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      • KCI등재

        유방재건술에서 조직확장기 감염의 위험인자

        한승범,이동원,유대현 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.5

        Purpose: Implant-based breast reconstruction has multiple advantages such as decreased morbidity, shorter operative time and faster recovery. However, postoperative infection with tissue expander increases medical cost and causes a delay in concurrent antineoplastic treatment. To reduce tissue expander infection, it is important to identify related risk factors and minimize them when possible. Methods: A retrospective review of patient records in a single breast cancer center was performed. Eighty-six tissue expanders were placed in 80 women for postmastectomy breast reconstruction. Variables including patients’age, body mass index(BMI), preoperative breast volume, operation time, drain indwelling time, postoperative seroma/hematoma formation, chemotherapy, and radiation therapy were evaluated. Infection was defined as the status that shows any symptom of local inflammation and identification of pathogens. Representative values were compared through Student’s t-test and univariate and multivariate analyses. Results: We examined 86 postmastectomy tissue- expanders which were placed between June 2004 and April 2010. Seven cases of tissue expander infection (8.1%) were identified. The infected tissue expander was removed in three of the cases. The relationship between BMI, and preoperative breast volume and that between infection and non-infection groups were significant(p< 0.05). Univariate analysis showed significant association between BMI(p=0.023) and preoperative breast volume (p=0.037). Multivariate analysis revealed that BMI and preoperative breast volume were independent variables regarding tissue expander infection. Conclusion: Certain characteristics of implant-based breast reconstruction patients increase infection rate of tissue expander. These risk factors should be monitored and evaluated before surgeries for more successful outcome.

      • KCI등재

        넓어진 콧방울의 교정을 위한 Park-Weir 절제술

        한승범,박병윤 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.5

        Purpose: Straight closure line of classic Weir excision leaves visible scars and makes it difficult to precisely approximate resection margins. Hence this study introduces Park-Weir excision that effectively reduces alar width with minimal alar rim scar by 3-dimensional zigzag incision and properly controls the approximation of edges. Methods: From 2008 to 2010, 14 patients underwent Park-Weir excision, crossed wedge excision on alar rim not exceeding 5 mm in width. Each patient was photographed in the same position. Alar width and columellar height against intercanthal distance was compared preoperatively and postoperatively, using image analysis software. Results: Five patients were female and nine were male. Average follow up period was 8 month. Alar width was reduced by 50.50% to 45.96%, original alar width reduced by 8.98% without significant changes in columellar height which was reduced by 0.39%. No visible scar was reported during outpatient follow-up. Conclusion: Park-Weir excision effectively reduces alar width and corrects the flaring of alar without affecting the columellar height. Zigzag incision of Park-Weir excision leaves aesthetically more pleasant scar than straight single incision of classical Weir excision.

      • KCI등재

        스포츠 분야 표준계약서의 문제점 및 개선방안 연구

        한승범,김자영 한국스포츠엔터테인먼트법학회 2023 스포츠와 법 Vol.26 No.3

        스포츠 분야에서의 표준계약서는 프로스포츠 선수와 구단 사이와 직장운동경기부 선수 및 지도자와 해당기관과의 계약을 조정하고 선수들의 권리와 의무를 명확히 하는 중요한 도구이다. 하지만 여전히 이러한 표준계약서는 몇 가지 문제점을 가지고 있어서 선수들의 지위와 권리를 보장하지 못하고, 선수의 자율성과 결정권한을 제한하는 경우가 있다. 따라서 향후 스포츠 분야에 제정되는 표준계약서는 아래와 같은 요소들을 반영하여 보다 효과적인 계약서로 발전되어야 한다. 표준계약서는 공정성 확보, 선수들의 권리 신장, 합의에 따른 자유로운 결정, 신의성실의 원칙 준수, 분쟁 최소화, 자율성과 결정권 부여, 다양한 종목별 특성을 반영한 계약서 제작, 효과적인 보급과 시행 등이 보장되어야 한다. 이러한 원칙과 요소들을 반영하여 새롭게 작성된 선수표준계약서는 계약당사자 사이의 합의를 더욱 강화하고, 선수들의 권리와 지위를 적절하게 보호하며, 양측의 이익을 균형 있게 고려한 계약서가 될 것이다. 이를 통해 계약당사자 간의 긍정적인 관계를 유지하고 스포츠 분야의 지속적인 발전과 성장에 기여할 수 있을 것이다. Sports standard contracts are essential tools in the sports industry to regulate contracts between professional athletes and clubs, clarifying the rights and obligations of the players. However, these standard contracts still have several issues, failing to ensure the status and rights of the players and sometimes limiting their autonomy and decision-making. Therefore, future standard contracts in the sports field should incorporate the following elements to become more effective: Therefore, the standard contract must guarantee fairness, enhancement of players' rights, free decision based on agreement, compliance with the principle of good faith, minimization of disputes, granting of autonomy and decision-making power, creation of contracts that reflect the characteristics of various sports, and effective dissemination and implementation. By incorporating these principles and elements, the newly drafted standard contracts will enhance the consensus between players and clubs, safeguard players' rights and positions, and balance the interests of both parties. This will foster positive relations between players and clubs and contribute to the continuous growth and development of the sports industry.

      • KCI등재

        Biomechanical Properties of a New Anatomical Locking Metal Block Plate for Opening Wedge High Tibial Osteotomy: Uniplane Osteotomy

        한승범,배지훈,이성재,정태곤,김강희,권재호,나경욱 대한슬관절학회 2014 대한슬관절학회지 Vol.26 No.3

        Purpose: The purpose of this study was to evaluate the biomechanical properties of a new anatomical locking metal block plate by comparing the initial biomechanical stability of three different fixation constructs for open wedge high tibial osteotomy (HTO). Materials and Methods: Sawbones composite tibiae were used to make a 10-mm opening osteotomy model with uniplane technique. The osteotomy was secured with three different types of plates: Group I, new osteotomy plate without a metal block (n=5); Group II, new osteotomy plate with a 10- mm metal block (n=5); and Group III, two short metal block plates (n=5). Single load to failure test and staircase load-controlled cyclical failure test were performed. In the single load to failure test, the yield load, maximum failure load, and the displacement of the osteotomy gap were measured. In the staircase cyclical load to failure test, the total number of cycles to failure was recorded. Failure modes were observed during both single and cyclic load tests.Results: Group II showed the highest yield and ultimate loads (1829±319 N, 3493±1250 N) compared to Group I (1512±157 N, 2422±769 N) and Group III (1369±378 N, 2157±210 N, p<0.05). The displacement of the opening gap in Group II (0.34±0.35 mm) was significantly lesser than the other groups (p<0.05). In the staircase cyclical load to failure test, the total number of cycles to failure was 12,860 at 950 N in Group III, 20,280 at 1,140 N in Group I, and 42,816 at 1,330 N in Group II (p<0.05). All the specimens showed complete fracture of the intact lateral sawbones area and slight displacement of the distal fragment of the specimens in the single load to test. None of the specimens showed deformed or broken screws and plates during the single load to test. During the fatigue test with staircase cyclic loading, no fracture of the lateral sawbones area was observed.Conclusions: This study demonstrated that the new anatomical locking metal block plate could provide sufficient primary stability for open wedge HTO. The addition of a metal block to this new plate can increase the stability of the osteotomy compared to the one without a metal block.

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