전방 십자인대 재재건술의 분석

박찬희,송은규,선종근,임지현,강경도,이태민,Park, Chan-Hee,Song, Eun-Kyoo,Seon, Jong-Keun,Yim, Ji-Heoun,Kang, Kyung-Do,Lee, Tae-Min 대한정형외과스포츠의학회 2011 대한정형외과스포츠의학회지 Vol.10 No.2

목적: 전방십자인대 재건술의 수가 증가하면서, 재건술의 실패로 인한 재재건술의 빈도 또한 증가하고 있다. 따라서 저자는 전방십자인대 재건술 후 발생한 이식건 실패의 원인 및 전방십자인대 재재건술 후의 임상적 결과를 분석하였다. 대상 및 방법: 1998년 2월부터 2010년 7월까지 전방십자인대 재건술 실패에 대하여 전방십자인대 재재건술을 시술받은 후 최소 12개월 이상 추시가 가능하였던 36예를 대상으로 하였다. 재건술 후 재재건술까지의 평균기간은 60(5~334)개월이었으며, 처음 전방십자인대 재건술을 시술 시 23예(63.9%)에서 동종 이식건을, 13예(36.1%)에서 자가 이식건을 사용하였다. 전방십자인대 재건술 실패의 주증상으로 불안정성이 가장 많았으며, 전방십자인대 재건술을 한번 시행 받았던 경우가 35예(97.5%), 두 번 시행 받았던 경우가 1예(2.5%)였다. 임상적 결과는 Lysholm 슬관절 점수, Tegner activity 점수를 이용하여 평가하였으며, 안정성은 Lachman 및 pivot shift 검사와 Telos device를 이용하여 평가하였다. 결과: 환자의 평균 추시 기간은 21(12~40)개월이었으며, 전방십자인대 재건술의 실패원인으로는 외상이 19예(52.8%)로 가장 많았고, 대퇴 터널의 부정위치가 13예(36.1%), 경골부 터널의 부정위치가 1예(2.8%), 골융합의 실패 3예(8.4%)로 나타났다. 전방십자인대 재재건술을 시행할 시 34예(94%)에서 동종이식건을, 2예(6%)에서 자가 이식건을 사용하였으며, 21예에서 반월상 연골판 손상이 동반되었다(내측 반월상 연골판 손상 14예, 외측 반월상 연골판 손상 7예). Lysholm 슬관절 점수는 술전 66.5점에서 술후 최종 추시시 92점으로 호전되었다(p<0.01). 환자의 대부분은 수술 결과에 만족(92%)하고 있었다. Tegner activity 점수는 술전 2.0점에서 술후 6.2점으로 호전되었다(p<0.01). Lachman 및 pivot shift 검사에서 33예, 30예가 Gr I 이하로 호전되었으며, Telos device를 이용한 안정성 검사에서는 양측 차이 정도는 술전 평균 15.5 mm에서 술후 최종 추시시 4.5 mm로 의미있게 호전되었다(p<0.01). 환자의 대부분은 수술 결과에 만족(92%)하고 있었다. 결론: 전방십자인대 재 재건술은 1년 이상 추시 결과 약간의 전방 불안정성이 존재하였으나, 임상적 결과 및 환자의 주관적 만족도에 있어서는 우수한 결과를 보였다. Purpose: As the number of the anterior cruciate ligament (ACL) reconstruction has increased, the incidence of revision of ACL reconstruction due to reconstruction failure has been also increased. Therefore, authors analyzed the reason of the failure of ACL reconstruction and the clinical result of the ACL revision. Materials and methods: From February 1998 to July 2010, we selected 36 cases which was followed at least 12months after the ACL reconstruction failure. Duration from reconstruction to revision, the average duration was 60 months (5~334) and on first reconstruction, we used allograft on 23 cases (63.9%) and autograft on 13 cases (36.1%). For the main symptom of ACL reconstruction failure, instability was the most common symptom, and 35 cases (97.5%) were undergone only one reconstruction and 1case (2.5%) was undergone two reconstruction. Clinical results were evaluated by Lysholm knee joint score, pivot shift test, and Telos device. Results: Average follow-up duration of the patients was 21 months (12~40), and the reason for the ACL reconstruction failure, trauma was most common by 19 cases (52.8%), malposition of the femoral tunnel was 13 cases (36.1%), malposition of the tibia tunnel was 1case (2.8%), and failure of osteointegration was 3 cases (8.4%). On performing the ACL revision, we used allograft on 34 cases (94%) and autograft on 2 cases (6%), and 21 cases accompanied injury of the meniscus (medial meniscus 14 cases, lateral meniscus 7 cases). Lysholm knee joint score was improved from 66.5 points, preoperatively to 92 points on last follow-up (p<0.01). In most cases, patients were satisfied (92%) with the operation results. Tegner activity score was also improved from 2.0 points preoperatively to 6.2 points on the last follow-up. On Lachman and pivot sift test, 33 cases and 30 cases were improved to grade I respectively, and on stability test using Telos device, the bilateral difference was improved from mean 15.5 mm preoperatively to 4.5 mm on the last follow-up. Conclusion: After 1 year follow-up, Revision of ACL had a little anterior instability but it showed satisfactory result on clinical result and patient's subjective satisfaction.

어깨 불안정성환자에게 각도에 따른 슬링 운동이 앞톱니근의 근 활성도 변화

박찬희,Park, Chan-hee 대한정형도수물리치료학회 2021 대한정형도수물리치료학회지 Vol.27 No.1

Background: The serratus anterior and upper trapezius muscles act synergistically to allow for an appropriate scapulothoracic rhythm. However, a decrease in serratus anterior activation causes the upper trapezius to become overactivated, resulting in dysfunction. This study compared serratus anterior and upper trapezius muscle activity according to sling angle and compared serratus anterior strength between healthy adults and patients with shoulder instability. Methods: Twenty participants (10 healthy adults and 10 patients with shoulder instability) were included in this study. The participants had their arms extended at sling angles of 30°, 60°, and 90° in reach forward with shoulder flexion using goniometer. Serratus anterior strength was measured three times while the participants were supine. The outcome measures were surface electromyography amplitude of the upper trapezius and serratus anterior and serratus anterior strength. Results: The Wilcoxon signed-rank test indicated that the upper trapezius was significantly different between healthy group and shoulder instability group at a sling angle of 60°, and both the upper trapezius and serratus anterior exhibited significant differences at 90°. Moreover, a significant difference was noted in the muscle strength of the serratus anterior. Conclusion: Our results provide novel and promising clinical evidence that patients with shoulder instability have decreased serratus anterior activation and upper trapezius overactivation, resulting in muscle imbalance. In addition, there was a significant difference between the healthy group and shoulder instability group in the serratus anterior muscle strength

등척성 목 폄 시 만성 목 통증이 있는 환자와 정상인 간의 근육 피로도, 근력 및 지구력 비교

박찬희,Park, Chan-hee 대한정형도수물리치료학회 2021 대한정형도수물리치료학회지 Vol.27 No.2

Background: Chronic neck pain (CNP) is associated with weakness in the deep neck flexor muscles, a shortening of the neck extensors, and a reduction in endurance. In addition, muscle imbalance can lead to neck pain and musculoskeletal dysfunction. This study compared neck extensor muscle fatigue, muscle strength, and muscle endurance time between patients with CNP and healthy adults during isometric neck extension. Methods: Thirty participants (15 patients with CNP and 15 healthy adults) were recruited in this research. The outcome measures included splenius capitis (SC) muscle fatigue, isometric neck extensor strength, and muscle endurance. The independent T-test was used to compare the continuous dependent variables between the CNP group and the healthy group. Results: The independent T-test indicated that muscle fatigue in the left SC differed significantly between the CNP group and the healthy group. A significant difference was also noted in the isometric neck extensor and neck extensor strength between the groups. Conclusion: Our results provided promising clinical evidence that patients with CLP have reduced neck extensor strength and endurance and increased SC muscle fatigue, which results in neck pain.

고성능강을 적용한 소수주거더교의 경제성

박찬희(Chan Hee Park),길흥배(Heung Bae Gil),박정식(Jeong Sik Park),장종환(Jong Hwan Chang) 한국강구조학회 2007 韓國鋼構造學會誌 Vol.19 No.1

생태하천용 강보도교의 진동저감 기술개발

박찬희(Chan Hee Park),성택룡(Taek Ryong Seong),안상구(Sang Ku Ahn),안동근(Dong Geun Ahn),유문식(Moon Sik Yoo),최석정(Suk Jung Choi) 한국강구조학회 2005 韓國鋼構造學會誌 Vol.17 No.2

활동성 폐 결핵에서의 Tc - 99m - MIBI 섭취 : 1예 보고

박찬희(Chan Hee Park),이창호(Chang Ho Lee),황희성(Hee Sung Hwang),배문선(Moon Sun Bae) 대한핵의학회 1996 핵의학 분자영상 Vol.30 No.3

N/A Technetium-99m MIBI was developed as a myocardiac perfusion imagine agent and has been used effectively in the detection and post-therapeutic evaluation of various neoplasm such as thyroid, lung, bone and breast tumors. As an infrequent findings, Tc-99m MIBI agent has shown in non-neoplastic pulmonary conditions including fibroding alveolitis, pulmonary actinomycosis, active pulmonary sarcoidosis, pulmonary interstitial fibrosis in progressive systemic sclerosis and active osteomyelitis. In a recent report conducted by Cetin Oncel, Tc-99m MIBI imaging is an effective method in the detection and follow-up of pulmonary tuberculosis. We have also experienced Tc-99m-MIBI uptake in active pulmonary tuberculosis incidentally found in a patient with suspected proliferative villonodular synovitis of the left ankle.

P10~P27 통계적 품질경영/품질 선진 기법 : P111. ; 반도체 공정의 품질 특성치 예측을 위한 벌점화 축소추정 기법 기반의 가상 계측 모델

박찬희 ( Chan Hee Park ),김성범 ( Seoung Bum Kim ) 한국품질경영학회 2015 한국품질경영학회 학술대회 Vol.2015 No.1

문화정체성이 표현된 골목상권의 공간 사례분석

박찬희(Park, Chan-Hee),우승현(Woo, Seung-Hyun) 대한건축학회 2019 대한건축학회 학술발표대회 논문집 Vol.39 No.2

In this study, it is found that the cultural identity of commercial alley is based on the history of alley, and it can be created only when the trace of time is preserved well with newly created function and character during the commercial renovation. In particular, it is confirmed that cultural identity is a sustainable value represented by history, density, preservation, and openness in a unique alleyway that can accommodate various traces of life and new demands for the times. Thus, the discovery of the historical value of buildings in the alley and proper preservation are important for commercial alley activation. Lastly, I hope that this study will be useful as basic data for establishing the cultural identity of alleys and the spatial planning for formation of differentiating value in the future research.

유지관리 저감 무도장 교량용내후성강 적용 교량

박찬희(Park, Chan-Hee),성택룡(Seong, Taek-Ryong),안기성(Ahn, Ki-Sung) 대한토목학회 2018 대한토목학회 학술대회 Vol.2018 No.10

효율적 수치해석을 위한 오픈소스 프로그램 기반 해석 플랫폼 구축 및 사례 연구

박찬희(Chan-Hee Park),김태현(Taehyun Kim),박의섭(Eui-Seob Park),정용복(Yong-Bok Jung),방은석(Eun-Seok Bang) 한국암반공학회 2020 터널과지하공간 Vol.30 No.6

본 연구에서는 실제 지질구조를 반영한 실규모 수치해석을 효율적으로 수행하고자 탐사 자료를 바탕으로 한 메쉬 생성, 해석수행, 결과분석을 위한 후처리의 일련의 과정을 포함한 해석 플랫폼을 구축하였다. 해석 플랫폼 구축을 위하여 연구자의 필요에 따른 코드 수정 및 다양한 수치해석 프로그램과 호환이 가능할 수 있도록 소스코드가 공개되어 있는오픈소스 프로그램을 활용하였다. 먼저 드론을 활용하여 촬영한 탐사 정보를 바탕으로 3차원 모델을 획득한 후, 오픈소스 3차원 창작 소프트웨어인 Blender를 활용하여 도메인의 메쉬 밀도를 해석 가능한 수준으로 조정하였다. 다음 단계로는 유한요소 메쉬 생성 프로그램인 Gmsh를 활용하여 도메인 내부에 사면체 기반의 메쉬를 생성하여 3차원 모델을 생성하였다. Gmsh를 통해 획득된 메쉬 정보를 수치해석 프로그램에 활용하기 위해서 메쉬 생성 규약에 적합하도록 변환하는 과정이 필요하며, 이는 Python을 통해 코드를 작성하여 수행하였다. 안정성 해석이 완료된 뒤에는 자료의 후처리 작업을 위해 시각화 및 데이터 분석 프로그램인 ParaView를 활용하여 다양한 시각화 자료를 생성하였다. 구성된 플랫폼의 활용성을 확인하기 위해 드론 탐사자료를 바탕으로 생성한 실규모 독도 모델을 대상으로 예비 안정성 분석을 성공적으로 수행하였으며, 예비해석을 통해 구축된 해석플랫폼이 향후 다양한 해석 과정에 활용될 수 있음을 확인하였다. This study constructed a new simulation platform, including mesh generation process, numerical simulation, and post-processing for results analysis based on exploration data to perform real-scale numerical analysis considering the actual geological structure efficiently. To build the simulation platform, we applied for open-source programs. The source code is open to be available for code modification according to the researcher"s needs and compatibility with various numerical simulation programs. First, a three-dimensional model(3D) is acquired based on the exploration data obtained using a drone. Then, the domain"s mesh density was adjusted to an interpretable level using Blender, the free and open-source 3D creation suite. The next step is to create a 3D numerical model by creating a tetrahedral volume mesh inside the domain using Gmsh, a finite element mesh generation program. To use the mesh information obtained through Gmsh in a numerical simulation program, a converting process to conform to the program"s mesh creation protocol is required. We applied a Python code for the procedure. After we completed the stability analysis, we have created various visualization of the study using ParaView, another open-source visualization and data analysis program. We successfully performed a preliminary stability analysis on the full-scale Dokdo model based on drone-acquired data to confirm the usefulness of the proposed platform. The proposed simulation platform in this study can be of various analysis processes in future research.