현암 김종희 회장의 생애와 경영이념 연구

김성수(Sung Soo Kim) 한국경영사학회 2009 經營史學 Vol.52 No.-

이 논문은 한국 화약산업의 개척자 한화그룹의 창업주 현암 김종희 회장의 생애와 경영활동 연구를 통한 경영이념 및 신 기업가정신(New Entrepreneurship)을 발굴하는 데 목적을 두었다. 현암 김종희 회장은 1922년 11월에 출생하여 1981년 7월(59세)에 영면 하였다. 비교적 짧은 생을 살았지만, 현암 김종희 회장은 1952년 30세 때에 화약산업의 불모지인 한국에서 한국화약㈜을 창업하였다. 그는 ‘다이너마이트’ 생산의 성공으로 혁신적인 화약류 국산화의 꿈을 실현한 훌륭한 기업가이다. 그는 한화그룹의 창업주로서 화약, 석유화학, 기계, 호텔, 건설, 무역 등 생전에 17개의 대기업집단을 이룬 창업 CEO이다. 그는 신의와 혁신, 도전과 개척 정신 그리고 변혁적 리더십 소유의 기업가로, 한국의 화약산업 개척자로서 화약산업사의 역사적 인물로 부각되며, 우리나라 화약산업의 기업 가사 연구의 중요한 경영사학적 사례를 제공한 기업인으로 평가된다. 그는 생애 경영활동을 통하여 사업보국 이념을 중심으로 ‘신용과 의리 그리고 봉사’로서 인류사회에 공헌하고자 하는 경영이념을 실현한 기업가이다. 특히 사업보국을 이념으로 발굴된 그의 신 기업가정신은 이 연구에 큰 의미를 준다. 즉, (1) 신의정신, (2) 도전과 개척정신, (3) 책임정신, (4) 근검절약정신, (5) 합리주의 정신, (6) 창의와 혁신정신, (7) 인재육성정신 등 7개의 기업가정신으로 나타나고 있다. 그리고 그의 혁신적 기업인 상은 (1) 인간성 중시의 변혁적 리더십을 소유한 기업인으로 대표되며, (2) 정도경 영을 실천한 기업인 (3) 경영이념(사업보국주의)을 통한 생산성 향상 정신을 실천한 기업인, (4) 혁신경영과 기술개발 노력을 실천한 기업인, (5) 위기극복과 문제점 해결능력을 갖춘 기업인 등으로 평가된다. 특히 (6) 국익증대의 선봉에 선 민간 외교관, (7) 스포츠 강국을 꽃피운 체육계의 거목이라는 경영인 상을 가진 기업가로도 높이 평가된다. The purpose of this study is to explore the chairman Chong-Hee Kim’s life and Managerial ideology, founder of Hanwha group. This research was to Highlight the entrepreneurship of chairman Chong-Hee Kim of Korea explosive founded (currently Hanwha Corp. Explosive Division), who carries the management principle which focuses on the devotion to business patriotism of social responsibility by providing best products and services with talent and technology. Also it aimed to revisit the life and the management principle of chairman Chong-Hee Kim who, with the business patriotism of righteousness and sense of mission, tried to found korea’s first gunpowder corporation. This research was mainly divided into two parts:literature-history research method and managerial history research method, and it analyzed the managerial accomplishment chronically according to the literature history documents, and managerial history method. This study took 12 months in which the document collecting process, writing process, and 6 party joint research processes were completed. The content of the research divided and categorized chairman Chong-Hee Kim’s life and managerial principle in the following order:(1) Social back ground at time of his birth (2) Elementary, middle and high school education in his teenage period (3) Business career begins (age 20-30) in his adolescent (4) 30s (age 31-40):president inauguration of the korea explosive founded, (currently Hanwha corp.explosive division), and his management his managerial growth process in his early adult life, in case, oct, 1952 korea explosive founded (gunpowder corp), oct, 1955 Incheon explosive plant acquired, jan,1959 all domestics industrial explosive suppled by korea explosives (5) 40s (age 41-50):his managerial revolution process in his middle the prime of the life, in case, Jan, 1964 Shinhan bearing industrial acquired, Nov, 1969 Kyungin energy established (6) 50s (age 51-59):genius management and establishment of the leading corporation in the Korean defense industrial and diversified management in his latter the prime of the life. In case, dec,1972, Hankook plastics industrial established, sept, 1974, union polymer established (currently Hanwha polydreamer), may 1975, Cheon-an Bukil foundation established, may 1976, sundo securities acquired (currently Hanwha securities). Next, the entrepreneurship through chairman Chong-Hee Kim’s managerial creed and ideology was examined. The 7 elements of Chong-Hee Kim’s new entrepreneurship of business patriotism that were examined are as follows : (1) Spirit of faithfulness (2) Spirit of challenge and pioneer (3) Responsibility for the fulfillment of obligation (4) Spirit of diligence and frugality (5) Spirit of rationalism for management (6) Spirit of creative and Innovation (7) Spirit of corporative social responsibility and service to society His entrepreneurship is based on the transformational leadership of rich humanity and management of righteousness, he is pioneer of schumpeter’s (J.A), and the creative entrepreneur who seeks for Innovation. The management philosophy of Hanwha (chong-hee, kim) is embedded in the Hanwha TRI circle ; the three circles Represent Trust, Respect and Innovation, respectively. They are the three pillars of how it’s conduct our business. Vision of Hanwha (chong-hee, kim) is just as committed being trustworthy, respected and Innovative as a responsible member of society as the Hanwha be to becoming dynamic global enterprise. As symbolized in the Hanwha TRI Circle, Trust, Respect and Innovation are core value as its interact with customer, serve our community and improve the everyday lives of people in general.

서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1997)

김재홍,문득곤,김정수,김용준,임동진,박상훈,김희성,이민수,송기훈,김갑형,김형석,성소영,이인섭,김석우,황지환,조창근,김경문,부태성 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.3

Background : In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. Objective & Methods : For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results : In 1997. 99 strains of N. gonorrhoeae were isolated, among which 45(45.5%) were PPNG. Conclusion : The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 45.5% in 1997.

김재철 회장의 생애와 기업가정신 연구

김성수(Sung soo Kim) 한국경영사학회 2009 經營史學 Vol.50 No.-

이 논문의 목적은 “성실한 기업활동으로 사회정의 실현”과 “도전과 정도경영”에 바탕을 둔 동원그룹의 창업자 김재철 회장의 생애와 경영활동을 통한 기업가 정신(Entrepreneurship)을 발굴하는 데 있다. 김재철 회장은 1969년 34세때 동원산업(주)를 창업한 현재(2009년 4월)까지 40여년간 한국수산업계를 선도해온 창업자이면서 전문경영자(CEO)이며, 식품산업으로 시작하여 1차산업에서 2차산업으로 그리고 3차산업의 금융 및 서비스산업까지 사업다각화로 동원그룹을 세계적(Global)기업으로 발전시킨 창조적, 혁신주의 기업가이다. 이러한 동원그룹의 김재철 회장의 연구는 다음과 같은 네 가지의 중요성을 가지고 있다. 첫째, 동원그룹 창업자 김재철 회장의 생애와 경영이념을 고찰하여, 동원창업자의 Entrepreneurship을 발굴하여, 한국기업가사 연구의 체계적 정립을 마련하는 데 있다. 둘째, 동원 김재철 회장은 슘페터(J. A, Schumpeter)가 지적한 혁신적(Innovation) 경영활동을 적용해서 “동원경영학”의 정립을 체계화시키는 데 노력하고 있다는 점이다. 셋째, 대표적 수산업의 CEO 김재철 회장 경영활동을 통하여 “동원수산경영”의 발전과정을 경영사학계에 보급시키고자 하는 기초자료 제공에 있다. 넷째는 앞으로 해양수산업의 관리자 및 CEO가 되고자하는 청소년 및 대학생들에게 기업가 정신(Entrepreneurship)의 중요성을 인식케 하는 기초자료를 제공하는 데 있다. 본 논문은 경영사연구방법론을 채택하였다. 경영사의 개척자인 미국하버드 경영대학원(Harvard University, Graduate School of Business Administration=HBS) 경영사 교수인 그라스(Norman Scott Brien gras)와 챈들러(Alfred, D. Chandler)박사 등이 개발하고 활용하여 전 세계 학계에 보급한 ‘경영사연구방법론’을 도입하여 활용하였다. 이에 따라 동원의 김재철 회장이 추구하는 가치와 정신은 고객/주주 제일주의, 1등주의, 현금흐름주의 등이며, 21세기 그의 정신은 (1) 창조정신, (2) 열성정신, (3) 도전정신 등 ‘Candoism’으로 요약된다. 또한 그의 기본사상은 (1) from the basic(기본의 철저한 준수) (2) fact finding(현장주의 업무수행 자세) (3) global standard(국제수준의 업무품질) 등으로 나타났다. 그리고 성실한 기업 활동으로 사회정의 실현을 선도하는 가치는 (1)생활문화의 New Leader로서 위상을 향상시키는 사업가치 (2) 고객을 존중하고 만족시키며, 동원그룹을 창조기업으로 승화시키는 고객가치 (3) 1등주의 인재육성과 성과조직을 인적자원관리의 최우선으로 하는 인재가치 등을 확인할 수 있었다. This study was to highlight the entrepreneurship of chairman Jae-Chul Kim the founder of Dongwon Industries Co., Ltd, who carries the management principle which focuses on the devotion to under the realization of social justice, the function of the enterprise will be done in honesty and loyalty. Dongwon creates fresh and new experiences into the customers’ lives. it will be the prime company that leads the lifestyle culture in the 21st century. Also it aimed to revisit the life and the management principle of chairman Jae-Chul Kim who, with the new management, tried to found world’s first human corporation social responsibility. This study was mainly divided into two parts:literature-history research method and managerial history research method, and it analyzed the managerial accomplishment chronically according to the literature history documents, and managerial history method. this research took 8 months in which the document collecting process, writing process, and 7 party joint research processes were complete. The content of the research divided and categorized chairman Jae-Chul Kim’s life stages and managerial principles in the following order:(1) social back ground at the time of his birth (2) elementary, middle and high school education in his teenage period (3) university and establishment of oneself in life, one’s youth period is the time of adventure and daring (4) president inauguration and the foundation of the Dongwon Industries Co., Ltd and his management and his managerial growth process in his early adult life, (5) genius management and new experience creator-Dongwon group of the leading enterprise in the world in his latter adult life Next, the entrepreneurship through chairman Jae-Chul Kim’s managerial principle was examined. The 10 element of Jae-Chul Kim’s new the Entrepreneurship that were examined are as follows : (1) Spirit of a Sincerity and Credit (2) spirit of creativity and Innovation (3) spirit of earnestness (4) spirit of challenge and cultivation(development). (5) spirit of customer satisfaction (6) spirit of human respect (7) spirit of Justice (right) management (8) spirit of responsibility and autonomous(self-control) (9) spirit of stage management or artistic management (10) spirit of corporate social responsibilities. Dongwon corporation’s chairman Jae-Chul Kim carries the entrepreneurship principles such as (1) management that gives happiness to the customers (2) management that respects people (3) management that creates new value (4) living up to the fundamental principle (5) applying significance to even a small matter (6) challenging any new tasks, etc. His entrepreneurship is based on the righteous managerial spirit, known as “I need to be the challenge and innovation”, which aims to reflect the past and analyze today’s critical situation. especially his righteous managerial spirit is leading the Dongwon Group as the global corporation through Business ethics, humanity, innovation, etc. therefore, he is pioneer of Schumpeter’s(J.A), and the creative entrepreneur who seeks for innovation. He is reviewed as one of the greatest 21st century manager who carries these 6 characteristics:(1) artistic mind of stage management (2) positive mind (3) emphasis on self-changing (4) faith and trust (5) keeping endurance and rule (6) having courage not to be afraid of failure (7) emphasis on social contribution.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

연작업자들에서 혈중 및 골중 연량과 조혈기능 지표 사이의 관련성에 ALAD 다형질성이 미치는 영향

김화성,이성수,김용배,황보영,리갑수,안규동,장봉기,이병국 大韓産業醫學會 2001 대한직업환경의학회지 Vol.13 No.1

목 적 : 혈중 연량 및 골중 연량과 조혈기능의 생화학적 지표사이의 관련성에 f-aminolevinicacid dehydratase 효소의 유전형질의 다형질성이 어떠한 영향을 주는지를 알아보고자 연작업자 450명을 연폭로군으로 연폭로가 없는 85명을 대조군으로 선정하였다. 방 법 : 조혈기능의 생화학적 지표로는 혈중ZPP, 요중 ALA, 혈색소 및 혈구용적치를 택하였고, 이들 상호관계에 영향을 줄 수 있는 교란변수로서 성, 연령, BMI, 흡연습관, 음주습관 및 연작업자들의 경우 연폭로 기간을 조사하였다. 결 과 : 동형유전형질인 ALADI을 가진 연작업자들은 407명으로 전체의 90.4 %이었으며, 대조군에서도 77명으로 전체의 90.6 %로서 양군간에 차이가 없었다.동형 유전형질을 가진 연작업자들보다 이형 유전형질을 가진 연작업자들의 골중 연량과 혈중 ZPP의 평균값이 적었으나 통계적으로 유의하지 않았고 나머지 연구변수들의 평균도 유전형질의 구분에 따른차이는 없었다. 성, 직력, BMI, 흡연여부, 음주여부 등의 흔란변수를 통제한 후 혈중 연량 및 골중 연량과 ALAD유전형질이 혈색소에 미치는 영향을 구한 바 혈중 연량과 골중 연량만이 혈색소에 유의한 영향을 주었을뿐 ALAD 유전형질은 유의한 영향이 없었다. 반면에 혈구용적치의 경우에는 혈중 연량과 골중 연량 그리고 유전형질 모두가 유의한 영향을 주지 못했다.요중 ALA를 종속변수로 하고 관련 혼란변수를 통제한 후 혈중 연량과 ALAD 유전형질 그리고 양자의 교호작용을 독립변수로 한 회귀분석들에서 혈중 연량 및 골중 연량과 ALAD 유전형질 모두가 주효과(main effect) 및 교호작용(effect modifies-tion)이 유의하석 이형 ALAD 유전형질을 가진 연작업자들의 ALAU가 동형의 유전형질을 가진 연작업자들보다 상대적으로 낮은 값을 나타냈다.혈중 ZPP를 종속변수로 하고 관련 혼란변수를 통제한 후 혈중 연량과 ALAD 유전형질 그리고 양자의 교호작용을 독립변수로 한 회귀분석들에서 혈중연량 및 골중 연량과 ALAD 유전형질 모두가 음의주효과(maln effect)가 나타나서 이형 유전형질의 연작업자들의 혈중 ZPP가 동형 유전형질의 연작업자보다 상대적으로 적은 값을 나타냈으나 교호작용(effect modification)은 없었다. 결 론 : 상기 결과로 미루어 ALAD 유전형질은 혈색소에는 유의한 영향을 주지 못했으나 ALAU 및 혈중 ZPP에는 유의한 영향을 주어 동형의 유전형질인 연작업자보다 이형의 유전형질 연작업자들이 상대적으로 낮은 ALAU와 혈중 ZPP값을 보여주어이형유전형질이 연에 보호효과가 있다는 가설을 돼받침하였다 Objectives : To evaluate the effect of ALAD polymorphism on the relationship of blood and bone lead with hematologic biomarkers in lead exposed workers, 450 lead exposed workers and 85 non-lead exposed workers were selected. Methods : Blood lead and tibia bone lead were selected as parameters of lead exposure and blood ZPP, urinary ALA (ALAU) , hemoglobin (Hb) and hematocrit (Hct) were chosen as parameters of hematologic effect of lead exposure. Genotype of each subject was assayed and expressed as ALADI and ALAD2. Demographic information such as sex, age and personal habit of smoking and drinking were collected. Job duration of lead exposed workers was also obtained. Results : The overall prevalence of the variant allele, ALAD2 in lead exposed workers was 9.6 %(43 out of 450 lead workers) which was not differed from control workers (9.4 % : 8 out of 85) . The means of tibial lead and blond ZPP in lead workers with ALAD2 were lower than those of lead workers with ALAD1, but the differences were not statistically significant. After adjusting for possible confounders (sex, job duration, BMI, drinking and smoking status) only blood lead and bone lead contributed negatively to the level of hemoglobin with statistical significance without any contribution of ALAD genotype. On the other hand, no significant effect of blood lead, bone lead and ALAD genotype were observed on the level of hematocrit after controlling possible confounder. ALAD genotype in the multiple regression analysis of blood lead fed bone lead with log transformed urinary ALA (LogALAU) after adjusting for possible confounders showed significant main and interaction effect on LogALAU simultaneously, which resulted lower LogALAU in lead exposed workers of ALAD2 than ALAD1. It was also observed only main effect of ALAD gene type on blood ZPP after adjusting possible confounder resulting lower ZPP in lead workers of ALAD2 than ALAD1. Conclusions : With above results, it was found that ALAD polymorphism did not affect on the level of hemoglobin and hematocrit, but ALAD polymorphism made significant effect on the association of blood and bone lead with urinary ALA and blood ZPP. The lower urinary ALA and blood ZPP in ALAD2 lead workers suggested that ALAD2 genotype may be supportive for the protective effect of lead.

Development of a noninvasive KIM-1-based live-imaging technique in the context of a drug-induced kidney-injury mouse model

Tae-Jun Kwon,Da-Sol Lee,Md. Enamul Haque,Rang-Woon Park,Byungheon Lee,Dongkyu Kim,Yong-Hyun Jeon,Kil-Soo Kim,Sang Kyoon Kim 한국실험동물학회 2021 한국실험동물학회 학술발표대회 논문집 Vol.2021 No.7

The development of reliable methods to diagnose acute kidney injury is essential to allow the adoption of early therapeutic interventions and evaluate their effectiveness. Based on the fact that kidney injury molecule-1 (KIM-1) expression levels in kidneys are markedly upregulated early after a damage event, here we developed a noninvasive KIM- 1-based molecular imaging technique to detect kidney injury. First, we took advantage of a phage-display platform to select small peptides demonstrating a specific high binding affinity to KIM-1. The promising candidate was conjugated with fluorescent probes, and its imaging potential was validated in vitro and in vivo. This peptide, with the sequence CNRRRA, not only showed a high imaging potential in vitro, allowing a strong detection of KIM-1 expressing cells by microscopy and flow cytometry but also generated a strong kidney-specific signal in live-imaging in vivo experiments in the context of a drug-induced kidney-injury mouse model. Our data overall suggest that the CNRRRA peptide is a promising probe to use in the context of in vivo imaging for the detection of KIM-1 overexpression in damaged kidneys.

장기간의 에어로빅스 운동이 골형성 및 각종 호르몬과의 상관관계

김종인,김은희,김주혁,김수진,김도형,장성동 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.3

Selected girl mid㎗e school of 14- and 15- years-old who got 35% body fat rate and are obese, and have them aerobics exercise for 20 weeks, the conclusion on the matter of change between Osteoporosis and Hormones showed. The contents of Calcium has significant difference(p<.05) between 9.38±0.34㎎/㎗ pre-exercise and 9.34±0.29㎎/㎗ post-exercise, and the contents of Glucose has significant difference (p<.05) between 78.0±5.38㎎/㎗ pre-exercise and 81.3±5.91㎎/㎗ post-exercise. parathyroid hormone (PTH) is shown as 11.2±3.06pg/㎖ at pre-exercise arid 13.8± 4.41pg/㎖ at post-exercise, hyperparathyroidism and osteoporosis (Osteocalcin) is shown as 6.04±3.56ng/㎖ at pre-exercise and 5.29±4.92ng/㎖ at post exercise, there is no significant difference. Deoxypyridinoline is shown as like 8.18±2.43nM/mMcre pre-exercise arid 9.97±2.76nM/mMcre post-exercise, Alkaline phosphatase (ALP), which has an effect on the born disease, is shown 229.7±61.66[U/㎖ pre-exercise and 224.3±8.27 [U/㎖ post-exercise, there is significant difference(p<.0l). There is significant difference (p<.05) between Growth Hormone and Parathyroid hormone(PTH) which is bone absorption hormone, the Osteocalcin which is the mark of born-formation, there is no significant difference among the index of born formation mark, lipid, and hormones.

사용종료매립지 환경현황 및 사후관리대책

김은호,박진식,김정권,안종수,성낙창,김수생,박출재 동아대학교 환경문제연구소 1996 硏究報告 Vol.19 No.1

In this study, we can be obtained the following conclusions about the present environmental conditons and the post management of the expired landfill. 1. The component ration in paper, vinyl·plastic and leather·rubber of combustible amounts to much more than others. In the future, decompositions will be delayed considerably, due to these. 2. Except heavy metals in leachate, each of analysis value change considerably, but are equal to the component of general leachate. 3. The soils of lower part in landfill do not differ greatly from surrouding soils. soil pollutions with heavy metals in general domestic waste proved to be concerned greatly. 4. All of landfill facilites are poor in enviromental, and the post management is rearly controlled, so the proper countmeasure preparation is urgent.

제한된 적응증의 대퇴골 간부 골절에 사용된 역행적 골수정 삽입술

김성중,오창욱,인주철,김희수,전인호,경희수,박일형,김경훈 대한골절학회 2003 대한골절학회지 Vol.16 No.1

목 적 : 전향적 골수강내 고정술로는 치료가 힘들었던 대퇴골 간부 골절에 대해 역행적 골수강내 고정술을 시행한 후 그 결과를 분석하였다. 연구 대상 및 방법 : 대퇴골 간부 골절로 진단 후 슬관절에서 역행적으로 비확공성 골수강내 금속정(Unreamed femoral nail, Synthes R)으로 치료한 환자 중 최소 1년 이상 추시(평균; 21개월, 범위; 13개월-28개월)가 가능하였던 21명 24례의 환자를 대상으로 임상적, 방사선학적 평가를 시행하였다. 남자가 16명, 여자가 5명이었으며, 수술시 평균 연령은 41세(18-76세)이었다. Winquist-Hansen의 분류상 제1형이 10례, 제2형이 5례, 제3형이 3례, 제4행이 6례 이었으며, 전 례에서 동반된 골절 손상이 있었으며, 적용된 적응층에 따르면 동측 경골 골절이 8명, 동측 근위 대퇴골 골절)경부 및 전자부 골절) 5명, 동측 골반부 및 비구 골절 4명, 양측 대퇴골 골절 3명, 동측 슬관절 손상이 1명이었다. 방사선 소견상 골유합 시기 및 불유합, 부정유합 등을 평가하였고, 임상적 평가는 슬관절의 동통을 포함한 Neer 등에 의한 방법을 이용하였다. 결 과 : 대부분(87.5%)에서 일차적인 골유합을 얻을 수 있었으며, 평균 골유합 기간은 15.8주(범위; 12-20주)이었다. 추가적인 술식이 요구된 지연유합 또는 불유합은 3례가 있었으며, 그 외 ㎝ 이상의 단축이나 10도 이상의 부정유합 술 후 슬관절 감염 또는 불안정성이 발생한 경우는 없었다. 슬관절의 운동 평가에서 Neer score는 평균 86.9점으로, 모든 례에서 양호한 결과를 나타내었다. 평균 슬관절 운동영역은 120.2도 이었고, 3례에서 경미한 슬관절 동통을 나타냈다. 결 론 : 역행성 골수정은 동측 하지의 동반된 골절이나 다발성 골절이 있는 환자에서 대퇴골 간부 골절에 대하여 제한적으로 이용될 수 있는 유용한 방법으로 사료된다. Purpose : This is a retrospective study to analyze the results after retrograde intramedullary(IM) nailing in femoral shaft fractures with limited indications. Materials and Methods : Twenty-four femoral shaft fractures(21 patients) were operated with unreamed IM nail(Unreamed femoral nail, SynthesR) in a retrograde method and were followed for more than 1 years. There were 16 men and 5 women, and the mean age at index operation was 41 years (range 18-76 years). In Winquist-Hansen classifications, there were 10 of type Ⅰ, five of type Ⅱ, three of type Ⅲ, and ix of type Ⅳ. All the patients had associated fractures or injuries, and there were eight ipsilateral tibia fractures, five ipsilateral proximal femoral fractures(including neck and trochanter), four ipsilateral pelvic or acetabular fracture, three bilateral femoral fractures, and one ipsilateral knee injury according to the used indication, and clinical evaluation with Neer's criteria was done. Results : Most fracture(87.5%) were primarily united cases, and the mean time for union was 15.8% weeks(range 12-20 weeks). Three cases of delayed union or nonunion were developed, but a shortening over 1㎝ or malunion over 10 degrees angular deformity were not found. Evaluating the knee functions, the Neer score wes 86.9 in average and all the cases were above satisfactory grade. The average range of knee motion was 120.2 degrees, and the mild knee pain was developed in three cases. Conclusion : The retrograde IM nailing can be a useful option for femoral shaft fracture with limited indications, including ipsilateral fractures of other areas or multiple fractures.