아킬레스건 손상 후 고정기간에 따른 기계적 수용기의 변화

유종민,정진화,윤기식,주인탁,Yoo, Jong-Min,Chung, Jin-Wha,Yoon, Ki-Syck,Chu, In-Tak 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.1

Purpose: This study was designed to determine the quantitative changes of the numbers of the mechanoreceptors in the experimentally tenotomized Achilles tendon of rabbits as compared with short-term immobilization and long-term immobilization. Materials and Methods: 14 white rabbits were used. After tenotomizing the right Achilles tendon, the subjects were divided into 2 groups according to the periods of immobilizaton. The left side of each Achilles tendon of the rabbits were used as controls. The tendons were stained with a modified gold-chloride method. Results: The number of mechanoreceptor was significantly decreased in the tenotomized Achilles tendon group than the control group (p<0.01). There was no statistical difference between the two experimental groups in the numbers of the mechanoreceptors (p>0.01). Conclusion: The injured Achilles tendons may more vulnerable to injury because of the decreased numbers of mechanoreceptors, but no difference between the periods of immobilization. It may suggest that post-operative immobilization period may not affect on the outcome of operative treatment from the viewpoint of mechanoreceptors.

제5 중족골 근위부 골절 환자의 자기공명영상 검사를 통한 족관절 외측 불안정성 평가의 기여도

유종민,주인탁,이규조,Yoo, Jong-Min,Chu, In-Tak,Lee, Kyu-Jo 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.2

Purpose: One of the main contributors to proximal fifth metatarsal fracture is ankle inversion and the incidence of recurrence may increase in patients with ankle instability. So, the authors confirmed the patients of proximal fifth metatarsal fracture with ankle instability by checking the history and magnetic resonance imaging (MRI) and assessed the value of MRI as therapeutic prognosis and clinical indicators for prevention of recurrence. Materials and Methods: Patients with proximal fifth metatarsal fractures visited our hospital during recent five years were reviewed. 35 patients with suspected damage by ankle inversion had been identified a history of ankle instability and checked the hindfoot malalignment through hindfoot alignment view and MRI was performed prospectively. The patients was devided to three groups on the location of fracture site and the groups were compared each other. Results: The mean time from injury to checking MRI was 10.7 days. There was no structural abnormality and was no significant difference according to the location of fracture. The patients with history of ankle inversion were 31(88.6%) and the patients with history of chronic or recurrent injury were 22 patients (62.9%). The lesion of MRI related to lateral ankle instability were identified in all patients. Conclusion: This study noted a high incidence of lateral ankle instability that was identified by MRI in the patients of proximal fifth metatarsal fracture. Aggressive treatment for lateral ankle instability should be needed for complications as proximal fifth metatarsal fracture to reduce the recurrence and occurrence.

일본에서 환경권론의 전개

유종민(Yoo, Jong-Min),고형곤(Ko, Hyeong-Kon) 전북대학교 법학연구소 2016 法學硏究 Vol.50 No.-

환경권론이 활발하게 주장되게 된 이유는 무엇보다도 환경파괴에 대한 위기의 인식이라할 것이다. 일본에서도 1960년대부터 다양하며 심각한 환경오염문제가 발생하였고, 이러한 환경오염으로부터 발생된 피해에 대하여 司法的 차원에서 피해자를 구제함과 동시에 특히 헌법상의 기본적 인권의 하나로서 또는 私法상의 권리로서 1970년대부터 환경권이라는 새로운 권리가 주장되어 현재에 이르렀다. 그러나 일본에서는 환경권이라는 새로운 권리가 인정되기 시작한 이래 여전히 환경 문제와 관련하여 발생된 피해에 대한 구제가 충분하게 이루어지지 않았다는 지적이 계속되고 있다. 즉, 기존의 배상법제는 환경 문제로 발생된 피해자를 충분하게 보호하고 있지 못하다는 점이다. 또한 최근에는 핵과 방사능 누출 등의 문제로 인하여 환경권론의 중요성에 대해 다시 인식되고 있다. 따라서 본 논문에서는 우선적으로 일본에서 지금까지 논의 되었던 환경권론에 관하여 소개하고자 한다. 아울러 환경권의 배후에 있는 사상으로서 어메니티의 개념에 관하여도 함께 고찰하고자한다. 그 이유는 환경권과 어메니티에 관한 논의를 둘러싼 문제점도 여전히 남아있고 환경권과 어메니티의 개념과의 연관성에 관한 검토도 여전히 필요하기 때문이다. 특히, 국민사이에 공통의 가치관을 뿌리내리게 하는 방향성을 가지고 어메니티에 관한 연구의 부족과 환경권론과 기존의 법리와의 융합이 불충분한 점이 안타까우며 이것을 극복하는 것이 환경권의 확립을 향한 이후의 중요한 과제라고 생각된다. 이에 본 논문에서는 하나의 방향성으로서 환경권이 제창된 경위나 그 바닥에 깔려있는 사상인 ‘어메니티’라는 개념을 재검토할 필요가 있으며, 그 개념을 본격적으로 연구하는 것이 유용하다고 여겨져 일본에서 논의되고 있는 환경권과 어메니티개념에 대해 약간의 검토를 해보고자 한다. The reason why the theory of environmental rights has been actively claimed in Japan is the growing awareness of the crisis stemming from environmental destruction. In Japan, a variety of issues arising from grave environmental pollution have occurred since the 1960s. In addition to relieving the victims from judicial aspect of the damages caused by such environmental pollution, an entirely new right called the environmental rights has been asserted as one of the basic constitutional rights since the 1970s. It has been claimed since the recognition of the new environmental rights in Japan, however, that the damages inflicted in relation to the environmental problems have never been remedied sufficiently up until today. In other words, the existing compensation law does not adequately protect the victims of environmental problems. Recently, the importance of environmental rights has been recognized again in the wake of the series of nuclear and radioactive leaks. Therefore, the author intends to introduce first the concept of environmental rights which has been discussed so far in Japan. In addition, the author will examine the concept of amenity as an underlying ideology behind the environmental rights, the reason being that the problems surrounding the discussion on environmental rights and amenity still remain, and the relevance between the concept of environmental rights and amenity still needs to be reviewed in further detail. What is deplorable, in particular, is the lack of research on amenity as well as the lack of integration between the theory of environmental rights and the existing legal system. We believe that overcoming such challenges would be the most important task that is required to establish the environmental rights in the future. In this paper, therefore, it is necessary to re-review how the environmental right has been claimed in the first place as a distinctive direction as well as the concept of “amenity”, which is the underlying ideology behind the discussions on environmental rights. As the author believes it would be useful to study the concept in earnest, the concept of the environmental rights and amenity that are being discussed in Japan shall be discussed in this paper.

혈소판 농축액을 도입한 인산칼슘 시멘트의 세포친화성

유종민 ( Jong Min Yoo ),김승수 ( Sung Soo Kim ),조우람 ( Woo Lam Jo ),권순용 ( Soon Yong Kwon ) 한국조직공학과 재생의학회 2015 조직공학과 재생의학 Vol.12 No.1s

We have recently demonstrated the slow release of growth factors from calcium phosphate cements (CPCs) incorporated with platelet concentrate (PC). In the present study, the cell compatibility of CPCs was evaluated by culturing human osteoblast-like cells Saos-2 (ATCC HTB85) to demonstrate the PC effect. CPCs were characterized using scanning electron microscopy (SEM), X-Ray diffraction (XRD) and energy-dispersive X-ray spectroscopy (EDS) and their mechanical properties were tested. The physical and chemical properties of CPCs were little affected by the PC incorporation within the experimented range. The cell proliferation, morphology and migration, measurement of alkaline phosphatase (ALP) levels, mRNA expression for osteopontin (OPG), osteocalcin (OC), glyceraldehyde phosphate dehydrogenase (GAPDH) were evaluated. Higher cell proliferation was performed but the cell migration was not affected by the addition of PC. Actin filaments, focal adhesion, and localized integrin were clearly visible. The PC addition increased ALP activity and expression of GAPDH, OC, and OPG mRNA.

Chen 술식을 이용한 족근관절의 만성 외측 불안정에 대한 재건술

이기행,유종민,나기태,공윤배,주인탁,Lee, Gi-Haeng,Yoo, Jong-Min,Na, Gee-Tae,Kong, Yoon-Bae,Chu, In-Tak 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.1

Purpose: This study was designed to evaluate the clinical and radiographical results of anatomical reconstruction by Chen method for chronic lateral ankle instability. Materials and Methods: Fifteen patients with chronic lateral ankle instability who had undergone anatomical reconstruction of anterior talofibular and calcaneofibular ligaments by Chen method were evaluated retrospectively. Average age of the patients was 31.3 years, and average follow-up period was 15.5 months. Preoperative and postoperative radiographs including varus stress view and magnetic resonance imaging (MRI) were analyzed. The clinical evaluation was performed according to the American Orthopaedic Foot and Ankle Society (AOFAS) scale. Results: Radiographically average talar tilt angle was $15.3^{\circ}$ preoperatively, and the difference with contralateral normal side was $10.1^{\circ}$. At last follow up, talar tile angle and the difference with contralateral side improved to $5.9^{\circ}$ and $1.3^{\circ}$ respectively. AOFAS scale was 66.6 preoperatively and 87.3 postoperatively. In MRI findings, four patients had associated intra-articular lesion such as articular cartilage defect, synovitis and osteoarthritis. The talar tilt angle improvement and AOFAS scale of patients without intra-articular lesion was better than those of four patients with intra-articular lesions. Surgical wound pain occurred in six patients and sural neuropathy in three patients. Conclusion: The anatomical reconstruction by Chen method was an easy and effective procedure for symptomatic chronic lateral ankle instability. Careful operative technique may prevent the surgical wound pain and sural neuropathy.

만성 족부 질환이 환측 하지의 골밀도에 미치는 영향

주인탁,유종민,강민구,정진화,Chu, In-Tak,Yoo, Jong-Min,Kang, Min-Gu,Chung, Jin-Wha 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.2

Purpose: Pain or discomfort caused by foot diseases may lead to abnormal gait, resulting in decreased bone mineral density (BMD) of the affected lower limb. We analyzed the effect of foot affection to BMD and its clinical significance. Materials and Methods: Bilateral hip BMD was evaluated in 93 patients with unilateral chronic foot disease. To minimize statistical errors, we excluded patients with medical histories that had influence on BMD. Analysis was based on the results of BMD tests at the first visit. All patients denied past medical intervention for osteoporosis. The difference in density between bilateral limbs was determined by comparing BMDs of the neck, upper neck, trochanter and total area of hip. Results: Test results revealed the decrease of BMD in the lower limb with the affected foot, compared to the unaffected side. This decrease was significant in the area of the trochanter (p <0.05). There was no marked difference of BMD in relation with duration of affection, underlying disease or age. Pertaining the location of foot affection, the hindfoot group showed significant decrease in BMD compared to the forefoot group. The group with affection in bone and joint also showed a marked decrease in BMD compared to the soft tissue group (p <0.05). Conclusion: Pain and discomfort caused by chronic foot diseases can lead to a decrease in the BMD of the affected lower limb. This may increase the risk of complications such as osteoporotic fracture and muscular atrophy.

경찰권 발동의 근거로서 개괄적 수권조항에 관한 검토

백종인(Baek, Jong-In),유종민(Yoo, Jong-Min) 전북대학교 법학연구소 2012 法學硏究 Vol.36 No.-

민주국가에서의 헌법의 중요한 지도목표 중 하나는 인간의 존엄과 가치 그리고 기본권 보호라 할 것이다. 따라서 경찰작용(위험방지작용)은 헌법상 요구되는 국가임무이기에, 경찰의 최우선 책무는 개인의 생명, 신체, 자유 및 재산의 보호이다. 결국 경찰상 위험방지는 국가의 의무이자 민주법치국가에서 포기할 수 없는 기본적 기능이며, 경찰제도는 오늘날 국가의 존립에 있어서 가장 기본적이고 필수적인 국가기능으로서 법과 질서의 유지를 위한 불가결한 제도로 이해되고 있다. 왜냐하면 사회 공공의 안녕과 질서유지가 확보되지 아니하면 국가의 존립이나 국민생활 그 자체가 위험에 처할 수 있기 때문이다. 따라서 경찰은 공공의 안녕과 질서에 대한 위험방지를 주된 목적으로 하여야 한다. 경찰은 공공의 안녕과 질서유지를 위한 경찰행정작용은 헌법과 법률에 기초하여 행사되어야한다. 즉, 헌법과 법률은 경찰권 발동의 근거이자 동시에 경찰작용의 한계를 이룬다. 따라서 경찰권 발동에 있어서 그 근거와 한계는 헌법과 법률에 구속된다 할 것이다. 이와 관련하여 오늘날 경찰은 전통적인 경찰개념의 해석을 초월하여 그 역할과 기능이 사회적ㆍ제도적으로 확대되는 추세에 있으므로 경찰활동의 근거가 되는 법률의 정비가 요구되고 있다. 그러나 경찰활동에 대하여 다양한 법률에서 그 근거를 규정하고 있으나 복잡ㆍ다양한 현실을 제도적으로 완전히 뒷받침한다는 것은 한계가 있다. 하지만 경찰활동에 있어서 그 직무가 관계법령을 통하여 명확하게 규정되는 것이 어렵지만 이에 대한 노력을 멈추어서는 안 되는 것이다. 왜냐하면 경찰공무원의 직무가 명확하게 규정되어 있어야 그에 맞는 경찰의 책무를 설명할 수 있을 것이고 그 책무를 위반하는 경우에 그 책임을 논의할 수 있기 때문이다. 따라서 본 논문에서는 위와 같은 문제의식을 바탕으로 경찰권 발동의 근거로서 개괄적 수권조항에 관하여 고찰하고자 한다. 특히 경찰관직무집행법이 경찰작용의 일반적 근거와 국민의 기본권적 자유와 권리를 제한하는 경우의 구체적 요건을 규정하고 있기 때문에 그에관한 논의를 중심으로 하고자 한다. One of the objectives of the constitution in a democratic state is the protection of the dignity, value, and basic rights of human beings. Policing or preventing risks to the citizens’lives and properties is the state’ duty under the constitution, and therefore, the utmost obligation of the police is to protect the individuals’lives, bodies, freedoms, and properties. Preventing risks to the citizens’lives and properties is the state’ duty as well as a basic function that a democratic state cannot give up, and the policing system is the most basic and essential function of the state and the inevitable system for maintaining law and order to fortify the state, for without maintaining the public’ well-being and order, the existence of the state and the nation’ life can be put in danger. Therefore, the police should strive to ensure the public’ well-being and to prevent any risk to peace and order in the society. The police’ administrative function for ensuring the public’ well-being and for maintaining order should be based on and executed according to the constitution and the law. In other words, the constitution and the law are the bases not only of the policing right but also of the policing limitations. Therefore, the base and limitation of exercising the police authorities are under the constitution and the law. Accordingly, policing today tends to expand its role and functions both socially and systematically, surpassing the interpretation of the traditional concept of policing. So organizing the law that is based on police activities is required. While policing is based on various laws, it is difficult to completely and systematically cover the complex and various related realities. This notwithstanding, or while it is difficult to clearly define the duty of policing through the related laws, continuous efforts should be made in this regard because only after the role of the police officers is clearly defined can the corresponding duties of the police be explained, and if the police officers violate such duties, the corresponding responsibilities can be discussed. Therefore, this thesis aims to examine the general authorized provisions as the basis of exercising the police authorities. In particular, it discusses the law on the execution of the police officers’duty, which stipulates the concrete conditions for policing and the cases in which the public’ basic freedoms and rights can be restricted.

집회 및 시위에 있어서 경찰권행사의 한계

백종인(Baek, Jong-In),유종민(Yoo, Jong-Min) 전북대학교 법학연구소 2011 法學硏究 Vol.33 No.-

경찰권의 행사는 공공의 안녕과 질서유지를 위하여 위해의 방지는 물론 이미 발생한 위해의 제거를 목적으로 하는 적극적 국가 활동을 의미한다. 이와 관련하여 경찰관직무집행법 제2조 ⑤ 기타 공공의 안녕과 질서유지를 유지, 경찰관직무집행법 제5조 제1항의 “기타 위험한 사태가 있을 때에는 다음의 조치를 취할 수 있다”라는 두 개의 조항을 두고 개괄적 수권조항의 근거에 대하여 견해의 대립이 있다. 그러나 문제가 되고 있는 점은 경찰이 집회 및 시위에 있어서 공공의 안녕과 질서의 유지라는 불확정개념의 1차적 해석 적용자이기에 경찰권을 발동하기 위해서는 관련된 모든 상황을 종합적으로 판단하여야 할 부담을 가지고 있다는 점이다. 뿐만 아니라 경찰작용은 위해를 제거하거나 예방하기 위하여 국민에게 명령·강제하는데 이는 권력적·침익적 작용이기에 이러한 경찰권의 발동에는 반드시 법률의 근거가 있어야 함은 물론 그 행사에 있어서 일정한 법규상·조리상한계가 따른다할 것이다. 따라서 경찰은 집회 및 시위에 대한 경찰권의 발동에 있어서 공공의 안녕과 질서에 대한 ‘위해’가 존재함을 확인하고, 경찰작용을 함에 있어서 법규상 조리상의 한계를 준수하여야 함은 물론 최대한 인권을 존중하여 평화적이고 안전하게 이루어질 수 있도록 하여야 할 것이다. The exercise of police power means progressive state activity which aims at not only preventing danger but also removing ones that have already occurred in order to maintain public peace and order. In regard to this, there is conflict of opinions on basis of the general empowerment clause about two clauses that mean ⑤ the maintenance of other public peace and order, Article 2 of the Act on the Performance of Duties by Police Officers and if other dangerous situations happen, the following actions could be taken., Clause 1, Article 5 of the Act on the Performance of Duties by Police Officers. But problem is that the police must comprehensively judge all involved circumstances to exercise the police power as the first enforcement officer about the contingent idea that means the maintenance of public peace and order in assembly and demonstration. As well as the police action forces and commands public to remove danger or to prevent one. as it is powerful, violational action, the exercise of these police power certainly must have legal reasons and follow legal, sound reasoning limitation in exercising police power. Therefore the Police must be aware of the existence of the harm on public peace and order in exercising police power about assembly or demonstration, the police action should be observed in legal and sound reasoning limitation and carried out peacefully, safely by respecting human right as they could.

내반 요족 변형에서 시행한 제1중족골 및 종골에 대한 절골술

주인탁,박종민,유종민,정진화,Chu, In-Tak,Park, Jong-Min,Yoo, Jong-Min,Chung, Jin-Wha 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.2

Purpose: The aim of this study was to evaluate the result of combined first metatarsal and calcaneal osteotomy for static cavovarus deformity of the foot. Materials and Methods: We performed a dorsal closing wedge $1^{st}$ metatarsal osteotomy and a lateral and upward displacement calcaneal osteotomy for 9 patients, 12 feet (6 male and 3 female). The mean age at the time of operation was 37 years and the mean followup period was 27 months. The causes of deformity were 2 poliomyelitis, 1 cerebral palsy, 1 Charcot-Marie-Tooth disease and 5 idiopathic type. Five lateral ligament reconstructions of the ankle and six percutaneous Achilles tendon lengthenings were added. The surgical results in terms of pain, function and alignment of the foot were evaluated by means of AOFAS ankle-hindfoot score and talo-$1^{st}$ metatarsal, calcaneus-$1^{st}$ metatarsal and calcaneal pitch angles were checked with weight bearing radiographs in lateral projection. Results: Talo-$1^{st}$ metatarsal and calcaneal pitch angles were reduced from the mean preoperative values of $21^{\circ}$ and $25^{\circ}$ to $12^{\circ}$ and $19^{\circ}$, respectively, at last followup. Also, calcaneus-$1^{st}$ metatarsal angle was increased from the mean $114^{\circ}$ to $114^{\circ}$. The mean AOFAS score was improved from 44.5 points preoperatively to 89.2 points at followup. There were 1 metatarso-cueiform joint nonunion, 1 sural nerve injury and 3 remaining symptomatic claw toes. Conclusion: Combined first metatarsal and calcaneal osteotomy appears to be an effective procedure for the treatment of adult static cavovarus foot.

자가골 재이식술을 이용한 사지 구제술

이승구,강용구,서유준,유종민,정인호,Rhee, Seung-Koo,Kang, Yong-Koo,Suh, Yoo-Joon,Yoo, Jong-Min,Jung, In-Ho 대한근골격종양학회 2004 대한골관절종양학회지 Vol.10 No.2

목적: 악성 골, 연부 조직 종양 환자에게 시행한 자가골 재이식술을 이용한 사지 구제술의 치료 결과를 분석하여 그 유용성을 알아보고자 하였다. 대상 및 방법: 1990년 2월부터 2003년 1월까지 악성 골, 연부 조직 종양으로 자가골 재이식술을 이용한 사지 구제술을 시행 받은 환자 중에서 최소 18개월 이상 장기 추시가 가능했던 29예를 대상으로 하였다. 남자가 18예, 여자가 11예로 환자의 평균 연령은 33세(범위, 10~65세)였고, 평균 추시 기간은 51.8개월(범위, 18~117개월)이었으며 Enneking의 분류에 따른 병기는 IIA가 10예, IIB가 19예였다. 자가골의 재처리 방법은 동결 처리법(deep freezing)이 6예, 고온-고압 처리법(autoclaving) 11예, 저온 처리법(pasteurization이) 7예였으며, 5예 에서는 고온-고압 처리법과 혈관 부착 비골 이식술을 병행하였다. 단순 방사선 검사를 통하여 골 유합을 평가하였고, 1993년에 국제 사지 보존 회의(International Symposium On Limb Salvage; ISOLS)에서 수정 보완한 방법을 이용하여 기능을 평가하였다. 결과: 골 유합 기간은 평균 7.2개월(범위, 3~15개월)로, 동결 처리법은 5.8개월(범위, 4~8개월), 고온-고압 처리법은 9.7개월(범위, 6~15개월), 저온 처리법은 5.9개월(범위, 4~8개월)이었고, 고온-고압 처리법과 혈관 부착 비골 이식술을 병행한 경우는 5개월(범위, 3~7개월)이었다. 기능 평가 백분율은 평균 76.8% (범위, 40~90%)로, 동결 처리법은 65.8% (범위, 40~85%), 고온-고압 처리법은 76.6%(범위, 40~90%), 저온 처리법은 81.6%(범위, 70~90%)였고, 고온-고압 처리법과 혈관 부착 비골 이식술을 병행한 경우는 83.4%(범위, 75~90%)였다. 6예에서 합병증이 발생하였는데 국소 재발, 폐 전이, 감염, 골절이 각각 1예였고, 절골부의 불유합이 2예였다. 결론: 자가골 재이식술을 이용한 사지 구제술은 악성 골, 연부 조직 종양의 유용한 치료 방법이며, 특히 고온-고압 처리법을 이용한 자가골 재이식술은 국소 재발을 방지할 수 있는 확실한 방법이었으며, 혈관 부착 비골 이식술을 병행하면 재처리된 자가골의 기계적 강도나 골유도 능력이 감소하는 단점을 보완할 수 있을 것으로 판단된다. Purpose: To determine the usefulness of limb salvage operation with recycled autogenous bone graft in musculoskeletal malignant tumors. Materials and Methods: Twenty nine cases, who underwent limb salvage operation with recycled autogenous bone graft for the treatment of musculoskeletal malignant tumor between February 1990 and January 2003, were included. There were 18 males and 11 females and the mean age was 33 years (range, 10 to 65 years). The mean follow-up period was 51.8 months (range, 18 to 117 months). The Enneking stage was IIA in 10 cases and IIB in 19 cases. The recycling method of autogenous bone was deep freezing in 6 cases, autoclaving in 11 cases, pasteurization in 7 cases and the composite of autoclaving and vascularized fibular graft in 5 cases. The union of junctional site was evaluated radiologically and the functional results was analyzed by the grading systems of the International Symposium On Limb Salvages (ISOLS). Results: The mean union time was 7.2 months (range, 3 to 15 months). The union took 5.8 months (range, 4 to 8 months) in deep freezing, 9.7 months (range, 6 to 15 months) in autoclaving, 5.9 months (range, 4 to 8 months) in pasteurization, and 5 months (range, 4 to 8 months) in the composite of autoclaving and vascularized fibular graft. The mean functional evaluation percentage was 76.8% (range, 40 to 90%). It was 65.8% (range, 40 to 85%) in deep freezing, 76.6% (range, 40 to 90%) in autoclaving, 81.6% (range, 70 to 90%) in pasteurization, and 83.4% (range, 75 to 90%) in the composite of autoclaving and vascularized fibular graft. There were 6 cases of complications including 1 case of local recurrence, lung metastasis, infection, fracture, respectively and 2 cases of nonunion. Conclusion: The limb salvage operation with recycled autogenous bone graft is a useful treatment method for the musculoskeletal malignant tumors. Particularly, autoclaving is the most reliable sterilization method. The vascularized fibular graft can compensate decreased osteoinductivity and mechanical strength of recycled bone. So, the composite of autoclaving and vascularized bone graft seems to be a favorable treatment method for high grade malignant musculoskeletal tumors.