이식물에 따른 전방 십자 인대 재건술의 결과 비교 : 자가 골-슬개건-골, 동종 골-슬개건-골 그리고 동종 아킬레스건의 비교

최호림,최원태,이정웅,전재균,김의순,이장근,고염규 대한슬관절학회 2001 대한슬관절학회지 Vol.13 No.2

목적 : 전방 십자 인대 손상 환자를 대상으로 자가 및 동종 골-슬개건-골, 그리고 동종 아키레스 건을 이용해 관절경적 재건술을 시행하고 이들의 임상 경과를 분석하여 보고하고자 한다. 대상 및 방법 : 1995년 7월부터 2001년 4월까지 본원에서 전방 십자 인대 손상 환자를 대상으로 관절경적 재건술을 시행한 147례 중 2년 이상 추시가 가능했던 32명의 환자를 대상으로 하였다. 제 Ⅰ군(13 례)은 자가 골-슬개건-골 이식물을 이용하고, 제 Ⅱ군(11례)은 동종 아킬레스 건 이식술을, 그리고 제 Ⅲ군(8 례)에서는 동종 골-슬개건-골 이식술을 이용하겨 재건술을 시행하였다. 수술시 평균 환자의 나이는 34세였고, 평균 추시 기간은 35개월(25개월~54개월)이었다. 환자의 주관적 평가로 IKDV knee ligament standard evaluation form과 Lysholm knee scoring scale을 사용하였고 객관적 전·후방 안정도의 측정을 위해서 KT-2000TM arthrometer(MED metic, USA)를 사용하였다. Kruskal-Wallis test와 Mann-Whit-ney U(Wilcoxon Rank Sum) 검정법을 이용하여 세 집단을 비교 통계 분석하였다. 결과 : IKDC 최종 평가상 모든 군에서 B(거의 정상) 이상으로 양호하였고, 이식건 공여부 동통은 자가 골-슬개건-골을 이용한 군에서 2례 발생하였으나 통계학적인 유효성은 없었다. KT-2000^TM arthrometer에서는 30lb 부하시 정상측과 비교하여 슬 후 제 1군 1.96mm, 제 2군 2.32mm, 제 3군 2.6mm의 차이를 보여 만족스러운 결과를 보였다. Lysholm knee scoring scale을 이용한 평가는 제 Ⅰ군이 평균 88점(good), 제 Ⅱ군이 85점(goood), 제 Ⅲ군이 89점(good)이었다. 결론 : 전방 십자 인대 재건술시 이식건의 선택은 환자 개개인의 특성에 따라 달라져야 할것으로 생각되며, 동종 이식물도 임상적으로 좋은 결과를 보여 자가 이식건의 대체물로 사용될 수 있으리라 사료된다. Purpose : To compare the long-term results of reconstruction for the anterior cruciate ligament used by BPTB autograft, BPTB allograft and Achilles tendon allograft. Materials and Methods : We reviewed the results of 147 patients who had been managed with arthroscopic ACL reconstruction using different graft such as BPTB autograft, Achilles tendon allograft and allograft BPTB. Thirty two patients(average age, 34 years) were retrospectively evaluated. The follow-up period was more than two years(average, 35 months). Results were evaluated with IKDC knee ligament standard evaluation form, KT-2000^TM arthrometer, and Lysholm knee scoring scale. Kruskal-Wallis test and Mann-Whitney U test(Wilcoxon Rank Sun) were used for statistical analysis. Results : On IKDC scale, the final evaluation was nearly normal in all patients. We could not find statistical difference among the three groups by KT-2000TM arthrometer. Conclusion : The use of allografts may be an acceptable choice for ACL reconstruction.

관성 센서와 지자계 센서를 사용한 인체 방향 추적 시스템

최호림,유문호,양윤석,Choi, H.R.,Ryu, M.H.,Yang, Y.S. 대한의용생체공학회 2011 의공학회지 Vol.32 No.2

This study proposes a human body orientation tracking system by inertial and earth magnetic sensors. These sensors were fused by indirect Kalman filter. The proposed tracking system was configured and the filter was implemented. The tracking performance was evaluated with static and dynamic tests. In static test, the sensor was fixed on the floor while its static characteristics was analyzed. In dynamic test, the sensor was held and moved manually for 30 seconds. The dynamic test included x, y, z axis rotations, and elbow flection/extension motions that mimic drinking. For these dynamic motions, the tracking angle error was under $4.1^{\circ}$ on average. The proposed tracking method is expected to be useful for various human body motion analysis.

韓半島出土 紡錘車에 관한 硏究(1)

崔虎林 한국학중앙연구원 1985 한국학 Vol.8 No.2

소아 일과성 고관절 활액막염에 있어서 초음파 검사의 의의

최호림,장의찬,안병우,이은우 중앙대부설한국의과학연구소 1992 한국의과학 Vol.24 No.1

韓半島出土 紡錘車에 관한 硏究 (Ⅱ)

崔虎林 한국학중앙연구원 1986 한국학 Vol.9 No.2

베트남의 '유적공인' 사업과 지방의 이질적인 공동체

최호림 한국동남아학회 2004 동남아시아연구 Vol.14 No.1

The current revivification of communal activities in the socialist Vietnamese society does not simply result from the increased economic capacity of the local people after 'doi moi' (renovation), or from the alleviation of the State's control over the people's socie ty. I take the revitalization of village rituals in a traditional urban village, Lang Dai Yen, not as a cultural phenomenon sui genesis, but rather as one kind of coll ective response of the villagers toward the State's policies, and a characteris tic representation of social differentiation in local community. The ritual events nee d to be investigated within the context of complex processes of the reproduct ion of various social relations. Besides, there always lies not only the homogene ity, but also the heterogeneity, behind the remaking processes of the village 's communal events. Among many factors that explain the social differ entiation of the people within the village, 'aboriginality' is a key factor that gives rise to the demarcation of the groups in the imagined homogeneous comm unity. The origin and the boundary of the 'indigenous-ness' identity are amb iguous. However, the identity serves as one of the most powerful elements to di stinguish the different status of the villagers. Although the Vietnamese central S tate might have loosened its power over ideological and cultural matters at some point, a close reading of local interactions reveals that the local State has always kept a constant watch on these matters. Moreover, the campaign for th e certification of the dinh(communal house) demonstrated that the State w as deliberately and powerfully involved in remaking of local "culture." To approach the very core of the state-society relations, there is need to explain the natur e of social differentiation inherent to the local village, which the state's functi on to manage and reinvent local people's tradition can be sustained throu gh. In highlighting of the dynamic interfaces between the villagers and the state at the local level, I examine how these interfaces are dialectically linked to the int eraction between different social clusters within the urban 'traditional' community. There is mediation space at the everyday level which qualifies Vietnamese state's dominance of local society.

한국 다문화사회의 진전과 동아시아의 이주 : 현황과 쟁점

최호림 동북아시아문화학회 2015 동북아 문화연구 Vol.1 No.42

This study looks at the problems and challenges of recent flow of immigration to Korea and their implications for the transitional situation of multicultural society of Korea. The social visibility of “foreigners” has a crucial role in the heightened attention and concern for transnational migrants and “multiculturalism” in Korean society, which has maintained a strong commitment to racial purity and homogeneity. However, South Korea’s migration governance for “multiculturalism” sustains its promotion of ‘migration without settlement.’ Since the 1990s, South Korea has been host country to a growing number of East and South Asian migrant workers, but no official discourse has yet to emerge to incorporate these foreigners as equal members of Korean society nor new citizens of the country. At the same time, the shift from co-ethnic marriage to multi-ethnic and inter-racial ones has also triggered a considerable amount of fear and worries among the local Koreans. South Korea’s long-cherished cultural concept of nationhood based on a homogenous Korean essence is being challenged by the rapid increase in marriage migrants from Southeast Asia. A dilemma therefore arises between the preservation and maintenance of an ethnically homogeneous society on the one hand, and, on the other, the need to ensure continuous economic growth that is causing the hybridization of cultures through the expansion of transnational reproductive migration to maintain and reproduce Korean families. South Korea’s political platform fails to incorporate the ethical stand of multiculturalism, which is based on mutual recognition of different cultures and development of just relationship between the Korean society and migrants.

족관절 내과골절에서 피질골 나사못을 이용한 변형된 긴장대 고정술

최호림,도현우,김병흠,김규현,박종석,송준민 대한골절학회 2004 대한골절학회지 Vol.17 No.4

목적 : 전위된 족관절 내과골절에 대해 피질골 나사못을 이용한 변형된 긴장대 고정술을 이용한 치료결과를 분석해 보고자 하였다. 대상 및 방법 : 2001년 1월부터 2003년 1월까지 전위된 내과골절에 대해 변형된 긴장대 고정술을 시행 받고 최소 1년 이상 추시관찰 가능 하였던 24례를 대상으로 하였다. 남자 13례, 여자 11례로 평균 연령은 46세였다. 골절은 Lauge-Hansen 분류법을 사용하였으며, 결과는 Meyer와 Kumler의 평가 방법을 이용하였다. 결과 : 13례 (54%)에서 우수의 결과를 얻었고, 9례 (38%)에서 양호의 결과를 얻었으며, 운동범위의 제한이 발생한 1례에서 보통, 후외상성 관절염이 발생한 1례에서 불량의 결과를 얻었다. 결론 : 전위된 족관절 내과골절에서 피질골 나사못을 이용한 변형된 긴장대 고정술은 견고한 내고정과 조기 관절 운동이 가능한 효과적인 수술 방법이 될 수 있을 것으로 사료된다. Purpose : To evaluate the clinical results of modified tension band wire technique using cortical screw for treatment of displaced medial malleolar fractures of the ankle. Materials and Methods : From January 2001 to January 2003, 24 patients were treated by modified tension band wiring using cortical screw for medial malleolar fracture. The follow-up period was 12~35 months (average 18 months). There were 13 males and 11 females, and the mean age was 46 years. Fractures were classified by Lauge-Hansen's classification. The results were analyzed by Meyer and Kumler's criteria. Results : There were 13 cases (54%) of excellent, 9 cases (38%) of good, and one case of fair because of limitation of motion of the ankle joint and one case of poor which showed post-traumatic arthritis of the ankle. Conclusion : Modified tension band wire technique using cortical screw can be an effective operative method for the treatment of displaced medial malleolar fractures of the ankle.

우리나라 明器에 관한 一考察

崔虎林 한양대학교 한국학연구소 1988 韓國學論集 Vol.14 No.-

Myunggi(burial object) is things of tableware, musical instrument, usensil, arms burried with a corpse in grave. This theory explain the meanings, forms, kinds of Myunggi through the Three Kingdoms, the Koryo dynasty, the Yi dynasty, Korea.

신선동결 동종 아킬레스건을 이용한 전방십자인대 재건수술의 단기추시 결과

최호림,박종석,이상선,우승한,홍창화,김병흠,이병일,Choi, Ho-Rim,Park, Jong-Seok,Lee, Sang-Seon,Woo, Seung-Han,Hong, Chang-Hwa,Kim, Byung-Heum,Lee, Byung-Ill 대한정형외과스포츠의학회 2006 대한정형외과스포츠의학회지 Vol.5 No.1

목적: 신선 동결 동종 아킬레스건을 이용한 전방십자인대 재건술의 단기 추적 결과를 분석해 보고자 한다. 대상 및 방법: 2002년 3월부터 2004년 3월 까지 본원에서 시행된 신선동결 동종 아킬레스건을 이용한 전방십자인대 재건수술 환자 25명 25례를 대상으로 하였다. 평 균 나이는 30.1세 ($18{\sim}50$세)였으며 평균 추적기간은 17개월 ($12{\sim}27$개월) 이었다 전례에 대해 수술전과 최종 추시 시점에서 Lysholm 점수와 IKDC 평가를 시행했으며, 이학적 검사와 KT-2000 기계검사를 이용해 평가하였다. 결과: 수술전 Lachmann검사는 25례에서 양성이었으며 최종추시상 18례에서 음성 이었다. KT-2000을 이용한 최대도수 전위 검사상 양슬 전방전위 차이는 술전 $7.9{\pm}2.4mm$에서 $2.6{\pm}1.6mm$로 향상되었다. Lysholm 점수는 $61.1{\pm}13.9$점에서 $93.5{\pm}5.3$점으로 향상되었으며 IKDC평가는 술전 비정상(C) 및 매우 비정상(D) 25례에서 최종추시상 정상(A) 또는 거의 정상(B)이 22례(88%), 비정상 3례(12%)였다. 결론: 신선동결 동종 아킬레스건을 이용한 전방십자인대 재건수술의 단기결과는 만족할 만 하였으며 전방십자인대 재건에 있어 자가이식건에 대한 대체물의 하나로 선택되어 질 수 있겠다. Purpose: To evaluate the short-term results of arthroscopic ACL reconstruction using fresh frozen Achilles allograft Materials & Methods: From March 2002 to March 2004, arthroscopic ACL reconstructions using fresh frozen Achilles allograft were performed in 25 knees of 25 patients. The average age at operation was 30.1 years (range, 18-50 years) and the average follow-up was 17 months (range, 12 to 27months). Preoperative and follow-up clinical results were evaluated using the Lysholm knee score, IKDC knee rating system, physical examination and KT-2000 arthrometer. Results: The Lachman test was positive in 25 patients preoperatively and 18 patients(72%) had negative results at latest follow-up. The average side-to-side differences of anterior tibial translation using KT-2000 arthrometer under loading of 301b were improved from $7.9{\pm}2.4mm\;to\;2.6{\pm}1.6mm$. The average Lysholm score was improved from $61.1{\pm}13.9\;to\;93.5{\pm}5.3$ points. The IKDC grade was abnormal(C) or severely abnormal(D) in 25 cases preoperatively They improved 22(88%) of normal(A) or nearly normal(B) and 3(12%) of abnormal. Conclusion: Short term results of ACL reconstruction using Achilles allograft was acceptable. Achilles allograft can be a reasonable graft alternative to autograft for ACL reconstruction.