요추 추나치료 후 악화된 요추 추간판 탈출증 1례 보고

장건,조태영,이병이,이종수,임형호,Jang, Gun,Cho, Tae-Young,Lee, Byeong-Yee,Lee, Jong-Soo,Lim, Hyung-Ho 척추신경추나의학회 2006 척추신경추나의학회지 Vol.1 No.2

Cauda equina syndrome(CES) and disc hemiation have been implicated as a potential complication of Chuna Manipulation Treatment. We reported a man who developed sudden complication alter lumbar Chuna Manipulation Treatment. It is supposed that this patient suffered a disc herniation secondarily due to a lumbar Chuna Manipulation Treatment. Therefore, doctors should be aware that neurological complication may occur as a result of lumbar Chuna Manipulation Treatment.

밴드트레이닝으로 호전된 골다공증성 압박골절 환자 1례 보고

장건,조태영,조현철,송윤경,임형호,Jang, Gun,Cho, Tae-Young,Cho, Hyun-Chol,Song, Yun-Kyung,Lim, Hyung-Ho 척추신경추나의학회 2005 대한추나의학회지 Vol.6 No.1

Objective : The objective of this study is to evaluate the treatment effect of Band training in Osteoporotic Compression Fracture. Methods : Band training, Herb medicine and Acupuncture were performed for 56days admission in a patient who had Osteoporotic Compression Fracture. Result : ROM of Lumbar, Milgram test and Dorsiflexion has improved. VAS and ODI score were also decreased.

요통 환자에서 급성 측방 골반 뒤틀림과 Breaks와 상관관계 분석

장건,이길재,이병이,송윤경,임형호,Jang, Gun,Lee, Gil-Jae,Lee, Byeong-Yee,Song, Yun-Kyung,Lim, Hyung-Ho 척추신경추나의학회 2007 척추신경추나의학회지 Vol.2 No.2

Objectives : To investigate the relationship in acute lateral tortipelvis and breaks in low back pain patients with acute lateral tortipelvis were discussed. Methods : The subject of this study consisted of 43 patients who were diagnosed as acute lateral tortipelvis by X-ray and 23 patients who were diagnosed as none tortipelvis by X-ray. We investigated acute lateral tortipelvis and breaks on X-ray film. Results and Conclusions : In the distribution of acute lateral tortipelvis, L4 was 17 cases(39.5%), L3 was 14 cases(32.6%), L2 was 9 cases(18.6%), L1 was 4 cases(9.3%) in the sequence. In acute lateral tortipelvis group, the number of breaks was more than none tortipelvis group(p>0.05). The most common parity of breaks was L4-5 in low back pain patient. Between distribution of lumbar level of acute lateral tortipelvis and breaks, there was no significant relationship.

인공 슬관절 전 치환술 시 경골 후 내측부 골 결손에 대해 내고정 없이 시행한 자가골 이식술의 결과

전재균(Je-Gyun Chon),송인수(In-Soo Song),김준범(Jun-Beom Kim),장건일(Gun-Il Jang),안치훈(Chi-Hoon Ahn),윤자영(Ja-Yeong Yoon) 대한정형외과학회 2017 대한정형외과학회지 Vol.52 No.6

목적: 심한 내반 변형 시 경골의 골 결손에 대하여 내고정이나 주대의 사용 없이 자가골 이식술과 함께 표준형 슬관절 전치환술을 시행하고 임상적 및 방사선적 결과를 보고하고자 한다. 대상 및 방법: 2012년 7월부터 2014년 4월까지 자가골 이식술을 시행한 32명(45예; 남성 4예, 여성 41예; 평균 연령 74.2세)을 대상으로 하였으며 평균 추시 기간은 34.4개월이었다. 골 결손 부위에 전후방 고랑을 만들고 자가골 조각을 45° 사선으로 삽입한 후 표준형 치환술을 시행하였다. 골 결손의 크기를 측정하고 방사선 및 임상적 평가를 시행하였다. 결과: 방사선 사진으로 측정한 골 결손의 크기는 전후방 평균 15.31×30.36 mm였고, 측면 15.46×45.98 mm였다. 수술 시 측정한 골 결손의 평균 깊이는 8.38 mm였다. 대퇴-경골간 각은 수술 전 평균 내반 14.1° (4.0°-26.9°), 최종 추시 시 평균 외반 5.4° (0.5°-10.5°)였고. 치환물의 위치는 최종 추시 시 α=95.7°, β=90.4°, γ=2.1°, δ=89.1°였다. 최종 추시 시 인공관절 삽입물의 해리는 없었으며 평균 골 유합 기간은 4.3개월이었다. Hospital for Special Surgery 점수가 수술 전 평균 50.1점, 최종 추시 시 평균 90.4점이었다. 결론: 경골 골 결손에 대하여 내고정물 없이 자가골 이식을 통하여 표준형 인공 치환물의 사용으로 빠르고 안정적인 골 유합과 좋은 방사선적 및 임상적 결과를 얻었으며 골 이식에 효과적인 수술 방법이라 생각된다. Purpose: To evaluate the radiological and clinical outcomes of the standard total knee arthroplasty without internal fixation or extended long stem in tibial bone defect with severe varus deformity. Materials and Methods: Between July 2012 and April 2014, 32 patients (45 cases; 4 men and 41 women with a mean age of 74.2 years) who underwent total knee arthroplasty with autologous bone grafting were enrolled for analysis. The mean follow-up period was 34.4 months. The cancellous bone defect site was exposed, and a longitudinal sulcus was made. Subsequently, a premolded bone graft was inserted in the sulcus at 45°. The defect size was measured, and the radiological and clinical results were evaluated. Results: The mean defect size according to the radiograph was found to be 15.31×30.36 mm in the frontal view and 15.46×45.98 mm in the sagittal view. The mean defect size of depth during the operation was found to be 8.38 mm. The preoperative mean varus angle was 14.1° (4.0°–26.9°), and the follow-up mean valgus angle was 5.4° (0.5°–10.5°). The implant position was α=95.7°, β=90.4°, γ=2.1°, δ=89.1° on the follow-up. No implant loosening was observed, and the mean bone union period was 4.3 months. The Hospital for Special Surgery score was improved from a preoperative mean of 50.1 to a postoperative mean of 90.4. Conclusion: Standard total knee arthroplasty using autologous structural bone grafting without internal fixation in a tibial bone defect demonstrated a rapid, stable bone healing and excellent radiological and clinical results. Thus the index procedure was considered to be simple, and effective for bone grafting.

급성 제 4요추 측방 골반 뒤틀림이 있는 요통환자의 IVD angle과 Ferguson``s angle 및 전만각과의 상관관계에 관한 고찰

장건 ( Gun Jang ),이길재 ( Gil Jae Lee ),이병이 ( Byeong Yee Lee ),송윤경 ( Yun Kyung Song ),임형호 ( Hyung Ho Lim ) 한방재활의학과학회 2007 한방재활의학과학회지 Vol.17 No.4

Objectives :Tortipelvis subluxation causes abnormal spinal curvature. To investigate the relationship in Ferguson`s angle, lumbar intervertebral disc(IVD) angle and lumbar lordotic angle in low back pain patients with acute lateral tortipelvis were discussed. Methods : The subject of this study consisted of 13 patients who were diagnosed as acute lateral tortipelvis 4th lumbar by X-ray and 21 patients who were diagnosed as none tortipelvis. We investigated the Ferguson`s angle, IVD angle, lumbar lordotic angle on X-ray film. Results and Conclusions : 1. In acute lateral tortipelvis 4th lumbar group, Ferguson`s angle was bigger than none tortipelvis group(p>0.05). 2. In acute lateral tortipelvis 4th lumbar group, L4-5 IVD angle was significantly lower than none tortipelvis group(p<0.05). Also, this was smaller than the criteria of Barge`s IVD angle. 3. In acute lateral tortipelvis 4th lumbar group, lumbar lordotic angle was bigger than none tortipelvis group(p>0.05). Also, this was bigger than the criteria of Barge`s lumbar lordotic angle

인천지역 초등학교 학생의 비만 유병률과 체질, 생활습관과의 연관성 연구

장건 ( Gun Jang ),송윤경 ( Yun Kyung Song ),임형호 ( Hyung Ho Lim ) 한방재활의학과학회 2006 한방재활의학과학회지 Vol.16 No.2

Objectives : We investigated the prevalence of childhood obesity and relationship among constitution, lifestyle and obesity. Methods : The subjects of this study were elementary students. The subjects were classified using Sasang constitution questionnaire. We investigated life style such as dietary habits and physical activities. and measured Body compositon has been accessed bio-impedence analyzer(inbody 720). This results were statistically analyzed using SPSS 12.0. Results and Conclusions : 1. Of those 649 observed, 295(45.46%)were categorized in Soyang-in, 204(31.43%) in Taeum-in, and 150(23.11%) in Soum-in. 2. On IOTF(International Obesity Task Force) criteria. The prevalence of childhood obesity was 7.78%. On KPS(The Korean Pediatric Society) criteria, the prevalence of childhood obesity was 16.05%. IOTF criteria underestimated the prevalence of child obesity compared to KPS criteria. 3. In IOTF group and KPS group, there were a positive correlation of PBF(%fat)(p<0.05). 4. In Taeum-in group, prevalence of obesity was significantly higher than Soum-in group (P<0.05). 5. In Taeum-in group, PBF, WHR(Waist-Hip Ratio), Waist and AC(Arm Circumference) were significantly higher than the other groups(P<0.05). 6. In Soum-in group, PBF, WHR, Waist and AC were significantly lower than the other groups and LBMP(Lean Body Mass Percent) was significantly higher than the other groups (P<0.05). 7. In Soyang-in group, BMR(Basal Metabolic Rate) was significantly higher than the other groups (P<0.05). 8. Obese primary school children were related with life style such as above 2hour watching TV, snacking after dinner, eating while watching TV or Reading book, favorite for eating vegatable and eating regardless of hunger.

숙지양근탕(熟地養筋湯) 추출물이 흰쥐 좌골신경 손상 후에 기능회복과 염증 매개 인자 발현에 미치는 영향

장건 ( Gun Jang ),송윤경 ( Yun Kyoung Song ),임형호 ( Hyung Ho Lim ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.2

Objectives : Peripheral nerve injuries are commonly encountered clinical problems and often result in severe functional deficits. Sukjiyanggeun-Tang(shudiyangjin-tang),in oriental medicine, has been used to treat various musculoskeletal disorders. Methods : In the present study, the effects of aqueous extract of Sukjiyanggeun-Tang(shudiyangjin-tang) on functional recovery, severity of pain, and expressions of neurofilament, cycloxygenease-2(COX-2), inducible nitric oxide synthase(iNOS), and tumor necrosis factor-.(TNF-a) following sciatic crushed nerve injury in rats were investigated. For this study, walking tract analysis, plantar test, western blot analysis for COX-2 iNOS, and TNF-.a and Immunofluorescence test for neurofilament were performed. Results : In the present results, sciatic functional index(SFI) in walking tract analysis was significantly decreased following sciatic crushed nerve injury, and pain severity in plantar test was significantly increased. COX-2, iNOS and TNF-a expressions were increased whereas neurofilament expression was decreased by sciatic crushed nerve injury, In contrast, treatment with Sukjiyanggeun-Tang(shudiyangjin-tang) improved SFI in walking tract analysis and suppressed the pain severity in sciatic crushed nerve injury. Sukjiyanggeun-Tang(shudiyangjin-tang) treatment also suppressed COX-2, iNOS, and TNF-a expressions and enhanced the neurofilament expression in sciatic crushed nerve injury. Conclusions : In the present study, we have shown that Sukjiyanggeun-Tang(shudiyangjin-tang) is the effective therapeutic modality to ameliorate the symptoms of sciatic crushed nerve injury.

상가건물임대차보호법상 환산보증금제도의 문제점 연구

장건(Jang, Geon),이성근(Lee, Sung Gun) 한국부동산학회 2013 不動産學報 Vol.54 No.-

1. CONTENTS (1) RESEARCH OBJECTIVES In this study, in order to suggest ways to improve the law for the protection of small traders to investigate the problem of commercial building Lease Protection Act. (2) RESEARCH METHOD In this study, to investigate the existing literature on the issue of commercial building lease Act, by analyzing the main view of the case law and scholars of literature and research methods were chosen for obtaining a new interpretation and challenges. (3) RESEARCH FINDINGS Conversion deposit scheme on commercial building Lease Protection Act to protect the tenant's deposit within a certain amount of the rent deposit and a constant by limiting the number of tenants are excluded from the protection of the law, commercial buildings, many of these issues have been raised. 2. RESULTS Commercial building lease, the Act is not properly revive the purpose of the enactment of the first law by excluding the target, mall tenants appointed upper limit certain deposit and rent in excess of these amounts, the provisions of the law, the law applicable mall tenants' rights the conclusion emerges that can protect. Deposit scheme converted the meantime, many issues that have been raised, therefore, should be amended or repealed in order to protect the merchants' deposit.

요통환자의 비만도 및 요추전만도 상관성 연구

김범석,장건,이종수,임형호,Kim, Beum-Seuk,Jang, Gun,Lee, Jong-Soo,Lim, Hyung-Ho 척추신경추나의학회 2006 척추신경추나의학회지 Vol.1 No.2

Objectives: The purpose of this study was to investigate the relationship among lumbar lordotic and obesity in Low Back Pain Patient Methods: The subjects of this study were patients with low back pain who visited Jung-Dong Oriental Hospital. X-ray were taken in lateral decubitus. The measurements of the Ferguson angles(FA) and the lumbar lordotic angles(LLA) were performed. We measured BMI and WHR has been accessed bio-impedance analyzer(inbody 3.0). This results were statistically analyzed using SPSS 12.0. Results 1. In female group. FA and LLA were significantly higher than male group. 2. LLA was shown to decrease to rise with increasing WHR and BMI 3. FA had no realtion with WHR and BMI Conclusions: This data shows that obesity related to mechanical structures such as lumbar curvature. Obesity can be a one of the stressor of lumbar spine, and one of the causing factor of low back pain.

굴곡 신연 기법을 이용한 Bertolotti 증후군 동반한 Scoliosis 치험 1례

이병이,장건,이길재,송윤경,임형호,Lee, Byeong-Yee,Jang, Gun,Lee, Gil-Jae,Song, Yun-Kyung,Lim, Hyung-Ho 척추신경추나의학회 2007 척추신경추나의학회지 Vol.2 No.1

Objectives : This report was performed to evaluate the effect of flexion-extension technique in Bertolotti syndrome and scoliosis. Methods : We performed the flexion-extension technique to the patient with scoliosis and Bertolotti syndrome. Results : After flexion-extension technique the result of VAS of lumbago, cobb's angle were improved significantly. Conclusions : It is suggested that flexion-extension technique might be effective for the patient with scoliosis and Bertolotti syndrome.