콜라겐 젤과 성장인자 전처치 및 피복재료가 다공성안와삽입물의 섬유혈관증식에 미치는 효과

이준영,김석영,유창국,이무석,이상렬,오중협,김성주.Joon-Young Lee. M.D.. Suk-Young Kim. Ph.D.. Chang-Kook You. Moo-Seok Lee. Sang-Yeul Lee. M.D.. Ph.D.. Jung-Hyub Oh M.D.. Ph.D.. Sung-Joo Kim M.D.. Ph.D. 대한안과학회 2005 대한안과학회지 Vol.46 No.6

Purpose: To determine the effect of bFGF complexed collagen gel, which allows constant release of bFGF along with biodegradation of the collagen gel. The specific study purpose was to determine whether it can accelerate the fibrovascular ingrowth into wrapped HA-coated porous alumina and to verify the safety of new wrapping materials. Synthetic polyester-urethane (Neuropatch?) and lyophilized bovine pericardium (Lyoplant?) were compared to donor sclera for the fibrovascular ingrowth into HA-coated porous alumina. Methods: The experimental and control groups, each consisting of 9 rabbits were wrapped with each wrapping materials (3 rabbits per wrapping material). The experimental group underwent pretreatment of bFGF-collagen gel while the control group did not. The fibrovascular ingrowth was compared at 2 and 4 weeks after implantation. Western blot analysis was conducted at 4 weeks using antibodies against CD141 and laminin. The rate of fibrovascular ingrowth was fastest in orbital implant wrapped with Lyoplant?. Results: Histopathologic examinations at 2 weeks showed no differences in distance and percentage area of fibrovascular ingrowth. Histopathologic examinations at 4 weeks showed that pretreatment of bFGF-collagen gel increased the fibrovascular ingrowth in the experimental group. Western blot analysis on experimental group also showed that the expressions of CD141 and laminin were increased by bFGF-collagen gel, thereby indicating that the fibrovascular proliferations were accelerated by bFGF released from the complex. Conclusions: bFGF-collagen gel increased the rate and degree of fibrovascular growth into hydroxyapatite- coated porous alumina by releasing bFGF as the collagen gel biodegraded. Both Lyoplant? and Neuropatch? were evaluated as safe for substitution of the donor sclera.

전위된 관절 내 종골 골절의 치료

이준영,나웅채,Lee, Jun Young,Na, Woong Chae 대한족부족관절학회 2015 대한족부족관절학회지 Vol.19 No.4

Recently, open reduction and internal fixation has been the treatment of choice for displaced intra-articular calcaneal fractures for many orthopaedic surgeons. However controversy still surrounds the optimal treatment with regard to whether displaced intra-articular calcaneal fractures should be treated operatively or conservatively. Conservative treatments include use of splint, rest, leg elevation, icing, use of analgesics and early mobilization. Operative treatment is open reduction and internal fixation, performed through an extensile lateral approach with interfragmentary screws and application of a neutralization plate. We reviewed the question of whether operative treatment by open reduction and internal fixation provides a benefit compared with conservative treatment for displaced intra-articular calcaneal fractures.

Maisonneuve 골절에서 수술적 치료의 결과

이준영,하상호,손홍문,이광철,Lee, Jun-Young,Ha, Sang-Ho,Sohn, Hong-Moon,Lee, Kwang-Chul 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.1

Purpose: This study is to analysis the outcome of patient with surgically treated Maisonneuve fracture and find out the factors that might influence the outcome. Material and methods: 20 patients who had surgical treatment due to Maisonneuve fracture between February, 2001 to March, 2005 were studied. The patients were followed for at least 1 year and average follow up period was 25 months. The average age was 41 years, 16 were male and 4 were female. Mechanism of injury according to Rouge-Hansen classification was supination-external rotation. In all cases, percutaneous screw fixation was applied proximal to tibiofibular syndesmosis. The screws were removed after 8 weeks under local anesthesis. Clinical, functional and radiographic results were evaluated. Results: 17 cases (85%) showed satisfying clinical and radiographic results. The mean functional score according to Ankle Scoring System was 91 (83 to 95). Complication occurred in 1 case with underlying systemic disease and 2 cases with initial ankle joint dislocation. Conclusion: Surgical treatment of Maisonneuve fracture showed relatively satisfying result. However, initial injury state and accompanying disease seem to have great effect on the result.

측후방 충돌 회피를 위한 조향 보조 토크 및 차등 제동 분배 제어 알고리즘 개발

이준영,김동욱,이경수,유현재,정혁진,고봉철,Lee, Junyung,Kim, Dongwook,Yi, Kyongsu,Yoo, Hyunjae,Chong, Hyokjin,Ko, Bongchul 한국자동차안전학회 2013 자동차안전학회지 Vol.5 No.2

This paper describes a coordinated control algorithm for rear-side collision avoidance. In order to assist driver actively and increase driver's safety, the proposed coordinated control algorithm is designed to combine lateral control using a steering torque overlay by Motor Driven Power Steering (MDPS) and differential braking by Vehicle Stability Control (VSC). The main objective of a combined control strategy is twofold. The one is to prevent the collision between the subject vehicle and approaching vehicle in the adjacent lanes. The other is to limit actuator's control inputs and vehicle dynamics to safe values for the assurance of the driver's comfort. In order to achieve these goals, the Lyapunov theory and LMI optimization methods has been employed. The proposed coordinated control algorithm for rear-side collision avoidance has been evaluated via simulation using CarSim and MATLAB/Simulink.

경거골유합술 후 발생하는 불유합과 관련된 인자에 대한 분석

이준영,김보선,이정우,Lee, Jun Young,Kim, Bo Sun,Lee, Jung Woo 대한족부족관절학회 2017 대한족부족관절학회지 Vol.21 No.3

Purpose: The aim of this study was to analyze the factors related to nonunion in tibiotalar arthrodesis. Materials and Methods: Eighty cases of ankle arthritis treated with tibiotalar arthrodesis in our hospital from November 2008 to November 2015 with more than one year follow up were analyzed. Simple anteroposterior and lateral radiographs after 6 and 12 months of surgery were analyzed. Union was defined as more than 50% connection of the trabecular bone at the ankle joint surface in the anteroposterior and lateral radiographs. The nonunion group was defined as no signs of union with persistent pain 9 months after surgery. The surgical approach, type of used screw, preoperative and postoperative ankle alignment, body mass index (BMI), bone mineral density, and patients' prior history were compared between the two groups. Results: There were 69 union cases and 11 nonunion cases. In the patient factors, the gender and BMI was related to nonunion (p<0.05). The mean preoperative and postoperative ankle alignment in the nonunion group was $9.93^{\circ}{\pm}6.92^{\circ}$ and $5.43^{\circ}{\pm}3.35^{\circ}$ respectively, and $9.80^{\circ}{\pm}7.55^{\circ}$ and $5.63^{\circ}{\pm}3.45^{\circ}$ in the union group, respectively; the difference was not statistically significant (p>0.05). In the technical factors, the transfibular approach showed a better relationship but the association was not significant (p<0.05). In 40 cases of the transfibular approach, 12 cases used cancellous screws, and 4 cases showed nonunion due to screw breakage. Conclusion: Technical factors, such as the surgical approach and the type of screw used can be a risk factor in nonunion. In addition, patients' factors, such as gender and BMI, must be considered to reduce the nonunion rate.

10세 남자 운동선수에서 발생한 아킬레스건 파열을 동반한 종골 골단의 견열 골절: 증례 보고

이준영,박이규,임재환,Lee, Jun Young,Bak, Yi Gyu,Lim, Jae Hwan 대한족부족관절학회 2018 대한족부족관절학회지 Vol.22 No.2

Calcaneal apophysitis is a relatively common disease in young athletes. On the other hand, if not treated properly, it can lead to apophyseal avulsion fracture in rare cases. In the case of apophyseal avulsion fractures, it is often necessary to remove or preserve the bone fragment, which often requires a suture of the Achilles tendon. A 10-year-old badminton athlete visited the outpatients' clinic with pain in both heels from 10 months ago without any trauma history. After conservative therapy, the pain in the left heel was relived but the right heel pain persisted. After 10 months of conservative therapy, the patient visited the outpatients' clinic showing a calcaneal apophyseal avulsion fracture with a total rupture of the Achilles tendon. In the operation room, a bone fragment needed to be removed because of its poor viability and the fragment was too thin for fixation. After removing the bone fragment, the ruptured Achilles tendon was fixed with an anchor system.

면 축약 방식을 이용한 체적 보존 메쉬 간략화

이준영,장태정,Lee, Jun-Young,Jang, Tae-Jeong 대한전자공학회 2005 電子工學會論文誌-CI (Computer and Information) Vol.42 No.5

본 논문에서는 면 축약 방식을 이용하면서 3D 모델의 체적이 보존되는 메쉬 간략화 알고리즘을 제안하였다. 면 축약은 축약 대상 삼각형의 세 정점을 새로운 정점 하나로 모아 한 번에 4개의 면을 제거함으로써 에지 축약에 비해 빠른 간략화를 수행하는 방식이다. 어떤 방식이든 어느 면 또는 에지부터 축약할 것인가 하는 간략화 우선순위 척도가 매우 중요한데, 본 논문에서는 면 축약에 있어서 최근 제시되었던 한 방법의 문제점을 지적하고 이를 보완한 새로운 가중치 함수를 사용하여 축약 우선순위를 결정하였다. 또한 축약 대상 삼각형들을 대신할 새로운 한 정점을 결정하는데 있어서 체적이 보존되면서 삼각형 세 정점 주변의 곡률 차이 등을 반영할 수 있는 체적 기준점을 결정하는 새로운 방법을 제시하였다. 시뮬레이션을 통하여 본 논문에서 제시한 방식이 체적을 보존하면서 기존의 다른 방식에 비해 뒤지지 않는 축약 성능을 보여주는 것을 확인하였다. In this paper, a mesh simplification algorithm using face constriction is proposed which considers the conservation of the volume of a 3D model. The face constriction method replaces three vertices of the candidate triangle with a new vertex, removing four faces at once. We propose a modified method, compensating an existing method, of considering curvature in the decision of the removing order of triangles. We also propose a method of determining a new vertex replacing the candidate triangle, which reflects curvature difference of the three surrounding areas of the three vertices of the triangle, while conserving the volume. It is shown by simulation that the proposed method conserves the volume and shows good constriction performance comparable to the other methods.

저전력 네트워크 기반의 확장 용이한 스마트 홈 IoT 시스템

이준영,유성은,Lee, Jun-young,Yoo, Seong-eun 대한임베디드공학회 2018 대한임베디드공학회논문지 Vol.13 No.3

There are increasing interests on smart home systems. However, most of the existing works focus on the functionality itself. In this paper, we propose an extensible smart home system based on low power networking such as CoAP, 6LoWPAN, and Zigbee. The proposed home IoT system consists of Home APP, Home Server, Home Broker, and Power Devices. Each component of the system is connected by the low-power network technologies aforementioned. As the end device, Power Device senses the current consumption of the attached appliance and controls the power to it. Power Device reports the sensing data to Home Server via Home Broker. The Home Broker enhances the scalability of the system. Home Broker extends the service area and the user's services, and it manages the connection of the underlying devices and processes, and transmits data to Home Server from Power Devices. Through the experimental evaluation, we show that the proposed system achieves the design goals such as extensibility and low power networking.

족관절 개방성 삼과골절의 즉각적인 수술의 결과

이준영,조용진,강신욱,조영민,최현배,Lee, Jun-Young,Cho, Yong-Jin,Kang, Sin-Wook,Cho, Yung-Min,Choi, Hyun-Bai 대한족부족관절학회 2020 대한족부족관절학회지 Vol.24 No.1

Purpose: Generally, the treatment of ankle trimalleolar open fractures is divided into two stages: external fixation and debridement; and secondary internal fixation. On the other hand, this two-stage operation takes considerable treatment time and is challenging in procedures requiring reduction. The purpose of this study was to evaluate the radiologic and clinical results of an immediate one-stage internal fixation operation considering the wound conditions to overcome two stage operation disadvantages. Materials and Methods: From September 2009 to January 2018, 24 cases of ankle trimalleolar open fractures, who underwent immediate internal fixation and were followed up for at least one year, were studied retrospectively. The open wound was divided into the Gustilo-Anderson classification. Open reduction and internal fixation were performed on every medial and lateral malleolar fracture. On the other hand, with posterior malleolar fractures, surgical or conservative treatment was performed depending on the fragment size. The radiologic outcome was evaluated using the Burwell and Charnley criteria and American Orthopaedic Foot and Ankle Society (AOFAS) scores, and complications, such as infection and posttraumatic arthritis, were used for the clinical evaluation. Results: The wound was classified into eight cases (33.3%) of type I, 11 cases (45.8%) of type II, and five cases (20.8%) of type IIIa. The degree of reduction was anatomical, fair, and poor in 16 cases (66.7%), six cases (25.0%), and two cases (8.3%), respectively. The mean AOFAS score was 79 points, and there were complications, such as infection in three cases (12.5%) and post-traumatic arthritis in two cases (8.3%). Conclusion: Satisfactory results were obtained through immediate surgical treatment in ankle trimalleolar open fractures of types I, II, and IIIa.

내측 반월상 연골판 후각 기시부 파열의 특징 및 관절경 소견

이준영,김동휘,하상호,이상홍,강정훈,Lee, Jun-Young,Kim, Dong-Hui,Ha, Sang-Ho,Lee, Sang-Hong,Gang, Joung-Hun 대한정형외과스포츠의학회 2009 대한정형외과스포츠의학회지 Vol.8 No.1

목적: 중년 이후에서 흔히 일어나는 내측 반월상 연골판 후각 부착 부에 발생하는 방사상 파열의 임상적 특성과 관절경적 소견을 문헌 고찰과 함께 보고하고자 한다. 대상 및 방법: 2005년 1월부터 2007년 4월까지 본원 정형외과에 내원하여 슬관절 내시경 수술을 시행 받은 환자 중 관절경상 내측 반월상 연골판 후각 부착 부 파열이 관찰되었던 환자 40명, 40례에 대해 의무 기록을 통한 후향적인 검사를 시행하였다. 남자 7명, 여자 33명이고, 평균 연령61(47~80)세이며, 외상 병력의 유무, 동반된 관절염의 등급 및 통증 발생 후부터 수술까지의 기간(유병기간), 자기공명영상 소견, 임상 증상 및 파열단의 모양과 치료법 등을 검토하였다. 결과: 외상 병력이 있었던 경우가 6례며, 34례는 외상 병력이 없었다. 단순 방사선 사진상 Kellgren-Lawrence 분류는 0-II형이 31례, III형은 9례 였으며, 관절경상 대퇴골 내과의 관절 연골 상태는 Outerbridge grade IV 형이 17례, III 형이 4례, II 형이 9례, I 형이 9례이었다. 유병기간은 평균 5.3개월이었으며, MRI 소견으로는 전례에서 축상면 또는 관상면에서 틈(cleft)나 시상면에서 유령 징후(ghost sign) 중 1개 이상이 관찰되었다. 파열단의 모양은 18례가 뭉툭한 형태, 12례가 수평 파열, 10례가 퇴행성 파열이었으며 수술법으로는 연골판 아전 절제술을 16례, 부분 절제술을 10례, 봉합술을 14례에서 시행하였다. 결론: 중년 이후의 연령에서 반월상 연골판 후각 부착부 파열은 외상 병력이 드물게 발생하며 심한 기계적 증상을 호소하며, 관절염을 동반하는 경우가 많다. 치료로 절제술 뿐만 아니라 봉합술을 시도해 볼만한 파열이 있었으며, 추후 그 치료 결과에 대한 연구가 필요하다. Purpose: We wanted to report the clinical characteristics and arthroscopic findings of radial tear in medial meniscus posterior horn insertion, commonly occurs in patient over middle age with documentary review. Materials and Methods: Retrograde study using hospital records was done to 40 cases in 40 patients who visited our hospital and had been performed knee arthroscopic surgery due to medial meniscus posterior horn insertion tear between January, 2005 to April, 2007. Seven cases were male and 33 cases were female with the mean age of 61 (range, 47-80). Trauma history, stage of arthritis, period between pain and operation, MRI findings, clinical symptoms and operation methods were evaluated. Results : Six cases had trauma history while 34 cases didn't. In simple x-ray, using Kellgren-Lawrence classification, 31 cases were between stage 0 and II while 9 cases were stage III. In arthroscopic exam, there were 17 cases of Outerbridge grade IV, 4 cases of grade III, 9 cases of grade II, 9 cases of grade I. The mean duration of pain was 5.3 months. In MRI, at least one finding of cleft in axial or coronal view or ghost sign in sagittal view was found in all cases. The shape of meniscus tears were blunt in 18 cases, transverse in 12 and degenerative tear in 10. Subtotal meniscectomy was performed in 16 cases, partial meniscectomy in 10 cases and meniscal repair in 14 cases. Conclusion : Medial meniscus posterior horn insertion tear occurs in patients over middle age is rarely related to trauma history but causes painful mechanical symptom and usually accompany arthritis. Meniscectomy can be done for the treatment but repair can be considered is some cases. Further study on the treatment result will be needed.