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당뇨족 환자에서 동측 족부 및 하지 재절단술의 발생빈도 및 위험인자
최선진,이창범,김명수,하정한,박형택,Choi, Sun-Jin,Lee, Chang-Bum,Kim, Myoung-Soo,Ha, Jeong-Han,Park, Hyung-Taek 대한족부족관절학회 2011 대한족부족관절학회지 Vol.15 No.1
Purpose: To evaluate the incidence and risk factors of ipsilateral reamputation after lower limb amputation in the patient with diabetic foot lesions. Materials and Methods: Between May 2005 and June 2009, 88 patients who underwent lower limb amputation were analyzed. Group 1 consisted of 73 patients who didn't have a ipsilateral reamputation after lower limb amputation and group 2 consisted of 15 patients who underwent reamputation. We compared several factors between two groups, such as age, gender, BMI, ABI, Wagner classification, wound culture, site of amputation, vascular surgery, the period of diabetes mellitus, chronic renal failure. Results: Fifteen (17%) of 88 patients had a ipsilateral limb reamputation and 13 patients (87%) of them underwent reamputation within 6 months. When we compared the two groups, average age was 59.3 (range, 48-74 years); 62.9(range, 44-78 years). Age was significantly associated with reamputation rate (p=0.02) and no reamputation after initial amputation above ankle joint was found. Other factors did not show statistically difference between both groups. Conclusion: There were no significant difference between diabetic limb amputation and reamputation group in our concerned risk factors except age and amputation level. There should be careful consideration when determine level of amputation in diabetic foot lesions especially in elder patients.
최선진(Choi, Seon-Jin)(崔善珍) 대한중국학회 2019 중국학 Vol.68 No.-
국제화 시대에 따라 해외 파견 유학생이 많아지고 있으며, 각 대학에서도 교환학생 프로그램이 활발히 진행되고 있다. 이와 함께 해외 교류에 필요한 문화역량에 대한 관심도 커지고 있다. 해외 한국인 유학생 현황에 따르면 중국지역 유학생 수가 가장 많은 비율을 차지하고 있는 데 반해, 이에 대한 전문적인 조사나 연구가 거의 없다. 따라서 본 연구는 중국지역 교환 프로그램을 통한 문화역량 변화와 교환 전과 과정 중의 요인에 대한 문화역량의 관계를 조사·분석해 보았다는 데 의의가 있다. 이를 조사하기 위해 A 대학 중국학부 학생 중 2016년부터 2018년까지 중국지역으로 파견 간 교환학생을 대상으로 교환 전과 후 2차례에 걸쳐 설문조사를 시행하였고, 2차례 설문에 모두 참여한 동일 집단 53명을 연구대상 범위로 정하였다. 통계 결과와 주관식 의견을 토대로 교환학생 프로그램에 대한 문제점과 개선해야 할 부분을 파악하여 3가지 교육방안을 다음과 같이 제시하였다. 1)교환학생 선발방법 변경 또는 추가 조건제시, 2)기 경험자가 참여하는 정보망 구축, 3)교환 전 교내에서부터 현지인과의 교류를 적극적으로 지원 하자이다. 본 연구의 제시방안을 활용하여 중국지역 파견뿐만 아니라 해외 교류 프로그램의 양적 성장과 질적 성장이 함께 이루어지길 바란다. With the advent of globalization, each universities actively run a student exchange program. In addition, there is a growing interest in cultural competency for international exchanges. These days, more and more Korean students are going to China to study its language and culture but no research has been conducted to make better programs or systems for students. Therefore, this study is meaningful to identify changes of cultural capacity through the exchange program in China. For research, the survey was conducted in A university’s Chinese studies students who participate in exchange student program in China from 2016 to 2018. A group of 53 students responded survey on two separate occasions. Based on the statistical results and opinions on the subject matter, researcher identified the problems of current exchange student program, the way for further improvements and three options for educational methods. 1) Changing the method of selecting exchange students or suggesting additional conditions, 2) Establishing an information network with prior experience in exchange student, 3) Supporting various interacting programs with natives inside a college before exchanging.
색소 융모결절종 환자에 시행한 족관절 인공관절 치환술(1예 보고)
하정민,최선진,이창범,하정한,박형택,Ha, Jung-Min,Choi, Sun-Jin,Lee, Chang-Bum,Ha, Jeong-Han,Park, Hyung-Taek 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.1
Pigmented villonodular synovitis (PVNS) is a rare proliferative disease affecting joint synovium, tendon sheaths, bursae. The usual treatment for PVNS is a surgical excision. If destructive joint lesions have occurred, complete resections must be performed followed by arthrodesis or arthroplasty. We report a case of a pigmented villonodular synovitis involving an ankle joint which was treated by total ankle replacement for recurrence after simple synovectomy.
박종훈,최선진,하정민,Park, Jong-Hoon,Choi, Sun-Jin,Ha, Jung-Min 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.2
Cause of flexible flat foot is predominantly idiopathic but pediatric flexible flatfoot is typically congenital. Neuromuscular disorders, tarsal coalition and prehallux are possible causes and there has been a controversy for diagnosis and surgical treatment guideline. Therefore we present 11-year old male with prehallux and flexible flat foot who was treated with Kidner procedure and subtalar arthroereisis using Kalix endoprothesis and reported good clinical outcome at 2-years follow up postoperatively.
슬관절 전치환술에서 원위 대퇴골의 계측 및 여성형 치환물의 적합성
박형택 ( Hyung Taek Park ),최선진 ( Sun Jin Choi ),박종훈 ( Jong Hoon Park ),하정민 ( Jung Min Ha ) 대한슬관절학회 2008 대한슬관절학회지 Vol.20 No.2
목적: 최근 남녀간 대퇴골의 계측학적 차이를 고려한 여성형 슬관절 치환물이 등장하여 사용되고 있다. 이에 저자들은 수술 중 원위 대퇴골의 계측과 여성형 슬관절의 적합성에 대하여 알아보고자 하였다. 대상 및 방법: 인공 슬관절 전치환술을 받은 환자 중 여자 환자 100예를 대상으로 하였다. 수술 중 대퇴골절제 이후, 절단부의 크기를 6군데로 나누어 측정하였고, 두 가지 삽입물 중 측정치에 가까운 대퇴 슬관절 치환물을 사용하였으며, 같은 크기에 속하는 치환물에서 여성형 슬관절 치환물이 적용된 환자군(1군)과 고식적 슬관절 치환물이 사용된 환자군(2군)의 계측학적 차이와 적합성을 조사하였다. 결과: 58예에서 여성형 슬관절 치환물이 적용되었고(58%), 내외측 전방 크기를 제외한 수치에서 두 군 사이에 유의한 차이를 보였다(p<0.05). 여성형 슬관절 치환물을 사용한 빈도는 size C에서 33.4%, size D는 57.4%, size E는 70.4%로 나타났고, 5%에서 치환물과 대퇴골 사이에 내외측 불일치가 관찰되었다. 치환물의 크기가 증가할수록 대퇴골의 전후방 길이에 대한 내외측 길이비가 작아지는 것으로 나타났다. 결론: 한국인에서 작은 대퇴골을 가진 여성은 고식적 치환물이 더 적합하고, 큰 대퇴골을 가진 여성에 있어 기존의 고식적 삽입물보다 여성형 치환물이 형태학적인 적합성을 가지는 것으로 볼 수 있다. 그러므로 여성형 슬관절은 술 중 대퇴골의 크기를 고려하여 선택적으로 사용해야 할 것으로 생각한다. Purpose: The new prosthesis was introduced for female recently considering anthropometric differences of distal femur between male and female. We evaluated the anthropometric measurements of distal femur and compatibility of gender knee prosthesis in total knee replacement. Materials and Methods: The candidates were 100 female patients who underwent total knee replacement. We measured the size of resection site which was divided into 6 areas after resection of femur. According to this result, we made a decision which prosthesis would be better fit. Group 1 was whom gender knee prosthesis was used in and group 2 was whom conventional knee prosthesis was used in. Results: Gender knee prosthesis was used in 58cases out of 100 cases (58%). There were significant differences in measurements between group 1 and 2 except anterior flange lengths (p<0.05). Gender knee prosthesis was chosen in 33.4% of size C, in 57.4% of size D, in 70.4% of size E. There were less than 5% discrepancies of width between components and femur. The larger the femur, the lesser the ML/AP ratio. Conclusion: Conventional knee prosthesis is adequate to who has smaller distal femur and gender knee prosthesis is adequate to who has larger distal femur in total knee replacement. It is thought that we may select gender knee prosthesis considering the size of femur intraoperatively.
해부학적 대퇴스템을 이용한 인공 고관절 무시멘트 전 치환술
이상홍 ( Sang Hong Lee ),최선진 ( Sun Jin Choi ) 대한고관절학회 1998 Hip and Pelvis Vol.10 No.2
We reviewed 56 total hip arthroplasties who have been operated non-cemented total hip replacement arthroplasty using anatomic hip prosthesis(Zimmer, Warsaw, Indiana) and followed for the period of more than 4 years(average 62months) at the Chosun University Hospital, Dept. of Orthopaedic Surgery from Jan, 1991 to the Jan, 1994. The average Harris hip score was improved from 43 pre-operatively to 92 post-operatively. According to the last follow-up radiographic findings, 43 cases(77%) were considered to be stable bony fixation and 4 cases(7%) to be unstable fixation. 4 cases showed loosening of femoral component and we performed revision in one case. Postoperative complications were intra-operative fracture(5 cases), heterotropic ossification(3 cases), polyethylene dissociation(2 cases), dislocation(2 cases) and chronic infection(1 case). Conclusively, to achieve the successful result of total hip arthroplasty using anatomic hip prosthesis, we should consider individual anatomic femoral shape, age and bone density. Especially in old patient, we should consider anatomic femoral deformity according to aging process to prevent the of intra-operative femoral fracture.