• Journal of Korean Orthopaedic Sports Medicine
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• v.5 no.1
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• pp.41-44
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• 2006

Purpose: To evaluate the short-term results of arthroscopic ACL reconstruction using fresh frozen Achilles allograft Materials & Methods: From March 2002 to March 2004, arthroscopic ACL reconstructions using fresh frozen Achilles allograft were performed in 25 knees of 25 patients. The average age at operation was 30.1 years (range, 18-50 years) and the average follow-up was 17 months (range, 12 to 27months). Preoperative and follow-up clinical results were evaluated using the Lysholm knee score, IKDC knee rating system, physical examination and KT-2000 arthrometer. Results: The Lachman test was positive in 25 patients preoperatively and 18 patients(72%) had negative results at latest follow-up. The average side-to-side differences of anterior tibial translation using KT-2000 arthrometer under loading of 301b were improved from $7.9{\pm}2.4mm\;to\;2.6{\pm}1.6mm$. The average Lysholm score was improved from $61.1{\pm}13.9\;to\;93.5{\pm}5.3$ points. The IKDC grade was abnormal(C) or severely abnormal(D) in 25 cases preoperatively They improved 22(88%) of normal(A) or nearly normal(B) and 3(12%) of abnormal. Conclusion: Short term results of ACL reconstruction using Achilles allograft was acceptable. Achilles allograft can be a reasonable graft alternative to autograft for ACL reconstruction.

• Journal of Korean Orthopaedic Sports Medicine
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• v.8 no.2
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• pp.102-108
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• 2009

Purpose: The purpose of this study is to report a result of the technique that reconstruct posterior cruciate ligament (PCL) and posterolateral corner (PLC) simultaneously using a fresh-frozen Achilles tendon allograft. Materials and Methods: Forty two patients (45 legs) underwent PCL and PLC reconstruction were included. There were 38 males and 4 females. Mean age was 39 years. Used graft was a fresh frozen Achilles tendon allograft, which was divided by two size, larger one (${\emptyset}$ 10 mm) for PCL reconstruction and smaller one (${\emptyset}$ 8 mm) for PLC reconstruction. Arthroscopic reconstruction of the PCL was performed using transtibial, single incision, and single bundle technique with 10mm fresh frozen Achilles allograft tendon first. After PCL reconstruction, reconstruction procedure for posterolateral instability was performed using modified figure of "8" technique using smaller gtaft. For clinical evaluation, range of motion, posterior drawer test, varus stress test, prone external rotation (dial) test, Lysholm score, Tegner activity scale and posterior stress radiograph were used. Mean follow up period was 25 months. Results: Preoperatively posterior drawer test was 5 cases in grade II and 40 cases in grade III posterior instability. At final follow-up 22 cases returned within normal condition, 18 cases grade I and 5 cases grade II posterior instability. Though all patients showed positive result over 10 degrees in dial and varus stress test preoperatively, but only 9 cases showed positive both test at final follow-up. The range of motion deficit over $10^{\circ}$ flexion was 3 cases. Lysholm score was improved from mean 50 preoperatively to mean 83(p<0.05) and Tegner activity scale improved from mean 2.1 preoperatively to mean 4.6(p<0.05). In posterior stress radiographs, posterior displacement was improve from mean 16mm preoperatively to 4.1mm after treatment(p<0.05). All patients had improved compared to their pre-operative status as measured by physical examination such as posterior drawer test, varus stress test, dial test. Conclusion: We had successful results by combined reconstruction of the PCL & PLC with a fresh frozen Achilles tendon allograft in patients with PCL and posterolateral rotatory instability at a time.

• Journal of the Korean Arthroscopy Society
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• v.12 no.3
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• pp.191-197
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• 2008

Purpose: To evaluate the postoperative magnetic resonance image (MRI) findings of anterior cruciate ligament (ACL) reconstructed with a tension load technique using auto-Achilles tendon, and to compare the results with knees with a native ACL. Materials and Methods: We evaluated 21 postoperative MRI scan of 21 patients (group A) who had undergone ACL reconstruction between January 1995 and November 1996. The control group (group B) consisted of 50 patients whose meniscus tear had been operated by arthroscopy and whose ACL was intact. We measured the orientation of the graft in the sagittal and coronal planes and compared it with that of the native ACL. Results: The mean sagittal angle of the ACL angle in group A ($55.7{\pm}5.6^{\circ}$, range $47.2{\sim}68.8^{\circ}$) was statistically lesser than group B ($58.7{\pm}3.8^{\circ}$, range $50.4{\sim}67.5^{\circ}$) (p=0.036). But there was no statistically significant difference between the two groups with regard to the mean ACL-Blumensaat line angle (group A: $8.1^{\circ}{\pm}4.9^{\circ}$, range $1.7^{\circ}{\sim}22.0^{\circ}$, group B: $8.6^{\circ}{\pm}3.6^{\circ}$, range $2.6^{\circ}-18.1^{\circ}$) and the mean coronal angle of the ACL (group A: $64.9^{\circ}{\pm}9.1^{\circ}$, range $46.9^{\circ}{\sim}76.4^{\circ}$, group B: $65.9^{\circ}{\pm}4.4^{\circ}$, range $57.7^{\circ}{\sim}75.2^{\circ}$)(p=0.88, p= 0.62). In the sagittal plane, the mean center of tibial insertion of the ACL graft in group A ($31.9{\pm}7.1%$, range 22.4-47.9%) was positioned more anteriorly than group B ($37.0{\pm}4.9%$, range $18.5{\sim}44.7%$)(p=0.005). But in the coronal plane, there was no statistically significant difference between the two groups(group A: $46.3{\pm}2.8%$, range $42.1{\sim}52.5%$, group B: $45.7{\pm}2.8%$, range $41.0{\sim}49.1%$)(p=0.392). Conclusion: We performed an ACL reconstruction with the tension load technique using auto-Achilles tendon and we found that the graft orientation in MRI was as good as that of the native ACL.

• Journal of the Korean Arthroscopy Society
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• v.12 no.2
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• pp.139-146
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• 2008

Purpose: The purpose of this study is to introduce the double bundle posterior cruciate ligament(PCL) reconstruction using Achilles allograft by the tibial inlay method and evaluate the clinical results of 11 cases who had PCL reconstruction using this method and were followed for more than 2 years after surgery. Materials and Methods: Our series consists of 11 cases of PCL reconstruction due to chronic posterior instability of knee and acute PCL rupture. The clinical results were assessed using the IKDC(International Knee Documentation Committee) scoring system, posterior stress radiographs and the maximum posterior displacement using a KT-1000TM arthrometer. Results: The average preoperative posterior displacement in 90 degree flexion stress radiograph was measured 13.4 mm and in 10 degree flexion the average posterior displacement using the KT-1000TM arthrometer was measured 11.4 mm. Postoperatively the 13.4 mm reduced to 4.4 mm and the 11.4 mm reduced to 3.9 mm. According to IKDC scoring system, 9 cases(81.8%) were satisfied. One case showed limitation of flexion with mild stiffness in the knee and another one case was not improved the posterior instability sufficiently and no complication of allograft was noticed. Conclusion: The double bundle PCL reconstruction using Achilles allograft by the tibial inlay method is a useful method for acute PCL rupture and chronic posterior instability of the knee including failed PCL reconstruction, because it will also make the posterior stability in the extension and 90 degree flexion position, and avoid the grafted tendon abrasion by acute turn of tibial tunnel.

• Journal of the KSME
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• v.34 no.3
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• pp.177-184
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• 1994

이 글에서는 기하공차의 기본적인 개념들에 대한 설명과 삼차원측정기 응용소프트웨어에서 기하 공차를 평가하기 위한 수학적인 방법들에 대해 소개하였다. 최소영역법은 ISO규격에 의한 공차 평가법이란 점에서 근래의 연구의 대부분을 차지하고 있으나 표준적인 알고리즘이라 할 수 있는 방법은 아직 발표되지 않고 있으며 실용적인 소프트웨어의 경우 최소자승법을 근간으로 하고 있는 실정이다. 최근에는 이러한 형상추출과 기하공차평가를 포함하는 좌표식 측정기 술(coordinate metrology)이 컴퓨터통합생산(computer integrated manufacturing)시스템 구축에 있어서 아킬레스건이라 할 수 있는 컴퓨터원용검사(computer aided quality control)의 핵심적인 기술로 인식되어 선진국에서는 이미 표준기술을 확립하고자 하는 목적으로 체계적인 지원하에 연구를 수행하고 있다. 그러므로 국내에서도 품질보증에 의한 제조업 분야의 생산성 제고를 위 하여 좌표식 측정기술에 대한 연구와 투자가 시급하며 국내의 표준기술 확립이 절실히 요청되고 있다하겠다.

• Journal of Korean Foot and Ankle Society
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• v.4 no.2
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• pp.87-92
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• 2000

The tendinous ends of neglected achilles tendon rupture tend to retract and separate with atrophy due to gastrosoleus muscle contracture, leaving a wide gap occupied with fibroadipose scar tissue. It is almost impossible to perform simple end-to-end anastomosis after the intervening scar tissue being excised. Therefore many surgical procedures have been proposed to reconstruct the large gap. We treated three such cases by V-Y advancement flap and double Krackow suture technique, and their postoperative strength of triceps surae were evaluated with Cybex isokinetic strength testing. All patients returned to preinjury activities with satisfaction, but the ankle plantar flexor power showed about 20-30% deficit.

• Journal of Korean Foot and Ankle Society
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• v.9 no.2
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• pp.197-200
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• 2005

We performed lateral ankle ligament reconstructions using Achilles allograft on patients who had failed previous Brostrom repair. The bone plug is fixed with an interference screw into the calcaneus, the tendon graft is passed through a fibular tunnel, and then anchored into the talus with the biotenodesis screw. The graft is strong enough to maintain joint stability until graft incorporation and remodeling occurs. In patients with chronic failed lateral ankle instability requiring graft for ligament reconstruction, this technique allows anatomic reconstruction without the need to sacrifice autogenous peroneal tendons.

• Journal of Korean Foot and Ankle Society
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• v.19 no.3
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• pp.114-117
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• 2015

Deep infection of Achilles tendon is one of the serious complications that occur after open repair of the tendon. It sometimes leads to a very large tendon defect during the course of treatment. We report on a case of massive defect in Achilles tendon, which was successfully treated with Achilles tendon allograft and flexor hallucis longus tendon transfer.

• Vending industry
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• v.7 no.1 s.19
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• pp.28-29
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• 2007

도대체 왜 자판기로 쥐포를 구으려고 하는 거지? 쥐포자판기가 등장한다고 했을 때 자판기 업계의 일반적인 반응은 시큰둥한 게 보통이다. 왜냐하면 과거의 부정적인 이미지가 깊게 각인이 되어 있기 때문이다. 쥐포자판기 시장은 2001년에서 2002년에 걸쳐 기획상품으로 집중적인 시장전개가 이루어졌다. 하지만 너무 급조된 제품이 출시된 까닭에 걷잡을 수 없는 품질문제로 시장에서 단명을 하고 말았다. 당시 소비자 반응은 그런대로 괜찮은 편이었어도 취약한 품질문제가 아킬레스건으로 작용했던 것. 그런데 최근 또 쥐포자판기가 등장했다. 경일테크에서 '쥐포닷컴' 쥐포자판기를 개발 상품화하고 본격적인 시장전개를 진행하려 하고 있다. 과거의 부정적 이미지를 경일테크에서 모를 리 없다. 그럼에도 불구하고 자신 있게 시장도전을 하는 데는 그만한 이유가 있다. 자판기를 통해 구은 쥐포의 맛에 있어서나 전체적인 제품경쟁력에 있어 과거에 비할 바가 아니다. 과거의 부정적인 쥐포자판기가 아니라 알짜 사업 아이템으로서의 강점으로 무장을 했다. 이제 자판기를 통해 구을 만하고, 시장에 먹힐 만 하다. 경일 테크가 그 성공을 자신하는 데는 다 이유가 있다.

• Annual Conference on Human and Language Technology
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• 1994.11a
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• pp.70-81
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• 1994

뜻 (sense)과 지시체의 구별을 근간으로 하는 프레게류 의미론에 의하면, 같은 지시체를 갖는 이름들의 인지적 의미는 서로 다를 수 있다. 그 반면, 프레게의 뜻을 어떤 이름의 지시체를 결정함에 있어 매개적인 역할을 하는 존재자라 보고 단호히 거부하는 소위 직접 지칭론자들은 문맥에 관계없이 같은 지시체를 갖는 이름들은 동일한 인지적 의미를 갖는다고 주장한다. 그러나 일단 뜻을 배척하고나면, 명제 태도 문맥에서 왜 같은 지시체를 갖는 이름들이 대치될 수 없는지를 설명하기가 어렵고, 따라서 명제 태도의 퍼즐들은 직접 지칭론의 아킬레스건이 되어 왔다. 최근 Zalta는 다소의 수정을 통해 프레게와 직접 지칭론자 양자의 중요한 통찰들을 희생하지 않으면서 양자의 관점을 종합하는 것이 가능하며, 실제로 자신의 해결책은 명제 태도의 퍼즐들을 훌륭하게 해결해 준다고 주장한다. 본 논문은 Zalta의 절충안을 비판적으로 검토함으로써 선결되어야 할 쟁점들을 부각시키고자 한다.