단일 수술자에 의한 초기와 중기에 시행한 무지외반증에 대한 Scarf 절골술의 결과 비교

이영현,남일현,이태훈,안길영,이용식,황성현,이경진,Lee, Yeong-Hyeon,Nam, Il-Hyun,Lee, Tae-Hun,Ahn, Gil-Yeong,Lee, Yong-Sik,Hwang, Sung-Hyun,Lee, Kyung-Jin 대한족부족관절학회 2020 대한족부족관절학회지 Vol.24 No.4

Purpose: This study evaluated the results of two groups-the early group and midterm group-comparatively in the treatment of hallux valgus using a scarf osteotomy. Materials and Methods: From January 2005 to December 2009 (Group 1) and from January 2010 to December 2013 (Group 2), this study compared hallux valgus cases treated by a scarf osteotomy by a single surgeon with at least a five-year follow-up. Results: The average ages of Group 1 and Group 2 were 50.5 and 51.7 years old, respectively. The average follow-up of Groups 1 and 2 were 7.4 and 6.2 years, respectively. Groups 1 and 2 had 86 cases (53 patients) and 93 cases (64 patients) with at least a five-year follow-up, respectively. The average hallux valgus angle (HVA) and 1-2 intermetatarsal angle (IMA) of Group 1 were improved from 31.3° and 13.9° preoperatively to 11.3° and 6.8° at the final follow-up, respectively (p<0.001). The average HVA and 1-2 IMA of Group 2 were improved from 31.7° and 13.4° preoperatively to 8.9° and 6.6° at the final follow-up, respectively (p<0.001). The mean American Orthopaedic Foot and Ankle Society (AOFAS) score of both groups increased from 48.5 and 45.0 points preoperatively to 73.7 and 82.4 points at the final follow-up, respectively. The numbers of patient-assessed subjective satisfaction of Groups 1 and 2 at the final follow-ups were as follows: excellent, 27 and 36 (31.4%, 38.7%); good, 34 and 49 (39.5%, 52.7%); fair, 13 and 5 (15.1%, 5.4%); poor, 12 and 3 (13.9%, 3.2%); respectively. Neither troughing nor stress fractures occurred in both groups. Conclusion: Scarf osteotomy for treating hallux valgus is an excellent surgical method with a relatively low incidence of complications. The results in Group 2 were better than those in Group 1, showing that more surgical experience and evolution of the techniques provided better results.

71세 남자에서 발생한 후방십자인대 대퇴골 부착부 견열 골절 - 1례 보고 -

이영현,안길영,남일현,문기혁,김기철,이채경,이상충,Lee, Yeong-Hyeon,Ahn, Gil-Yeong,Nam, Il-Hyun,Moon, Gi-Hyuk,Kim, Ki-Choul,Lee, Chae-Kyung,Lee, Sang-Chung 대한관절경학회 2010 대한관절경학회지 Vol.14 No.2

후방십자인대의 대퇴골 견열 골절은 성인에서 매우 드문 손상이다. 과거 슬관절 손상으로 인해 관절 운동의 부분적 제한이 있던 71세 남자 환자가 약 2미터 높이에서 떨어지는 사고로 내원하였다. 촬영한 컴퓨터 단층촬영 및 자기공명영상검사에서 후방십자인대 대퇴골 부착부 견열 골절을 확인하였다. 관절경 시술 하에 두개의 강선으로 대퇴 내과를 통하여 고정하였다. 술 후 1년째 강선 제거술 및 2차 관절경 검사로 골절 부위의 유합을 확인 하였기에 이를 문헌고찰과 함께 보고하는 바이다. Femoral avulsion fracture of posterior cruciate ligament (PCL) is rare, especially in adult. We experienced a case of femoral bony avulsion fracture of PCL. The patient was seventy one year old man with limitation of motion in the knee joint due to previous trauma and he was injured by fall down from 2 m height. We took CT scan and MRI study. We treated with arthroscopic repair technique using transfemoral two wire sutures. Second look arthroscopy was done for removal of the wires at postoperative one year.

단축 Scarf 절골술을 이용한 무지 강직증의 치료

이영현,안길영,남일현,이태훈,이용식,김대근,이영훈,Lee, Yeong Hyeon,Ahn, Gil Yeong,Nam, Il Hyun,Lee, Tae Hun,Lee, Yong Sik,Kim, Dae Geun,Lee, Young Hoon 대한족부족관절학회 2016 대한족부족관절학회지 Vol.20 No.4

Purpose: To evaluate the effect of shortening scarf osteotomy on pain relief and range of motion (ROM) of the first metatarsophalangeal joint in hallux rigidus patients. Materials and Methods: Twenty-three cases of 19 patients who had been treated with shortening scarf osteotomy for the hallux rigidus between January 2007 and December 2013 were reviewed. The mean follow-up period was 21.4 months, and the mean age was 59.2 years. The first metatarsal bone was shortened until the ROM of the first metatarsophalangeal joint was greater than $80^{\circ}$ or $40^{\circ}$ of dorsiflexion. The length shortened by scarf osteotomy was measured. The authors also measured and compared the joint interval difference of the standing foot using an anteroposterior radiography. Moreover, the difference of ROM of the first metatarsophalangeal joint between the preoperative and final follow-up periods was also compared. The clinical results were evaluated and compared using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system and visual analogue scale (VAS) score. Results: The mean shortening length was about 6.5 mm (range, 4~9 mm). The joint space has been increased to 1.8 mm, and the ROM of the first metatarsophalangeal joint has also been increased to $18.4^{\circ}$ after the operation. In three cases, the postoperative ROM has been decreased to less $10^{\circ}$. The AOFAS score has been improved from 41.7 (range, 32~55) to 86.2 (range, 65~95), and the VAS score was also decreased from 3.7 (range, 3~5) to 1.3 (range, 0~3). Two cases have shown no decrease in pain even after the operation. Conclusion: Shortening scarf osteotomy was found to decrease joint pain by decompressing the pressure of the first metatarsophalangeal joint. This osteotomy also helped improve the ROM of the first metatarsophalangeal joint. Shortening scarf osteotomy can be considered one of the effective methods for joint preservation.

개정 건축법및 동시행령해설

이영현,Lee, Yeong-Hyeon 대한건축사협회 1978 建築士 Vol.1978 No.2

Expression and Possible Role of Phospholipase C $\beta1$ and $\gamma1$ in Mouse Oocyte Maturation and Preimplantation Embryo Development

이영현,금동호,심찬섭,서판길,김경진,Lee, Young-Hyun,Geum, Dong-Ho,Shim, Chan-Seob,Suh, Phan-Gil,Kim, Kyung-Jin The Korean Society of Developmental Biology 1998 발생과 생식 Vol.2 No.1

Phospholipase C (PLC)는 다양한 세포주에서 세포내 신호전달에 중요한 역할을 한다고 알려져 있으나, 생쥐 난자성숙 과정과 착성전 배아발생 과정에서 PLC의 역할과 발현은 아직 연구된 바 없다. 본 연구에서는 난자성숙과 착상전 배아발생 과정에서 생쥐의 PLC \beta 1과 \gamma 1의 유전자 발현을 조사하기 위하여 한 개의 난자 혹은 배아에서 추출된 total RNA를 사용하여 경쟁적 RT-PCR 방법으로 mRNA를 정량하였다. PLC \gamma 1의 유전자 발현을 조사하기 위하여 한 개의 난자 혹은 배아에서 추출된 total RNA를 사용하여 경쟁적 RT-PCR 방법으로 mRNA를 정량하였다. PLC \gamma 1의 유전자는 전혀 발현하지 않았다. 수정후 PLC \betta 1과 \gamma 1의 유전자 발현은 상실기 배아에서 증가하기 시작하여 포배기 배아에서는 현저히 증가하였다. 난자성숙과 착상전 배아발생 과정에서 protein kinase C(PKC) 신호전달체게에 의한 PLC의 역할을 조사하기 위하여 PKC의 억제제인 sphingosin, PKC의 촉진제인 $diC_{8}$, 그리고 PLC의 억제제인 U73122의 효과를 조사하였다. Spihingosine은 처리후 1시간 이내에 대조군에 비해 20% 정도의 난자성숙을 촉지하였으나 U73122는 유효한 효과를 보이지 않았다. U73122는 상실기 배아의 compaction을 억제하였으나 $diC_{8}$에 의하여 부분적으로 극복되었다. 이상의 결과는 PLC \beta 1과 \gamma 1 유전자가 생쥐의 착상전 발생단계에서 특이젖으로 발현하고 있으며, 난자성숙과 착상전 초기배아에서 PKC-PLC 신호전달체계가 관여하고 있으리라 사료된다. It has been wel known that phospholipase C(PLC) plays an important role in the intracellular signaling in a variety of cell types. However, involvement of PLC in mouse oocyte maturation and preimplantation embryo development remains unknown. The present study examined the expression patterns of the mouse PLC \beta 1 and \gamma 1 during oocyte maturatio and preimplantation embryo development study examined the expression patterns of the mouse PLC \beta 1 and \gamma 1 during oocyte maturation and preimplantation embryo development by the competitive reverse transcription-polymerase chain reaction (RT-PCR method). PLC \gamma 1 mRNA (0.1 fg) was readily detected in germinal vesicle (GV)-stage oocyte and its level was reduced as meiotic resumption proceeded. PLC-\beta 1 mRNA (<0.1 fg) as detected at low level at GV-stage oocytes and scarcely detected at germinal vescle breakdown (GVBD)-stage oocytes. After fertilization, both PLC \beta 1 and \gamma 1 mRNA levels began to increase at morula-stage embryos (0.2 fg) and were more prominent in blastocyst-stage embryos(1 fg). to elucidate the possible involvement of PLC via protein kinase C(PKC) pathway during oocyte maturation and preimplantation embryo development , the effects of sphingosine (PKC inhibitor), sn-$diC_{8}$(PKC activator) anc U73122 (PLC ingibitor) were examined. Treatment of GV-stage oocytes with sphingosine (20 \mu M) facilitated the meiotic resuption by 10-20 over the control within 1 h as judged by GVBD, whereas U73122 failed to show any significant effect. U73122 (10 \mu M) effectively blocked the compaction of morula, while sn-$diC_{8}$(50 \mu M). In summary, the present study shows that the mouse PLC \beta 1 and \gamma 1 are expressed in a developmental stage-specific manner and PLC-PKC pathway may be involved in early preimplantation embryo development.

레일건 가속특성 분석

이영현,김성호,이병하,Lee, Young-Hyun,Kim, Seong-Ho,Lee, Byung-Ha 한국군사과학기술학회 2021 한국군사과학기술학회지 Vol.24 No.5

To accelerate a launch mass with a low level of pressure as possible in a railgun, it is required to hold supplied current nearly constant during launch phase. We obtained the discharging conditions for required current shaping by modeling and analysis of circuit equations coupled to acceleration equation of the launch mass. The acceleration characteristics of the railgun in the conditions were analyzed by comparing experimental and theoretical results.

ICT 소양능력 평가를 위한 WebCAT 시스템의 개발

이영현,정영식,김명렬,Lee, Young-Hyoun,Jung, Young-Sik,Kim, Myeong-Ryeol 한국정보교육학회 2004 정보교육학회논문지 Vol.8 No.2

The Government has established the infrastructure for knowledge and information-oriented society, strengthening the ICT technology education. Although information knowledge ability of learners is prerequisite to educate ICT, but systematic educating courses and time for that are insufficient, and many difficulties have been pointed out. In order to solve such problems, this study developed Web-based computerized adaptive testing system using the item response theory. This system enables the learners to evaluate their own ICT knowledge abilities in their school or home by using familiar web interface and to perform supplementary or deepening study according to the results, and consequently, smooth education of ICT application will be achieved. In addition, this system will be a very effective method for the elementary/middle/high-school ICT knowledge ability certification system.

두 개의 항적 센서를 이용한 수상 항적 탐색 방법

이영현,구본화,정석문,홍우영,고한석,Lee, Young-Hyun,Ku, Bon-Hwa,Chung, Suk-Moon,Hong, Woo-Young,Ko, Han-Seok 한국음향학회 2010 韓國音響學會誌 Vol.29 No.3

This paper proposes a robust detection method for ship wake search using two wake sensors. A long trailing wake in the rear of a surface ship is generated along the track of surface ships. In this paper, we assume that the nearer the surface ship, the stronger wake strength is and a two-sensor based wake homing torpedo can sense for the wake strength. On this assumption we propose a simple wake detection and search method using information of wake strength. Experimental results using monte-carlo simulation demonstrate that the proposed method yields better performance in search time than previous method, which uses a single sensor. Our method is shown faster by about 45 seconds than previous method to achieve the same performance. Also, it can improve the detection performance of torpedo in the case of short wake length. 본 논문에서는 두 개의 항적 센서를 이용한 수상함 항적 탐색 방법을 제안한다. 수상함의 항적은 수상함 후면의 수면 위에 그 이동 자취에 따라 생성된다. 본 논문에서는 항적 반향 강도가 수상함에 가까울수록 강하며 항적 탐지 센서는 항적 반향 강도를 탐지할 수 있다는 가정 아래, 항적 반향 강도를 이용한 효과적인 항적 탐색 방법을 제안하였다. 제안한 탐색 방법의 성능 평가를 위해 몬테카를로 시뮬레이션을 적용하였으며, 실험 결과 제안한 탐색 방법이 기존의 단일 항적 센서를 이용한 탐색 방법에 비해 평균 탐색 시간 측면에서 약 45초 정도의 성능 향상을 나타내었다. 또한, 항적 길이가 짧은 경우에 본 논문에서 제안한 탐색 방법이 기존의 방법에 비해 효율적임을 알 수 있었다.

전방 십자인대 파열과 동반된 반월상 연골 파열 양상 - 파열부위 및 형태의 분석 -

이영현,남일현,문기혁,윤호현,김재철,안길영,Lee, Yeong-Hyun,Nam, Il-Hyun,Moon, Gi-Hyuk,Yun, Ho-Hyun,Kim, Jae-Cheol,Ahn, Gil-Yeong 대한정형외과스포츠의학회 2007 대한정형외과스포츠의학회지 Vol.6 No.1

목적: 전방 십자 인대 파열 시 동반되는 반월상 연골 파열에서 반월상 연골의 파열 부위 및 파열 형태 등을 분석하여 반월상 연골 파열이 봉합 가능한 부위인지를 예측하고 준비하고자 함이다. 대상 및 방법: 전방 십자 인대 파열로 전방 십자 인대 재건술을 시행 받은 환자 78예를 대상으로 하였다. 파열의 기준은 수상일로부터 12개월 이내에 수술한 경우로 하였으며 반월상 연골 파열 부위 및 형태를 술 전 시행한 자기 공명 영상 소견 및 전방 십자 인대 재건술시 시행한 관절경 소견을 종합하여 분류 하였다. 결과: 전방 십자 인대 파열이 있은 78예 중 50예 (64%)에서 반월상 연골 파열이 동반되었으며 외측 반월상 연골파열이 32예, 내측 반월상 연골 파열이 24예 이었고, 그 중 6예 에서는 양측 반월상 연골 파열이 동시에 있었다. 파열의 형태는 종주 파열이 30예 (53%)로 가장 많았고, 파열의 부위는 방사상 구역(radial zone)에 의하면 후각부 파열이 35예 (62%)이었고 환상 구역 (circumferential zone)에 의하면 red-red 구역이 22예 (39%)로 가장 많았다. 결론: 전방 십자 인대 파열과 동반된 반월상 연골 파열이 있는 경우 반월상 연골의 종주 파열이 가장 많았으며 이 들은 주로 관절경적 반월상 연골 봉합술로 치유될 가능성이 있는 부위의 파열이었다. Purpose: We analyzed the location and type of meniscus tear associated with ACL rupture in order to estimate and prepare whether the meniscus tear is in a repairable location. Materials and Methods: We reviewed 78 cases who had ACL reconstructive surgery due to ACL rupture. We set the period of acute injury on the basis of under 12 months after trauma. The location and type of meniscus tear was analyzed in accordance with MRI findings and arthroscopic findings. Results: The 50 cases of meniscus tear were detected out of the 78 ACL rupture;32 cases were lateral meniscus tears, 24 were medial meniscus tears and 6 cases were both menisci tears. From a total of 56 meniscus tears, 30 cases were longitudinal tears, 22 cases were red-red zone tears and 35 cases(62%) were posterior horn tears. Conclusion: The most common type of meniscus tear associated with ACL rupture war longitudinal tear at the red-red zone or meniscosynovial junction. Majority of the tears located at that place can be healed with conservative treatment, arthroscopic meniscus suture.

응급의료체계 개선 방안 - 선진국 응급의료체계 연구를 통하여 -

이영현,Lee, Young-Hyun 한국응급구조학회 2003 한국응급구조학회지 Vol.7 No.1

The purpose of this study was to improve EMS-System in Korea through the research in EMS-System of advanced country. The response time is defined as the interval from the time of call receipt to the time of scene arrival. The important factor was to shorten moving distance of ambulance. It should be considered to accomplish this factor that the vehicle must be increased and the convenient location chosen for optimizing of service area. The transport of emergency patients carried out almost by 119 Emergency Medical Service but out of all the employees at 119 EMS only 11.3% have own qualified EMT degree. They should be employed more and more specially at 119 EMS for a superior level of emergency medical care for civilian. In America, EMT can take care of emergency patients following the order from medical Director at the scene of accident. But in Germany, prehospital care was emphasized from the beginning and, in those days, a medical doctor was sent for treatment of emergency patients at the scene, the so-called a Rendezvous system. Hierby this study makes the suggestion to improve the EMS-System, it is effective to use the medical Director system in America and furthermore a Rendezvous system in Germany. The functional integratin and unification of the report system as well as enough personal and equipmental elements saved together invaluable lives.