• Journal of Trauma and Injury
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• 제35권2호
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• pp.84-91
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• 2022

Purpose: The aim of this study was to analyze by age group the characteristics of patients with dog bite injuries, as well as determine which factors were associated with wound infections in those patients. Methods: We reviewed patients with dog bite injuries who presented to Gachon University Gil Medical Center in Incheon, Korea from January 1, 2014 to December 31, 2018. They were classified by age group: children (0-18 years), adults (19-59 years), or elderly (≥60 years). Event profiles, wound characteristics, and infections were compared across these age groups. Multivariable logistic regression was used to identify factors associated with wound infections. Results: Of the total 972 dog bite injuries, 272 (28.0%) were in children, 606 (62.3%) were in adults, and 94 (9.7%) were in the elderly. The median age was 30 years (interquartile range, 16-48 years) and the majority of patients (60.5%) were female. The most common place of injury was at home (73.8%) and indoors (77.0%). In children, the head and neck were the most frequent sites of injury (43%), while the most frequent site in adults and the elderly (50.8% and 59.6%, respectively) was the upper extremity. The odds ratio (OR) for wound infection was 3.997 (95% confidence interval [CI], 1.279-12.491; P=0.017) for head and neck injuries and 3.881 (95% CI, 1.488-10.122; P=0.006) for lower extremity injuries. The OR for wound infection was 4.769 (95% CI, 2.167-10.494; P<0.001) for significant injuries. Elderly patients had a higher risk for wound infection than other age groups (OR, 2.586; 95% CI, 1.221-5.475; P=0.013). Conclusions: When analyzing patients with dog bite injuries, differences across age groups were found, with the elderly at the highest risk for significant injury and wound infection. It is recommended that age-specific approaches and strategies be used to prevent dog bite wound infections.

• 한국운동역학회지
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• 제24권2호
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• pp.131-138
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• 2014

The purpose of this study was to analyse the effect of the drop height on lower extremity and lower back kinematics and kinetics during drop landing with the use of raised heel insole. Furthermore we investigated the change that occurred in our body. Joint ROM, eccentric work and contribution to total work were calculated in 11 male college students performing drop landing with 8 motion analysis cameras and 1 forceplate. The result were as follows. First, the ROM and eccentric work were increased in all joints with the increase of the drop height. Second, the ankle ROM and eccentric work were decreased with the use of the insole. Third, the use of the lower back was increased as the use of the ankle decreased with the insole. Based on these results, we can infer that putting on the insole may contribute to chronic injury. We recommend not to use the insole during physical activity.

• 한국운동역학회지
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• 제29권3호
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• pp.137-143
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• 2019

Objective: Ligament laxity and hypotonia are characteristics of Down syndrome patients. The aim of this study was to compare the landing pattern between Down syndrome patients and typically developing subjects. To compare the landing pattern, variables related to ligament laxity and hypotonia i.e. vertical stiffness and lower extremities kinematics were investigated. Method: Five subjects with Down syndrome (age: $14.6{\pm}1.8years$, mass: $47.6{\pm}6.94kg$, height: $147.9{\pm}6.0cm$) and six able-bodied subjects (age: $13.2{\pm}0.4years$, mass: $54.7{\pm}6.7kg$, height: $160.1{\pm}9.8cm$) participated in this study. Results: The vertical displacement of the center of mass, vertical reaction force, leg stiffness and range of ankle angle range among Down syndrome patients were significantly different than typically developing group. The youth with Down's syndrome appeared to receive greater vertical impact force at landing than normal youth. Conclusion: The differences in the biomechanical characteristics suggest the delay in motor development among Down syndrome patients and an increased risk of injury to the lower extremity during movement execution such as drop landing.

• 디지털융복합연구
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• 제13권8호
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• pp.495-502
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• 2015

본 연구는 빙상 선수를 대상으로 외발점프 훈련 시 하지관절 운동역학 변인의 차이를 분석함으로써 무릎테이핑의 효과를 알아보고자 하였다. 연구결과 다음과 같은 결론을 얻었다. 점프높이는 테이핑 후 높은 것으로 나타났지만 테이핑에 따른 차이는 없는 것으로 나타났다. 상승 시 좌 우, 전 후 최대충격력은 테이핑 후 감소되는 것으로 나타났고, 수직 최대충격력은 테이핑 후 증가된 것으로 나타났다. 착지에서 테이핑 후의 좌우 최대충격력은 감소되었으나 전 후, 수직 최대 충격력은 증가된 것으로 나타났다. 상승과 하강 시 테이핑 후 충격량의 감소가 크게 나타났다. 상승 시 테이핑 후 무릎관절의 신전, 외번모멘트에서 감소가 나타났다. 착지에서 테이핑 후 무릎관절의 굴곡모멘트는 감소했지만 내번모멘트는 테이핑 후 증가된 것으로 나타났다. 무릎테이핑이 선수들의 부상예방과 운동수행능력에 도움을 줄 수 있을 것으로 판단되며 스포츠의학과의 융복합연구가 필요할 것으로 판단된다.

• 한국운동역학회지
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• 제21권2호
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• pp.173-179
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• 2011

This study aims to analyse difference in biomechanical factors between dominant legs and recessive ones according to muscular imbalance during drop landing targeting talented children in sports. The subjects of the study were ten primary students who are attending to Sports Program for Talented Children organized by C university (age: $12.28{\pm}0.70$ year, height: $1.52{\pm}0.11$ m, and weight: $45.2{\pm}4.9$ kg). Strength legs were classified into dominant side and strengthless legs were classified into non-dominant legs. For three-dimensional analyses of the data collected, 6 video cameras(MotionMaster200, Visol, Korea) were used. To analyse ground reaction force, two force platforms(AMTI ORG-6, MA) were used and to analyse electromyograghy a 8-channeled wireless Noraxon Myoresearch made in USA was used at 1000 Hz for sampling. As a result, it was discovered that the dominants legs controlled knee bending motions more stably than strengthless legs as the maximum vertical ground reaction force was significantly high in dominant legs(p<.05), and joint moment of knee joints of the dominant legs was high(p<.05). Therefore, this study suggested that injury prevention program focusing on muscular balance as well as the existing sports programs for talented children should be developed based on results of the study and it is expected that the results will be useful for improvement of sports programs for talented children.

• 대한정형외과스포츠의학회지
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• 제9권1호
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• pp.16-21
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• 2010

최근 스포츠 활동 증가로 인한 하지의 과사용증후군인 만성 구획증후군 및 스트레스 골절의 빈도가 늘어가고 있다. 만성구획증후군은 운동 중 근육의 부피 증가와 이로 인한 구획압 증가로 야기된 가역적인 허혈상태로, 보존적 치료로 호전되지 않는 경우 근막절개술 등의 수술적 치료를 고려할 수 있다. 스트레스 골절은 정상적인 골에 비정상적인 스트레스가 가해져서 발생하는 피로 골절과 비정상적인 골에 정상적인 스트레스에 의해서 발생하는 부전골절로 분류할 수 있으며, 대부분의 스트레스 골절은 하지, 특히 경골부에 호발한다. 운동선수에서 피로 골절은 훈련 방법의 변화에 기인할 수 있고 진단은 일차적으로 단순방사선 촬영을 시행하며, 자기공명영상을 통해 확진 할 수 있다. 대부분의 경우 휴식 및 단기간의 고정 등을 통한 보존적 치료만으로 증상의 호전 및 운동 복귀가 가능하나, 경골의 신연부에 발생한 경우 수술적 치료를 요할 수도 있다.

• Archives of Reconstructive Microsurgery
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• 제22권1호
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• pp.33-37
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• 2013

Purpose: The concept and development of perforator free flaps have led to significant advances in microsurgery. Ongoing developments in perforator free flap surgery are aimed at reducing complications and improving surgical outcomes. The aim of this study was to evaluate the effectiveness and application of supermicrosurgery in free flap surgery. Materials and Methods: A total of 267 patients with soft tissue defects of the lower extremity due to various etiologies from January, 2007 to January, 2013. The patients received either an anterolateral thigh free flap (n=83), a superficial circumflex iliac artery free flap (n=152), an upper medial thigh free flap (n=19), or a superior gluteal artery perforator free flap (n=13). Microanastomosis was performed using a perforator-to-perforator technique, either end-to-end or end-to-side. Results: The mean postoperative follow up period was eight months (range: one to 16 months) and flap loss occurred in 11 cases out of 267. All cases of flap loss occurred within two weeks of surgery due to either arterial insufficiency (n=5) or venous congestion (n=6). Conclusion: Supermicrosurgery enables the selection of the most efficient perforator for microanastomosis at the defect site. It also reduces the time required for dissection of recipient vessels, and reduces the possibility of injury to major vessels. Microsurgery using a vessel of less than 1 mm has been reported to increase the risk of flap failure; however, using the most advanced surgical tools and developing experience in the technique can produce success rates similar to those found in the literature.

• 대한정형외과스포츠의학회지
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• 제5권1호
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• pp.9-16
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• 2006

슬개대퇴 관절의 재활의 목표는 수상된 하지의 기능적인 통일성을 회복하는 것이다. 환자의 개별적인 문제를 파악하여 단계적인 재활 치료를 선택해야 하고 대부분 보존적 치료에 잘 반응하므로 적극적인 재활치료가 요구된다 환자의 재활 치료프로그램의 효율성을 평가하고 부정적인 영향 여부를 알기 위해서 주관적 및 객관적으로 환자의 진행 과정을 계속적으로 감시해야 한다

• 대한족부족관절학회지
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• 제13권2호
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• pp.230-232
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• 2009

Total extrusion of the talus is a very rare injury. If the talus is found in a short time, it can be restored to its original position. If the talus is missing or found too late, however, surgeons may attempt tibiocalcaneal arthrodesis or use a pseudoarthrosis without repositioning the talus. As direct tibiocalcaneal arthrodesis may shorten the lower extremity, tibiocalcaneal arthrodesis using a sandwich block can be performed. We performed tibiocalcaneonavicular arthrodesis using a sandwich block to treat a patient with open talus extrusion caused by a motorcycle accident and obtained good clinical results.

• The Korean Journal of Pain
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• 제2권1호
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• pp.85-88
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• 1989

We experienced 3 cases of continuous caudal block. The first case had suffered from severe pain of the external genitalis after urethral injury from a car accident and this was controlled by continuous caudal block. The other 2 cases were a metastaric malignant tumor of the lumbar vertebra from cancer of the cervix and histiocytoma of the breast, and both had suffered from intractable pain of the lower extremity. But lumbar epidural block was impossible because of radiation fibrosis and previous operation scar of the spine. So a continuous caudal block was performed and the pain was controlled effectively. The longest duration was 50 days and there were no problems related catheter indwelling. Pain in the area of the lumbar and sacral nerve distribution can be controlled by continuous caudal block. Here in we reported 3 cases and reviewed the literature.