부정유합된 수지골 경부골절의 수술적 치료

강호정,고용곤,강응식,하중원 대한골절학회 1997 대한골절학회지 Vol.10 No.3

It is generally accepted that malunited phalangeal neck fracture in hands not only limits range of motion but also accelerates the onset of degenerative changes, with increasing pain and stiffness of the affected joint. When displaced or rotated phalangeal neck fracture presents within the first or second weeks, properly performed closed or open reduction with percutaneous pinning or internal fixation is excellent options with predictable results. Malaligned fracture that present later frequently cannot be readily reduced. Once fully united, treatment options have included corrective osteotomy if function is significantly impaired or if appearance is objectionable. We have followed 9 patients, who had operations for malunited phalangeal neck fractures. The average length of follow up was 27 months. The interval between injury and operation ranged from 4 weeks to 6 years, with a mean of 21 months. Sites of operation include thumbs(3 cases), 2nd fingers(1 case), 3rd fingers(2 cases), 4th fingers(2 cases) and 5th finger(1 case). For those cases with less than 8 weeks elapsed since the injury, osteoclasis of the fracture with fixation using K-wire or pull-out was carried out. For those cases with more than 8 weeks elapsed, realignment osteotomy followed by fixation with K- wire or miniscrew was used. Parameters for the evaluation of result include range of motion to within 10 degree of full range in each joint, deviation of the fingers during active maximum flexion and extension, the minimum distance between the tip of the finger pulp and the palm, full bony union, relief of pain and the subjective cosmetic result. Excellent and good results were noticed in 7 cases. The best results can be achieved only with near-anatomic restoration of the joint surface and early active motion exercise. In conclusion, with careful patient selection and close attention to operative detail, operative treatment of malunited phalangeal neck fracture can be effective.

A Review of Ecosystem Service Studies: Concept, Approach and Future Work in Korea

강호정,정민곤 한국생태학회 2013 Journal of Ecology and Environment Vol.36 No.1

In South Korea, the conflict between development and conservation policy still exist among government ministries, and conventional development plan often has priority over conservation policy. Establishment of sustainable development and comprehensive management policy employing the results of ecosystem service studies are highly warranted, but researchers in South Korea are still limited and often misuse the concept of ecosystem services. Thus, we aimed to introduce the concept of Ecosystem Service (ES) and related terminologies such as Social-Ecological Systems (SESs), ecosystem function, trade-off, and human well-being in this paper. Additionally, this article reviewed and arranged key approaches in ES studies as follows: 1) field works, 2) mapping ecosystem services, 3) valuing ES, 4) quantifying trade-offs between ES and 5) understanding SESs. Based on those results, we suggest that field works for basic information have the first priority to be conducted among ES studies. Once basic information is sufficiently accumulated, researchers can perform applied ES research with accuracy. Finally, results of ES studies conducted by five approaches allow decision makers to consider both natural system and society simultaneously, and hence the results can be utilized for sustainable development and conservation policy based on ecosystem-based management.

대전 체육 조직 정비 및 재정 확보 방안

강호정 培材大學 附設 社會科學硏究所 2005 사회과학연구 Vol.26 No.-

It is important to pursuit mutual linkage between elite sport and sport for all. Under the mutual collaboration in two physical areas, this study suggests alternatives to restructure organization and to increase finances of physical areas in Daejeon Metropolitan City. The main results of this research can by summarized as follows. First, administrative system focuses on the solution of internal problems in the short run. For the long run, it is necessary to expand administrative system in order to come up with the change of enviornment related to sports. Second, it is necessary to achieve the efficiency through the integration between sports council and council of sport for all in Daejeon Metropolitan City. Third, the increases of budget of physical areas in city, enlargement of support in national budget and securement of fund are methods to increase finances in physical areas.

말초신경에 생긴 다발성 신경초종 - 증례 보고 3예 -

강호정,이대영,윤홍기,한수봉,박찬일,양석우,Kang, Ho-Jung,Lee, Dae-Young,Yoon, Hong-Kee,Hahn, Soo-Bong,Park, Chan-Il,Yang, Seok-Woo 대한근골격종양학회 2005 대한골관절종양학회지 Vol.11 No.1

제 2형 신경섬유종증(Neurofibromatosis)의 임상적 특징 없이 말초에 발생한 티넬징후를 보이는 다발성신경초종(Schwannomatosis) 3례를 경험하여 이를 보고하고자 한다. 주증상은 동통이었으며 3예에서 청장년에서 발생하였다. 발생부위는 상완신경총, 슬와부 그리고 수부였다. 상기 환자 모두에서 이명과 현훈 및 시력저하소견 관찰되지 않았으며 가족력은 없었다. 3예에서 모두에서 두부 자기공명영상 촬영상 전정신경초종(Vestibular schwannoma)이 관찰되지 않았다. 병리소견상 신경초종이 확인되었다. 앞으로 더 많은 증례의 수집과 연구로 다발성 신경초종의 임상양상, 임상경과 그리고 유전학적 특징에 대한 추가적인 연구가 필요할 것으로 사료된다. This journal reports three cases diagnosed with schwannomatosis in which no clinical symptoms of type 2 neurofibromatosis. The chief complain was pain. In adolescence and adult group, all masses were found. The locations were brachial plexus, popliteal fossa and hand. No hearing impairment, vertigo, tinnitus and visual disturbance was observed in any of the case. Family history was negative. In all cases, there was no evidence of vestibular schwannoma on cranial MRI imaging study. In all cases, Tinel sign was positive. Pathologic diagnosis was positive for schwannoma. Further study and case collection is needed to idenity the clinical manifestation, clinical course and genetic characteristic of schwannomatosis.

와인과 건강 - Ⅰ

강호정 한국공학교육학회 2012 Ingenium(人材니움) Vol.19 No.4

와인과 건강 - Ⅱ

강호정 한국공학교육학회 2012 Ingenium(人材니움) Vol.19 No.5

회전익기 개념설계를 위한 사이징 및 성능해석 프로그램 통합

강호정,이재우,변영환 한국항공우주학회 2007 한국항공우주학회 학술발표회 논문집 Vol.- No.-

금속판 고정술을 이용한 주두 골절의 치료

강호정,이재정,이원용,김형식,고일현,최윤락 대한수부외과학회 2012 대한수부외과학회지 Vol.17 No.1

Purpose: To evaluate the clinical and radiological outcomes of plate fixation for olecranon fractures which was difficult to be fixed firmly with tension band wiring alone. Materials and Methods: From 1995 through 2008, 20 patients who underwent plate fixation of an olecranon fracture were included in this retrospective study. According to the Mayo classification, there were 3 type IIA fracture, 7 type IIB, and 10 type IIIB fractures. Clinical evaluation was done based on radiographic union of olecranon and measurements of range of motion at last follow-up. Disability of the arm, shoulder and hand (DASH) score and Mayo Elbow Performance score was used for evaluation of functional recovery. Results: Union was achieved in 18 (90%) at an average of 5.6 months. The mean arc of elbow motion was 123° and the mean rotation arc was 81°. According to the MEPS, sixteen of twenty patients had a good or excellent outcome. The mean DASH score was 16.3. Most common complication was hardware irritation in 3 patients. Conclusion: Plate fixation is an effective treatment option for severe olecranon fracture pattern like comminuted fractures, Monteggia equivalent with unstable elbows and nonunions. 목적: 주두 골절에 대한 주 치료 방법으로 금속판 고정술을 시행한 환자들의 치료 결과에 대하여 보고하고 금속판 고정 적응증 및 장점을 알아보고자 하였다. 대상 및 방법: 1995년에서 2008년까지 주두 골절 환자에 대하여 금속판 내고정술로치료한 20예에 대하여 후향적으로 분석하였다. 골절 형태로는 Mayo분류 IIA형이 3예, IIB형이 7예, IIIB 형이 10예였다. 임상적 결과는 골유합 유무, 최종 추시 시의 평균 관절 가동 범위를 통해 확인하였고 기능적 평가를 위해 disability of the arm,shoulder and hand (DASH) score와 Mayo Elbow Performance score (MEPS)를사용하였다. 결과: 2예를 제외한 전 예에서 골유합이 이루어졌였으며 평균 5.6개월에 골유합을 확인하였다. 최종 추시 시에 평균 관절 가동범위는 123˚, 평균 회전 범위는 81˚이었다. MEPS에 의한 평가는 16예에서 우수 또는 양호를 보였으며, 평균 DASH score는16.3점이었다. 합병증으로는 금속판 돌출 및 자극이 3예로 가장 많았다. 결론: 주두골 골절 치료에 대한 금속판 고정술은 심한 분쇄성 골절이나 몬테지아 양상 그리고 불유합 등에 해당하는 형태의 주두골 골절에 좋은 치료 방법이다.

수부에서 발생한 건초의 거대 세포종

강호정,김기학,신규호,한수봉,강응식,Kang, Ho-Jung,Kim, Kee-Hak,Shin, Kyoo-Ho,Hahn, Soo-Bong,Kang, Eung-Shick 대한근골격종양학회 2001 대한골관절종양학회지 Vol.7 No.1

목적 : 건초에서 생긴 거대세포종은 수부에서 발생하는 종양 중 두 번째로 흔하나 절제술 후에 재발이 드물지 않으며 국내에서의 연구는 많지 않다. 이에, 저자들은 완관절부를 포함한 수부에 생기는 건초의 거대세포종의 임상적 특성과 수술적 치료후 결과를 분석하여 문헌고찰과 함께 보고하고자 한다. 대상 및 방법 : 1991년부터 1998년까지 수부에서 발생한 종물로 절제생검술을 시행받은 환자 중 조직병리학적으로 건초의 거대세포종으로 진단받은 총 38명, 41예에 대해 성별, 나이, 증상, 증상발현기, 종양이 발생한 부위, 발생한 건, 크기, 다발성 여부, 양측성 여부, 방사선학적 소견 및 골 침범, 재발여부 등에 대해 분석하였으며, 추시기간은 평균 13.1개월(5~40개월)이었다. 결과 : 38명 중 여자에서 29명으로 빈발하였고, 발생연령은 6세에서 66세까지 다양하였으나 50대에서 12례로 가장 호발하였으며 평균연령은 40.1세였다. 지배수지와 비지배수지의 발생경향은 비슷하였고(17례:21례), 모두 일측성이었다. 신전건(17례)보다 굴곡건(24례)에서 더 호발하였으며 증상발현기는 2개월에서 120개월(평균 23.4개월)이었다. 증상으로 대부분 무통성 종물을 호소하였으나, 5례에서 압통, 36례에서 운동장애, 5례에서 압박에 의한 신경증상을 호소하기도 하였다. 재발을 주소로 내원한 경우가 3례였다. 부위별 발생빈도는 수지에서 36례, 수장부에서 3례, 완관절부위 장측에서 2례 순으로 빈발하였으며, 수지별 발생빈도는 인지에서 14례(34%)로 가장 많았고, 엄지가 10례(24%), 중지는 9례, 환지는 5례, 소지는 3례의 빈도순을 보였다. 수지상 발생부위는 원위지골간 관절부 및 중위지골부에서 20례(48.8%), 근위지골 및 근위지골간 관절부가 9례, 중수지절관절부가 7례 순으로 호발하였다. 방사선학적 소견상 연부조직에 방사선 비투과적인 균일한 연부조직 음영을 보이고 있었고 3명에서 피질골 미란을 보였다. 37명에서 종양은 단발성 병변이었으나 이 중 4명에서 다엽상으로 넓게 분포하였고, 1명에서 다발성 병변을 보였다. 변연부 절제술후 재발된 경우가 2명으로 재발율은 5.1%였다. 결론 : 수부에서 발생한 건초의 거대 세포종은 호발조건으로 50대, 여성, 인지, 굴곡건, 수지 원위부를 추정해 볼 수 있었으며, 불완전한 변연부 절제술을 시행하거나, 수술 후 재발한 경우, 다발성, 다엽상 소견을 보인 경우 재발이 잘 되므로 이 경우 광범위 절제술이 필요할 것으로 사료된다. Purpose : The giant cell tumor of tendon sheath is the second most common tumor of the hand, but recurred frequently although excision was performed. Authors analyzed and would report clinical findings and postoperative results of it. Materials and Methods : Between January 1991 and December 1998, 38 patients, 41 cases which the authors had performed excisional biopsy to the mass in the hand and diagnosed with the giant cell tumor of tendon sheath, was analyzed with age, sex, chief complaint, symptom duration, involved finger, involved tendon, frequently developed site in fingers, size, multiplicity, radiologic findings and recurrence. The mean duration of follow-up was 13.1 months (5~40 months). Results : Of 38 patients, twenty-nine were female. It is frequent in the fourth decade and mean age was 40.1 years old. The neurological compression symptom was found in 5 cases. The mean duration of symptom was 23.4 months. Flexor tendon was involved in 24 cases. The distal interphalangeal joint area in digit was involved most frequently in 20 cases. Index finger was the most common involved finger (14 cases), and long finger was the second most common (9 cases). All tumors were unilateral. The majority of patients had solitary lesion but one case had multiple lesion. In the radiologic findings, erosion or pressure indentation of bone was seen in 3 cases. All patients were operated by marginal excision. Recurrence rate was 5.1%. Conclusion : The risk factors in giant cell tumor of tendon sheath were female, forth decade, index finger, flexor tendon, and distal interphalangeal joint area. The recurrence was increased in marginal excision of recurred cases, in cases with multiple developed lesions or in multilobular lesion, so wide surgical excision is necessary to prevent recurrence.

월드컵 개최에 따른 경제, 사회적 효과

강호정 한국스포츠정책과학원(구 한국스포츠개발원) 2002 스포츠과학 Vol.81 No.-