358 pissn : , eissn : Original Article J Korean Orthop Assoc 2018; 53:

Size: px
Start display at page:

Download "358 pissn : , eissn : Original Article J Korean Orthop Assoc 2018; 53:"

Transcription

1 358 pissn : , eissn : Original Article J Korean Orthop Assoc 2018; 53: 원위요골골절에서전방금속판나사못의삽입방법에따른고정안정성및신전건손상빈도에대한비교 주민욱 강한빛 유기원 박민식 가톨릭대학교의과대학성빈센트병원정형외과 Comparison of Fixation Stability and Incidence of Extensor Tendon Injury according to the Screw Insertion Method in Volar Plate Fixation for Distal Radius Fractures Min Wook Joo, M.D., Ph.D., Han-Vit Kang, M.D., Kee-Won Rhyu, M.D., Ph.D., and Min-Sik Park, M.D. Department of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea Purpose: This retrospective study was aimed to analyze the differences in stability and extensor impairment after two different volar plating procedures to manage unstable distal radius fracture, which were the penetration of only near-cortex followed by screw fixation (Group 1) and perforation of dorsal cortex by drill-bit followed by fixation with the screws downsized after gauging (Group 2). Materials and Methods: We reviewed the medical records of 491 patients with distal radius fracture treated with standard-sized, targeted distal radius plate in two institutions between April 2009 and May Finally, 341 patients with complete demographic data, records of AO classification of fractures, data on the lengths of inserted distal screws, radiologic parameters immediately and at 3 months after operation, as well as extensor impairments, were included in this study. There were 112 patients (98 women and 14 men) in Group 1, and 229 patients (171 women and 58 men) in Group 2. The mean age was 59.8 years for all the patients; 60.3 years in Group 1 and 59.5 years in Group 2. Results: The mean length of the longest screws used in Group 2 was longer than that in Group 1; however, the mean length of the shortest screws used in Group 2 was shorter than that in Group 1. While the differences in changes for radial inclination measured immediately and at 3 months after the operation were statistically significant (p=0.019), the change of radial inclination in Group 2, which showed a greater change, was only 0.5 mm. There were two cases with extensor pollicis longus rupture in Group 1 and 2 respectively, and the difference in frequency according to each Group was not statistically significant (p=0.6). Conclusion: The superiority of one surgical procedure in terms of fracture stability on measured radiological parameters was not fully proven compared with the other one in this study. Therefore, it would be better to selectively use the surgical method of dorsal cortex perforation viadrill-bit followed by fixation only in limited circumstances. Key words: radius, fracture, locking plate, extensor, stability 서론 Received September 29, 2017 Revised October 16, 2017 Accepted October 26, 2017 Correspondence to: Kee-Won Rhyu, M.D., Ph.D. Department of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, 93 Jungbu-daero, Paldal-gu, Suwon 16247, Korea TEL: FAX: kwrhyu@catholic.ac.kr ORCID: 정형외과술기의발달로원위요골골절의치료법도달라지고있다. 1) 과거에는원위요골골절에서후방금속판고정술을흔히사용하였는데, 금속판과건이인접하여신전건마찰과파열이흔하였다. 2-4) 이후로후방연조직의침범을피하면서안정적인고정이 The Journal of the Korean Orthopaedic Association Volume 53 Number Copyright 2018 by The Korean Orthopaedic Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

2 359 Screw Insertion Methods in Volar Plating for Distal Radius Fractures 가능한전방금속판고정술에관심을갖게되었고, 5-8) 신전건자극과손상의위험을줄일수있었다. 7,9-11) 그럼에도불구하고여전히그러한합병증이발생하고있으며, 오히려그빈도도증가하고있다 ) 신전건손상의기전은돌출된나사못에의한마모나 drill bit에의한손상으로생각한다. 9,12,13,17-22) 신전건손상을피하기위해인접피질골만을통과하는나사못을사용하면후방연조직손상은줄일수있지만나사못이너무짧으면골절지지구조의기계적안정성을저해할수있다. 양측피질골 (bicortical) 나사못고정을하게되면후방피질골을뚫어야하며, 다양한방사선촬영법으로수술중에나사못의돌출여부를확인하고있지만, 정확히판단하기가쉽지않다. 13,23,24) 이에어떤술자들은측정된나사못길이보다 2 mm만큼짧은나사못을사용할것을제안한다. 9,25) 불안정성원위요골골절에서 drill bit로인접피질골만뚫은후나사못으로고정한경우 (1군) 와후방피질골까지뚫은후측정한길이보다짧은나사못으로고정한경우 (2군) 에수술후안정성및신전건손상에차이가있는지알아보고자후향적연구를시행하였다. 대상및방법 2009년 4월부터 2014년 5월까지전방요골금속판 (Acu-Loc VDR Plate; Acumed, Hillsboro, OR, USA) 으로수술받은원위요골골절환자 491명에대한의무기록을검토하였다. 인구학적특징, AO 분류법, 원위나사못의길이, 수술직후및 3개월후의방사선적지표, 신전건손상에대한자료를분석하였으며, K-강선, 또는골편간나사못으로추가고정한증례는제외하였다. 최소 20년의임상경험을가진 2명의수부외과전문의가각각의수술을시행하였다. 수술시지혈대를사용하였으며, extended flexor carpi radialis approach 10) 로수술을시행하였다. 골절을정복한뒤영상증폭기로위치를확인하며가이드 (guide) 를끼운금속판을적절한위치에놓았다. 피질골을뚫는동안천공침이후방골편을밀어내는것을방지하기위해가이드와원위골편을전후방으로압박하였다. 한술자는 drill bit에의한후방피질골의천공이없는나사못고정을시행하였고 (1군), 다른술자의는후방피질골을천공한뒤측정된길이보다짧은나사못으로고정하였다 (2군). 후방분쇄로후방피질골을뚫을수없는경우라도깊이측정기를이용하여길이를측정한후 2 mm 짧은나사못을사용한경우는 2군에포함하였다. 나사못길이를측정하는중에도가이드와골편에압박을유지하였다. 원위요골의후방에는경사면이있기때문에금속판의가장요측에있는 2개의구멍에서는실제보다나사못길이가길게측정되지않도록깊이측정기의갈고리를후외방으로향하여길이를측정하였다 (Fig. 1). 수술후 4주동안단상지부목 (Cock-up splint) 으로고정하였고, 수술 3개월이후 에는모든활동을허용하였다. 최종적으로 341명의환자를분석하였다. 두군모두에서여성이더많았고, 1군에는 112명의환자 ( 여성 98명과남성 14명 ), 2군에는 229명의환자 ( 여성 171명과남성 58명 ) 가속하였다. 전체평균연령은 59.8세 (17-87세) 이며, 1군은 60.3세 (25-80세), 2군은 59.5 세 (17-87세) 였다. 두군모두에서 C형골절이가장많았다. 1군에서 14명은 AO 분류 A3, 2명은 B3, 6명은 C1, 70명은 C2, 20명은 C3 였고, 2군에서 18명은 A2, 13명은 A3, 1명은 B3, 11명은 C1, 78명은 C2, 108명은 C3였다. 원위나사못의수와길이를검토하고, 가장긴나사못과가장짧은나사못의길이차이및나사못의평균길이를분석하였다. 영상프로그램을사용하여단순방사선사진에서요측길이, 경사및전방경사를측정하여골절고정의안정도를평가했다. 세명의서로다른정형외과의사가측정하여측정값들의평균을사용하였다. 신전건파열과건막염의발생유무를확인하고, 각군에따른신전건손상의빈도를분석하였다. 나사못길이에대해서는비대응표본 t-검정, 방사선적지표의측정값에대해서는 ANCOVA ( 공변량분석 ), 신전건손상의빈도에대해서는 Fisher의정확한검정으로통계분석하였고, p값이 0.05 미만인경우통계적으로유의한것으로정의하였다. 결과 모든환자에서 4개의원위나사못을삽입하였다. 나사못의평균길이는 1군에서 17.43±1.20 mm, 2군에서 17.71±1.64 mm였고, 통계적으로유의한차이는없었다 (p=0.071, 95% 신뢰구간, ). 가장긴나사못의평균길이는 1군에서 18.75±1.11 mm, 2군 Figure 1. According to the direction of the gauge hook, measurements can be different.

3 360 Min Wook Joo, et al. 에서 21.01±1.93 mm로 2군에서더길었으며, 이는통계적으로유의하였다 (p<0.001, 95% 신뢰구간, ). 가장짧은나사못의평균길이는 1군에서 15.39±1.25 mm, 2군에서 14.28±1.86 mm 였고, 그차이는통계적으로유의하였다 (p<0.001, 95% 신뢰구간, ). 수술직후및 3개월후에측정된방사선적지표에서요측길이및전방경사의변화차이는통계적으로유의하지않았지만 (p=0.134 and p=0.490), 요측경사의변화의차이는통계적으로유의하였으며 (p=0.019), 2 군에서그값이더많이감소하였다 (Table 1). 최소 9개월추시동안신전건의건막염은관찰되지않았다. 장무지신전건 (extensor pollicis longus, EPL) 파열의경우 1군에서 2 명 (1.8%), 2군에서 2명 (0.9%) 발생하였으며, 그빈도의차이는통계적으로유의하지않았다 (p=0.6). 고찰 이연구에서사용된원위요골금속판 (Acu-Loc VDR Plate; Acumed) 은일종의고정각수장측잠김금속판 (fixed angle volar locking plate) 이다. 전방금속판고정술에서원위요골금속판은원위연골하골에작용하여중화금속판으로서기능을한다. 또이금속판은잠김-나사 (locking-screw) 구조로서골절의고정을유지하기위해직접적으로골질에의존할필요가없으므로양측피질골나사못고정또는불필요하게긴나사못고정은필요하지않다. 하지만전방피질골만천공하고나사길이를경험적으로결정하면너무짧은나사를사용하여구조의안정성이떨어질가능성이있다. 수술후요측길이, 경사및전방경사각, 요수근관절의일치성, 원위요골의 S자형절흔관절면일치성을기준으로골절정복상태를평가할수있다. 22) 본연구에서수술후 3개월째두군간 요측길이와전방경사의변화차이는통계적으로유의하지않았지만요측경사는 1군에서더잘유지되었으며통계적으로유의한차이를보였고, 서로다른골질, 서로다른집도의의다른수술기법, 골절전원위요골의형태와크기, 최초골절의형태, 고정된금속판의 3차원적형태의차이가그원인일수있다. 하지만수술후 3개월째 2군의요골경사도수술직후에비해크게달라지지는않았다. 두군간수술후안정성의차이를명확히알기위해기타잠재요인들을확인해야하며, 미세변화를측정하기위한추가적인방사선적검사도고려할수있다. 신전건손상의원인에는수술기법과기구관련합병증 ( 예를들어, 돌출된후방나사못이나 drill bit에의한원위요골후방피질골천공 ) 뿐아니라골절발생으로인한건의기계적압박및혈관손상 ( 예를들어, 골편, 돌기, 골절부위의후방틈새, 혈종압박 ) 도있다 ,17-19) EPL은요골에서 Lister s 결절의척측에서요골구에둘러싸여좁고고정된경로를따라주행하며, 비교적혈액공급이부족하여신전건구획의직접손상이없더라도파열에취약하다. 26) 전방고정각금속판으로수술을한후약 2%-4% 에서 EPL 파열과건막염을포함한신전건손상이발생한다. 4,9,21) 따라서, 후방피질골을뚫었던 2군에서신전건손상의빈도가더높을것으로예상하였으나신전건손상중가장흔한 EPL 파열 12,13,15,17) 이각군에서 2명씩발생하였고, 군에따른빈도의차이는통계적으로유의하지않았다. 파열이발생한환자들은시지신건 (extensor indicis proprius) 건이전술로치료받았으며, 수술소견상돌출된나사나빈드릴구멍은관찰할수없었다. 두군모두에서신전건손상은골절자체에의한것일수있다. 본연구에서가장긴나사못의평균길이는 2군에서더길었으나예상과달리가장짧은나사의평균길이는 1군에서더길었다. 2군에서나사못길이를결정할때기본적으로깊이측정기가눈금의사이를가리킬경우더작은값을먼저선택하고그값에 Table 1. Mean Values of Radiologic Parameters with p-values Variable Group 1 Group 2 p-value* Radial length (mm) Immediately after operation 12.1 ( ) 12.0 ( ) Three months after operation 12.0 ( ) 11.7 ( ) Radial inclination ( ) Immediately after operation 23.2 ( ) 22.7 ( ) Three months after operation 23.2 ( ) 22.2 ( ) Volar tilt ( ) Immediately after operation 10.4 ( ) 11.7 ( ) Three months after operation 10.5 ( ) 11.0 ( ) Values are presented as median (range). Group 1 included the cases operated with penetration of only near-cortex followed by screw fixation. Group 2 included the cases operated with perforation of dorsal cortex by drill-bit followed by fixation with the screws downsized after gauging. *Comparison of changes in radiologic parameters between Group 1 and 2.

4 361 Screw Insertion Methods in Volar Plating for Distal Radius Fractures 되어수술직후및 3개월후의지표만을비교하였으며, 장기추시자료는포함하지않았다. 대부분신전건파열은골절후 1-3개월사이에발생하기때문에, 12) 최소 9개월간의추적검사기간은충분하다고생각한다. 결론 방사선적지표상두수술법에따른수술후안정성의차이는확연하지않았다. 신전건손상의합병증도어느한경우에더많이발생하지않았다. 그러므로제한된경우에한하여선택적으로후방피질골을천공하는나사못삽입방법을사용하는것이바람직할것으로생각된다. Figure 2. Because of the inconsistent morphology of the distal radius dorsal cortex, the direction of the gauge hook can impact on the measurements. Especially, screw lengths can be measured longer around the stiff slope of Lister s tubercle. 서 2 mm 짧은길이를선택하였다. 측정기눈금의간격은 20 mm 이하길이에서는 2 mm, 20 mm 이상에서는 2.5 mm였다. 그러므로, 예를들어측정기가가리킨값이 20 mm 이상이면서눈금사이에위치할경우에는최대약 4 mm 정도짧은길이의나사못을선택할수도있다. 이로인해가장짧은나사못의평균길이가 2 군에서더짧았을수있다. 또한가장긴나사못은 Lister s 결절을향해삽입되고가장짧은나사는비교적더평평한후방피질을향해삽입되는데, Lister s 결절주변후방피질골을천공한뒤깊이를측정하면측정기가결절의경사면에걸리기때문에측정값은피질에서피질까지의정확한실제길이보다더길수있다 (Fig. 2). 신전건손상의예방을위해가장중요한점은적절한수술적방법의선택보다궁극적으로세심한수술술기에있다고생각한다. 만약술자가후방피질골을과격하게뚫지않는다면양측피질골 (bicortical) 고정을시행하여도 drill-bit에의한신전건구획의손상을줄일수있다. 어떤술자들은적절한굵기의 K-강선이드릴의절삭연 (cutting flute of drill) 에비해손상을덜준다고주장한다. 27) 최근연구와본연구에서일반적으로사용되는전방잠금금속판의 고위험 구멍을알수있으며, 1) 해당구멍을사용할시더주의해야할것이다. 본연구의제한점으로방사선사진촬영각의미세한차이와각수술에사용된나사의총개수가일정하지않은점 ( 범위, 6-8개 ), 수술기법의차이가있을수있는두술자의결과를비교하였다는점, 나사못이요골관절면과얼마나가깝게위치하느냐가골절고정의안정성에영향을줄수있다는점을생각할수있고, 향후연구에서는더정교한통제가필요할것이다. 수술기법수술후 3개월이후에는방사선적지표에큰변화가없을것으로예상 CONFLICTS OF INTEREST The authors have nothing to disclose. REFERENCES 1. Perry DC, Machin DM, Casaletto JA, Brown DJ. Minimising the risk of extensor pollicis longus rupture following volar plate fixation of distal radius fractures: a cadaveric study. Ann R Coll Surg Engl. 2011;93: Jakob M, Rikli DA, Regazzoni P. Fractures of the distal radius treated by internal fixation and early function. A prospective study of 73 consecutive patients. J Bone Joint Surg Br. 2000;82: Ring D, Jupiter JB, Brennwald J, Büchler U, Hastings H 2nd. Prospective multicenter trial of a plate for dorsal fixation of distal radius fractures. J Hand Surg Am. 1997;22: Rozental TD, Beredjiklian PK, Bozentka DJ. Functional outcome and complications following two types of dorsal plating for unstable fractures of the distal part of the radius. J Bone Joint Surg Am. 2003;85: Kamano M, Honda Y, Kazuki K, Yasuda M. Palmar plating for dorsally displaced fractures of the distal radius. Clin Orthop Relat Res. 2002;397: Liporace FA, Gupta S, Jeong GK, et al. A biomechanical comparison of a dorsal 3.5-mm T-plate and a volar fixed-angle plate in a model of dorsally unstable distal radius fractures. J Orthop Trauma. 2005;19: Orbay JL, Fernandez DL. Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report. J Hand

5 362 Min Wook Joo, et al. Surg Am. 2002;27: Orbay JL, Fernandez DL. Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient. J Hand Surg Am. 2004;29: Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M. Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. J Orthop Trauma. 2007;21: Orbay JL. The treatment of unstable distal radius fractures with volar fixation. Hand Surg. 2000;5: Smith DW, Henry MH. Volar fixed-angle plating of the distal radius. J Am Acad Orthop Surg. 2005;13: Al-Rashid M, Theivendran K, Craigen MA. Delayed ruptures of the extensor tendon secondary to the use of volar locking compression plates for distal radial fractures. J Bone Joint Surg Br. 2006;88: Benson EC, DeCarvalho A, Mikola EA, Veitch JM, Moneim MS. Two potential causes of EPL rupture after distal radius volar plate fixation. Clin Orthop Relat Res. 2006;451: Engkvist O, Lundborg G. Rupture of the extensor pollicis longus tendon after fracture of the lower end of the radius: a clinical and microangiographic study. Hand. 1979;11: Failla JM, Koniuch MP, Moed BR. Extensor pollicis longus rupture at the tip of a prominent fixation screw: report of three cases. J Hand Surg Am. 1993;18: McKay SD, MacDermid JC, Roth JH, Richards RS. Assessment of complications of distal radius fractures and development of a complication checklist. J Hand Surg Am. 2001;26: Wong-Chung J, Quinlan W. Rupture of extensor pollicis longus following fixation of a distal radius fracture. Injury 1989;20: De Maeseneer M, Marcelis S, Osteaux M, Jager T, Machiels F, Van Roy P. Sonography of a rupture of the tendon of the extensor pollicis longus muscle: initial clinical experience and correlation with findings at cadaveric dissection. AJR Am J Roentgenol. 2005;184: Lee HC, Wong YS, Chan BK, Low CO. Fixation of distal radius fractures using AO titanium volar distal radius plate. Hand Surg. 2003;8: Ruch DS, Papadonikolakis A. Volar versus dorsal plating in the management of intra-articular distal radius fractures. J Hand Surg Am. 2006;31: Drobetz H, Kutscha-Lissberg E. Osteosynthesis of distal radial fractures with a volar locking screw plate system. Int Orthop. 2003;27: Nana AD, Joshi A, Lichtman DM. Plating of the distal radius. J Am Acad Orthop Surg. 2005;13: Maschke SD, Evans PJ, Schub D, Drake R, Lawton JN. Radiographic evaluation of dorsal screw penetration after volar fixed-angle plating of the distal radius: a cadaveric study. Hand (N Y). 2007;2: Ozer K, Wolf JM, Watkins B, Hak DJ. Comparison of 4 fluoroscopic views for dorsal cortex screw penetration after volar plating of the distal radius. J Hand Surg Am. 2012;37: Musgrave DS, Idler RS. Volar fixation of dorsally displaced distal radius fractures using the 2.4-mm locking compression plates. J Hand Surg Am. 2005;30: Hirasawa Y, Katsumi Y, Akiyoshi T, Tamai K, Tokioka T. Clinical and microangiographic studies on rupture of the E.P.L. tendon after distal radial fractures. J Hand Surg Br. 1990;15: McCann PA. Comment on: minimising the risk of extensor pollicis longus rupture following volar plate fixation of distal radius fractures: a cadaveric study. Ann R Coll Surg Engl. 2011;93:494.

6 363 pissn : , eissn : Original Article J Korean Orthop Assoc 2018; 53: 원위요골골절에서전방금속판나사못의삽입방법에따른고정안정성및신전건손상빈도에대한비교 주민욱 강한빛 유기원 박민식 가톨릭대학교의과대학성빈센트병원정형외과 목적 : 불안정성원위요골골절에서 drill bit 로인접피질골만뚫은후나사못으로고정한경우 (1 군 ) 와후방피질골까지뚫은후측정 한길이보다짧은나사못으로고정한경우 (2군) 에수술후안정성및신전건손상에차이가있는지알아보고자후향적연구를시행하였다. 대상및방법 : 2009년 4월부터 2014년 5월까지전방요골금속판으로수술받은원위요골골절환자 491명에대한의무기록을검토하였으며, 최종적으로 341명에대해인구학적특징, AO 분류법, 원위나사못의길이, 수술직후및 3개월후의방사선적지표, 신전건손상에대한자료를분석하였다. 1군에는 112명의환자 ( 여성 98명과남성 14명 ), 2군에는 229명의환자 ( 여성 171명과남성 58 명 ) 가속하였으며, 평균연령은 59.8세, 1군에서는 60.3세, 2군에서는 59.5세였다. 결과 : 가장긴나사못길이의평균은 2군에서더길었으나가장짧은나사못길이의평균은 1군에서더길었다. 수술직후및 3개월후에측정한요측경사의차이는통계적으로유의하였으나 (p=0.019), 더큰변화를보인 2군에서그변화는 0.5 mm에불과하였다. 1, 2군에서장무지신전건파열은각각 2예였으며, 각군에따른빈도의차이는통계적으로유의하지않았다 (p=0.6). 결론 : 방사선적지표상두수술법에따른수술후안정성의차이는확연하지않았다. 신전건손상의합병증도어느한경우에더많이발생하지않았다. 그러므로제한된경우에한하여선택적으로후방피질골을천공하는나사못삽입방법을사용하는것이바람직할것으로생각된다. 색인단어 : 요골, 골절, 잠김금속판, 신전건, 안정성 접수일 2017 년 9 월 29 일수정일 2017 년 10 월 16 일게재확정일 2017 년 10 월 26 일책임저자유기원 16247, 수원시팔달구중부대로 93, 가톨릭대학교의과대학성빈센트병원정형외과 TEL , FAX , kwrhyu@catholic.ac.kr, ORCID 대한정형외과학회지 : 제 53권제 4호 2018 Copyright 2018 by The Korean Orthopaedic Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

황지웅

황지웅 Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic

More information

ORIGINAL ARTICLE J Korean Fract Soc 2018;31(1):1-8 ISSN (Print) ㆍ ISSN (Online) 벽돌쌓기기법을이

ORIGINAL ARTICLE J Korean Fract Soc 2018;31(1):1-8 ISSN (Print) ㆍ ISSN (Online)   벽돌쌓기기법을이 ORIGINAL ARTICLE J Korean Fract Soc 2018;31(1):1-8 ISSN 1225-1682 (Print) ㆍ ISSN 2287-9293 (Online) https://doi.org/10.12671/jkfs.2018.31.1.1 벽돌쌓기기법을이용한원위요골관절내분쇄골절의해부학적정복술 김형민ㆍ조형래ㆍ채종우ㆍ신명지 좋은삼선병원정형외과 Anatomical

More information

Lumbar spine

Lumbar spine Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical

More information

untitled

untitled 대한골절학회지제25권, 제3호, 2012년 7월 Journal of the Korean Fracture Society Vol. 25, No. 3, July, 2012 원저 원위요골골절에서고정각과가변각수장측잠김금속판을이용한수술의비교 차승도ㆍ박재형ㆍ김형수ㆍ정수태ㆍ유정현ㆍ김주학ㆍ박정환 관동대학교의과대학명지병원정형외과학교실 목적 : 원위요골골절환자에서고정각수장측잠김금속판을이용한군과가변각수장측잠김금속판을이용한군의결과를비교하고자하였다.

More information

untitled

untitled 대한골절학회지제 24 권, 제 2 호, 11 년 4 월 Journal of the Korean Fracture Society Vol. 24, No. 2, April, 11 3. mm 수장측잠김압박금속판과 2.4 mm 수장측잠김압박금속판을이용한원위요골골절의수술적치료결과비교 하성식ㆍ김태호ㆍ홍기도ㆍ심재천ㆍ김종현 삼육서울병원정형외과 목적 : 원위요골골절의치료로수장측

More information

untitled

untitled 대한골절학회지제 21 권, 제 4 호, 2008년 10월 Journal of the Korean Fractrure Society Vol. 21, No. 4, October, 2008 종설 원위요골골절의후방금속판내고정술 (Dorsal Plating for Distal Radius Fracture) 송석환 가톨릭대학교의과대학정형외과학교실 서 최근원위요골의골절부위를수술적으로내고정하기위하여전방도달법

More information

untitled

untitled ISSN 12-1682 (Print) ISSN 2287-9293 (Online) 대한골절학회지제 28 권, 제 1 호, 15 년 1 월 J Korean Fract Soc 15;28(1):46-52 http://dx.doi.org/.12671/jkfs.15.28.1.46 Original Article 가변각수장측잠김금속판을이용한원위요골골절치료 심재천 하성식 홍기도

More information

07/15-019/이재성(종설)77-84

07/15-019/이재성(종설)77-84 REVIEW ARTICLE pissn 1598-3889 eissn 2234-0998 J Korean Soc Surg Hand 2015;20(2):77-84. http://dx.doi.org/10.12790/jkssh.2015.20.2.77 JOURNAL OF THE KOREAN SOCIETY FOR SURGERY OF THE HAND Dorsal Approach

More information

노영남

노영남 Purpose: Delayed massive hemorrhages from pseudoaneurysm rupture of the peripancreatic large arteries, after pancreaticoduodenectomy, are fatal. We reviewed the clinical course and outcome of bleeding

More information

012임수진

012임수진 Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar

More information

원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현

원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 지도김석원교수 이논문을석사학위논문으로제출함

More information

( )jkfs106.hwp

( )jkfs106.hwp 대한골절학회지제 19 권, 제 4 호, 2006년 10월 Journal of the Korean Fractrure Society Vol. 19, N o. 4, October, 2006 종 설 원위요골골절의수술적치료 (Operative Treatment of Distal Radius Fracture) 박종웅 고려대학교의과대학정형외과학교실 서론 원위요골골절치료의원칙

More information

Archives of Hand and Microsurgery Hand Arch Hand Microsurg 2017;22(4): pissn eissn Original Article 원위요골골절후장무지신전건파열의전신적위험인

Archives of Hand and Microsurgery Hand Arch Hand Microsurg 2017;22(4): pissn eissn Original Article 원위요골골절후장무지신전건파열의전신적위험인 Archives of Hand and Microsurgery Hand Arch Hand Microsurg 2017;22(4):240-246. pissn 2586-3290 eissn 2586-3533 Original Article 원위요골골절후장무지신전건파열의전신적위험인자 이재영 1 ㆍ노연태 2 ㆍ정창훈 1 ㆍ정세훈 1 ㆍ박일중 1 1 가톨릭대학교부천성모병원정형외과,

More information

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770>

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770> 대한안과학회지 제 49 권 제 5 호 2008 J Korean Ophthalmol Soc 49(5):727-731, 2008 DOI : 10.3341/jkos.2008.49.5.727 다초점 소프트콘택트렌즈의 노안의 시력보정에 대한 유용성 평가 김현경 1 김효명 2 정성근 1 가톨릭대학교 의과대학 성모병원 안과학교실 1, 고려대학교 의과대학 안암병원 안과학교실

More information

( )Kjhps043.hwp

( )Kjhps043.hwp Difference of Fistula Maturation Degree and Physical Property by the Types of Tube Material: An Experimental Study Sang Koo Kang, M.D. 1, Hee Chul Yu, M.D. 1,4, Woo Sung Moon, M.D. 2,4, Ju Hyoung Lee,

More information

A 617

A 617 Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R

More information

12이문규

12이문규 Review on Conservative Treatment of Spinal Scoliosis Moon-kyu Lee, O.M.D., Gil-jae Lee, O.M.D., Yun-kyung Song, O.M.D., Hyung-ho Lim, O.M.D. Dept. of Oriental Rehabilitation Medicine College of Oriental

More information

139~144 ¿À°ø¾àħ

139~144 ¿À°ø¾àħ 2 139 DOI : 10.3831/KPI.2010.13.2.139 2 Received : 10. 04. 08 Revised : 10. 04. 26 Two Case Report on Wrist Ganglion Treated with Scolopendrid Pharmacopuncture Accepted : 10. 05. 04 Key Words: Wrist Ganglion,

More information

歯1.PDF

歯1.PDF 200176 .,.,.,. 5... 1/2. /. / 2. . 293.33 (54.32%), 65.54(12.13%), / 53.80(9.96%), 25.60(4.74%), 5.22(0.97%). / 3 S (1997)14.59% (1971) 10%, (1977).5%~11.5%, (1986)

More information

한국성인에서초기황반변성질환과 연관된위험요인연구

한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 - - i - - i - - ii - - iii - - iv - χ - v - - vi - - 1 - - 2 - - 3 - - 4 - 그림 1. 연구대상자선정도표 - 5 - - 6 - - 7 - - 8 - 그림 2. 연구의틀 χ - 9 - - 10 - - 11 -

More information

untitled

untitled ISSN 1225-1682 (Print) ISSN 2287-9293 (Online) 대한골절학회지제 28 권, 제 1 호, 2015 년 1 월 J Korean Fract Soc 2015;28(1):8-16 http://dx.doi.org/10.12671/jkfs.2015.28.1.8 Original Article 골결손을동반한고령의원위요골분쇄골절에서동종해면골이식과수장측잠김금속판을이용한치료

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 4, August, 30, 2016:319~332 Received: 2016/07/28, Accepted: 2016/08/28 Revised: 2016/08/27, Published: 2016/08/30 [ABSTRACT] This paper examined what determina

More information

- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

More information

김범수

김범수 Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis

More information

서론 34 2

서론 34 2 34 2 Journal of the Korean Society of Health Information and Health Statistics Volume 34, Number 2, 2009, pp. 165 176 165 진은희 A Study on Health related Action Rates of Dietary Guidelines and Pattern of

More information

( )Jkstro011.hwp

( )Jkstro011.hwp 비인강암의방사선치료결과및생존율에관한예후인자분석 2005 2 1 2005 3 28. :, Tel: 053)250-7665, Fax: 053)250-7984 E-mail: jhkim@dsmc.or.kr 정영연외 2 인 : 비인강암의예후인자분석 정영연외 2 인 : 비인강암의예후인자분석 Carcinoma of the nasopharynx treated by radiotherapy

More information

- iii - - i - - ii - - iii - 국문요약 종합병원남자간호사가지각하는조직공정성 사회정체성과 조직시민행동과의관계 - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - α α α α - 15 - α α α α α α

More information

386-390.hwp

386-390.hwp 386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon

More information

기관고유연구사업결과보고

기관고유연구사업결과보고 기관고유연구사업결과보고 작성요령 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 1 2/3 2 1 0 2 3 52 0 31 83 12 6 3 21 593 404 304 1,301 4 3 1 8 159 191 116 466 6 11 (`1: (1: 16 33 44 106

More information

untitled

untitled 대한골절학회지제 21 권, 제 4 호, 2008년 10월 Journal of the Korean Fractrure Society Vol. 21, No. 4, October, 2008 종설 원위요골골절에서수장금속판술 (Volar Plating of Distal Radius Fractures) 이광현 한양대학교병원정형외과 Volar plating seems to

More information

09È«¼®¿µ 5~152s

09È«¼®¿µ5~152s Korean Journal of Remote Sensing, Vol.23, No.2, 2007, pp.45~52 Measurement of Backscattering Coefficients of Rice Canopy Using a Ground Polarimetric Scatterometer System Suk-Young Hong*, Jin-Young Hong**,

More information

975_983 특집-한규철, 정원호

975_983 특집-한규철, 정원호 Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology

More information

04조남훈

04조남훈 Received : 2011. 11. 16 Reviewed : 2011. 11. 25 Accpeted : 2011. 12. 5 A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache

More information

( ) Jkra076.hwp

( ) Jkra076.hwp Vol. 11, No. 4, December, 2004 Objective: Ultrasonography (USG) of joints has a unique position for the diagnosis of joint diseases. Bone surface, cartilage, periarticular soft tissue and their pathologic

More information

untitled

untitled 대한골절학회지제25권, 제3호, 2012년 7월 Journal of the Korean Fracture Society Vol. 25, No. 3, July, 2012 원저 60 세이상의 AO 분류 C 형원위요골골절에서 Kapandji 술식의결과 김철홍ㆍ김성수ㆍ이명진ㆍ김현준ㆍ김보건ㆍ임영훈 동아대학교의과대학정형외과학교실 목적 : 60세이상 AO 분류 C형의원위요골골절에서

More information

<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A52DC1A4BFB5C3B62E687770>

<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A52DC1A4BFB5C3B62E687770> Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 19, No. 2 : 258~264 Feb. 2015 ID3 알고리즘 기반의 귀납적 추론을 활용한 모바일 OS의 성공과 실패에 대한

More information

001-학회지소개(영)

001-학회지소개(영) Review Article Randomization, What is the Proper Method? Jin Ho Hong, M.D., Jae Chul Yoo, M.D. Shoulder & Sports medicine, Department of Orthopedic Surgery, Samsung Medical Center Purpose: Among the numerous

More information

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. vol. 29, no. 10, Oct ,,. 0.5 %.., cm mm FR4 (ε r =4.4)

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. vol. 29, no. 10, Oct ,,. 0.5 %.., cm mm FR4 (ε r =4.4) THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2018 Oct.; 29(10), 799 804. http://dx.doi.org/10.5515/kjkiees.2018.29.10.799 ISSN 1226-3133 (Print) ISSN 2288-226X (Online) Method

More information

CASE REPORT pissn eissn J Korean Soc Surg Hand 2016;21(4): JOURNAL OF THE KORE

CASE REPORT pissn eissn J Korean Soc Surg Hand 2016;21(4): JOURNAL OF THE KORE CASE REPORT pissn 1598-3889 eissn 2234-0998 J Korean Soc Surg Hand 2016;21(4):225-229. http://doi.org/10.12790/jkssh.2016.21.4.225 JOURNAL OF THE KOREAN SOCIETY FOR SURGERY OF THE HAND Volar Dislocation

More information

1..

1.. Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :

More information

<30345F283439372D353034295F313135375FC0CCB5BFC8F15FB5B5B7CEC5CDB3CEC0C720B0BBB1B8BACE20B0E6B0FCBCB3B0E8B0A120C5CDB3CE20B3BBBACEC1B6B8ED2E687770>

<30345F283439372D353034295F313135375FC0CCB5BFC8F15FB5B5B7CEC5CDB3CEC0C720B0BBB1B8BACE20B0E6B0FCBCB3B0E8B0A120C5CDB3CE20B3BBBACEC1B6B8ED2E687770> J of Korean Tunn Undergr Sp Assoc 15(5)497-504(2013) eissn: 2287-4747 http://dx.doi.org/10.9711/ktaj.2013.15.5.497 pissn: 2233-8292 도로터널의 갱구부 경관설계가 터널 내부조명에 미치는 영향에 관한 연구 이미애 1 ㆍ이동희 2 * 1 아이라이트 대표이사 2

More information

005송영일

005송영일 Received : 2015. 12. 09 Reviewed : 2015. 12. 16 Accepted : 2015. 12. 16 Sternal Fracture occurred after Thai Massage : A Case Report Young-Il Song, K.M.D. 1, Dong-Eun Kim, K.M.D. 1 1 Department of Rehabilitation

More information

06/15-018/이재훈(종설)72-76

06/15-018/이재훈(종설)72-76 REVIEW ARTICLE pissn 1598-3889 eissn 2234-0998 J Korean Soc Surg Hand 2015;20(2):72-76. http://dx.doi.org/10.12790/jkssh.2015.20.2.72 JOURNAL OF THE KOREAN SOCIETY FOR SURGERY OF THE HAND Surgical Indications

More information

527 pissn : , eissn : Case Report J Korean Orthop Assoc 2015; 50:

527 pissn : , eissn : Case Report J Korean Orthop Assoc 2015; 50: 527 pissn : 1226-2102, eissn : 2005-8918 Case Report J Korean Orthop Assoc 2015; 50: 527-531 http://dx.doi.org/10.4055/jkoa.2015.50.6.527 www.jkoa.org 단인지신건 -1 예보고 - 이정범 허윤무 이진웅 김두현 정상진 건양대학교의과대학건양대학교병원정형외과학교실

More information

Can032.hwp

Can032.hwp Chromosomal Alterations in Hepatocellular Carcinoma Cell Lines Detected by Comparative Genomic Hybridization Sang Jin Park 1, Mahn Joon Ha, Ph.D. 1, Hugh Chul Kim, M.D. 2 and Hyon Ju Kim, M.D. 1 1 Laboratory

More information

(

( 317 318 319 320 1 3 5 5 5 5 2 321 : 1.,,,,, 06 2. X-ray beam penetration (density) (contrast) 03 3. patch coating, precipitation, flaking 03 4. centering 03 5. Esophagus, cardia, fundus, body, angle, antrum,

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 Physical Examination of the Wrist & Hand 연부조직촉진 (soft tissue palpation) 연부조직의촉진 (soft tissue palpation) 1) 수근관절제 1구역 ; 요골경상돌기 (radial styloid process) (1) Anatomical snuffbox - 요측연 장모지외전근 (Abd. poll. long

More information

종골 부정 유합에 동반된 거주상 관절 아탈구의 치료 (1예 보고) 정복이 안된 상태로 치료 시에는 추후 지속적인 족부 동통의 원인이 되며, 이런 동통으로 인해 종골에 대해 구제술이나 2차적 재건술이 필요할 수도 있다. 2) 경종골 거주상 관절 탈구는 외국 문헌에 증례

종골 부정 유합에 동반된 거주상 관절 아탈구의 치료 (1예 보고) 정복이 안된 상태로 치료 시에는 추후 지속적인 족부 동통의 원인이 되며, 이런 동통으로 인해 종골에 대해 구제술이나 2차적 재건술이 필요할 수도 있다. 2) 경종골 거주상 관절 탈구는 외국 문헌에 증례 CSE REPORT 대한족부족관절학회지 제16권 제4호 2012 J Korean Foot nkle Soc. Vol. 16. No. 4. pp.270-275, 2012 종골 부정 유합에 동반된 거주상 관절 아탈구의 치료 (1예 보고) 인제대학교 의과대학 일산백병원 정형외과 차성무 장보훈 서진수 Treatment of Talonavicular Subluxation

More information

스포츠과학 143호 내지.indd

스포츠과학 143호 내지.indd https simtk.org,, sanghyuk0620@kspo.or.kr.... 48 SPORT SCIENCE . 33 55% 1 2 Iwamoto and Takeda 2003 3 1 3.......?... 4 SPORT SCIENCE 1. 2 3 12 16 3 6.. 5 strain gauge. 1970. 6 1) Brukner, P., Bradshaw,

More information

Microsoft Word - 10-강기서.DOC

Microsoft Word - 10-강기서.DOC 대한골절학회지제 17 권, 제 4 호, 2004 년 10 월 Journal of the Korean Fracture Society Vol. 17, No. 4, October, 2004 고령환자의요골원위부골절시비수술적치료의유용성 강기서 이한준 이상학 중앙대학교부속필동병원정형외과학교실 목적 : 고령의원위요골골절환자에대해서수술적치료를했던환자들과비수술적치료를했던환자들에대해각각임상적및방사선학적결과를평가하고비교분석하여비수술적치료의유용성을알아보고자하였다.

More information

03/15-024/이재훈/

03/15-024/이재훈/ ORIGINAL ARTICLE pissn 1598-3889 eissn 2234-0998 J Korean Soc Surg Hand 2015;20(3):104-109. http://dx.doi.org/10.12790/jkssh.2015.20.3.104 JOURNAL OF THE KOREAN SOCIETY FOR SURGERY OF THE HAND Effect of

More information

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie Volume 12, Number 1, 92~102, An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children Myo-Jin Kim 1), Joung-Hae Bak 1), Won-Seok Seo 2) Mi-Young Kim 3), Sun-Kyoung Park 3), Jai-Soung

More information

???? 1

???? 1 The Korean Journal of Applied Statistics (2014) 27(1), 13 20 DOI: http://dx.doi.org/10.5351/kjas.2014.27.1.013 Maximum Tolerated Dose Estimation by Stopping Rule and SM3 Design in a Phase I Clinical Trial

More information

( )Kju269.hwp

( )Kju269.hwp 만성세균성전립선염모델흰쥐에서 의항염효과 Anti-inflammatory Effect of Lycopene on Chronic Bacterial Prostatitis Rat Model Cho Hwan Yang, Dong Wan Sohn, Yong-Hyun Cho From the Department of Urology, The Catholic University

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 6, December, 30, 2016:275~289 Received: 2016/12/02, Accepted: 2016/12/22 Revised: 2016/12/20, Published: 2016/12/30 [ABSTRACT] SNS is used in various fields. Although

More information

Jkcs022(89-113).hwp

Jkcs022(89-113).hwp 대한배뇨장애 및 요실금 학회지 J. Korean Continence Society 2004;8:89-113 Bristol Female Lower Urinary Tract Symptom 설문지의 한국어 번역 및 번역본의 언어 타당도 Seung-June Oh*, Hyung Geun Park*, Sung Hyun Paick, Won Hee Park and Myung-Soo

More information

590호(01-11)

590호(01-11) T H E K O R E A N D O C T O R S W E E K L Y www.docdocdoc.co.kr I N S I D E 38 3 5 6 7 10 13 28 29 30 31 38 41 42 2 Advertisement Government & Medicine 3 Government & Medicine 4 Government & Medicine Government

More information

03이경미(237~248)ok

03이경미(237~248)ok The recent (2001-2010) changes on temperature and precipitation related to normals (1971-2000) in Korea* Kyoungmi Lee** Hee-Jeong Baek*** ChunHo Cho**** Won-Tae Kwon*****. 61 (1971~2000) 10 (2001~2010).

More information

( )Jkfs095.hwp

( )Jkfs095.hwp 대한골절학회지제 19 권, 제 4 호, 2006 년 10 월 Journal of the Korean Fractrure Society Vol. 19, N o. 4, October, 2006 팔씨름에의해발생한상완골간부및내상과골절 윤여헌 하종경 * 최경업 * 이관희 신상진 이화여자대학교의과대학목동병원정형외과, 서울적십자병원정형외과 * 목적 : 팔씨름중발생한상완골골절의발생기전및치료의결과를분석하였다.

More information

Kbcs002.hwp

Kbcs002.hwp Does Real-time Compound Imaging Improve Evaluation of reast Cancer Compared to Conventional Sonography? o Kyoung Seo, M.D., Yu Whan Oh, M.D., Kyu Ran Cho, M.D., Young Hen Lee, M.D., Hyung Joon Noh, M.D.,

More information

Journal of Educational Innovation Research 2017, Vol. 27, No. 3, pp DOI: (NCS) Method of Con

Journal of Educational Innovation Research 2017, Vol. 27, No. 3, pp DOI:   (NCS) Method of Con Journal of Educational Innovation Research 2017, Vol. 27, No. 3, pp.181-212 DOI: http://dx.doi.org/10.21024/pnuedi.27.3.201709.181 (NCS) Method of Constructing and Using the Differentiated National Competency

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA e- 비즈니스연구 (The e-business Studies) Volume 17, Number 1, February, 28, 2016:pp. 293~316 ISSN 1229-9936 (Print), ISSN 2466-1716 (Online) 원고접수일심사 ( 수정 ) 게재확정일 2015. 12. 04 2015. 12. 24 2016. 02. 25 ABSTRACT

More information

ECG & EP CASES Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea A case of

More information

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI: A study on Characte

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI:   A study on Characte Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp.381-404 DOI: http://dx.doi.org/10.21024/pnuedi.28.1.201803.381 A study on Characteristics of Action Learning by Analyzing Learners Experiences

More information

44-4대지.07이영희532~

44-4대지.07이영희532~ A Spatial Location Analysis of the First Shops of Foodservice Franchise in Seoul Metropolitan City Younghee Lee* 1 1 (R) 0 16 1 15 64 1 Abstract The foodservice franchise is preferred by the founders who

More information

- i - - ii - - iii - - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - - 15 - - 16 - - 17 - - 18 - - 19 - α α - 20 - α α α α α α - 21 - - 22 - - 23 -

More information

04_이근원_21~27.hwp

04_이근원_21~27.hwp 1) KIGAS Vol. 16, No. 5, pp 21~27, 2012 (Journal of the Korean Institute of Gas) http://dx.doi.org/10.7842/kigas.2012.16.5.21 실험실의 사례 분석에 관한 연구 이근원 이정석 한국산업안전보건공단 산업안전보건연구원 (2012년 9월 5일 투고, 2012년 10월 19일

More information

<342EBEC8BCBABFAD2CB9DAC7E2C1D82E687770>

<342EBEC8BCBABFAD2CB9DAC7E2C1D82E687770> 大 韓 癩 學 會 誌 : 第 41 卷, 第 1 號 2008 Korean Leprosy Bulletin, Vol. 41, No. 1, June, 2008 마비성 하안검 외반증에 대한 lateral tarsal strip의 재조명 안성열 성형외과의원 1), 제일병원 피부과 2) 안성열 1), 박향준 2) - Abstract - Reappraisal of the

More information

878 Yu Kim, Dongjae Kim 지막 용량수준까지도 멈춤 규칙이 만족되지 않아 시행이 종료되지 않는 경우에는 MTD의 추정이 불가 능하다는 단점이 있다. 최근 이 SM방법의 단점을 보완하기 위해 O Quigley 등 (1990)이 제안한 CRM(Continu

878 Yu Kim, Dongjae Kim 지막 용량수준까지도 멈춤 규칙이 만족되지 않아 시행이 종료되지 않는 경우에는 MTD의 추정이 불가 능하다는 단점이 있다. 최근 이 SM방법의 단점을 보완하기 위해 O Quigley 등 (1990)이 제안한 CRM(Continu 한 국 통 계 학 회 논 문 집 2012, 19권, 6호, 877 884 DOI: http://dx.doi.org/10.5351/ckss.2012.19.6.877 Maximum Tolerated Dose Estimation Applied Biased Coin Design in a Phase Ⅰ Clinical Trial Yu Kim a, Dongjae Kim

More information

Journal of Educational Innovation Research 2017, Vol. 27, No. 1, pp DOI: * The

Journal of Educational Innovation Research 2017, Vol. 27, No. 1, pp DOI:   * The Journal of Educational Innovation Research 2017, Vol. 27, No. 1, pp.243-268 DOI: http://dx.doi.org/10.21024/pnuedi.27.1.201703.243 * - 2001 2015 - The Research Trends on Peer Counseling in Elementary and

More information

歯kjmh2004v13n1.PDF

歯kjmh2004v13n1.PDF 13 1 ( 24 ) 2004 6 Korean J Med Hist 13 1 19 Jun 2004 ISSN 1225 505X 1) * * 1 ( ) 2) 3) 4) * 1) ( ) 3 2) 7 1 3) 2 1 13 1 ( 24 ) 2004 6 5) ( ) ( ) 2 1 ( ) 2 3 2 4) ( ) 6 7 5) - 2003 23 144-166 2 2 1) 6)

More information

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI: * A Analysis of

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI: * A Analysis of Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp.99-117 DOI: http://dx.doi.org/10.21024/pnuedi.28.1.201803.99 2015 * A Analysis of the Characters and Issues about the 2015 Revised Social

More information

<31335FB1C7B0E6C7CABFDC2E687770>

<31335FB1C7B0E6C7CABFDC2E687770> 에너지기후변화교육 4(2):203~211(2014) 203 초등학교 교과서 에너지 단원의 탐구활동과 시각자료 기능 분석 사례 연구 신명경 권경필 * 경인교육대학교 Abstract : This study aimed to analyze energy related inquiry activity and visual materials in elementary textbook.

More information

Archives of Hand and Microsurgery Arch Hand Microsurg 2019;24(1): pissn eissn Case

Archives of Hand and Microsurgery Arch Hand Microsurg 2019;24(1): pissn eissn Case Archives of Hand and Microsurgery Arch Hand Microsurg 2019;24(1):63-67. https://doi.org/10.12790/ahm.2019.24.1.63 pissn 2586-3290 eissn 2586-3533 Case Report 리듬게이머에서발생한자발적장무지신전건파열 : 증례보고 양석원ㆍ윤성현ㆍ김성현ㆍ권순민ㆍ김종필

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 6, December, 30, 2016:237~251 Received: 2016/11/20, Accepted: 2016/12/24 Revised: 2016/12/21, Published: 2016/12/30 [ABSTRACT] Recently, there is an increasing

More information

16(1)-3(국문)(p.40-45).fm

16(1)-3(국문)(p.40-45).fm w wz 16«1y Kor. J. Clin. Pharm., Vol. 16, No. 1. 2006 x w$btf3fqpsu'psn û w m w Department of Statistics, Chonnam National University Eunsik Park College of Natural Sciences, Chonnam National University

More information

K O R E A C E N T E R S F O R D I S E A S E C O N T R O L & P R E V E N T I O N PHWR Vol. 5 No. 41 www.cdc.go.kr/phwr 2012 10 12 5 41 ISSN:2005-811X Comparison of drug-susceptibility test to the anti-tuberculosis

More information

I 서론 치과용 임플란트는 Brånemark 등1의 골유착 (osseointegration) 발견 이후 끊임없는 발전 을 거듭해 왔다. Brånemark 등 1 이 밝혀낸 골 유착은 임플란트의 표면과 living bone 사이에 연조직 층 의 생성이 없이 직접 골조직이

I 서론 치과용 임플란트는 Brånemark 등1의 골유착 (osseointegration) 발견 이후 끊임없는 발전 을 거듭해 왔다. Brånemark 등 1 이 밝혀낸 골 유착은 임플란트의 표면과 living bone 사이에 연조직 층 의 생성이 없이 직접 골조직이 ISSN 1229-5418 ; 17(4): 268~274 임플란트 드릴링 시 발생하는 열과 그 원인에 대한 분석 한선희 1, 김병국 2, 김범익 2 1 서울대학교 치의학대학원 치주과학교실, 2 오스템임플란트연구소 Temperature Measurement during Implant-site Preparation Seon-Hee Han 1, Byoung Kook

More information

04-다시_고속철도61~80p

04-다시_고속철도61~80p Approach for Value Improvement to Increase High-speed Railway Speed An effective way to develop a highly competitive system is to create a new market place that can create new values. Creating tools and

More information

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr Original Article pissn 1738-2637 J Korean Soc Radiol 2012;67(2):129-134 The Survey of Magnetic Resonance Imaging Quality according to in Korea 1 자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 1 Hyun-Hae

More information

(Exposure) Exposure (Exposure Assesment) EMF Unknown to mechanism Health Effect (Effect) Unknown to mechanism Behavior pattern (Micro- Environment) Re

(Exposure) Exposure (Exposure Assesment) EMF Unknown to mechanism Health Effect (Effect) Unknown to mechanism Behavior pattern (Micro- Environment) Re EMF Health Effect 2003 10 20 21-29 2-10 - - ( ) area spot measurement - - 1 (Exposure) Exposure (Exposure Assesment) EMF Unknown to mechanism Health Effect (Effect) Unknown to mechanism Behavior pattern

More information

300 구보학보 12집. 1),,.,,, TV,,.,,,,,,..,...,....,... (recall). 2) 1) 양웅, 김충현, 김태원, 광고표현 수사법에 따른 이해와 선호 효과: 브랜드 인지도와 의미고정의 영향을 중심으로, 광고학연구 18권 2호, 2007 여름

300 구보학보 12집. 1),,.,,, TV,,.,,,,,,..,...,....,... (recall). 2) 1) 양웅, 김충현, 김태원, 광고표현 수사법에 따른 이해와 선호 효과: 브랜드 인지도와 의미고정의 영향을 중심으로, 광고학연구 18권 2호, 2007 여름 동화 텍스트를 활용한 패러디 광고 스토리텔링 연구 55) 주 지 영* 차례 1. 서론 2. 인물의 성격 변화에 의한 의미화 전략 3. 시공간 변화에 의한 의미화 전략 4. 서사의 변개에 의한 의미화 전략 5. 창조적인 스토리텔링을 위하여 6. 결론 1. 서론...., * 서울여자대학교 초빙강의교수 300 구보학보 12집. 1),,.,,, TV,,.,,,,,,..,...,....,...

More information

±èÇ¥³â

±èÇ¥³â 533 Fig. 1. Dead zone. Nine echoes are positioned 2-10 mm below the scan surface with 1 mm distance. All nine echoes are clearly visualized. 534 Fig. 2. Vertical and horizontal measurement. 10 cm distance

More information

08-06김정호

08-06김정호 대한고관절학회지제 19 권제 3 호 Vol. 19, No. 3, September, 2007 외상성고관절후방탈구에동반된대퇴골두골절의치료 김정호 이상홍 문영래 김동휘 송근상 조선대학교의과대학정형외과학교실 목적 : 대퇴골두골절이동반된후방탈구환자의 Pipkin 분류에따른치료결과및합병증등을알아보고자하였다. 대상및방법 : 대퇴골두골절을동반한후방탈구중 Thompson-Epstein

More information

16_이주용_155~163.hwp

16_이주용_155~163.hwp 사상체질의학회지 2008;20(2):155-163 J of Sasang Constitutional Medicine Vol. 20, No. 2, 2008:155-163 http://www.esasang.com 腦 梗 塞 으로 발생한 少 陽 人 半 身 舞 蹈 病 患 者 치험 1례 이주용 이한얼 한경수 안택원 Abstract 대전대학교 한의과대학 사상체질과 A Soyangin

More information

Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp DOI: * A Research Trend

Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp DOI:   * A Research Trend Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp.295-318 DOI: http://dx.doi.org/10.21024/pnuedi.28.4.201812.295 * A Research Trend on the Studies related to Parents of Adults with Disabilities

More information

WHO 의새로운국제장애분류 (ICF) 에대한이해와기능적장애개념의필요성 ( 황수경 ) ꌙ 127 노동정책연구 제 4 권제 2 호 pp.127~148 c 한국노동연구원 WHO 의새로운국제장애분류 (ICF) 에대한이해와기능적장애개념의필요성황수경 *, (disabi

WHO 의새로운국제장애분류 (ICF) 에대한이해와기능적장애개념의필요성 ( 황수경 ) ꌙ 127 노동정책연구 제 4 권제 2 호 pp.127~148 c 한국노동연구원 WHO 의새로운국제장애분류 (ICF) 에대한이해와기능적장애개념의필요성황수경 *, (disabi WHO 의새로운국제장애분류 (ICF) 에대한이해와기능적장애개념의필요성 ( 황수경 ) ꌙ 127 노동정책연구 2004. 제 4 권제 2 호 pp.127~148 c 한국노동연구원 WHO 의새로운국제장애분류 (ICF) 에대한이해와기능적장애개념의필요성황수경 *, (disability)..,,. (WHO) 2001 ICF. ICF,.,.,,. (disability)

More information

(JBE Vol. 21, No. 1, January 2016) (Regular Paper) 21 1, (JBE Vol. 21, No. 1, January 2016) ISSN 228

(JBE Vol. 21, No. 1, January 2016) (Regular Paper) 21 1, (JBE Vol. 21, No. 1, January 2016)   ISSN 228 (JBE Vol. 1, No. 1, January 016) (Regular Paper) 1 1, 016 1 (JBE Vol. 1, No. 1, January 016) http://dx.doi.org/10.5909/jbe.016.1.1.60 ISSN 87-9137 (Online) ISSN 16-7953 (Print) a), a) An Efficient Method

More information

#Ȳ¿ë¼®

#Ȳ¿ë¼® http://www.kbc.go.kr/ A B yk u δ = 2u k 1 = yk u = 0. 659 2nu k = 1 k k 1 n yk k Abstract Web Repertoire and Concentration Rate : Analysing Web Traffic Data Yong - Suk Hwang (Research

More information

09김정식.PDF

09김정식.PDF 00-09 2000. 12 ,,,,.,.,.,,,,,,.,,..... . 1 1 7 2 9 1. 9 2. 13 3. 14 3 16 1. 16 2. 21 3. 39 4 43 1. 43 2. 52 3. 56 4. 66 5. 74 5 78 1. 78 2. 80 3. 86 6 88 90 Ex e cu t iv e Su m m a r y 92 < 3-1> 22 < 3-2>

More information

±è¹ÎÁö

±è¹ÎÁö 531 김민지 외: 미숙아에 발생한 의인성 식도천공과 기종격증 및 종격동염 A B C D E F Fig. 1. Chest radiographs and CT scans of a premature infant. Chest radiograph at 6 days after birth (A) shows left paravertebral radiolucency at the

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 Physical Examination of the Wrist & Hand * 손은일상생활의거의모든동작을완수하는기능을지님. * 손상의빈도가높은곳. * 손자체의병변유무검진. Wrist joint 의기능해부학 (functional anatomy) 1) 손목관절을구성하는뼈 - 요골원위부 - 척골의관절판 - 수근골 (carpal bone) 근위열 (proximal row)

More information

Microsoft PowerPoint - 발표자료(KSSiS 2016)

Microsoft PowerPoint - 발표자료(KSSiS 2016) Sang Jun Kim, MD, PhD Application of 3D Printing in the Orthotic Fields Hallux Valgus, Charcot Marie Tooth, ADL Kit, Foot Insole, Wrist Pain, Foot Drop Development of Automated Program for Ankle Foot Orthosis

More information

<31372DB9DABAB4C8A32E687770>

<31372DB9DABAB4C8A32E687770> 김경환 박병호 충북대학교 도시공학과 (2010. 5. 27. 접수 / 2011. 11. 23. 채택) Developing the Traffic Severity by Type Kyung-Hwan Kim Byung Ho Park Department of Urban Engineering, Chungbuk National University (Received May

More information

( )Jksc057.hwp

( )Jksc057.hwp 직장암환자의전직장간막절제술의 예측인자분석 : 불완전절제와절제시간에영향을미치는인자에관한연구 Analysis of Factors Affecting the Degree of Difficulty in Total Mesorectal Excision for Rectal Cancer: Investigation of the Factors Affecting Incomplete

More information

- 2 -

- 2 - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - - 15 - - 16 - - 17 - - 18 - - 19 - - 20 - - 21 - - 22 - - 23 - - 24 - - 25 - - 26 - - 27 - - 28 - - 29 - - 30 -

More information

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI: : Researc

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI:   : Researc Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp.251-273 DOI: http://dx.doi.org/10.21024/pnuedi.27.2.201706.251 : 1997 2005 Research Trend Analysis on the Korean Alternative Education

More information

06_À̼º»ó_0929

06_À̼º»ó_0929 150 151 alternative investment 1) 2) 152 NPE platform invention capital 3) 153 sale and license back 4) 154 5) 6) 7) 155 social welfare 8) 156 GDP 9) 10) 157 Patent Box Griffith EUROSTAT 11) OTC M&A 12)

More information

인문사회과학기술융합학회

인문사회과학기술융합학회 Vol.5, No.5, October (2015), pp.471-479 http://dx.doi.org/10.14257/ajmahs.2015.10.50 스마트온실을 위한 가상 외부기상측정시스템 개발 한새론 1), 이재수 2), 홍영기 3), 김국환 4), 김성기 5), 김상철 6) Development of Virtual Ambient Weather Measurement

More information

Crt114( ).hwp

Crt114( ).hwp cdna Microarray Experiment: Design Issues in Early Stage and the Need of Normalization Byung Soo Kim, Ph.D. 1, Sunho Lee, Ph.D. 2, Sun Young Rha, M.D., Ph.D. 3,4 and Hyun Cheol Chung, M.D., Ph.D. 3,4 1

More information