상완골 경부 전위골절의 핀고정 치험례 : 경피 핀고정 3례, 제한된 절개의 관혈적 정복 및 핀고정 4례 보고 3 Cases of percutaneous pinning, 4 cases of open reduction through a limited incision and pin fixation

박원종,손종민,공준택,장주해 대한골절학회 1992 대한골절학회지 Vol.5 No.1

Most fractures of the proximal humerus respond satisfactorily to conservative treatment, however operative treatment is indcated in certain types of displaced surgical neck fracture. Three displaced fractures of humerus surgical neck (Neer Group lIl) were treated with closed reduction and percutaneous pinning, and 4 cases were treated with open reduction and pinning from October 1987 to October 1990 at the Our Lady of Mercy Bospital, Catholir. University Medical College. The results were as follows: 1. Six out of 7 patients were male, and the average age of the patients was 30 years (from 8 to 58 years). Causes of fracture were falling down (4 cases) and motor vehicle accident (3 cases). 2. After closed (3 patients) or open reduction through a limited incision (4 patients), multiple K-wires or Steinmann pins (average 3 in number) were msertecl to enable early mobilization by providing stability at tracture site. 3. Open reduction was performed for the cases in which closed reduction was failed because of interposition of the periosteal sleeve or the long head of Biceps brachii muscle. 4. Range of motion exercise was started from 3 to 4 weeks after the operation. The shoulder motion was regained full in all patients except one who had a slight limitation of abduction. There was one case of K-wire loosening with pin tract infection. 5. Excellent result was obtained in 5 cases and satisfactory in 2 cases by Neer's numerical

추출 방법을 달리한 친환경 구기자 젤리의 물리적 관능적 평가

박원종,김태수,문은영,박소이,나준영,김지혜,정지혜,이진영,강명화 동아시아식생활학회 2010 동아시아식생활학회 학술발표대회논문집 Vol.2010 No.11

근위 대퇴골의 단발성 섬유성 골 이형성증의 수술적 치료

박원종(Won Jong Bahk),정양국(Yang Guk Chung),손종민(Jong Min Sohn),이승구(Seung Koo Rhee),옥인영(In Young Ok),이안희(An Hee Lee),강용구(Yong Koo Kang) 대한정형외과학회 2001 대한정형외과학회지 Vol.36 No.2

낭종성 섬유성 이형성증

박원종,이승구,강용구,이안희,박정미,정양국,최광천,Bahk, Won-Jong,Rhee, Seung-Koo,Kang, Yong-Koo,Lee, An-Hi,Park, Jeong-Mi,Chung, Yang-Guk,Choi, Kwang-Cheon 대한근골격종양학회 2007 대한골관절종양학회지 Vol.13 No.1

목적: 장골에서는 드물게 보고되어 있는 낭종성 섬유성 이형성증(cystic fibrous dysplasia)의 임상적, 방사선학적, 병리학적 소견과 더불어 단순 소파술과 골이식술의 결과를 기술하고자 한다. 대상 및 방법: 1996년 1월부터 2003년 3월까지 가톨릭 의과대학 3개 부속병원에서 섬유성 이형성증으로 치료받은 98명의 환자 중 커다란 낭종성 변화를 동반한 11명을 대상으로 하였다. 전례에서 단순 골소파술, 동종골 이식술 및 내고정술을 시행하였다. 6명은 남자였고, 5명은 여자였으며, 환자의 나이는 20세에서 46세로, 평균 36.7세였다. 결과: 6명은 수개월 이상 통증을 호소했으며, 4명은 사소한 외상 후에 발생한 통증을 호소하였다. 1명에서는 병적 골절이 발생했다. 10명의 환자는 단골성(monostotic) 이었고, 1명의 환자는 다골성(polyostotic) 이었다. 병변의 발생부위는 7예에서 대퇴골, 3예에서 상완골 그리고 1예에서는 요골이었다. 단순방사선 사진 상 간유리 음영과 더불어 보여지는 현저한 용해성 병변을 보였고, 자기공명영상에서는 섬유성 이형성증을 시사하는 신호강도와 낭종을 의미하는 신호강도가 동시에 보였다. 조직학적으로는 전형적인 섬유성 이형성증 소견과 더불어 비 특이적인 낭종성 변성 변화를 보였다. 최종 추시 관찰시 국소재발 없이 모두 만족스러운 결과를 보였다. 결론: 장골의 낭종성 섬유성 이형성증은 지금까지 보고된 것처럼 드물지 않은 것으로 사료된다. 자기공명영상으로 양성 낭종성 변화와 악성 변화를 쉽게 구분할 수 있으나, 비 특이적 낭종성 변성변화와 동맥류성 골낭종을 구분하기 위해 조직검사가 필요하다. 낭종성 섬유성 이형성증은 수술적 치료의 대상이며, 단순 골소파술 및 동종골 이식술은 효과적인 치료로 사료된다. Purpose: We describe clinical, radiographic, MRI and pathologic findings as well as final outcome after simple curettage and bone graft of cystic fibrous dysplasia (FD) in the long bone, which has been rarely documented in the literature. Materials and Methods: Clinical records, radiographs, MRI and histologic slides of 11 patients with cystic FD in the long bone were retrospectively analyzed. Results: Six patients complained pain for several months, 4 patients presented pain after trivial injury event, and 1 patient suffered pathologic fracture. The mode of involvement was monostotic in 10 patients and polyostotic in l patient. The femur was affected in 7 patients, the humerus in 3, and the radius in 1. Radiography showed prominent, expansive lysis associated with ground-glass density of FD. MRI revealed 2 different signals of FD and cyst. Microscopic examination revealed classic findings of FD and non-specific cystic degeneration. The final outcome was satisfactory in every patient. Local recurrence was not observed. Conclusion: Cystic FD in the long bone seems not as rare as the scarcity of reported cases would indicate. MRI features provide a basis for differential diagnosis between benign cystic change and malignant transformation. Cystic FD would be an indication for surgery and simple curettage with allo-chip-bone graft is effective.

포도씨의 기계적 특성 - 항복강도와 극한강도 측정 -

박원종,이승기,김현태,정혜경,강명화 한국산업식품공학회 2002 산업 식품공학 Vol.6 No.4

경북 지역의 연차간 쌀 품질 변이

원종건,이선형,최장수,박상구,안덕종,박소득,손재근,Won Jong Gun,Lee Sun Hyung,Choi Jang Soo,Park Sang Gu,Ahn Duok Jong,Park So Deuk,Son Jae Keun 한국작물학회 2005 Korean journal of crop science Vol.50 No.suppl1

경북지역의 연차, 품종, 이앙시기, 질소 시비량에 있어서 쌀 품질의 변이를 분석하여 고품질 쌀 생산을 위한 최적 기술 투입을 위한 기초 자료로 사용하기 위해 2002년부터 2004년까지 3년간 시험을 실시한 결과는 다음과 같다. 1. 연차 및 지역별 미질 분석에서 식미치와 아밀로즈 함량의 변이계수가 $3.9\~4.3\%$로 낮아 변이가 적었으며, 단백질 함량과 완전미 비율의 변이계수는 $7.9\~12.2\%$로 비교적 높게 나타나 변이가 컸던 것으로 나타났다. 2. 지역별 품종간에 미질 변이에서도 아밀로즈함량과 식미치에서 변이계수가 $2.6\~3.6\%$로 낮았으며, 완전미 비율과 단백질 함량은 $5.4\~7.2\%$로 다소 높았다. 3. 동일 품종에 대한 이앙시기에 따른 쌀의 품질 특성 변이에서는 연차간 및 품종에서와는 달리 단백질 함량의 변이계수가 2.2로 가장 낮았고, 아밀로즈 함량과 완전미 비율에서 $3.1\~3.7$로 다소 낮았지만, 식미치에서는 $5.8\%$로 다소 높아 같은 품종이라도 이앙시기에 따라 식미치의 변화는 큰 것으로 나타났다. 4. 지역간 미질의 변이는 품종 및 이앙기 이동에 따른 변이 보다는 오히려 연차간에 나타나는 변이가 더 크게 나타났으며, 이는 기상의 영향을 많이 받았기 때문인 것으로 사료되었다. 5. 동일 품종에 있어서 질소시비량에 따른 미질관련 형질의 변화와 변이에서는 이화학적 특성 중 아밀로즈 함량은 변이계수가 1.8로 질소질 비료의 영향을 거의 받지 않았던 것으로 나타났고, 질소질 비료를 증시함에 따라 미립내의 단백질 함량은 증가하여 변이계수가 4.4로 그 변이도 컸던 것으로 나타났다. 식미치 또한 단백질 함량과 같은 결과를 보였다. 쌀의 외관상 품위에 있어서는 질소질 비료의 증량에 따라 분상질미의 증가율이 가장 높았다. This study was carried out to improve the rice grain quality of Gyeoungbuk Province from 2002 to 2004. In variation of grain quality characteristics as the cultivation years were changed, the coefficient of variation (CV) of palatability and amylose content were relatively low as $3.9\~4.3\%$ and those of protein content and head rice rate were high as $7.9\~12.2\%$. Among the varieties, the tendency of variation was similar with cultivation years changing, CV of amylose content and palatability also low as $2.6\~3.6\%$ and those of head rice rate and protein content were high as $5.4\~7.2\%$. In variation as affected by shifting of transplanting times, the CV of protein content was low as 2.2, it was also relatively low in amylose content and head rice rate as $3.1\~3.7\%$, but it was high in palatability as $5.8\%$. As the nitrogen application levels were different the CV of amylase content was $1.8\%$ that it was not affected by the N levels. But in case of protein content, the CV was $4.4\%$ that the variation was somewhat increased, it suggested that as the N levels were increased the protein content was also increased. From these results, the rice quality characteristics showed the higher variation in the change of cultivation years than that in rice varieties, transplanting times or nitrogen levels.

구기자의 carotenoid의 추출 및 분리 공정

박원종,박정인,박희용,김기선,복진영 公州大學校 資源科學硏究所 1997 資源科學硏究論文集 Vol.5 No.-

This paper was to isolatate carotenoids from the dried fruit of Gugija(Lycium chinensis M.) with TLC, UV-spectrophotometer in order to find out the chemical characteristics. The results are as follows. Spots of eight were obtained from TLC in the isolated carotenoids and the maximum absorption wavelength was zeaxanthin I showing the same wave as standard zeazanthin. In regard of the effects of pH during storage period of isolated carotenoid the amount of pigment retention was over 50% in pH 3 for 5 days, and still kept stability after 8 days. It could be said that the lower pH degree was the less stability the pigment retention. Carotenoids relatively kept stability against heating and there was found little change in 30℃ and was remained 50% of pigment retention in 90℃. Stabilities was found in both sucrose and glucose, showing a stable pigment retention in sucrose and 50% of retention in glucose for 5 days. The stability of pigment retention was ranked in order of citric acid, lactic acid, succinic acid, showing that citric acid was the most stable among them keeping 50% of pigment retention for 10 days.

연부조직 육종의 수술후 방사선치료

박원종,장주해,강용구,송석환,문명상,김정만,우영균,이승구,김형민,김연실,장지영,윤세철,Bahk, Won-Jong,Chang, Ju-Hai,Kang, Yong-Koo,Song, Seok-Whan,Moon, Myung-Sang,Kim, Jung-Man,Woo, Young-Kyun,Lee, Seung-Koo,Kim, Hyoung-Min,Kim, Yun-Sil,C 대한근골격종양학회 1995 대한골관절종양학회지 Vol.1 No.1

To evaluate the role of radiation and chemotherapy after limb-saving operation in the management of soft tissue sarcoma, the authors analysed retrospectively 33 patients treated in department of Orthoaepdic Surgery and Radiation Therapy, Catholic University Medical College, in terms of survival rate, local recurrence rate and prognostic factors. There were 16 males and 17 females. The age distribution ranged from 16 to 81 years with mean age of 48. The follow-up period ranged from 2 to 10 years with average of 5.5 years. The histologic diagnoses were 9 liposarcoma(27.2%), 8 malignant fibrohistiocytoma(24.2%), 7 unclassifiable(21.2%), 3 rhabdomyosarcoma(9.1%), 2 malignant schwannoma, 2 synovral sarcoma, and 2 fibrosarcoma(6.1%) in orders. While marginal and intralesional margins were gained in 24 patients(72.7%), wide and radical margins were obtained only in 9 patients(27.3%). On postoperative 3 weeks, local irradiation of 5000-7000 cGy was delivered to all patients by shrinking field technique for 5-8 weeks. Of 33 patients, 16(45.5%) patients were received adjuvant chemotherapy in combination of adriamycin, cyclophosphamide & vicristine, or VP16 & ifosfamide based on histologic type and obtained surgical margin. The survival rates by direct method at 2 years and 5 years were 58% and 37% respectively. Local recurrences occured in 15 patients(45.5%) at average 16 months after operation. Survival rates at 2 years and 5 years were 37% and 22% in case of intralesional and manginal excision, 75% and 47% in case of wide and radical excision respectively with statistical significance(p<0.05). They were 25% and 17% in the presence of local recurrence, 67% and 42% in the absence of local recurrence respectively with statistical significance(p<0.05). Even though there was no statistical correlation between survival rate and tumor size(p>0.05), the authors considered tumor size as a significant prognostic factors as well as surgical margin and the presence of local recurrence.

근위 경골 골육종의 종양대치물을 이용한 사지 구제술 후의 기능 평가

박원종,손종민,정양국,강용구,Bahk, Won-Jong,Sohn, Jong-Min,Chung, Yang-Guk,Kang, Yong-Koo 대한근골격종양학회 2001 대한골관절종양학회지 Vol.7 No.4

목적 : 근위 경골 종양의 광범위 절제술에 따른 재건술은 적절한 연부 조직의 피복(cover age), 슬관절 신전 장치(knee extensor apparatus), 특히 슬개건의 견고한 재부착이 어려워 슬관절의 기능적 결과가 만족스럽지 않은 것으로 알려져 있는바, 근위 경골의 골육종으로 광범위 절제 후 종양 대치물 삽입으로 사지 구제술을 시행 받은 환자에서 기능을 평가하고 문제점을 분석하기 위하여 본 연구를 시행하였다. 대상 및 방법 : 1992년 4월부터 1998년 10월까지 경골 근위부의 골육종으로 확진된 후 종양 대치물을 이용한 사지 구제술을 시술 받은 11명을 대상으로 하였다. 남자가 6명, 여자가 5명이었으며, 환자의 나이는 15세에서 65세로 평균 23.7세였다. 추시 기간은 최단 1년에서 최장 4년 6개월로, 평균 2년 5개월이었다. 최종 기능평가는 1993년 국제 사지 보존 회의(International Symposium On Limb Salvage; ISOLS)에서 수정 보완한 방법을 이용하여 동통, 기능(functional activity), 환자의 정서적 만족도(emotional acceptance), 보조기 사용여부(use of external support), 보행 능력(walking ability), 그리고 보행 상태(gait)등 여섯 가지로 나누어 평가하였다. 각각의 요소를 최하 0점에서 최고 5점으로 하고 그 중간을 정도에 따라 1, 2, 3, 4점으로 점수화하여 정상 기능에 대한 백분율(% )로 표시하여 분석하였다. 결과 : 기능 평가 성적은 정상 기능에 대해 최고 86.7%에서 최저 53.3%로 평균 68.3%를 나타냈으며, 세부적으로 보면 동통이 82.5%, 기능이 62.5%, 정서적 만족도가 67.5%, 보조기 사용여부는 77.5%, 보행능력은 62.5%, 보행상태는 57.5%였다. 슬관절의 평균 운동범위는 신전 5도, 굴곡 85도였으며, 5례에서 최소 5도, 최고 15도, 평균 10도의 신전 제한(extension lag)을 보였다. 합병증으로는 2명에서 수술 후 감염 소견을 보였으며 1명은 항생제 치료로 호전되었으나 다른 1명은 종양 구조물 제거 후 관절고정술로 전환이 필요하였다. 결론 : 경골 근위부의 골육종 환자에서 광범위 절제 후 종양 대치물 삽입에 의한 사지구제술의 기능 평가 성적은 감염이 합병되지 않은 경우에는 전반적으로 양호하였으나, 동통 소실, 보조기 사용여부에 비해 슬관절의 부분 강직 및 extension lag로 인해 기능, 정서적 만족도, 보행등에서 덜 만족스러웠다. 임상적으로 더 만족스러운 결과를 얻기 위해 수술 후 대퇴사두근 강화 운동 및 굴곡 운동 등의 적극적인 재활 치료가 필요한 것으로 생각된다. Purpose : Limb salvage for osteosarcoma of proximal tibia is challenging problem due to difficulties in mobilizing or retracting the main neurovascular structure, inadequate soft tissue coverage, and unsolved problem of patellar tendon reattachment to endoprosthesis. The authors analyzed the functional result of limb salvage using tumor prosthesis with medial gastrocnemius rotation plasty for osteosarcama of the proximal tibia. Materials and Methods : Eleven patients with histologically proven osteosarcoma of the proximal tibia, treated with adjuvant and neoadjuvant chemotherapy and limb salvage operation with tumor prosthesis between January 1992 and December 1998 at our Medical Center, were selected. There were 6 male and 5 female. Age ranged from 15 years to 23.7 years with an average of 23.7 years. Follow-up period ranged from 1 year to 4.5 years with an average of 2.5 years. The final functional result was evaluated using the method by ISOLS, 1993. The factors include pain, functional activities, emotional acceptance, use of external supports, walking ability and gait. Each of the factors has been scored from 0 to 5 depending on the appropriate description or data. The rating score is determined by dividing the individual factor scores into the total score and indicates percentage of normal function. Results : The overall functional result ranged from 53,3% to 86.7% with an average of 68.3% of normal function. In details, the averages were 82.5% for pain, 62.5% for functional activities, 67.5% for emotional acceptance, 77.5% for use of external supports, 62.5% for walking ability, and 57.5% for gait. The average range of motion of the knee joint was $5^{\circ}$ extension and $85^{\circ}$ flexion. Five patients have extension lag ranged from $5^{\circ}$ to $15^{\circ}$ with an average of $10^{\circ}$. Two patients suffered postoperative infection. One was treated with antibiotics injection only, but the other needed removal of the prosthesis and knee fusion. Both of them showed unsatisfactory result. C o n c l u s i o n : The overall functional result after limb salvage using tumor prosthesis with medial gastrocnemius rotational flap for osteosarcoma of the proximal tibia was relatively satisfactory in case of no postoperative infection. The patients were less satisfactory in functional activities, emotional acceptance and gait than pain, use of external supports due to limitation of motion and extension lag. More aggressive postoperative physical therapy and protection with brace for 6~9 months as well as surgical technique is mandatory for more satisfactory result.

농업용 콘크리트 구조물용 라텍스개질 보수용 모르타르의 수축 및 내구성능 평가

원종필,이재영,박찬기,박성기,김완영,Won, Jong-Pil,Lee, Jae-Young,Park, Chan-Gi,Park, Seong-Gi,Kim, Wan-Young 한국농공학회 2007 한국농공학회논문집 Vol.49 No.5

This research was to evaluate the shrinkage and durability performance of latex modified repair mortar and to improve the service lift of the agricultural concrete structures. The shrinkage characteristics of the repair material creates the delamination of repair materials and existing concrete. It may reduce the service life of structures. Also the reduction of durability performance of the repair materials induces the destruction of the repaired concrete structures at early stage. In this research, plastic and drying shrinkage, thermal expansion coefficient for shrinkage properties, durability performance, permeability, repeated freezing and thawing, and resistance of chemical solution test were performed. Test results showed that the latex modified repair mortar indicated the shrinkage amount which the delamination does not happen, and the latex modified repair mortar appeared excellent long-term durability performance which can increase the service life.