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      • KCI등재

        Navigated Acetabular Cup Fixation for Acetabular Deformity or Revision Total Hip Arthroplasty

        윤호현,윤정로,유중진,서효성 대한고관절학회 2014 Hip and Pelvis Vol.26 No.3

        Purpose: To evaluate the usefulness of navigated acetabular cup fixation for total hip arthroplasty in patientswith acetabular deformity or revision total hip arthroplasty. Materials and Methods: This study enrolled 28 patients with at least 12 months’ follow-up. The safe zone ofthe acetabular cup was defined as 40。±10。in inclination and 15。±10。in anteversion. The authors used thenavigation and radiographic data to determine whether the acetabular cup was located within the safe zone ornot. To evaluate the clinical outcomes, preoperative and last follow-up Harris hip scores were checked, and theoccurrence of complications was evaluated. Results: According to the navigation data, the mean inclination and anteversion were 38.5。±4.7。(range, 32。-50。) and 16.6。±4.0。(range, 8。-23。), respectively. According to the radiographic data the mean inclination andanteversion were 40.5。±4.6。(range, 32。-50。) and 19.4。±4.2。(range, 8。-25。), respectively. In both cases, allvalues were within the safe zone. Harris hip score was improved in all patients from preoperative 52.3±14.4points (range, 29-87 points) to 88.0±9.0 points (range, 65-99 points) at the last follow-up. There was nodislocation or loosening of both cases. Conclusion: Navigated acetabular cup fixation is a useful technique for total hip arthroplasty in patients withacetabular deformity or revision total hip arthroplasty because it prevents the malposition and related complications.

      • KCI등재후보

        Subtrochanteric Femoral Fracture during Trochanteric Nailing for the Treatment of Femoral Shaft Fracture

        윤호현,Chi Hun Oh,Ju Won Yi 대한정형외과학회 2013 Clinics in Orthopedic Surgery Vol.5 No.3

        We report on three cases of subtrochanteric femoral fractures during trochanteric intramedullary nailing for the treatment of femoral shaft fractures. Trochanteric intramedullary nails, which have a proximal lateral bend, are specifically designed for trochanteric insertion. When combined with the modified insertion technique, trochanteric intramedullary nails reduce iatrogenic fracture comminution and varus malalignment. We herein describe technical aspects of trochanteric intramedullary nailing for femoral shaft fractures to improve its application and prevent implant-derived complications.

      • 관절경하 견갑하건 봉합술 - 8 례에 대한 예비보고 -

        윤호현,문기혁,장종훈,유연식,Yun, Ho-Hyun,Moon, Gi-Hyuk,Jang, Jong-Hoon,Yoo, Yon-Sik 대한관절경학회 2004 대한관절경학회지 Vol.8 No.2

        목적: 관절경으로 견갑하건을 봉합하여 비교적 좋은 결과를 얻었으므로 그 수기를 소개하고 그 적용범 위를 알아보고자 하였다. 대상 및 방법: 2003년 4월부터 2004년 4월까지 관절경하 견갑하건 봉합술을 시행했던 8예를 대상으로 하였다. 평균 추시기간은 ll개월이였다. 견갑하건의 단독 손상이 2예, 후상방회전근개의 소범위 단순파열과 동반된 손상이 4예, 후상방 회전근개의 광범위 파열과의 동반이 2예이었다. 견갑하근의 파열형태로서 상방부의 전층파열이 6예, 관절면에 국한된 부분파열이 1예 그리고 완전파열이 1예이었다. 결과판정은 최종 추시시점에서의 환자의 주관적 만족도, 상방 전위된 상완골두의 하방이동 여부 그리고 임상적 평가로서 Constant - Murley 기능평가법 이용하였다(Table 1) 결과: 술 후 평균 11개월에서의 견관절 기능평가는 술 전 55점에서 술후 75점으로 증가되었고 광범위 후상방파열이 동반되었던 2예를 제외한다면 술 후 평균 71점으로 비교적 우수한 결과를 보였다. 상완골두의 상방이동은 술 전평균 0.7 cm에서 술 후 0.5 cm로 감소하였으나 상방이동이 오히려 가속된 1 예를 제외한다면 대부분의 경우에서 뚜렷한 하방 이동을 보였다. 최종 추시 시점에서의 술 후 만족도에서는 만족이 5예, 보통이 1예 그리고 불만족이 2예 이었고 불만족인 1예에서는 술 후 6개월에 관혈적 방법으로 견갑하건을 봉합하였다. 결론: 관절경을 이용한 견갑하건의 봉합은 광범위파열과 동반된 견갑하건의 파열이 있을경우 퇴축이 심하지 않다면 피부절개와 삼각근의 절개범위를 줄일 수 있어 술 후 통증이나 삼각근의 약화로 발생할 수 있는 합병증을 줄일수 있으며, PASTA 병변을 포함해서 후상방 파열과 동반되지 않은 견갑하건의 부분 파열은 매우 적합한 관절경하복원술의 적응증이 될 수 있다고 사료된다. Purpose: To validate and introduce the technique of the arthroscopic repair for the treatment of the Subscapulris tendon tear. Materials and Methods: From April 2003 to April 2004, Arthroscopic repairs were performed in 8 patient with subscapularis tendon tear. The mean follow-up period was 11months. two cases involved only subscaplaris tendon tear. Four cases were associated small sized posterosuperir. rotator cuff tear and two cases were in large size. The type of subscapularis tendon showed upper portion full-thickness tear in 6 cases, partial-thickness tear localized at articular surface in 1 case, complete tear in 1 case. The results were analyzed by using subjective satisfaction, inferior movenent of superior displaced humeral head, Constant-Murley functional scoring Results: Constant-Murley scoring was improved from 55 point preoperatively to 75 point postoperatively following 11 months. Mean score was 71 point except 2 cases of large superoposterior rotator cuff tear, Most humeral heads were distaracted postoperatively. The subjective result for the 8 shoulders were very satisfying in 5 cases, satisfying in 1 case and dissatisfying in 2 cases. Therefore satisfactory results were noted in 6 cases (75%) of this overall treatment group. Conclusion: The arthroscopic repair for the subscapularis tendon tear is thought to be available method, which could reduce severe complications following the weakness of deltoid muscle and postoperative pain. Especially Partial Subscapularis tear not associated with superoposterior rotator cuff tear including PASTA lesion was the sutable indication of the Arthroscopic repair.

      • KCI등재

        과제 수행 중심의 말하기 지도 방안 : 「말이 트이는 한국어」를 중심으로 Based on 「Pathfinder in Korean」

        윤호 국제한국어교육학회 2001 한국어 교육 Vol.12 No.2

        The objective of this study is to propose a task-based approach for teaching Korean speaking as a second language. More specifically, the organization of task-based teaching materials and systematic teaching methods considering the unique characteristics of Korean are presented. To accomplish this objective, the characteristics of Korea speaking are examined with the analysis of the factors that make Korean speaking difficult. A Korean speaking teaching aid, 「Pathfinder in Korean」, is used to put together a detailed teaching method. It is found that the most difficult part of speaking is to understand and learn the nature of interaction in verbal communication. What is said, when and how it is said, and to whom it is said have strong influence on the language use. Therefore, an instructor has to organize the teaching materials and methods to help students understand the nature of interaction. This study suggests a task-based approach that reflects the importance of interaction as an effective tool for Korean speaking instruction.

      • KCI등재

        폐굴껍질 반응조를 추가한 A₂O 공정에서 하수의 인과 유기물 제거에 관한 연구

        윤호현 ( Ho Hyun Yun ),송영일 ( Young Il Song ),이성기 ( Seong Key Lee ) 한국수처리학회 2013 한국수처리학회지 Vol.21 No.1

        Comparative of dry oyster shell and calcined oyster shell in the phosphorus removal rate study that used waste oyster shell, phosphorus removal rate of pH change, cohesion experiment. used a column and studied a phosphorus and organic removal rate at A20 processes to have been included in phosphorus reactor tank. Result of research is as follows. Phosphorus removal rate appeared high more, small particle size, lot input quantity, removal rate was confirmed more dry oyster shell to high things at calcined oyster shell in batch reactor experiment. A removal rate pH is high and to have risen in experiment along a pH change appeared high. the phosphorus removal rate that a dry oyster shell was higher looked at calcined oyster shell. Phosphorus removal rate appeared high to an oyster shell to activated sludge process, floc formation and precipitation rate was proved low to be compare with cohesion experiment. Therefore, be thought phosphorus reactor so that it is desirable that installs it to the biological process latter part. Surface area increases in the experiment that used column included it, and phosphorus removal rate appeared high. Appeared by a degree in 8-10 days maintenance of cohesion in time. Average concentration of influent to phosphorus reactor was 1.765mg/1 and average concentration of effluent appeared to 0.257mgll in A20 processes. Appeared in biological experiment so that phosphorus removal rate was high.

      • KCI등재

        군사 한국어 교재의 구성 원리와 실제 -국방어학원 『외국군을 위한 한국어』 교재 개발을 중심으로-

        윤호(Hyun Yoon-ho),김중섭(Kim Jung-sup) 한글학회 2020 한글 Vol.- No.330

        본 연구는 수탁외국군을 대상으로 한 군사 한국어 교재의 개발 과정을 구체적으로 살피고 개발된 교재의 실제를 제시하는 것을 목표로 한다. 이를 위해 교재의 개발 전 단계에서는 수탁외국군의 군사교육을 담당하는 교관 및 정책 결정자들의 요구사항, 학습자의 요구분석, 군사 한국어 교육자료의 분석이 이루어졌다. 이러한 분석 결과를 바탕으로 교재 개발의 구체적인 원리를 세운 후, 교수요목을 설정하고 단원의 구성을 확정하였다. 『외국군을 위한 한국어』 교재는 국내에서 최초로 개발된 군사 한국어교재로 일상생활 및 군을 배경으로 한 의사소통 능력을 동시에 향상시키도록 구성하였다. 따라서 군을 배경으로 한 의사소통 능력 향상, 언어의 4가지 기능의 통합 교육, 학습자 중심, 한국문화 및 한국 군문화의 반영, 육해공군의 군사 관련 어휘 등 이상의 개발 원리에 입각하여 단원을 구성하였다. 개발된 교재의 실제를 통하여 교재의 구성을 구체적으로 기술하였다. 이 연구는 군사 한국어 교재 개발의 실제를 자세하게 정리하여 앞으로 목적별 군사 한국어 교재 개발 시, 개발자에게 참고 자료로 활용될 수 있도록 하였다. It is essential to understand the structural principles of the first comprehensive military Korean textbook, Korean for Foreign Military Personnel, is essential for its further development. In this paper, the author explains in detail which structural principles she applied as she led the Korean Defense Language Institute’s military Korean textbook development committee as the head professor in the Korean Department. Korean for Foreign Military Personnel was developed between 2010 and 2011 after comprehensive analysis of the requests and needs of foreign military personnel and input from experienced military Korean teachers. After careful review and analysis, the military Korean textbook development committee established detailed teaching goals and subjects for the new textbook. Korean for Foreign Military Personnel was designed to develop the Korean language skills of foreign military personnel for use in both military contexts and in ordinary life. The military Korean textbook development committee designed the textbook in consideration of the following: developing comprehensive communication skills; developing all four language skills, namely reading, writing, speaking, and listening, in each chapter; learners’ goals and needs; and understanding Korean military culture, Korean culture in general, and terms used in the Korean Army, Navy, and Air Force. Korean for Foreign Military Personnel consists of four books, from basic to advanced levels. Through this paper, the author hopes to contribute to the further development of military Korean textbooks in the future.

      • KCI등재

        시멘트형 대퇴스템 부정정렬 예방을 위한 수술 중 방사선 촬영의 유용성

        윤호현 ( Ho Hyun Yun ),윤정로 ( Jung Ro Yoon ),이용인 ( Yong In Lee ),윤세혁 ( Se Hyeok Yun ),김경호 ( Kyoung Ho Kim ) 대한고관절학회 2013 Hip and Pelvis Vol.25 No.2

        목적: 시멘트형 대퇴스템을 사용한 인공고관절 치환술을 시행 중 임시 대퇴삽입물(broach)을 삽입한 상태에서 c-arm 촬영을 통하여 대퇴스템 정렬 상태를 예측하여 부정정렬을 예방하였던 저자들의 방법의 유용성을 평가하고자 하였다. 대상 및 방법: 2011년 10월부터 2013년 2월까지 일차 인공 고관절 부분치환술이나 인공 고관절 전치 환술을 시행 받은 103예를 대상으로 후향적으로 연구를 시행하였다. 수술 중 예측된 대퇴스템 정렬각 및 최종 대퇴스템 정렬각들을 세 군 분류하였고, 수술 중 예측된 대퇴스템 정렬각에 영향을 미칠 수 있다고 예상된 요인들(나이, 성별, 진단명, 체질량 지수, 대퇴스템 크기, 골다공증, 근위대퇴골 형태)에 대한 분석을 위해서 multinomial logistic regression analysis를 시행하였다. 결과: 수술 중 예측된 대퇴스템 정렬각은 중립위 군이 80예, 내반위 군이 18예, 외반위 군이 5예 등으로 분포하였다. 최종 대퇴스템 정렬각은 중립위 군이 100예, 내반위 군이 2예, 외반위 군이 1예 등으로 분포하였다. 수술 중 예측된 대퇴스템 정렬각에 통계적으로 유의하게 영향을 미치는 요인은 없었다. 결론: 저자들이 시행하였던 방법이 시멘트형 대퇴스템의 부정정렬을 예방하는데 있어서 유용하였다고 생각한다. Purpose: The purpose of this study was to evaluate the usefulness of our method, which estimated femoral stem alignment using a c-arm when the broach was inserted, for prevention of femoral stem malalignment. Materials and Methods: A total of 103 hips were enrolled in this study. All patients underwentprimary hip arthroplasty from October 2011 to February 2013. The study was conductedretrospectively. Intraoperative estimated femoral stem alignments and final femoral stem alignments were classified into three groups. Multinomial logistic regression analysis was performed for analysis of factors (age, sex, diagnosis, body mass index, femoral stem size, osteoporosis, and proximal demur geometry) thatmight affect intraoperatively estimated femoral stem alignment. Results: The distribution of intraoperative estimated femoral stem alignment was 80(78%) in the neutral group, 18(17%) in the varus group, and 5(5%) in the valgus group. The distribution of final femoral stem alignment was 100(97%) in the neutral group, 2(2%) in the varus group, and 1(1%) in the valgus group. There was no statistically significant factor affecting the intraoperatively estimated femoral stem alignment. Conclusion: Intraoperative estimated femoral stem alignment using a c-arm is an effective method for prevention of femoral stem malalignment.

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