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단일 수술자에 의한 초기와 중기에 시행한 무지외반증에 대한 Scarf 절골술의 결과 비교
이영현,남일현,이태훈,안길영,이용식,황성현,이경진,Lee, Yeong-Hyeon,Nam, Il-Hyun,Lee, Tae-Hun,Ahn, Gil-Yeong,Lee, Yong-Sik,Hwang, Sung-Hyun,Lee, Kyung-Jin 대한족부족관절학회 2020 대한족부족관절학회지 Vol.24 No.4
Purpose: This study evaluated the results of two groups-the early group and midterm group-comparatively in the treatment of hallux valgus using a scarf osteotomy. Materials and Methods: From January 2005 to December 2009 (Group 1) and from January 2010 to December 2013 (Group 2), this study compared hallux valgus cases treated by a scarf osteotomy by a single surgeon with at least a five-year follow-up. Results: The average ages of Group 1 and Group 2 were 50.5 and 51.7 years old, respectively. The average follow-up of Groups 1 and 2 were 7.4 and 6.2 years, respectively. Groups 1 and 2 had 86 cases (53 patients) and 93 cases (64 patients) with at least a five-year follow-up, respectively. The average hallux valgus angle (HVA) and 1-2 intermetatarsal angle (IMA) of Group 1 were improved from 31.3° and 13.9° preoperatively to 11.3° and 6.8° at the final follow-up, respectively (p<0.001). The average HVA and 1-2 IMA of Group 2 were improved from 31.7° and 13.4° preoperatively to 8.9° and 6.6° at the final follow-up, respectively (p<0.001). The mean American Orthopaedic Foot and Ankle Society (AOFAS) score of both groups increased from 48.5 and 45.0 points preoperatively to 73.7 and 82.4 points at the final follow-up, respectively. The numbers of patient-assessed subjective satisfaction of Groups 1 and 2 at the final follow-ups were as follows: excellent, 27 and 36 (31.4%, 38.7%); good, 34 and 49 (39.5%, 52.7%); fair, 13 and 5 (15.1%, 5.4%); poor, 12 and 3 (13.9%, 3.2%); respectively. Neither troughing nor stress fractures occurred in both groups. Conclusion: Scarf osteotomy for treating hallux valgus is an excellent surgical method with a relatively low incidence of complications. The results in Group 2 were better than those in Group 1, showing that more surgical experience and evolution of the techniques provided better results.
71세 남자에서 발생한 후방십자인대 대퇴골 부착부 견열 골절 - 1례 보고 -
이영현,안길영,남일현,문기혁,김기철,이채경,이상충,Lee, Yeong-Hyeon,Ahn, Gil-Yeong,Nam, Il-Hyun,Moon, Gi-Hyuk,Kim, Ki-Choul,Lee, Chae-Kyung,Lee, Sang-Chung 대한관절경학회 2010 대한관절경학회지 Vol.14 No.2
후방십자인대의 대퇴골 견열 골절은 성인에서 매우 드문 손상이다. 과거 슬관절 손상으로 인해 관절 운동의 부분적 제한이 있던 71세 남자 환자가 약 2미터 높이에서 떨어지는 사고로 내원하였다. 촬영한 컴퓨터 단층촬영 및 자기공명영상검사에서 후방십자인대 대퇴골 부착부 견열 골절을 확인하였다. 관절경 시술 하에 두개의 강선으로 대퇴 내과를 통하여 고정하였다. 술 후 1년째 강선 제거술 및 2차 관절경 검사로 골절 부위의 유합을 확인 하였기에 이를 문헌고찰과 함께 보고하는 바이다. Femoral avulsion fracture of posterior cruciate ligament (PCL) is rare, especially in adult. We experienced a case of femoral bony avulsion fracture of PCL. The patient was seventy one year old man with limitation of motion in the knee joint due to previous trauma and he was injured by fall down from 2 m height. We took CT scan and MRI study. We treated with arthroscopic repair technique using transfemoral two wire sutures. Second look arthroscopy was done for removal of the wires at postoperative one year.
이영현,안길영,남일현,이태훈,이용식,김대근,이영훈,Lee, Yeong Hyeon,Ahn, Gil Yeong,Nam, Il Hyun,Lee, Tae Hun,Lee, Yong Sik,Kim, Dae Geun,Lee, Young Hoon 대한족부족관절학회 2016 대한족부족관절학회지 Vol.20 No.4
Purpose: To evaluate the effect of shortening scarf osteotomy on pain relief and range of motion (ROM) of the first metatarsophalangeal joint in hallux rigidus patients. Materials and Methods: Twenty-three cases of 19 patients who had been treated with shortening scarf osteotomy for the hallux rigidus between January 2007 and December 2013 were reviewed. The mean follow-up period was 21.4 months, and the mean age was 59.2 years. The first metatarsal bone was shortened until the ROM of the first metatarsophalangeal joint was greater than $80^{\circ}$ or $40^{\circ}$ of dorsiflexion. The length shortened by scarf osteotomy was measured. The authors also measured and compared the joint interval difference of the standing foot using an anteroposterior radiography. Moreover, the difference of ROM of the first metatarsophalangeal joint between the preoperative and final follow-up periods was also compared. The clinical results were evaluated and compared using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system and visual analogue scale (VAS) score. Results: The mean shortening length was about 6.5 mm (range, 4~9 mm). The joint space has been increased to 1.8 mm, and the ROM of the first metatarsophalangeal joint has also been increased to $18.4^{\circ}$ after the operation. In three cases, the postoperative ROM has been decreased to less $10^{\circ}$. The AOFAS score has been improved from 41.7 (range, 32~55) to 86.2 (range, 65~95), and the VAS score was also decreased from 3.7 (range, 3~5) to 1.3 (range, 0~3). Two cases have shown no decrease in pain even after the operation. Conclusion: Shortening scarf osteotomy was found to decrease joint pain by decompressing the pressure of the first metatarsophalangeal joint. This osteotomy also helped improve the ROM of the first metatarsophalangeal joint. Shortening scarf osteotomy can be considered one of the effective methods for joint preservation.
이영현(Yeong-Hyeon Lee),김경준(Kyung-Jun Kim),이승익(Seung-Ik Lee),김동주(Dong-Ju Kim) 한국정보전자통신기술학회 2019 한국정보전자통신기술학회논문지 Vol.12 No.3
본 논문에서는 인공신경망(Artificial Neural Network) 모델 중, 시계열 데이터의 변환을 위한 모델인 Seq2Seq(Sequence to Sequence) 모델을 이용한 산업용 로봇 고장 예지 기술에 대하여 제안한다. 제안 방법은 고장 예지를 위한 추가적인 센서의 부착 없이 로봇 자체적으로 측정 가능한 관절 별 전류와 각도 값을 데이터로 사용하였고, 측정된 데이터를 모델이 학습할 수 있도록 전처리한 후, Seq2Seq 모델을 통해 전류를 각도로 변환하도록 지도 학습 하였다. 고장 진단을 위한 이상 정도(Abnormal degree)는 예측 각도와 실제 각도 간의 단위시간 동안의 RMSE(Root Mean Squared Error)를 사용하였다. 제안 방법의 성능평가는 로봇의 정상 및 결함 조건을 달리한 상태에서 측정한 테스트 데이터를 이용하여 수행되었고 이상 정도가 임계값 넘어가면 고장으로 분류하게 하여, 실험으로부터 96.67% 고장진단 정확도를 보였다. 제안 방법은 별도의 추가적인 센서 없이 고장 예지 수행이 가능하다는 장점이 있으며, 로봇에 대한 깊은 전문지식을 요구하지 않으면서 수행할 수 있는 방법으로 높은 진단 성능과 효용성을 실험으로부터 확인하였다. In this paper, we propose a method to predict the failure of industrial robot using Seq2Seq (Sequence to Sequence) model, which is a model for transforming time series data among Artificial Neural Network models. The proposed method uses the data of the joint current and angular value, which can be measured by the robot itself, without additional sensor for fault diagnosis. After preprocessing the measured data for the model to learn, the Seq2Seq model was trained to convert the current to angle. Abnormal degree for fault diagnosis uses RMSE (Root Mean Squared Error) during unit time between predicted angle and actual angle. The performance evaluation of the proposed method was performed using the test data measured under different conditions of normal and defective condition of the robot. When the Abnormal degree exceed the threshold, it was classified as a fault, and the accuracy of the fault diagnosis was 96.67% from the experiment. The proposed method has the merit that it can perform fault prediction without additional sensor, and it has been confirmed from the experiment that high diagnostic performance and efficiency are available without requiring deep expert knowledge of the robot.
견봉 쇄골 관절 탈구 환자에서 오구 쇄골간 슬링을 이용한 변형된 Phemister 술식으로 치료 후 발생한 쇄골 슬링부 골절의 불유합에 대한 치료: 증례보고
이영현(Yeong-Hyeon Lee),이용식(Yong-Sik Lee),안길영(Gil-Yeong Ahn),우상원(Sang-Won Woo) 대한정형외과학회 2024 대한정형외과학회지 Vol.59 No.1
The modified Phemister technique, which fixes the acromioclavicular joint with a k-wire and fixes the coronoid process and clavicle with a sling, has often been used as surgical treatment for dislocation of the acromioclavicular joint. This technique has the advantage of allowing early rehabilitation exercises with accurate anatomical reduction and firm fixation. On the other hand, some complications have been reported, such as infection, deformation recurrence, fixation complications, erosion of the distal clavicle or fracture of the sling, and secondary arthritis. This study presents a patient who experienced shoulder pain and functional impairment after conservative treatment for a sling area insufficiency fracture that arose from using the modified Phemister technique. Locking screw plate fixation with tricortical iliac bone grafting and matchstick-shaped cancellous bone grafting were used, and successful outcomes were achieved. This paper reports this case with a review of the relevant literature.
김대근,안길영,남일현,이영현,이태훈,이용식,이동현,Kim, Dae Geun,Ahn, Gil Yeong,Nam, Il Hyun,Lee, Yeong Hyeon,Lee, Tae Hun,Lee, Yong Sik,Lee, Dong Hyun 대한족부족관절학회 2016 대한족부족관절학회지 Vol.20 No.3
Osteochondroma is one of the most common bone tumors. It can occur anywhere, although it is most frequent mainly around the metaphysis of long bones. Prediction sites are distal femur, proximal humerus, proximal tibia, and so on. However, osteochondroma in sesamoid is very rare. Herein, we report a case of a 56-year-old woman with symptomatic extra-articular osteochondroma in hallucal sesamoid with a brief literature review.
변형 Weil 절골술의 중족지 단축 효과를 이용한 Freiberg병의 치료
이태훈,이영현,안길영,남일현,이경진,우상원,Lee, Tae-Hoon,Lee, Yeong-Hyeon,Ahn, Gil-Yeong,Nam, Il-Hyun,Lee, Kyung-Jin,Woo, Sang-Won 대한족부족관절학회 2021 대한족부족관절학회지 Vol.25 No.4
Purpose: This study sought to evaluate the clinical effectiveness of the shortening effect of the modified Weil osteotomy for the treatment of Freiberg's disease. Materials and Methods: We reviewed 21 cases treated with the modified Weil osteotomy for Freiberg's disease from November 2005 to June 2019. The average follow-up period was 32.5 months and the mean age of the patients was 38.3 years. The clinical results were analyzed using the American Orthopaedic Foot and Ankle Society (AOFAS) lesser metatarsophalangeal-interphalangeal scale, the visual analogue scale (VAS), and the range of motion (ROM) of the metatarsophalangeal joint. In the radiologic evaluation, the length of preoperative and postoperative metatarsal shortening was compared. Results: The average AOFAS lesser metatarsophalangeal-interphalangeal scale showed an improvement from 60.5 preoperatively to 90.9 at the latest follow-up. VAS showed a decrease from 5.4 preoperatively to 0.9 at the latest follow-up. ROM of the affected metatarsophalangeal joint increased from 40.2 degrees preoperatively to 58.6 degrees at the latest follow-up. The mean length of metatarsal shortening was 6.7 mm. There was no transfer metatarsalgia, osteonecrosis, and definite joint space narrowing. Conclusion: Modified Weil osteotomy with second layer cutting is an effective treatment option to restore the joint surface and painless joint motion for patients with Freiberg's disease.