• 한국방사선학회논문지
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• 제15권7호
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• pp.1007-1013
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• 2021

본 연구는 유아 발의 합성 전후축방향 엑스선 촬영에서 발전체가 다리와 겹침 없이 균일한 농도와 선예한 영상을 평가하기 위하여 Receiver Operating Characteristic 와 Signal to Noise Ratio 분석 결과 Cronbach Alpha 값이 0.813로 유의하게 높았으며 신호대잡음비(SNR)의 연구에서는 발허리뼈에서 발꿈치뼈를 향하여 엑스선관을 10° 기울여 검사 시 5.948 높게 나타났으며, 발꿈치뼈에서 발허리뼈를 향하여 엑스선관을 20° 기울여 검사 시 6.957으로 가장 높았다. 또한, 주관적평가에서는 발허리뼈에서 발꿈치뼈로 10° 기울려 검사시 18점으로 높은 점수를 얻었으며, 발꿈치뼈에서 발허리쪽뼈을 향하여 엑스선관을 20° 기울여 검사 시 18 점을 얻었다. 본 연구의 결과 유아 발 합성 전후축방향 검사 시 엑스선관을 발허리뼈 뒤쪽으로 10° 기울였을 경우와 발꿈치뼈에서 전방으로 20° 기울였을 때 균일한 농도와 선예한 영상을 얻을 수 있다.

• Archives of Plastic Surgery
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• 제34권3호
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• pp.377-382
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• 2007

Purpose: Hook nail deformity is caused by inadequately supported nail bed due to loss of distal phalanx or lack of soft tissue, resulting in a claw-like nail form. A composite graft from the foot bencath the nail bed gives adequate restoration of tip pulp. Methods: From September of 1999 to March of 2004, six patients were treated for hook nail deformity and monitored for long term follow up. Donor sites were the lateral side of the big toe or instep area of the foot. We examined cosmetic appearance and nail hooking and sensory test. The curved nail was measured by the picture of before and after surgery. Results: In all cases, composite grafts were well taken, and hook nail deformities were corrected. The curved nail of the 4 patients after surgery were improved to average $28.7^{\circ}$ from average $55.2^{\circ}$ before surgery. The static two point discrimination average was 6.5mm and the moving two point discrimination average was 5.8mm in the sensory test. Conclusion: Composite graft taken from foot supports the nail bed with the tissue closely resembling the fingertip tissue, making it possible for anatomical and histological rebuilding of fingertip.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1997년도 춘계학술대회
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• pp.253-256
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• 1997

KESF-1 foot conceptually provides storage of potential energy and is converted to kinetic energy throughout the weight - bearing phase of the gait cycle. This stored energy is progressively released as the foot continues through the toe-off phase to rebound and propel the body forward. A weight deflects the keel through a predetermined range, then the keel "springs back" as weight is removed. Foot designs criteria were selected to guide development beyond the proof-of concept composite material keels; 1) store and return energy (1-3/4 " metatarsal deflection at 435 pounds vertical load), 2) natural feel and stability; 3) useful life of 3-years: 4) lightweight; 5) reduced production costs. The purpose of this study is developed the comfortable stable foot that fitted with Korean lifestyle and road condition. The results produced the realistic cosmetic foot cover with polyurethane form and the keel composed with composite materials of both glass fiber and carbon fiber.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2004년도 춘계학술대회
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• pp.330-335
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• 2004

The needs of walking assistive device such as the Ankle Foot Orthosis (A.F.O.) are getting greater than before. However, most of the A.F.O. are generally imported rather than domestic manufacturing. The major reason of high import reliability is the rack of impact properties of domestic commercial products. Therefore, this research is going to focus on the evaluation of impact properties of the A.F.O. which has the high import reliability. Unfortunately, these kinds of researches are not performed sufficiently. This research is going to evaluate impact energy behavior in composite materials such as the glass/epoxy (S-glass, $[0/90]_{2S}$) and the aramid/epoxy (Kevlar-29, woven type, 8 ply) of ankle foot orthosis. The approach methods were as follows. 1) The history of impact load and impact energy due to the various velocities. 2) Relationship between the deflection and damage shape according to the impact velocities. 3) The behavior of absorbed energy and residual strength rate due to the various impact velocities.

• 한국정밀공학회지
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• 제30권7호
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• pp.769-776
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• 2013

The dynamic compliance characteristics of a prosthetic foot midgait are very important for natural performance in an amputee's gait and should be in a range that provides natural, stable walking. In this study, finite element analysis (FEA) and classical laminate theory were used to examine the mechanical characteristics of a carbon-epoxy composite laminate prosthetic foot as a function of variation in the lamination composition. From this analysis, an FEM model of a prosthetic keel, made from the composite material, was developed. The lamination composition of the keel was designed for improved stiffness. The prototype product was fabricated using an autoclave. Vertical loading response tests were performed to verify the simulation model. The results of the experiments were similar to those from simulations below the loading level of the gait, suggesting use of the proposed simulation model for prosthetic keel design.

• Composites Research
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• 제34권3호
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• pp.161-166
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• 2021

본 연구에서는 당뇨병 환자들의 균일한 족압 분포를 유도하여 발의 상처를 예방하는 신발을 개발하기 위한 연구방법을 제시하였다. 직교 그리드 센서를 사용하여 일반인의 직립 상태 시 족압 분포를 확인하고, 다양한 조건에 대한 족압분포의 변화를 비교하였다. 신발 바닥부에 삽입된 스프링의 스프링 상수와 인솔의 아치부 유무 등에 따른 족압 분포의 변화를 파악하여 효과적인 족압 분산 조건을 확인하였다. 인체거동의 임의성 등에 의한 실험 오차를 최소화 하기 위해, 직립 상태를 모사한 유한요소해석을 통해 특정 조건에서의 족압 분포를 예측하고 실험 결과와 비교하여 실험의 정확성을 확보할 수 있도록 하였다. 스프링의 개수와 배치에 따른 족압 분포의 변화를 유한요소해석을 통해 확인하여 보다 균일한 족압을 구현할 수 있는 조건을 제시하였다. 이러한 결과는 당뇨발을 가진 환자를 위한 신발 설계에 활용할 수 있을 것으로 기대된다.

• 대한기계학회논문집A
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• 제27권4호
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• pp.623-631
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• 2003

It is considered that the application of advanced composite materials to the prostheses for the disables is important to improve their bio-mechanical performance. Particularly, energy storing foot prosthesis is mostly important to restore gait ability of the disables with low-extremity amputation since it could provide propulsion at terminal stance enhancing the disables ability to walk long distance even run and jump. Therefore, the energy storing spring of Prosthetic foot keel under cyclic bending moment use mainly of high strength glass fiber reinforced plastic. The main objective of this study was to evaluate the stacking sequence effect using the delamination growth rate(dA$_{D}$/dN) of energy storing spring in glass fiber reinforced plastic under cyclic bending moment. The test results indicated that the shape of delamination zone depends on stacking sequence in GFRP laminates. Delamination area(A$_{D}$) turns out that variable types with the contour increased non-linearly toward the damage zones.nes.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2010년도 춘계학술대회 논문집
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• pp.1391-1392
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• 2010

• Journal of Trauma and Injury
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• 제36권3호
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• pp.217-223
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• 2023

Purpose: Defects involving the ankle and foot are often the result of road traffic accidents. Many such defects are composite and require a flap for coverage, which is a significant challenge for reconstructive surgeons. Various locoregional options, such as reverse sural artery, reverse peroneal artery, peroneus brevis muscle, perforator-based, and fasciocutaneous flaps, have been used, but each flap type has limitations. In this study, we used the distally based lateral supramalleolar flap to reconstruct distal dorsal defects of the foot. The aim of this study was to analyze the efficacy of the flap in reconstructing distal dorsal defects of the foot. The specific objectives were to study the adequacy, reach, and utility of the lateral supramalleolar flap for distal defects of the dorsum of the foot; to observe various complications encountered with the flap; and to study the functional outcomes of reconstruction. Methods: The distal dorsal foot defects of 10 patients were reconstructed with distal lateral supramalleolar flaps over a period of 6 months at a tertiary care center, and the results were analyzed. Results: We were able to effectively cover distal foot defects in all 10 cases. Flap congestion was observed in two cases, and minor graft loss was seen in two cases. Conclusions: The distally based lateral supramalleolar flap is a good pedicled locoregional flap for the coverage of distal dorsal foot and ankle defects of moderate size, with relatively few complications and little morbidity. It can be used as a lifeboat or even substitute for a free flap.

• Safety and Health at Work
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• 제12권4호
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• pp.511-516
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• 2021

Background: Difficulties in walking and balance are risk factors for falling. This study aimed to predict dynamic balance based on demographic information and anthropometric dimensions in construction workers. Methods: This descriptive-analytical study was conducted on 114 construction workers in 2020. First, the construction workers were asked to complete the demographic questionnaire determined in order to be included in the study. Then anthropometric dimensions were measured. The dynamic balance of participants was also assessed using the Y Balance test kit. Dynamic balance prediction was performed based on demographic information and anthropometric dimensions using multiple linear regression with SPSS software version 25. Results: The highest average normalized reach distances of YBT were in the anterior direction and were 92.23 ± 12.43% and 92.28 ± 9.26% for right and left foot, respectively. Both maximal and average normalized composite reach in the YBT in each leg were negatively correlated with leg length and navicular drop and positively correlated with the ratio of sitting height to leg length. In addition, multiple linear regressions showed that age, navicular drop, leg length, and foot surface could predict 23% of the variance in YBT average normalized composite reach of the right leg, and age, navicular drop, and leg length could predict 21% of that in the left leg among construction workers. Conclusion: Approximately one-fifth of the variability in the normalized composite reach of dynamic balance reach among construction workers using method YBT can be predicted by variables age, navicular drop, leg length, and foot surface.