 10 exp(5)y, respectively.

전방 십자 인대 파열에서의 반월상 연골판 파열의 양상

강충남,김종오,김동욱,고영도,유재두,최창호 대한스포츠의학회 1999 대한스포츠의학회지 Vol.17 No.1

Injury to associated structures is expected to worsen the prognosis of ACL tears. Meniscal injuries are well known to coexist in knees with both acute and chronic ACL injuries. However, it is not conclusive whether the likelihood of encountering a repairable meniscal lesion diminishes as the time from injury increases. W e reviewed records of 127 patient receiving an arthroscopically assisted stabilizing procedure for an acute and chronic ACL injury incurred while skiing, soccer, traffic accident to associated meniscal injury. All patient had undergone arthroscopic evaluation. We classified acute injury as injury less than 3 months old at time of surgery, and chronic injury as more than 3 months old. Acute injuries were 88 cases and chronic injuries were 39 cases. In 55 ski-related injuries, 41 knees were acute and 14 knees were chronic. Fourteen(34%) meniscal tears were noted in chronic cases. In 42 soccer injuries, 20 knees were acute and 22 knees were chronic. In acute cases, 14(70%) meniscal tears were noted and in chronic cases, 14(64%) meniscal tears were noted. In 30 traffic accident injuries, 27 knees were acute and 3 knees were chronic. In acute cases, 19(70%) meniscal tears were noted and in chronic cases, 2(67%) meniscal tears were noted. There was strong trend of the increased incidence of medial involvement in the non-skiers than in the skiers, In the type of meniscal tear with acute ACL rupture, 33 of 52 meniscal were longitudinal tear, 6 were horizontal tear, 4 were radial tear(only in lateral meniscus) and 9 were complex tear. In the pattern of meniscal tear with chronic ACL rupture, 15 of 37 meniscal were longitudinal tear, 3 were horizontal tear, 1 was radial tear(only in lateral meniscus) and 18 were complex tear(medial meniscus 16, lateral meniscus 2). In the treatment of torn menisci, 29 of 52 meniscal tears were treated by conservative treatment and meniscal repair, 21 meniscal tears were treated by partial menisectomy and 2 meniscal tears were treated by subtotal menisectomy in acute injuries. In chronic injury, 10 of 37 meniscal tears were treated by conservative treatment and meniscal repair, 18 meniscal tears were treated by partial menisectomy and 9 meniscal tears were treated by subtotal menisectomy. There was no total menisectomy. As the time from injury increased, the medial meniscus tears were severe and were more likely to require menisectomy.

固休內의 荷電粒子飛跡과 그 應用에 관한 硏究

姜榮浩,高在杰,姜熙東,金道聖 慶北大學校 物理化學硏究所 1981 硏究論文集 Vol.1-2 No.-

Charged particles create their tracks in most dielectric solids. These tracks can be viewed under optical microscope after profer chemical etching. Some of track formation methanisms are discussed and ion explosion spike theory is the most satisfactory, especially for inorganic detectors. And geometry of track etching is also discussed. We are using the cellulose (LR115-Type2 and CA80-15 of KODAK), CR-39, obsidian, and muscovite micas for our particle track studies. We can detect alpha particle tracks using the cellulose nitrate and CR-39. These polymers are etched by NaOH solution and optimum etching conditions are searched for. The relations between track hole diameter and etching time are analogous to Paretzke's results. Increase of etched track hole diameter by decreasing the energy of alpha particles in air are observed and this result can be explained by Benton's results. These results can be used for particle identification. And alpha dosimetry is possible. Tracks of uranium fission fragments in obsidians and muscovite micas also can be viewed after etching by HF solution. Spontaneous and induced (by thermal neutrons) fission tracks in obsidian samples are used for age dating. Fission track ages of obsidian samples, OM No. 147 and HM No. 40 are 8.86×10 exp(5) y and 7.67×10 exp(5) y, respectively.

산전 초음파로 진단된 선천성 수신증 태아의 경험 1례

강민아,김도균,최석철,양회생,배철성,윤혜원,심재철,하달봉 동국대학교 경주대학 1997 東國論集 Vol.16 No.1

Prenatal ultarsound represents an accurate and reliable method for the detection of intrauterine anomalies, especially urinary tract anomalies. Hydronephrosis is the most common congenital condition detected by prenatal ultrasound. Prenatal ultrasonographic diagnosis allows a good condition and therapeutic assessment of the patients prior to serious impairment of renal function so that in most cases the urological surgeon can opt for a parenchymal conserving procedure. The authors have experienced a case of congenital ureteropelvic obstruction with hydronephrosis diagnosed at 32 weeks of pregnancy and report our experience with a brief review of literature.

지역사회획득 폐렴의 치료지침 권고안

송재훈,정기석,강문원,김도진,배현주,서지영,심태선,안중현,안철민,우준희,이남용,이동건,이미숙,이상무,이영선,이혁민,정두련,지역사회획득 폐렴 치료지침 제정위원회 대한감염학회 2009 감염과 화학요법 Vol.41 No.3

A successful therapy of community-acquired pneumonia requires appropriate empirical antimicrobial therapy. Etiology and antimicrobial susceptibility of major pathogens of pneumonia can differ by country. Therefore, an ideal treatment guideline of community-acquired pneumonia should be based on the studies performed in each country. We developed a treatment guideline for community-acquired pneumonia in immunocompetent adults in Korea. This guideline was developed by the joint committee of the Korean Society for Chemotherapy, the Korean Society of Infectious Diseases, and the Korean Academy of Tuberculosis and Respiratory diseases.