• 한국건설관리학회논문집
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• 제2권2호
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• pp.59-67
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• 2001

본 연구는 사례연구를 통해서 강박스교와 PSC박스교의 생애주기비용(LCC)을 분석하여 경제성을 평가하는데 목적이 있다. 본 연구에서는 유지관리비를 산출하기 위해 보수 및 교체주기에 대한 설문조사를 실시하였으며, 교량 형식별 LCC 분석 및 비교에는 현재가치 법을 이용하였다. 본 연구의 수행 결과를 요약하면 다음과 같다. (1) 사례 연구를 통해 강박스교와 PSC박스교의 LCC 분석모델을 제시하였다. (2) 설문조사를 실시하여 강박스교와 PSC박스교 부속물의 보수 및 교체주기를 산정하였다. (3) LCC 사례 연구 결과, PSC박스교가 강박스교보다 경제적인 것으로 분석 되었다.

• Clinics in Shoulder and Elbow
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• 제5권2호
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• pp.110-117
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• 2002

Purpose: We compared the results of open and arthroscopic Bankart repair in traumatic recurrent anterior dislocation ,3f the shoulder. Materials and methods: We analysed 7 cases underwent open Bankart repair (group I) and 13 cases underwent arthroscopic Bankart repair (group Ⅱ). The average follow-up period was 68.1 months (51-113 months) in group I and 41.1 months (16~57 months) in group Ⅱ. All patients in group I and Ⅱ were non-athletes. We analyzed statistically objective evaluation, such as the stability of shoulder joint, the range of motion, pain, impaired throwing, Bankart rating system by Rowe and subjective evaluation, visual analog scale (VAS) between two groups. Results: In terms of dominant and non-dominant shoulders, the age at initial episode of dislocation, the elapsed time from injury to surgery, the number of preoperative dislocations associated with susceptibility to apprehension. respectively, there was no statistically significant differences between two groups. In group I the average Rowe's scortls was 84.3 and 3 cases (43%) had excellent results,4 cases (S7cfo), good ones. In group H the average Rowe's scores was 87.3 and 7 cases (54%) had excellent results,6 cases, good ones. There was tendency to show more excellent results in group ll, but there was no statistically significant differences. The average VAS were 90.3 points in group I and 88 points in group Ⅱ, which showed also no statistically significant differences. Conclusion: Open and arthroscopic Bankart repairs had no significant difference and showed also good results in travinatic recurrent anterior dislocation of shoulder.

• Clinics in Shoulder and Elbow
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• 제2권1호
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• pp.60-73
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• 1999

Purpose : The purpose of this study was to compare patients with anterior shoulder instability who were treated with an open Bankart procedure with those treated with an arthroscopic procedure, and to evaluate factors influencing the final outcomes and recurrence. Materials & Methods : One hundred seven shoulders underwent open Bankart repair, and fifty-one shoulders were treated arthroscopically. Average followup for open group was 34 months, and for arthroscopy group was 25 months. The Bankart Rating System by Rowe was used to evaluate the clinical outcome of the procedure. And, the patients were asked about any changes concerning their sports and professional activities. Results: According to Bankart Rating system by Rowe, open group had 97% fair to excellent results with 2 recurrent dislocation(1.8%) and 4 recurrent subluxation(3.6%), and arthroscopy group had 94% fair to excellent results with 3 recurrent dislocation(5.8%) and 4 recurrent subluxation(8%). In open group, 9 shoulders(8.4%) had the mild limitation of range of motion at the time of followup, and 2 shoulders(3.9%) in arthroscopy group. Age and gender do not seem to be a significant factor contributing to an increased re-recurrence rate. The incidence of re-recurrence seems to be affected by dominance, frequency, and patient's activity. The size of Bank art lesion might be also considered as a contributing factor. Conclusion: Either open or arthroscopic Bankart procedures are safe and effective methods with acceptable results if an adequate patient's selection, precise surgical technique and proper postoperative care are done. And arthroscopic surgery could be considered if the anterior instability is non-dominant, non-athlete, traumatic unidirectional and Bankart lesion has minimal erosion of the glenoid and it has thick and mobile labrum.

• Archives of Plastic Surgery
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• 제33권6호
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• pp.780-783
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• 2006

Purpose: Rupture of a collateral ligament of the metacarpophalangeal joint is rare except in the thumb. The injured digit became flexed and deviated toward ulna side by the hypothenar intrinsic musculature. Incomplete rupture of a collateral ligament of the metacarpophalangeal joint can be often managed by splinting the affected digit in flexion position, however, in the case of complete tears that distraction of the ends of the ruptured collateral ligament is too great to allow repositioning by splinting. Primary repair of the ruptured collateral ligament or reattachment to bone by a pull-out wire, or tendon graft technique appears to be adequate. Methods: We report a case of instability of fifth metacarpophalangeal joint due to complete rupture of radial collateral ligament. This 18-year-old male presented pain in his right outstretched hand after trauma. The diagnosis was obtained by physical examination and simple radiography. Because of persistent instability after the initial conservative treatment, open reduction and repair surgical treatment was required. Results: The fifth metacarpophalangeal joint became free of pain and stable under forced lateral deviation. Postoperative results showed good metacarpophalangeal joint function and stability during 8 months follow-up period. Conclusion: Because of the interposition of the sagittal band between the ruptured ends of radial collateral ligament such as Stener-like lesion of the thumb, surgical repair of metacarpophalangeal joint collateral ligament of the finger was justified in case of complete laxity in full flexion.

• Journal of Chest Surgery
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• 제49권2호
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• pp.92-98
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• 2016

Background: We used an Abramson technique for minimally invasive repair of pectus carinatum in patients who preferred surgery to brace therapy, had been unsuccessfully treated via brace therapy, or were unsuitable for brace therapy because of a rigid chest wall. Methods: Between July 2011 and May 2015, 16 patients with pectus carinatum underwent minimally invasive surgery. Results: The mean age of the patients was $24.35{\pm}13.20years$ (range, 14-57 years), and all patients were male. The percentage of excellent aesthetic results, as rated by the patients, was 37.5%, and the percentage of good results was 56.25%. The preoperative and postoperative Haller Index values were $2.01{\pm}0.19$ (range, 1.60-2.31), and $2.22{\pm}0.19$ (range, 1.87-2.50), respectively (p-value=0.01), and the median hospital stay was $7.09{\pm}2.91days$ (range, 5-15 days). Only one patient experienced postoperative complications. Conclusion: Minimally invasive repair is effective for the treatment of pectus carinatum, even in adult patients.

• 대한두개안면성형외과학회지
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• 제10권1호
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• pp.23-28
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• 2009

Purpose: Blow out fracture can present tenderness, swelling, enophthalmos, extraoccular muscle limitation, paresthesia, diplopia according to severity of injury, so reconstruction of blow out fracture is important. Orbital soft tissue should be in orbit and defected orbital wall should be corrected by autologus tissue or alloplastic implants. Every implants have their merits and faults, every implants are used various. This study was designed to compare the sequelae of blow-out fracture repair using the alloplastic implants: micro-titanium mesh(Micro Dynamic titanium $mesh^{(R)}$, Leibinger, Germany), porous polyethylene ($Medpor^{(R)}$, Porex, USA), absorbable mesh plate(Biosorb $FX^{(R)}$ . Bionx Implants Ltd, Finland). Methods: Between January 2006 and April 2008, 52 patients were included in a retrospective study analysing the outcome of corrected inferior orbital wall fracture with various kind of implants. Implants were inserted through subciliary incision. Twenty patients were operated with micro-titanium mesh, fourteen patients with porous polyethylene and eighteen patients with absorbable mesh plate. In comparative category, enophthalmos, diplopia, range of motion of extraoccular muscle, inferior orbital nerve injury were more on frequently statistically in patients. Results: Fourteen of 18 patients underwent surgical repair to improve diplopia, 11 of 17 patients to improve parasthesia, 11 of 15 patients to improve enophthalmos, 8 of 9 patients to improve extraoccular muscle limitation. Duration of follow-up time ranged from 6 months to 12 months(mean, 7.4 months). There was no statistic difference of sequelae between micro titanium mesh and porous polyethylene and absorbable mesh plate in blowout fracture, inferior wall. Conclusion: There is no difference of sequelae between micro-titanium mesh, porous polyethylene and absorbable mesh plate in blow-out fracture, inferior wall. The other factors such as defect size, location, surgeon's technique, may influence the outcome of blow-out fracture repair.

• Archives of Plastic Surgery
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• 제41권1호
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• pp.45-49
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• 2014

Background Preauricular sinuses are congenital abnormalities caused by a failure of fusion of the primitive tubercles from which the pinna is formed. When persistent or recurring inflammation occurs, surgical excision of the infected tissue should be considered. Preauricular defects inevitably occur as a result of excisions and are often difficult to resolve with a simple suture; a more effective reconstruction technique is required for treating these defects. Methods After total excision of a preauricular sinus, the defect was closed by a plastic surgeon. Based on the depth of the defect and the degree of tension when apposing the wound margins, the surgeon determined whether to use primary closure or a posterior auricular flap. Results A total of 28 cases were examined. In 5 cases, including 2 reoperations for dehiscence after primary repair, reconstruction was performed using posterior auricular transposition flaps. In 16 cases of primary closure, the defects were closed using simple sutures, and in 7 cases, closure was performed after wide undermining. Conclusions If a preauricular defect is limited to the subcutaneous layer and the margins can be easily approximated, primary closure by only simple suturing may be used to perform the repair. If the defect is deep enough to expose the perichondrium or if there is tension when apposing the wound margins, wide undermining should be performed before primary closure. If the extent of the excision exposes cartilage, the procedure follows dehiscence of the primary repair, or the tissue is not sufficiently healthy, the surgeon should use a posterior auricular flap.

• 콘크리트학회지
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• 제11권1호
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• pp.201-208
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• 1999

철근콘크리트 구조물은 과도한 하중과 유지관리의 소홀 등 여러 가지 이유로 보수${\cdot}$보강을 필요로 하는 경우가 많다. 이에 대해 국내에서는 철근콘크리트구조체의 보강방법으로 강판, 탄소섬유쉬트, 탄소섬유판을 사용하고 있다. 그러나 이들 보강재료의 성능에 대하여 신뢰할 만한 연구 결과가 아직까지 충분치 않은 실정이다. 본 연구는 보강재의 종류, 균열폭, 하중의 재하상태를 변수로 보강된 철근콘크리트보의 거동을 규명하고자 하였다. 보수시험체의 경우 기준시험체와 내력과 연성은 비슷한 거동을 나타냈으나 파괴형상은 인장부위 콘크리트의 탈락과 지압파괴가 발생하였다. 보강시험체의 경우, 보강의 효과는 뚜렷이 나타났으나 보강재의 물성을 100% 발휘하지는 못하였다. 탄소섬유쉬트의 경우 접착제의 성능이 완벽하지 않아 최대 내격시의 변형률이 파단시의 변형률과 비교하여 66%정도로 나타났다. 또한 보강시의 균열폭과 하중의 유${\cdot}$무는 부재의 내력과 거동에 영향을 거의 미치지 않는 것으로 나타났다.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2008년도 춘계 학술발표회 제20권1호
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• pp.941-944
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• 2008

PVA 섬유, 강섬유를 다량으로 혼입한 고인성 시멘트 복합체가 개발되고 이를 구조물에 활용하고자 하는 연구가 전 세계적으로 수행되고 있다. DFRCC는 경제적 효율성을 고려한다면 현재까지 구조물 전체 부분에 적용하기보다는 특별한 요소나 보수재료서 적용하는 것이 경쟁력이 있을 것으로 사료된다. 저자들은 DFRCC를 FRP-콘크리트 합성 바닥판과 습식 스프레이 보수공법에 적용하는 기술을 개발하고 있다. FRP-콘크리트 합성 바닥판에 적용할 경우에는 현장 적용하여 3개월 경과하더라도 구조성능 또는 내구성능이 저하되는 문제가 발생하지 않았고 매우 양호한 상태를 유지하였다. 그리고 국산 PVA 섬유 사용 DFRCC 보수 모르타르를 20년이 경과된 하수박스암거에 적용한 경우에는 한 결과, 일본산 PVA 섬유를 사용한 경우와 차이가 거의 없었다. 관련 규격인 KS F 4042의 압축 및 휨 강도기준을 모두 만족하는 것으로 나타났다. 이상과 같이 DFRCC를 구조물에 적용할 경우에는 구조물 종류에 따라서 경제적으로 성능 향상에 크게 기여할 수 있을 것으로 판단된다.

• 한국건설관리학회논문집
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• 제9권4호
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• pp.182-192
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• 2008

BTL 사업은 공공시설물에서 민간의 자본과 기술력을 통해 높은 성과를 낼 것으로 기대되고 있지만, VE의 최적 설계안을 선정하고 건물의 유지관리 비용 예측에 사용되는 LCC 분석은 다수의 복잡한 문제점을 가지고 있어 제한적으로 적용되고 있다. 본 연구의 목적은 국내의 BTL 사업에서 LCC 분석의 문제점을 분석하고 그 해결방안을 제안하는 것이다. 이를 위해 BTL 사업에서 주요 사업대상인 교육시설을 중심으로 LCC 분석을 두 가지 수준(대안선정 LCC와 건축 LCC)으로 구분하고, 이들의 주요 특징을 고찰하였다. 그리고 6가지 측면(비용분류체계, 수선정보, 생애주기, 비용의 시간적 가치, 수선정보 데이터베이스, LCC 분석모델)에서 사례연구를 통해 4가지 주요 문제점과 해결방안을 도출하였다. 이 연구의 결과는 민간과 공공분야 참여주체들의 중장기적인 계획과 실행에 의해 해결될 수 있을 것이다.