http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
장 족무지 굴곡건의 감입시 발생되는 비정복 종골 골절 -1예 보고-
김광희,박홍기,Kim, Kwang-Hui,Park, Hong-Gi 대한족부족관절학회 2006 대한족부족관절학회지 Vol.10 No.2
In closed calcaneus fractures, the occurrence of FHL interposition in subtalar joint is relatively rare and difficult to diagnosis preoperatively. But careful physical examination and significant radiologic findings could be useful tools to diagnosis preoperatively. This findings is shearing off a superior medial fragment made up of the sustentaculum talus connected to a significant portion of the medial wall and medial aticular surface of the posterior facet.
골수검사 시행 후 침상 안정 시간에 대한 근거기반간호 사례
김광희(Kwang Hui Kim),김승민(Seung Min Kim),강현진(Hyun Jin Kang),김나현(Na Hyoun Kim),박정옥(Jeong Ok Park),이미정(Mi Jeong Lee),이현진(Hyun Jin Lee),유미애(Mi Ae You) 한국근거기반간호학회 2023 근거와 간호 Vol.11 No.1
Purpose: : This study aimed to determine whether there was a difference in bleeding between bed rest time 2 hours and 4 hours after bone marrow examination. Methods: We searched nine electronic databases and reviewed the studies according to criteria. The final three Non-Randomized Studies (one non-randomized controlled study and two observational studies) were selected. Results: The quality evaluation results were checked as having a low risk of bias for three study. Based on the GRADE system, the final evidence level was evaluated as ‘Moderate’, and the recommendation grade was determined as ‘Strong’. Conclusion: We recommended that patients have bed rest time for 2 hours after bone marrow examination.
한민희 ( Min Hui Han ),김광희 ( Kwang Hee Kim ),손문 ( Moon Son ),강수영 ( Su Young Kang ),박정호 ( Jung Ho Park ) 한국지구물리·물리탐사학회 2016 지구물리와 물리탐사 Vol.19 No.2
Small to large earthquakes have been reported in Gyeongju and its vicinity in southeast Korea during historical period as well as instrumental observation period. We identified and located more than 300 earthquakes that occurred between January 2010 and December 2014 in a 20 km × 30 km area, but were unreported because of their small magnitudes. We used the Joint Hypocenter Determination (JHD) method to minimize the influence of the differences between the actual earth structure and 1-D velocity model for earthquake locations. The potential relationship between the previously reported Quaternary faults and the earthquake hypocenters was investigated. Many micro-earthquakes were found to be located in the southern segment of the Yeonil Tectonic Line, the Seokup fault, and the Waup basin boundary faults.
경골 근위부 분쇄 골절 시 최소 침습적 방법을 이용한 내측 금속판 고정술
심재앙(Jae-Ang Sim),김광희(Kwang-Hui Kim),이용석(Yong-Seuk Lee),이상진(Sang-Jin Lee),이범구(Beom-Koo Lee) 대한정형외과학회 2014 대한정형외과학회지 Vol.49 No.4
목적: 경골 근위부 분쇄 골절 시 최소 침습적 방법을 이용한 내측 금속판 고정술의 임상적, 방사선적 결과와 유용성을 알아보고자 하였다. 대상 및 방법: 2008년 2월부터 2012년 2월까지 최소 침습적 방법을 이용한 내측 금속판 고정술을 시행받고 최소 1년 이상 추시가 가능했던 43예를 대상으로 하였다. AO/OTA 분류 41A3가 30예, 41C2가 13예였고, 폐쇄성 골절 36예, 개방성 골절 7예였다. 임상적 및 방사선적 결과, 수술 후 합병증을 평가하였다. 결과: 불유합을 제외한 40예의 골 유합 시기는 평균 18.3주였다. Schatzker와 Lambert 평가에서 우수 22예, 양호 21예였다. 경골 고 평부각은 평균 89.1도, 경골 후방 경사각은 평균 10.5도, 대퇴-경골각은 평균 175.1도, 기계적 축 변위는 평균 46.5%였다. 합병증으로는 개방성 골절 중 3예에서 불유합 소견을 보였으나, 추후 자가 골 이식을 시행하여 골 유합을 얻었고, 7예에서 고정물로 인한 피부 자극의 증상이 있었으나 이로 인한 피부 괴사, 감염, 관절 운동 제한 등은 없었다. 결론: 최소 침습적 방법을 이용한 내측 금속판 고정술은 경골 근위부 분쇄 골절 치료에 있어서 만족할 만한 임상 결과를 얻을 수 있을 뿐 아니라 방사선적 정렬 면에서도 우수한 수술 술기로 생각된다. Purpose: This goal of this study is to evaluate the clinical and radiological outcomes of proximal tibial comminuted fractures treated with medial minimally invasive percutaneous plate osteosynthesis (MIPPO). Materials and Methods: We evaluated 43 patients who underwent medial MIPPO from February 2008 to February 2012 and were followed up for more than one year. According to the AO/OTA classification, there were 30 patients of 41-A3 and 13 patients of 41-C2. Thirty-six patients had closed fractures and seven patients had open fractures. We assessed clinical outcomes, radiologic results and postoperative complications. Results: All fractures were united at an average of 18.3±8.1 weeks except three patients with nonunion. According to Schatzker and Lambert assessment, excellent results were achieved for 22 patients and good results were achieved for 21 patients. The average tibial plateau angle was 89.1o±2.7o and the average posterior tibial slope angle was 10.5o±4.6o. In assessment of lower limb alignment, the average femorotibial angle was 175.1o±2.9o and the mean deviation of mechanical axis was 46.5%±12.7%. In terms of complications, three patients had nonunion, but complete bony union was achieved by autogenous cancellous bone grafting. Seven patients complained of skin irritation around the plate. However, there was no skin necrosis, infection, or limited range of motion in seven patients with skin irritation. Conclusion: Medial MIPPO for proximal tibial comminuted fractures provides favorable clinical outcomes and good radiological alignments.
이중 다발 전방십자 재건술 후 이식건의 자기공명영상 추시와 슬관절 안정성과의 관계
심재앙,곽지훈,이용석,김광희,남신우,전성수,이범구,Sim, Jae Ang,Kwak, Ji Hoon,Lee, Yong Seuk,Kim, Kwang Hui,Nam, Shin Woo,Jun, Sung Soo,Lee, Beom Koo 대한관절경학회 2012 대한관절경학회지 Vol.16 No.2
목적: 이중 다발 전방십자인대 재건술 후 이식건의 자기공명영상(magnetic resonance imaging, MRI) 추시 소견과 안정성과의 관계를 알아보고자 하였다. 대상 및 방법: 1.5 테슬라 자기공명영상을 이용하였으며, 이식건의 신호 강도는 Sonoda 등의 분류를 이용하여 1, 2, 3 등급으로 분류하였고, 주행은 직선과 곡선으로 분류하였다. 전방 안정성은 Lachman, KT 관절계, $30^{\circ}$ 전방 전위 방사선 검사로, 회전 안정성은 pivot shift 검사로 평가하였다. 이식건의 자기공명영상 소견과 안정성의 상관 관계를 평가하였다. 결과: 신호 강도는 전내측 다발이 1 등급 66.7%, 2 등급 26.7%, 3 등급 6.7%였고, 후외측 다발이 1 등급 63.3%, 2 등급 33.3%, 3 등급 3.3%였다. 주행은 전내측 다발이 직선 83.3%, 곡선 16.7%였고, 후외측 다발이 직선 86.7%, 곡선 13.3%였다. 전내측 다발의 주행은 전방 안정성과 관련이 있었고, 후외측 다발의 주행은 회전 안정성과 관련이 있었다. 신호 강도는 안정성과 관련이 없었다. 결론: 이중 다발 전방 십자 인대 재건술 후 이식건의 자기공명영상 추시 소견과 안정성과의 관계에서 전방 안정성 면에서는 전내측 다발의 주행이, 회전 안정성 면에서는 후외측 다발의 주행이 관련이 있었다. Purpose: This study examined the relationship between graft appearance on follow-up magnetic resonance imaging (MRI) and knee stability after double bundle anterior cruciate ligament (ACL) reconstruction. Materials and Methods: For each patient, 1.5 tesla MRI's were obtained. The signal intensity of grafts was divided into 3 grades by Sononda's classification. The course of grafts was divided into two patterns: straight and curved. We assessed Lachman test, KT 2000 arthrometer and anterior drawer stress radiograph using Telos$^{(R)}$ in $30^{\circ}$ knee flexion for anterior stability and evaluated pivot shift test for rotatory stability. The correlation between graft appearance on MRI and the results of knee stability tests was evaluated. Results: The anteromedial (AM) graft was evaluated as being grade 1 in 66.7%, grade 2 in 26.7%, and grade 3 in 6.7% of the cases and the posterolateal (PL) graft was assessed as being grade 1 in 63.3%, grade 2 in 33.3%, and grade 3 in 3.3% of the cases according to the signal intensity. The AM graft was evaluated as being straight in 83.3% and curved in 16.7% of the cases, and the PL graft was assessed as being straight in 86.7% and curved in 13.3% of the cases according to the course. The course of AM graft was correlated with the results of anterior stability tests and the course of PL graft was correlated with the result of rotatory stability test. However, the signal intensity of grafts was not correlated with the results of anterior stability and rotatory stability tests. Conclusion: The course of AM is correlated with anterior stability and the course of PL is correlated with rotatory stability on follow-up MRI after double bundle ACL reconstruction.
경골 근위부 골절의 내측 잠김 압박 금속판을 이용한 최소 침습적 금속판 고정술 -수술 술기 보고-
심재앙 ( Jae Ang Sim ),이범구 ( Beom Koo Lee ),김광희 ( Kwang Hui Kim ),이용석 ( Yong Seuk Lee ) 대한골절학회 2013 대한골절학회지 Vol.26 No.4
경골 근위부 골절은 고에너지 손상에 의한 경우가 많아 연부조직 절개를 최소화하면서 골절부의 혈액 순환을 유지할 수 있는 최소 침습적 금속판 고정술이 유리하다. 대부분의 경골 근위부 골절의 최소 침습적 금속판 고정술은 주로 외측 금속판 고정술로 발달되어 왔다. 저자들은 경골 근위부 골절 치료의 다른 한 가지 방법으로 내측 잠김 압박 금속판을 이용한 최소 침습적 금속판고정술의 수술술기에 대해 소개하고자 한다. Minimally invasive plate osteosynthesis (MIPO) is beneficial for proximal tibial fractures since these injuries are mostly caused by high energy traumas. The advantages of MIPO are minimization of soft tissue dissection and preservation of periosteal vascularization. Lateral plating has mostly developed as MIPO for proximal tibial fractures. We introduce minimal invasive percutaneous plate stabilization using a medial locking plate as alternative treatment for proximal tibial fractures.