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      • KCI등재

        족근골 결합에 의한 족근관 증후군의 수술적 치료

        권덕주,박상욱,Kwon, Duck-Joo,Park, Sang-Wook 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.2

        Purpose: Study was to evaluate the operative results for tarsal coalition with tarsal tunnel syndrome. Materials and Methods: From Jan. 2005 to Mar. 2006, among a number of patients who were diagnosed with tarsal tunnel syndrome caused by tarsal coalition and treated surgically, 5 patients were closely observed for more than 12 months. All cases were talocalcaneal coalition and there were two male and three female patients with a mean age of 36 years (22-50 years). We used the Takakura rating scale as clinical evaluation. Results: All five patients had a burning pain in the sole or extended to toes and showed positive Tinel's sign. Sensory disturbances were observed in the distribution of the medial plantar nerves in four patients and in the area of the medial and lateral plantar nerves in one. Atrophy and weakness of the plantar muscles were seen in two patients. The mean Takakura scale in preoperative and postoperative was 3.4 points (1 to 5 points), 8.6 point (6 to 10 points). The mean follow up was 14.4 months (12 to 16 months). The postoperative results were excellent in two patients, good in two and fair in one. As postoperative complications, there were persistent swelling in one patient and a flexion disturbance of Hallux in one. Conclusion: The coalition resection performed on tarsal tunnel syndrome caused by tarsal coalition could improve a level of pains and neurological symptoms significantly. However, since there were some undesirable complications, a detailed explanation to patients is required prior to surgical treatment and study of such complications may be required.

      • Rapid Loc 기기를 이용한 관절경적 반월상 연골판 봉합술

        권덕주,이기병,정웅교,이병택,박상욱,Kwon, Duck-Joo,Lee, Kee-Byung,Joeng, Woong-Kyo,Lee, Byung-Taek,Park, Sang-Wook 대한관절경학회 2005 대한관절경학회지 Vol.9 No.2

        목적: 본 논문의 목적은 Rapid Loc 기기를 이용한 관절경적 연골판 봉합술의 임상적, 방사선학적 결과를 평가하고자 하였다. 대상 및 방법: 44례를 대상으로 후향적으로 결과를 분석하였다. 퇴행성 병변이 동반되지 않은 단순 종파열로 진단되어 관절내시경하에서 Rapid Loc 기기를 이용하여 연골판을 봉합한후 평균 6개월이상의 추시가 가능하였던 환자 군을 대상으로 하였다. Orthopaedische Arbeitsgemeinschaft Knie (OAK) 평가 지표와 자기 공명 영상 촬영을 이용하여 임상적 방사선학적 결과를 평가하였다. 관절연 압통, 관절내 부종, McMurray 검사에서 양성인 경우는 임상적 실패로 간주하였다. 결과: 평균 연령은 33.4세 평균 추시기간은 15개월이었다. 임상결과는 우수 15례(34.1%), 좋음 20례 (45.5%), 양호 7례(15.9%), 불량 2례(4.5%) 였다. MRI상 Reicher 분류를 이용한 방사선학적 평가에서 grade 1 15례(33.3%), grade II 21례(50%), grade III 7례(16.7%)였으며, 임상적 실패는 8례(18%)였다. 술후 합병증은 1례에서 발생되었다. 결론: Rapid Loc 기기는 연골판 봉합술에 있어서 매우 우수한 결과를 보였으며, 삽입물이 유연하여 연골 손상이 적고, 사용이 간편하고 파열 부위의 압박 정도를 조절 할 수 있는 등 많은 장점이 있는 기법이라 사료된다. Purpose: To purpose of this study is to evaluate the clinical and radiological results of arthroscopic meniscus repair using Rapid Loc device. Materials and Methods: A retrospective study was performed on 44 cases which had been turned out longitudinal tear without degeneration. We repaired all cases with Rapid Loc device. Patients were evaluated using clinical examination, Orthopaedische Arbeitsgemeinschaft Knie (OAK) scheme, and MRI. We regarded patients with joint line tenderness, swelling or McMurray positive test as clinical failure. Results: A mean age was 33.3 years and follow-up period was average 15 months. Clinical results were excellent 15 cases(34.1%), good 20 cases(45.5%), fair 7 cases(15.9%), poor 2 cases(4.5%). MRI showed grade 115 cases(33.3%), grade II 22 cases(50%), grade III 7 cases(16.7%). Clinical failures were 8 cases and only one complication was developed. Conclusion: Rapid Loc device showed the excellent results in meniscus repair. We regard it has a lot of advantages in safety, softness, ease, ability to control tension at repair site.

      • KCI등재

        중증도 이상의 무지 외반증에서 Ludloff 절골술의 결과

        권덕주,송시영,이기병,이남규,최준하,Kwon, Duck-Joo,Song, Si-Young,Lee, Kee-Byung,Rhee, Nam-Kyou,Choi, Jun-Ha 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.2

        Purpose: To evaluate the clinical and radiologic results of the Ludloff osteotomy for moderate to severe hallux valgus deformity retrospectively. Materials and Methods: Between January 2003 and October 2006, 33 patients (42 feet) who had undergone with Ludloff osteotomy combined with distal soft tissue procedure were followed up for more than one year. The average follow-up period was 14.6 months and the average age at the time of surgery was 47.7 years (26-70 years). The American Othopeaedic Foot and Ankle Society (AOFAS) score was used for clinical outcome assessments. We analyzed the hallux valgus angle (HVA), the first-second intermetatarsal angle (IMA) and the degrees of the tibial sesamoid subluxation in preoperative and the last follow-up radiographs. Results: The AOFAS score improved from a preoperative average of 45.6 points to an average 84.3 points at the last follow-up. HVA and IMA were 34.8 and 14.5 degrees preoperatively, 17.2 and 5.9 degrees at the last follow-up. The tibial sesamoid position improved from a preoperative average of grade 2.5 to the last follow-up average of grade 1.2. Conclusion: Ludloff osteotomy produced satisfactory results for moderate to severe hallux valgus deformity.

      • KCI등재후보

        생체 흡수성 판과 나사못을 이용한 족근 관절 골절의 치료

        권덕주,이용범,신준,Kwon, Duck-Joo,Lee, Yong-Beom,Shin, Jun 대한족부족관절학회 2009 대한족부족관절학회지 Vol.13 No.1

        Purpose: The purpose of this article is to assess the efficacy of a bioabsorbable polylactide (PLA) plate and screw for treating injuries of ankle fractures. Materials and Methods: 24 patients who underwent an open reduction and internal fixation operation for ankle fractures from July 2005 to March 2007 were enrolled into the study. There were 15 men and 9 women. The average age of the patients was 44 years and the average follow-up period was 16 years and two months (16.2 months). All cases were divided into low grade fracture patient (11) who belongs in type A and B of Danis-Weber classification and high grade fracture patient (13) who belongs in type C1, C2 of Danis-Weber classification, and each groups were analyzed by clinical (Meyer score) and radiological finding at the time of their last follow-up evaluation. Results: The clinical results according to Meyer scoring system, showed that all patient with low grade fracture had good to excellent result, but only 54% of patient with high grade fracture had good to excellent result. According to Cedell's radiologic finding, there were 91% cases above fair in low grade fracture. But there were 62% of patient above fair result in high grade fracture, the reduction losses were seen in 38% of patient with high grade fracture. Conclusion: Bioabsorbable PLA plate and screw is good internal fixation device which doesn't have additional operation for removal of implant because of slow absorption within the human body. It showed sufficient strength for acquisition and maintenance of reduction in low grade fracture, but need attention to use because of many cases of reduction loss in high grade fracture. So, it seems to be safe and effective when used in heeling of low grade fracture under considering about type of fracture sufficiently.

      • 石濤의 그림과 畵論

        權德周 淑明女子大學校 1978 論文集 Vol.18 No.-

        Shin-tao's art commenced with absolute denial of preferences for dignity and imitation. He asserted to learn neither sages' law nor old masters'. Shin-tao together with Chang-zi (莊子), in the chinese art history, will be the last one who denied sages and insisted an absolute freedom in spirit. Shin-tao stressed on "No method is method; this stands for the genuine method(無法而法 乃爲至法)". "No method", here, is established with emphasis on creativity based on spiritual liberalism. Paintings in China has been belived to originate from Fuxi(伏犧), Changxie(창힐). Zhange Yan-Yuan remarked in his 「Xu Hua Yuan Lin(敍畵源流)」that writing and painting have same origin and hieroglyphs is the origin of paintings. Shih-tao is belived to have set up his unique position by drawing 「Yi Hua Lun(一畵論)」on the ground of 「道生一」in Taoist thought, and finding origin of paintings in 「一畵論」. This is not only total denial of dignity preference that has governed chinese painting and chinese culture but also independent philosophical study on the essence of paintings. Shih-tao's strong desire-he only believed in his hands and eyes-and inexhaustible passion made it possible to have developed his doctrine on art theory.

      • 唐代 水墨畵의 展開

        權德周 淑明女子大學校 1974 論文集 Vol.14 No.-

        The development of the painting in india-ink may be said that of the Southern School of Chinese Painting(南宗??). The pedigree of the Southern School of Chinese Painting is said to be composed of Wang Wei(王維), Doong Yuan(董原) and Mi Fu(米??). But in this article, the writer mainly deal with the development of the process from Wang Wei to Doong Yuan. Wang Wei, generally speaking, established the foundation of the thoughts of the Southern School of Chinese Painting, and in the other hand, Doog Yuan the technical phase. The title, "the Southern School of Chinese Painting", was named in later ages, and its conception is not so obvious as that of "the Painting in India-ink". For instance, such a master painter as Ching Hao(荊浩) in the last years of T'ang Dynasty, was sometimes regarded as the painter of the Southern School, and at times that of the Northern School. Whether they are called the painter of the Southern School, or that of the painting in India-ink, they all expressed the new tendencies of the thoughts in painting. The tendencies of the painting in india-ink, based on the so-called Po Mo(潑??), free-hearted and willful painting style, became a predomnating tedencies overcoming the traditional Po Mo(破??). This was a triumph of the new tendency against the tradittonal colour-painting based on the linear-drawing. The characteristics of the traditional painting style were to stress the typical oredrliness and the faithfulness to objective facts. On the contrary, the new tendency stressed the free-heartedness and the subjectivity of the painter. The former was traditional and aristocratic, and the latter newly-rising and democratic. And the new tendency was a triumph of the painting style of South-China against that of the North China. And tese facts correspond to the former confrontation between the two in thoughts of literature and the styles of calligraphy. We may see that in the sphere of literature, there was first, the great diffenence between Shih Ching(詩經) of North China and 'Ch'u Tz'u (??詐) of South China in the age of Pre-Ch'in, and so with calligraphy during the South and North Dynasty. In the south of Ch'ang River valley, they were good at T'ieh Shu(??書), but in the north Pei Shu(??書) was flourished. The former means the art of calligraphy on paper or silk with a brush, and the later the writing on a monumental stone. The former had a comparatively newly developed disposition, and the later a traditional and aristocratic one. During T'ang Dynasty, These two styles were mixed each other, but Pei Shu was subordinated to T'ieh Shu. As the development of the Chinese painting was later than that of the literature and the art of calligraphy, the painting in India-ink was gradually developed at the beginning or T'ang Dynasty, and after the conflict with the traditional style of North China, shows its prosperity after T'ang Dynasty.

      • 魏晋書論

        權德周 淑明女子大學校 1993 論文集 Vol.33 No.-

        It was not Dong-Han(東漢) period until calligraphy was recognized as a kind of art and theory of calligraphy began to appear. In the period of Wei-Jin(魏晋) the artistic merit of calligraphy was enhanced and also the theory of calligraphy made much progress. It was a matter of course that the development of calligraphy and theory of calligraphy in the Wei-Jin(魏晋) peoriod was inseparably related to the spirit and aesthetic thought of that time. In the theory of calligraphy of the Wei-Jin(魏晋) period, the didactic and social effect of calligraphy disappeared. and on behalf of that the artistic and aesthetic individuality was emphasized. At the end of Dong-Han(東漢) period, in the Cai yong's(蔡邕) theory of calligraphy. we can see both the meaning of natural philosophy and the social effect. Meanwhile, in Zhong yao's(鐘繇) theory, the calligraphical beauty produced by calligraphist was not different from that of everything in nature, which has been created by the vatality in nature. Furthermore, he stressed that calligraphy was not the casual handwriting but the aesthetic expression given by the calligraphist. Zhong yao(鐘繇) was the first. man who proposed the calligraphical beauty distinctly in the Chinese history of calligraphical theory. In the following Cheng gong suei's(成公綏) theory of calligraphy in Xi-Jin(西晋), he laid stress on the politically practical effect on the one hand, he also spoke highly of the aesthetic quality of calligraphy on the othor hand. After that, in the day of Wang xi chi(王羲之) in Dong-Jin(東晋), the politically efficient utility vanished away and only the creation of the calligraphical beauty was emphasized. When we study the development of the calligraphical beauty in a concrete way, in the Wei(魏) period, the Bei(碑) was evolved and in the age of Jin(晋), Tie(帖) was considered as a prime object. In Wei Bei(魏碑), the characteristic of Han(漢) was described, and the grand, vigorous and curious atmosphere was thought to be a valuable point. In addition to that, the violent, sweeping handwriting power was emphasized. This trend seems to be kept in touch with 「Jien An Feng Gu(建安風骨)」 in the viewpoint of literature. In the age of Xi-Jin(西晋), the subtle, bright and fine aspect of beauty was esteemed and the delicate and fair mood of beauty was accenturated. That tendency had something in common with the fundamental ideology which was stressed in Lu ji(陸機)'s 《Wen Fu(文賦)≫.

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