사회체육과 학생들의 자아개념 수준이 실기성적에 미치는 영향

유연식(Yeon Sik Yu) 한국사회체육학회 1998 한국사회체육학회지 Vol.10 No.-

청소년 수련시설의 운영실태 연구

유연식(Yeon Sik Yu) 한국사회체육학회 2001 한국사회체육학회지 Vol.16 No.-

This study presents young boys and girls who preparing the role to be adults get a various changed character on social, psychological, physical sides and an experience of transitional developing period. In this time, the training of young boys and girls affects on forming their personalities and attitudes. We can classify according to used Training Center 533 divided named Living Training Facility, Natural Training Facility, Youth Hotel in 16 cities·countries in the whole nation. I researched general used facilities which present two results. one is a posited instructer and the other is an available training program. These show three kind of results as follows: First, on the numbers of housing a day Natural Training Facility which has some more higher capacities than Living Training Facility showed on training facility 183%, the numbers of lodging 227 % the numbers of camping 27 times. Public Institute secures two times of Living Training Facility. In this case there are two reasons, one Local Self Governing Body settled 73.4% of Public Training Facility, the other Local Self Governing Body operated 112 facilities of 114 Trust facilities. Using average a day 145 persons, annual 14,732,015 persons, Using each facility has 41, 421 persons in annual average. Second, on each kind of facility a posited instructer of young boys and girls shows lacked 101% of 379 inspected facilities and non posited 156(41%) facilities. public facility is 72% the other side private facility secured 131%. A posited status of instructer at present secured 100% above in ten cities·countries and 6 cities·counties 100% below. 171 facilities lacked and non posited of 379 facilities. Third, Natural Training Facility and Living Training Facility which are very similar have been operating available training program 50% as cultural activities, the former has more 288% on physical activities, 654% on camping activities, 520 on natural research activities shown many programs operated than the latter.

고관절 치환술을 시행한 후 발생한 동측 대퇴골 골절

심재익(Jae-Ik Shim),이덕용(Duk-Yong Lee),김택선(Taik-Seon Kim),이성종(Sung-Jong Lee),이석하(Suk-Ha Lee),이동기(Dong-Ki Lee),유연식(Yeon-Sik Yu),문재연(Jae-Yeon Moon) 대한정형외과학회 1999 대한정형외과학회지 Vol.34 No.5

슬관절 전치환술 후 발생한 심부감염의 2단계 재치환술을 이용한 치료

이덕용(Duk-Yong Lee),심재익(Jae-Ik Shim),김택선(Taik-Seon Kim),이성종(Sung-Jong Lee),이석하(Suk-ha Lee),이동기(Dong-Ki Lee),유연식(Yeon-Sik Yu),한용희(Yong-Hee Han) 대한정형외과학회 1999 대한정형외과학회지 Vol.34 No.2

경골과 골절의 치료

이성종,이석하,이동기,유연식,심재익,김택선,조홍만 대한골절학회 2000 대한골절학회지 Vol.13 No.2

Purpose: In the proximal tibial condylar fractures, the authors analyzed the treatment results clinically and radiologically, after arthroscopically assisted accurate anatomical reduction of articular surface and rigid internal fixation with early mobilization. Materials and methods: We reviewed 56 cases of tibial condylar fracture that were treated at our the orthopaedic department between January 1990 and December 1996 and the follow-up period was 1 year above. According to Schatzker's classifications, we classified the type of fracture and we analyzed the results by average union time and Porter s criteria after accurate anatomical reduction of articular surface and rigid internal fixation in 51 cases, and 22 cases of total 51 cases were arthroscopically assisted redcution of articular surface and internal fixation. Results: According to Schatzker's classification, Type I 15 cases, Type II 14 cases, Type III 6 cases, Type IV 7 cases, Type V 3 cases, Type VI 11 cases. Associated soft tissue injuries were total 22 cases that were MCL injuries 12 cases, lateral meniscal injuries 6 cases. The average union time was 15.5 weeks and by Porter's criteria, 56 cases, of which 39 cases(71%) had an good result. Conclusion: we considered that good results can be obtained by assistant use of arthroscopy and rigid internal fixation with early mobilization, that accurate diagnosis and appropriate treatments of accampaning injuries according to the type of fractures, and accurate anatomical reduction of articualr surface.

Ender nail 을 이용한 고령이 대퇴골 전자간 골절의 치료

이성종,이석하,이동기,유연식,심재익,김택선,설의상 대한골절학회 2000 대한골절학회지 Vol.13 No.2

Purpose: To analyze the clinical and radiological result of femoral trochanteric fractures treated by using Ender nails in elderly patients. Material and Methods: Sixty seven patients of femoral trochanteric fractures treated at Korean Veterans Hospital from 1993 to 1997 were included in this study. Under the C-arm guided, closed reduction and internal fixation with Ender nails was done within one week. According to Kyle classification, we classfied type I in 12 case, type II in 20 cases, type III in 25 cases, typeIV in 20 cases and analyzed duration of bone union, ambulatory ability and postoperative complication. Result: The duration of union was from 14 weeks to 17 weeks and the mean was about 15.5 weeks. Thirty seven(60.7%) patients maintained their prefracture ambulatory ability at a postoperative 1 year and twenty four(39.3%) patient lost some degree of ambulatory ability. Postoperative complications were the knee pain and the limitation of the motion of the knee in 10 cases(14.9%), external rotation deformity in 7 cases(10.4%), distal migration of nails in 4 cases(5.9%), proximal migration of nails in 2 cases(2.9%), nonunion in 2 cases(2.9%). Conclusion: We conclude that the treatment by using Ender nails is one of the proper methods in elderly femoral trochanteric fracture with associated medical complication.

경골간부골절 부정유합의 수술적 치료

김영배,이성종,이석하,유연식,심재익,김택선,박광열 대한골절학회 2000 대한골절학회지 Vol.13 No.4

Purpose: The malunited diaphyseal tibia fractures result in tibial shortening, angular deformities, gait disturbance, development of joint pain, etc. The authors analyzed the results of treatment consist of corrective osteotomy for diaphyseal malunion with internal or external fixation. Materials and methods: The authors reviewed 18 cases of tibial diaphyseal malunion treated in Korea Veterans Hospital between January 1992 and December 1998. Mean follow-up period was 4.2 years. The preoperative deformities were varus, anterior or posterior bowing and shortening. The preoperative symptoms were knee joint pain, ankle joint pain, and gait disturbance. Corrective osteotomy was done on the site of malunion in all cases. Fixation were done with IM nailings(13 cases), plates(3 cases) and Ilizarov external fixator. We analyzed the unions radiologically and the knee pains with HSS score. Results: All malunions were successfully corrected. Mean duration of union was 4.5 month. In the coronal plane, preoperative varus deformity(mean 16.5° varus) was corrected to 3° of valgus. In the saggital plane, anterior and posterior bowing was corrected to neutral. In 15 cases of the patient with knee joint pain, the mean HSS score was improved from 69 preopertively to 82 postoperatively. Conclusion: The correction of tibia diaphyseal malunion had good results by osteotomy at the malunited site and firm internal or external fixation. And it also improved knee joint pain significantly.

대퇴골 과상부 및 과간 골절 불유합의 치료

이성종,이석하,이동기,유연식,심재익,김택선,이덕용,이은노,김윤엽 대한골절학회 1999 대한골절학회지 Vol.12 No.4

The femoral supracondylar and intercondylar fractures are difficult to be treated due to severe soft tissue damage, comminution, intraarticular extension of fracture and injury to the quadriceps mechanism frequently. The causes of nonunion are inadequate anatomical reduction, fixation failure, bone defect and infection occasionally, which is difficult to be treated. The authors analyzed 16 cases with nonunion of femoral supracondylar and intercondylar fracture who had been treated surgically from January 1990 to December 1997. According to AO/ASIF classification in the initial fracture patterns, type A were 8 cases, type B was 1 case and type C were 7 cases. The duration between initial treatment and surgical treatment of nonunion was 6 months in average. The causes of nonunion were fixation failure due to inadequate device selection in 9 cases, inadequate anatomical reduction or surgical technique in 4 cases and infection in 3 cases. The treatments were internal fixation with Dynamic condylar screw(DCS) in 9 cases, internal fixation with condylar blade plate in 4 cases, monofocal lenghtening with Ilizarov in 1 case and bifocal lenghtening with Ilizarov in 2 cases. According to Schatzker classification, the good result was obtained in 11 cases(68.8%). The complications were 3 knee joint ankyloses, 2 superficial wound infections, 1 delayed union and 1 deep vein thrombosis. In conclusion, the requirement for the good result in treatment of nonunion are exact anatomical reduction, rigid fixation and autogenous bone graft.

척추 기기 고정술 후 발생한 후기 감염

심재익,김택선,이성종,이석하,이동기,유연식,김윤엽 대한척추외과학회 2000 대한척추외과학회지 Vol.7 No.1

연구계획 : 본 연구는 척추 기기 고정술후 발생한 후기 감염의 5예에 대한 후향적 분석을 시행하였다. 연구목적 : 척추 기기 고정술후 생긴 후기감염의 위험인자와 임상양상을 관찰하여 진단 및 치료를 하고 그 결과를 알아보고자 하였다. 대상 및 방법 : 저자들은 1993년 4월부터 1999년 6월까지 한국보훈병원 정형외과에서 척추 기기 고정술을 받았던 421명의 환자중 1년이상 추시 관찰이 가능하였던 374명을 대상으로 하여 후기감염으로 진단된 5예에 대하여 임상양상, 진단 및 치료결과를 후향적으로 분석하였다. 결과 : 전환자에서 악화되는 동통 및 이로 인한 파행이 나타났고, 동통은 진통제로 호전되지 않았다. 혈액검사에서는 ESR이 평균 44.8로, CRP가 평균 26.2로 증가되었다. 백혈구수는 1예에서만 경미한 증가소견을 보였다. 전환자에서 술후 4주에서 6주정도 항생제가 정맥 투여되었다. 방사선 소견에서는 나사못 주위의 골용해 간격이 3에서 7㎜로 평균 4.6㎜의 간격을 보였다. 5예중 2예에서 기기제거 및 변연절제술 후 항생제 투여를 하였고, 3예에서는 기기제거, 변연절제, 세척술과 동시에 기기 고정술을 재시행하였다. 수술 소견상 전례에서 모두 기기의 이완 및 나사못 주위로의 화농성 농양 소견을 보였으나, 2예에서 coagulase(-) staphylococcus와 S. epidermidids로 균이 동정되었다. 1예를 제외한 전례에서 동통의 감소가 있었고, 전례에서 혈액검사에서 ESR과 CRP의 수치가 정상화되었다. 평균 추시기간은 18.2개월이었다. 결론 : 척추 술후의 후기감염의 진단에는 임상적 추정이 상당히 중요하리라 사료된다. 정상적인 술후 회복 기간을 거친추 시작하여 악화되는 통증, ESR과 CRP의 증가, 방사선 소견상 나사못 주위의 골요해 소견을 진단의 실마리로 삼았다. 이러한 증상 및 소견이 나타나는 경우 후기 감염에 대한 가능성을 고려하여야 할 것으로 사료된다. 저자들의 경우 5예에서 술적 치료를 시행하여, 1예를 제외하고 만족스러운 결과를 얻었다. Study Design : A retrospective analysis of five cases of late spinal infection after spinal instrumentation and fusion. Objectives : These cases are reviewed to verify risk factors for late spinal infection after elective instrumentation and to manifest the treatment of this complication. Summary of Literature Review : Late spinal infection after elective spinal instrumentation and fusion are uncommon. The diagnosis is usually hard and requires much clinical suspicion. Materials and Methods : 5 cases were in total 374 patients of the author's cases. These cases are reviewed retrospectively. Results : All patients reported aggravated back pain. 4 patients had elevated erythrocyte sedimentation rates, aveaging 44.8㎜/hour and elevated C-reactive protein, averaging 26.2㎎/L. No distance foci of infection was identified. All patients got the raieolucent zone around screw fixation site, averaging 4.6㎜ width. The organisms were S. epidermidis in 1 case and coagulase(-) staphylococcus in 1 case. All cases were treated by operative method with debridement, instrument removal with or without revision and postoperative intravenous antibiotics. The average follow-up period was 18.2 months, one patient recurred back pain at 7 months after operation. Conclusion : The diagnosis of late infection after eletive spinal instrumentation and fusion requires high suspicion of clinical symptoms and signs. All except one were successfully treated by operative treatment.