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윤경호,박근호 대한슬관절학회 2014 대한슬관절학회지 Vol.26 No.2
The meniscus has several important roles, such as transmission of the load, absorption of the shock in the knee joint, acting as a secondary anteroposterior stabilizer of the knee joint, and contributing to proprioception of the knee joint. Degenerative changes of the knee joint develop in the long-term follow-up even after partial meniscectomy. Thus, there has been growing interest in meniscal repair. In addition, with increased understanding of the important roles of the meniscal root and advancement of diagnostic methods, efforts have been made to ensure preservation of the meniscal roots. In this review article, we will discuss operative techniques and clinical outcomes of arthroscopic repair of the meniscus and the meniscal root and postoperative rehabilitation and complications as well.
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윤경호,임재홍,황교범,우선호,정진우,김용철,조대열,고점석,이상재,이은미,오석규 대한심장학회 2014 Korean Circulation Journal Vol.44 No.5
Background and Objectives: Contrast-induced nephropathy (CIN) is associated with increased morbidity and mortality. This observational, non-randomized study evaluated the effect of rosuvastatin loading before percutaneous coronary intervention (PCI) on the incidence of CIN in patients with acute coronary syndrome (ACS). Subjects and Methods: A total of 824 patients who underwent PCI for ACS were studied (408 patients in the statin group=40 mg rosuvastatin loading before PCI; 416 patients of control group=no statin pretreatment). Serum creatinine concentrations were measured before and 24 and 48 hours after PCI. The primary endpoint was development of CIN defined as an increase in serum creatinine concentration of ≥0.5 mg/dL or ≥25% above baseline within 72 hours after PCI. Results: The incidence of CIN was significantly lower in the statin group than that in the control group (18.8% vs. 13.5%, p=0.040). The maximum percent changes in serum creatinine and estimated glomerular filtration rate in the statin group within 48 hours were significantly lower than those in the control group (5.84±22.59% vs. 2.43±24.49%, p=0.038; -11.44±14.00 vs. -9.51±13.89, p=0.048, respectively). The effect of rosuvastatin on preventing CIN was greater in the subgroups of patients with diabetes, high-dose contrast medium, multivessel stents, high baseline C-reactive protein, and myocardial infarction. A multivariate analysis revealed that rosuvastatin loading was independently associated with a decreased risk for CIN (odds ratio, 0.64; 95% confidence interval, 0.43–0.95, p=0.026). Conclusion: High-dose rosuvastatin loading before PCI was associated with a significantly lower incidence of CIN in patients with ACS.
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윤경호,신익상,신승남,최준호,김승환,이상재,유남진,김남호,오석규,정진원,이은미 대한심장학회 2011 Korean Circulation Journal Vol.41 No.8
Background and Objectives: Statin therapy after percutaneous coronary intervention (PCI) has been associated with reduced major adverse cardiovascular events (MACE). However, it has been less clear as to whether statin therapy before acute coronary syndrome (ACS) is beneficial. We studied the effect of previous statin therapy, initiated ≥1 month before PCI, on the outcome of patients with ACS who had undergone early invasive strategies. Subjects and Methods: We stratified 479 consecutive patients with ACS who had undergone PCI, according to preprocedural statin administration as follows: previous statin-treated patients (statin group, n=237) and statin-naive patients (control group, n=242). The incidence of periprocedural myocardial infarction (MI) and in-hospital MACE was assessed. Results: The incidence of Braunwald class III angina and MI presentation were significantly lower in the statin group than in the control group. Angiographic and procedural characteristics were similar between the two groups; however, slow/no reflow phenomenon occurred more frequently in the control group. After PCI, the incidence of periprocedural MI was higher in the control group than in the statin group (6.6% vs. 2.1%, p=0.016). Multivariate analysis revealed that no prior use of statin {odds ratio (OR)=2.8; 95% confidence interval (CI)= 1.1-7.2; p=0.038), procedural complication (OR=4.0; 95% CI=1.5-10.5; p=0.004), stent overlap (OR=4.7; 95% CI=1.3-16.4; p=0.015), and old age (OR=3.2; 95% CI=1.2-8.0; p=0.016) were independent predictors for in-hospital MACE. Conclusion: Previous statin therapy before ACS was associated with milder clinical presentation and lower incidence of in-hospital MACE after early invasive strategies. The beneficial outcome is attributable to a significant reduction in periprocedural MI after PCI.
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동종 전경골건과 자가 슬괵건을 이용한 관절경적 전방 십자 인대 재건술의 결과 비교
윤경호,배대경,소동혁,이정환,김정원,박수연,Yoon, Kyoung-Ho,Bae, Dae-Kyung,So, Dong-Hyuk,Lee, Jeong-Hwan,Kim, Jeong-Weon,Park, Soo-Yeon 대한관절경학회 2007 대한관절경학회지 Vol.11 No.2
Purpose: To analyze the clinical results and second look arthroscopic findings of anterior cruciate ligament(ACL) reconstruction with a tibialis anterior tendon allograft and a hamstring tendon autograft. Materials and Methods: We reviewed the cases of athroscopic ACL reconstructions using allogenous tibialis anterior(TA) tendon and autogenous hamstring tendon done from March, 2002 to August, 2005 and followed-up more than 1 year. The 250 cases were included in this study and allogenous TA tendon was used in 150 cases and autogenous hamstring tendon in 100 cases. The mean follow-up period was 15 months and 14 months, respectively. The clinical evaluation was done by Lachman test, Pivot shift test, KT-1000 arthrometer and International Knee Documentation Committee(IKDC) knee score. Graft tension, synovial coverage were observed in cases of second look arthroscopy. Results: At final follow-up, there was no significance between the two groups in clinical examination. On second look arthroscopy, synovial coverage was better in autogenous hamstring tendon group than allogenous TA tendon group(p=0.005). But no difference was found in graft tension(p>0.05). Conclusion: There were no significant differences between the two groups in the clinical results. But autogenous hamstring tendon group had better synovial coverage than allogenous TA tendon group in second look arthroscopy.
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Nonlinear Dynamic Buckling Behavior of a Partial Spacer Grid Assembly
윤경호,강형석,김형규,송기남,정연호 한국원자력학회 2001 Nuclear Engineering and Technology Vol.33 No.1
The spacer grid is one of the main structural components in the fuel assembly, which supports the fuel rods, guides cooling water, and protects the system from an external impact load, such as earthquakes. Therefore, the mechanical and structural properties of the spacer grids must be extensively examined while designing them. In this paper, a numerical method for predicting the buckling strength of spacer grids is presented. Numerical analyses on the buckling behavior of the spacer grids are performed for a various array of sizes of the grids considering that the spacer grid is an assembled structure with thin-walled plates and imposing proper boundary conditions by nonlinear dynamic finite element method using ABAQUS/Explicit. Buckling tests on several numbers of specimens of the spacer grid were also carried out in order to compare the results between the test and the simulation result. The drop test is accomplished by dropping a carriage on the specimen at a pre-determined position. From this test, the specimens are buckled only at the uppermost and the lowermost layer among the multi-cells, which is similar to the local buckling at the weakest point of the grid structure. The simulated results also similarly predicted the local buckling phenomena and were found to give good correspondence with the experimental values for the thin-walled grid structures.
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윤경호,이현승,오세홍,최청렬 한국원자력학회 2019 Nuclear Engineering and Technology Vol.51 No.1
This study simulated a control rod assembly (CRA), which is a part of reactor shutdown systems, inimmersed and fluid flow conditions. The CRA was inserted into the reactor core within a predeterminedtime limit under normal and abnormal operating conditions, and the CRA (which consists of complexgeometric shapes) drop behavior is numerically modeled for simulation. A full-scale prototype CRA droptest is established under room temperature and water-fluid conditions for verification and validation. This paper describes the details of the numerical modeling and analysis results of the several conditions. Results from the developed numerical simulation code are compared with the test results to verify thenumerical model and developed computer code. The developed code is in very good agreement with thetest results and this numerical analysis model and method may replace the experimental and CFDmethod to predict the drop behavior of CRA.
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