급성동통 환자 치료에 있어서 Sirdalud^(�)의 임상적 연구

이광진,안상로,징영안 최신의학사 1990 最新醫學 Vol.33 No.2

경추손상환자에 대한 임상적 고찰

이광진,도상수 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.2

Early mobilization and rehabilitation are most important in the treatment of unstable cervical fracture and fracture-dislocation after stabilization of cervical spine. Clinical analysis was performed on 31 cases of cervical spine injuries admitted in Choongnam National University Hospital from 1976 to 1984. Following results were obtained. 1. The prevalent age distribution was between 21 and 50 year-old age and male was predominant(84%) and the most common cause of injuries was fall down from height. 2. The most common site of injuries was C_5-6(47%) and the most frequent mechanism of jnjuries was flexion-rotation(47%). 3. Neurological involvement was 81%, incomplete paralysis 40%, complete paralysis 32%. 4. Conservative treatment was done on 24 cases(77%) and operative treatment, posterior fusion with poterior wiring following with halo or braces was performed on 7 cases(33%). 5. In the treatment of unstable cervical spine injury, early reduction followed by rigid stabilization is valuable method of treatment 6. We thought that foundation of special treatment center for spine injury is urgent.

정형외과 영역에 있어서 Ketorolac Tromethamine과 복합제(Aspirin/Acetaminophen/Caffeine Anhydrous)와의 비교 임상적 연구

이광진,임상덕,김석범 최신의학사 1989 最新醫學 Vol.32 No.2

급성 전방 십자 인대 손상의 관절경적 치료

이광진,양준영,이장익 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

The anterior cruciate ligament (ACL) of the knee is a primary anterior stabilizer and secondary rotatory stabilizer of this joint. Anterior cruciate ligament insufficiency can lead to degenerative arthritis and functional instability, and is also associated with a high incidence of meniscal tears. The relatively poor results generally obtained with conservative treatment of torn ACLs have led orthopaedic surgeons to either primary repair or reconstruction of this joint. The treatment of acutely torn anterior cruciate ligament remains a controversial subject. The purpose of this study is to compare the result of primary repair and arthroscopic reconstruction. Authors compared the results of 20 primary repairs(Group I) and 20 arthroscopic reconstructions(Group II) that were treated from January 1988 to December 1994. The results were as follows : 1. 34 males and 6 female ; the average age was 33 years. 2. Most common injury mechanisms were traffic acident(28 case) and sports injury(10 case). 3. Most common associated injury was medial collateral ligament rupture. 4. Group I showed postoperatively 12 negative anterior drawer test, 11 negative Lachman test and 11 negative pivot shift test and Group II showed postoperatively 17 negative anterior drawer test, 16 negative Lachman test and 17 negative pivot shift test. 5. In postoperative Lysholm knee scoring scale, group I showed 82 points and Group II showed 94 points. 6. In postoperative KT-20001 arthrometer, 12 cases in Group I and 17 cases in Group II showed less than 3mm in 20-D. 7. In postoperative KT-2000 arthrometer, 11 cases in Group I and 16 cases in Group II showed less than 3mm in MMD.

소아 대퇴골 간부골절의 치료 : 고식적 방법과 수술적 방법과의 비교 Comparison Between Conventional Method and Intramedullary Nailing and External Fixator

이광진,정진선 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

Thirty children with fracture of shaft of the femur were encountered into retrospective analysis to compare the results between conventional (traction with 90-90 followed by hip spica cast) and operative methods (Ender nail intramedullary nailing and external fixation) especially pointing to residual deformity, shortening, hospitalization and sets of radiographs. Our conclusion for this study is that the most femoral shaft fractures in children over 7 years of age can be treated by closed I-M nailing or external fixator with results that are not better than with conventional method in addition to less shortening, deformity, hospitalization and sets of radiographs taking. Other factors such as comminution, site of fracture, head injury, multiple injury in addition to age of child should be considered to select the method of treatment in femoral shaft fracture in children.

水泳과 스포오츠 外傷에 關한 硏究

이광진 忠南大學校體育科學硏究所 1983 體育科學硏究誌 Vol.1 No.1

The study of medical problems in swimming may be equally applicable to other competitive activities including gymnastics and weightlifting, where simialar repetitive movements over years of traing may eventually result in overuse syndromes. Prevention of sports injuries is the most important factor in the competitive swimming and it can be possible through understanding the basic concepts of training and stroke mechanics. However, the epidemiologic studies for sports injuries in swimming are very rare in this country although each sports has its own unique sports medicine requirements. As such a point of view, it is very significant to review the sports injuries in relation to swimming, especially breast stroke swimmer’s knew and swimmer’s shoulder.

견관절의 관절경술

이광진 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.1

Orthopedic sugeon is commonly confronted with shoulder problem, especially many diagnostic engimas. The shoulder region and its clinical problems are a new frontier for arthroscopic surgeons previously experienced in knee techniques. Beyond its exacr diagnostic capabilities, various arthroscopically monitored surgical procedures, such asglenohumeral reconstruction for recurrent anterior dislocation, rotator cuff repair, acromioplasty for impingementsyndrome and acromioclavicular resection offer the patient decreased morbidity, short hospitalization, more pleasing cosmetic result and more exact surgical debridement and repair. Moreover, there are no sports which do not use the shouldder joint motion and many athletes, especiallythrowing athletes have frequently shoulder problem. Diagnostic delay and open surgery for shoulder- problem in athletes frequently have made them not return to its previous functional performance. In the future, reconstruction of glenohumeral ligament, rotator cuff repair, acromioplasty for impingement syndrom, and labral repair for throwing athhete will be treated routinely by arthroscopy not by open method just as menissectomy has been done routinely by arthros-copy.

소아 상완골 과상부 골절에 대한 임상적 고찰

이광진,박건영,오선태 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2

In the pediatric age group, the supracondylar fracture of humerus is the second most common fracture after that of the forearm. But the supracondylar fracture of humerus in children has a greater rate of rereduction, nerve injury, surgical intervention, and poor results than any other type of extremity fracture. Forty eight cases of 48 children with the supracondylar fracture of humerus who had been treated at the department of orthopaedic surgery, Chungnam National University Hospital from February, 1986 to January, 1991, were analyzed retrospectively for the methods of treatment and its results. 1. The mean age of the patients was 8.3 years, ranging from one to fourteen years. 26 boys and 22 girls with minimum six months follow-up were included in this sudy and the most of the causes of injuries were silp-down(45.8%) and fall-down from height(50.0%). 2. Of all fractures, the extension type was 46 cases(95.8%) and the flexion type was 2 cases(4.2%). 3. Accoding to the classification by Pirone et al., fractures were classificated to type Ⅰ in 2 cases, type Ⅱ-A in 6, type Ⅱ-B in 14 and type Ⅲ in 26 cases. 4. There were 8 cases of concomitant peripheral nerve injuries, radial nerve palsy in 6, ulnar nerve in 1 and median nerve in 1 case. 5. The treatment were consisted of closed reduction and casting in 10, closed reduction and percutaneous pinning in 20, and open reduction and multiple pinning in 18 cases with or without preoperative skeletal traction. 6. The clinical and radiological results were Excellent in 22(45.8%), Good in 13(27.1%), Fair in 8(16.7%) and Poor in 5(10.8%) cases, according to the criteria of Flynn. 7. The closed reduction and percutaneous pinnings of 20 cases were rated Excellent and Good results in 18(90.0%) cases and these results were superior to another methods of treatment. So we concluded that the closed reduction and percutaneous pinnings was simple, safe and effective method of the treatment for the supracondylar fracture of the humerus in children. But it was technically difficult to reduce the displaced fracture satisfactory by closed manipulation and in these cases, the open reduction was still indicated.

척추질환(요천추부)에 있어서 전산화 단층촬영과 척수강조영술의 비교관찰

이광진 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.2

CT and myelography, separately or combined together, have been widely popular for the diagnosis of spinal lesion. The purpose of this article is to compare the diagnostic accuracy among CT, myelography and metrizamide CT. Surgically proven 50 cases, 20 cases of metrizamide myelography, 19 cases of CT and 11 cases of Metrizamide CT, were analysed who were admitted in department of Orthopedic Surgery, C.N.L.H. from Jan. 1.983 to June, 1985. Following results were obtained; 1. Overall diagnostic accuracy of CT was 89.5%, 80% in metrizamide myelography and 91% in metrizamide CT. 2. Diagnostic accuracy of metrizamide CT in HIVD was 100%, 91.7% in CT and 78.6% in myeiograpi.y. 3. Side reaction of metrizamide myelography occurred in 58%, mainly headache, nausea and vomitting. 4. Metrizamide CT was indicated in previousely operated cases or atypical HIVD, spinal stenosis and spondylolisthesis. 5. Mean size of herniated nucleus pulposus or bulging annulus diagnosed in CT was above 2mm minimally in saggital section.

가전정보기기 다중 AV 스트림 분배를 위한 UPnP-AV 서버-클라이언트의 네트워킹

이상학,이광재,백경주,박혜진,박종안 조선대학교 전자정보통신연구소 2003 電子情報通信硏究所論文誌 Vol.6 No.1

UPnP AV Architecture, which forms the foundation for the UPnP AV Device and Service templates the AV Architecture defines the general interaction between UPnP control Points and UPnP AV devices An effective middle-ware is needed to control the home appliances regardless of any kinds of home network technologies applied, which is like UPnP(Universa1 Plug and Play) UPnP is that extends the plug and play concept to the networking based on the standard TCP/IP Looking into the development trends of the information appliances control middle-ware, there are Jini, HAVi, HWW, UPnP throughout the world UPnP bridge can be successfully executed if it should be well structured and formalized to present the detailed working states of the IEEE 1394 information appliances when actions queried and requested In this sense, XML(extensible Markup Language) has a valuable meaning in usage as a presentation language. In this paper, the UPnP AV Architecture module is designed and implemented on linux and XML based environment to control the information appliances using UPnP AV Architecture module The sub modules' behavior of the implemented bridge conforms to the UPnP AV Architecture Device and AV Recorder/ Player Subunit specification according to the sequential processes of the bridge initialization, the device search, the event notification and the response UPnP AV device is very usefully applied to the advanced home control field.