• 대한관절경학회지
• /
• 제1권1호
• /
• pp.123-127
• /
• 1997

Arthroscopic anterior cruciate ligament reconstructions using bone-patella tendon-bone have been considered the best method by which others are compared. The notchyplasty is one of the important steps of this procedure and it is emphasized recently to prevent retear of the reconstructed ACL caused by impingement. However, until now, there is controversy about adequate amount of notchyplasty. Also, it is hard to examine the adequacy of notchyplasty even in the arthroscopic field, The purpose of this paper is to describe the surgical technique of notchyplasty, using the flexible reamer and preliminary result of its operation. In this study the results of ACL reconstruction with notchyplasty which is made by us were analized from January. 1994 to December, 1995. The results were as follows: 1. The notchyplasty with flexible reamer is the method that can be obtained adequate amount of removal, perfectly smooth notchyplasty. 2. The range of motion of the affected knee joint was normal ROM after post operation 6 month. 3. In the last follow up, 2 cases were positive in anterior drawer test 4 cases were positive in Lachmann's test and 1 knee was positive in Pivot shift test 4. Average Lysholm knee scoring scale was 70 points at preoperative and 92 points at the last follow up.

• 대한관절경학회지
• /
• 제2권2호
• /
• pp.107-113
• /
• 1998

This study is retrospective analysis of 31 patients treated by arthroscopically assisted ACL reconstruction, from September 1995 to September 1996. ACL reconstructions using autogenous bone patellar tendon bone (B-PT-B) were done in 18 patients, and using hamstring tendon were done in 13 patients. We used four-stranded hamstring tendon grafts and fixed the grafts using Endobutton and screw. The mean postoperative Lysholm knee score was 87.2 points in B-PT-B. group, and 89.0 points in hamstring tendon group. There were no clinically significant results between two groups in Telos test, quadriceps atrophy, Lachman test, anterior drawer test and pivot shift test, but the incidences of anterior knee pain were lower in hamstring group. Four-stranded hamstring tendon graft showed enough stability and good functional outcome similar to that of patellar tendon graft, and had an advantage of quicker return of quadriceps function and less donor site morbidity.

• 대한족부족관절학회지
• /
• 제17권1호
• /
• pp.11-16
• /
• 2013

Freiberg's disease is a osteochondrosis of a metatarsal head that is recognized as primarily a disorder of the second metatarsal. It is seen more often in girls. Pain and limitation of motion of the affected joint is the predominant clincal feature. The radiographic appearance demonstrates from osteosclerosis in the early stage to osteolysis with collapse in the later stage. Conservative therapy may take the form of rest, a stiff shoe, and even a cast support to decrease the stress across the joint. Surgical intervention may also be of benefit. Surgery have been attempted either to modify the diseae process or to salvage the situation once the metatarsophalangeal joint develops degenerative changes. Metatarsophalangeal joint instability is common cause of forefoot pain that can develop in association with a traumatic episode and inflamatory tissue disorders as well as neighboring toe deformities. The second ray is by far the most frequently involved. The diagnosis can be made by clinical observation and physical examination including drawer test. Many surgical procedures have beem recommended when conservative treatment has failed. Procedures described range from soft tissue releases and tendon trasfer to the direct plantar plate repair combined with a Weil osteotomy.

• 교육시설
• /
• 제14권3호
• /
• pp.17-26
• /
• 2007

This paper reviews KSG2010(Korean Industrial Standard for Student's Desk and Chair) compared to student's body size and suggests its new design guideline. It is found that the chairs are too high to sit straight up, and it is not easy to sit at student's ease because of backbone rest bar not existed in a right place. It is also found that the desks are too high to sit at desk to accept student legs under a drawer. So student's visibility range becomes decreased and it produces a harmful posture for eye protection. This paper also found that step number of student's desks and chairs needs to expand to 12 different steps inserted 5 steps between the existing 7 steps. A reason is that there is gap between the sizes of desk and chair and human height and width. Another reasons is that it is difficult to arrange desks and chairs appropriated to student body sizes in a class room.

• 대한족부족관절학회지
• /
• 제6권2호
• /
• pp.251-255
• /
• 2002

Purpose: Chronic subtalar instability is not common and similar to chronic ankle instability and the incidence and cause chronic subtalar instability are not well known. Recently we have experienced chronic subtalar instability without chronic ankle instability which was treated with modified Brostrom procedures. Materials and Methods: The patient is 46 year old man who has suffered from left ankle sprain for 30 years and recently aggravated more than twice a day. On subtalar stress view, 14 degree angulation of subtalar joint was noted and on anterior drawer view, 8 mm anterior displacement of left ankle was seen. Results: In operation, there was no anterior talofibular ligament abnormility but calcaneofibular ligament loosening was found. Ligament reconstruction was performed using modified Brostrom procedure. At 12 months after operation, the patient complains no pain and no limit of motion and no instability. Conclusion: We experienced chronic subtalar instability without ankle instability treated with modified Brostrom procedures. No instability was found after treatment without complication.

• 동의신경정신과학회지
• /
• 제32권3호
• /
• pp.261-273
• /
• 2021

The purpose of this study was to introduce effects of Chukyu pharmacopuncture and Brainspotting on knee pain, headaches, and acute stress disorder of a patient with a traffic accident. We treated a patient with Chukyu pharmacopuncture and Brainspotting. Numerical rating scale (NRS), Range of Motion (ROM), Hyperextension Position (HEP), Effusion (Eff), Patella Compression Test (PCT), Frontal Flexion Position (FFP), McMurray (MCM), Lateral Joint Line Tenderness (LJLT), Medial Joint Line Tenderness (MJLT), Anterior Drawer Test (ADT), Lachman Test, Varus/Valgus stress, Beck Anxiety Inventory (BAI), Patient Health Questionnaire-9 (PHQ-9), Pittsburgh Sleep Quality Index (PSQI), Core Seven Emotions Inventory Short Form (CSEI-S), Subjective units of disturbance scale (SUDs), and Heart rate variability (HRV) were used to evaluate the patient. After the patient was treated by Chukyu pharmacopuncture and Brainspotting, the patient showed improvement in NRS, physical examination, and psychological symptom assessment. These results indicate that Chukyu pharmacopuncture and Brainspotting are effective on knee pain, headache, and acute stress disorder after a traffic accident.

• 한국군사과학기술학회지
• /
• 제25권1호
• /
• pp.1-8
• /
• 2022

Electronic equipment mounted on military vehicles is exposed to external shocks and vibrations. This causes problems in tactical operation and also causes cost loss in equipment maintenance. Therefore, to optimize the test standards for military vehicles with vibration, dynamic characteristics should be analyzed and standardized through actual driving tests. In this paper, the internal structure of 2.5tons military vehicle is designed in the form of a drawer and lathe, and the dynamic characteristics are identified by experiment, and the design is proposed.

• 한국가구학회지
• /
• 제23권2호
• /
• pp.122-129
• /
• 2012

This article was intended as fundamental materials to recognize the current status of furniture hard ware in Korean market and to fix the identity of Korean furniture, by investigating and comparing the furniture hard ware used in the Joseon era and in modern times by type, function, shape and material. The analysis of furniture hard ware of the Joseon era and modern times from the view of functional aspects was oriented to the hard ware necessary to open and close the door & drawer on one side, and to that being attached to the main body of furniture not to scratch the wood by another wood on the other side, and from this the following conclusion was drawn. First of all, "Gwangdoojung" - a kind of spike- and metal decoration on the edge of the furniture disappeared, while the function-oriented hard wares have been diversified in modern times, from the perspective of the change of kinds. Second, the functional aspect of the furniture hard ware was emphasized in modern times than the Joseon era. In other words, the hard wares of the Joseon era came into view due to their strong appeal to decoration, whereas those of modern times were mostly hidden or moderated, keeping the function substantially. Third, the hard wares from the Joseon era were shown in concrete and detailed shape motivated by natural objects and furthermore even gloriously, but the modern hard wares are simple & basic geometry, from a formative point of view. Fourth, the material aspects present that the Joseon era's hard ware was mainly cast iron, whereas that of modern times shows the diversification from metal to even plastic. Finally, the recent trend in naming of the hard wares is the words of foreign origin. This resulted from that the foreign names of hard wares are valid also after import process in Korean market, so the domestic development of hard ware as the essential factor for the furniture design is urgently necessary to establish the identity of Korean modern furniture.

• 대한족부족관절학회지
• /
• 제11권2호
• /
• pp.198-203
• /
• 2007

Purpose: To assess the arthroscopic findings in chronic lateral ankle instability and to evaluate the results of modified $Brostr{\ddot{o}}m$ operation and arthroscopic procedures. Materials and Methods: Twenty-nine cases with chronic lateral ankle instability were treated with modified $Brostr{\ddot{o}}m$ operation and ankle arthroscopy from May 2004 to January 2007. There were 19 male and 10 female with the mean age of 29.7 years. Mean follow up period was 15.8 months. All patients were checked preoperative stress anterior drawer and varus test with X-ray. Results: Associated injuries were 28 fat impingement projected into the joint between distal tibio-fibular space, 20 anterior impingement of soft tissue, 19 osteochondral defects and 13 loose body. Preoperative AOFAS score of pain, function and alignment were 28.9, 34.1 and 7.9 each other. They were improved into 38.7, 40.8 and 9.8 postoperatively. Conclusions: Modified $Brostr{\ddot{o}}m$ operation with ankle arthroscopy for chronic lateral ankle instability is believed to be a reliable option to obtain satisfactory results. Careful attention to the associated injuries such as distal fat impingement, anterior impingement, osteochondral defect and loose body is needed during the arthroscopy.

• 대한족부족관절학회지
• /
• 제11권2호
• /
• pp.204-208
• /
• 2007

Purpose: To evaluate the results of surgical reconstruction of lateral capsule-ligament complex with reinforcement by periosteal flap of distal fibula and inferior extensor retinaculum for chronic lateral ankle instability. Materials and Methods: From April 2003 to August 2006, 62 patients with chronic lateral ankle instability were operated. There were 38 males and 24 females with a mean age of 39.6 years (range, $18{\sim}61$ years). Mean follow-up period was 32 months (range, $10{\sim}48$ months). All patients were checked with preoperative ankle anteroposterior and lateral view, stress anterior drawer and varus test using Telos device. The clinical results were graded according to the VAS and AOFAS scale. Results: VAS score improved from preoperative 8.2 points to 3.1 points. There were 38 patients who were excellent (above 90 points), 18 who were good (between 76 and 90 points), 5 who were fair (between 60 and 75 points), and 1 who was poor (below 60 points) according to the AOFAS ankle and hindfoot scale. The excellent and good results amounted to 90.3%. Conclusion: Surgical reconstruction of lateral capsule-ligament complex with reinforcement by periosteal flap of distal fibula and inferior extensor retinaculum is believed to be a effective method for chronic lateral ankle instability.