• Archives of Reconstructive Microsurgery
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• v.22 no.2
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• pp.43-47
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• 2013

Purpose: Un-healing and centrally located defect on back area, it is sometimes a challenge for the reconstructive surgeon. Although skin grafts are considered as the first choice for reconstruction of large skin defect on the back region, it is not always helpful but vascularized flaps provide a superior functional and aesthetic outcome. The present study was designed to investigate the clinical anatomy of the lumbar artery perforator flap to reconstruct back ulcer. Materials and Methods: Clinical anatomy study was undertaken using computed tomographic angiographic analysis. We identified the courses of lumbar arteries and its perforators, measured pedicle length by layers. The location of the perforator vessel was charted against anatomical landmarks. Results: The pedicle lengths of the third and fourth lumbar artery perforator reached a mean of 27.8 mm and 37.1 mm respectively from superficial fascia to deep fascia. The fourth perforator was more laterally located than the third perforator and less than 1 cm above the iliac crest. A case in which the fourth lumbar artery perforator was used as flap pedicle is described. Conclusion: For the reconstruction of central defect on the back area, the lumbar artery perforator flap coverage may be a good alternative option. Computed tomographic angiography can easily identify the course and location of lumbar artery perforators and can be helpful to elevate the flap successfully.

• Journal of the Korea institute for structural maintenance and inspection
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• v.16 no.6
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• pp.93-101
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• 2012

Bridge deck has a role in a comfortable and safe passage of vehicles. At the same time, it preserves upper structure against the abrasion and shearing due to impact of traffic loads in bridges or has a role to protect the plate from off adverse effect of climatic process as rain, chemicals. Currently, the total number of inspected bridges is 6,248 in the general national road and to maintain effectively, Introduction of GPR system mounted in the vehicle has been considered. In this research, the comparison and analysis of bridge deck condition on general national road has been performed with major variations of superstructure type, span lengths, located region and ages by using 'the current status of road bridge and tunnel' that is provided by MLTM(Ministry of Land, Transport and Maritime Affairs). As a result, Condition assessment grade, superstructure type, age and length were derived as a major factor to determine priority for the condition assessment.