• 대한정형외과학회지
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• 제56권3호
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• pp.245-252
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• 2021

목적: 이번 연구 목적은 쇄골 간부 복합 골절에서 21G 환 강선으로 골편 고정 후 재건 금속판을 이용한 내고정술 시 영상학적 및 임상적 결과를 분석하고자 하였다. 대상 및 방법: 2005년에서 2019년 사이에 발생한 쇄골 간부 골절 환자 51명 중 최소한의 연부조직 박리를 통한 21G 환 강선으로 골편 고정 후 재건 금속판을 이용한 내고정술을 시행한 환자 32명과 강선을 사용하지 않고 수술한 환자 19명에 대한 후향적 코호트 연구를 시행하였다. 방사선 검사를 통해 정복 및 골유합을 확인하였고, University of California at Los Angeles (UCLA) 점수와 visual analogue scale (VAS) 통증 점수를 통해 두 군 간의 임상적 결과와 방사선적 결과를 비교하였다. 이를 바탕으로 환 강선을 사용하지 않고 수술한 환자를 대조군으로 설정하여 두 군 간의 골유합의 차이를 비교 분석하였다. 결과: 32명의 환자를 대상으로 평균 65주간의 추시관찰을 하였고, 대조군의 경우 19명의 환자를 대상으로 평균 56주간의 추시 관찰을 하였다. 방사선 검사상 32명 환자 모두에서 해부학적 정복 및 골유합을 확인하였다. UCLA 점수는 평균 32.38점, 대조군 33.11점(p=0.395), VAS 점수는 평균 1.00점, 대조군 0.84점으로(p=0.668) 통계적으로 의미 있는 차이가 없었다. 대조군과 비교하였을 때 골유합 시기의 차이에 통계적 유의성이 있었으나(p=0.015) 다른 변수를 통제하였을 때는 통계적으로 유의성이 없음을 알 수 있었다(p=0.107). 결론: 전위성 쇄골 간부 복합 골절에 대해 21G 강선 및 재건 금속판을 이용한 내고정술은 정확한 해부학적 정복과 견고한 내고정을 유지할 수 있었고, 환 강선을 통해 작은 골편도 고정할 수 있었다. 방사선 및 임상 결과에서 만족스러운 결과를 얻었기에 재건 금속판 및 21G 강선을 이용한 내고정술이 수술적 치료의 좋은 선택이 될 수 있다고 생각된다.

• 대한방사선기술학회지:방사선기술과학
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• 제14권1호
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• pp.61-72
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• 1991

In this paper, the rotating plate method extracting signal and reconstructing original image was proposed. The rotating methode has cell detector array each of which has used in the medical diagnosis X-ray photography. The major problem using the simple horizontal moving or non-moving methode is the size and number of detector cells which have the considerable affection on the sharpness and resolution of the reconstructed image. Secondary, the estimated pixel values of non-detected real points which are placed between detector cells will be the distorted pixels in the reconstructed image. Therefore, the proposed rotating plate method has the exact distribution on the uncertain pixels which were reconstructed by conventional methods to solve there problems. And then, the image using the rotated plate's cell out put signal was reconstructed on the computer simulation. The method will rotated the detector array plate to solve the reconstruction from the detector size and number of conventional methods. The result of simulation has estimated the original pixel position and 81 pixel/mm resolution which the reconsiderlation of the detector's moving orientation, the proposed method has 25 pixel/mm resolution. These results have been represented by 3-D computer graphics.

• Archives of Plastic Surgery
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• 제49권6호
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• pp.764-768
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• 2022

The wrap-around flap (WAF) has become a popular approach to thumb reconstruction because the results are functionally and cosmetically excellent. By modifying to a partial toenail transfer, the WAF can also be used for finger reconstruction. However, performing cosmetically superior finger reconstruction is a significant challenge because it is difficult to reconstruct the natural nailfold by partial nail transplantation, although partial nail transplantation is required to reconstruct a narrow fingernail. One side of the reconstructed lateral nailfold tends to be a missing nail margin, and one side of the proximal nailfold angle tends to be retracted. Based on the rationale that loss of the lateral nailfold volume due to the postoperative tension of the volar flap would result in a missing nail margin, the volume of the lateral nailfold was maintained with a single thread that was passed from the nail to the volar flap. Additionally, half of the proximal nailfold from the nail plate was elevated to advance it forward. The results indicated that a cosmetically natural nailfold was achieved with the WAF approach to finger reconstruction. These easy and simple techniques enable reconstruction of a cosmetically natural nailfold using WAF for finger reconstruction.

• 한국전산유체공학회지
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• 제12권1호
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• pp.1-8
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• 2007

A code is developed using the hybrid Cartesian/immersed boundary method and it is applied to simulate flows around a three-dimensional deforming body. A new criterion is suggested to distribute the immersed boundary nodes based on edges crossing a body boundary. Velocities are reconstructed at the immersed boundary nodes using the interpolation along a local normal line to the boundary. Reconstruction of the pressure at the immersed boundary node is avoided using the hybrid staggered/non-staggered grid method. The developed code is validated through comparisons with other experimental and numerical results for the velocity profiles around a circular cylinder under the forced in-line oscillation and the pressure coefficient distribution on a sphere. The code is applied to simulate the flow fields around a plate whose tail is periodically flapping under a translation. The effects of the velocity and acceleration due to the deformation on the periodic shedding of pairs of tip vortices are investigated.

• Smart Structures and Systems
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• 제22권5호
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• pp.621-630
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• 2018

Boundary effect and the noise robustness are the two crucial aspects which affect the effectiveness of the damage localization based on the mode shape measurements. To overcome the boundary effect problem and enhance the noise robustness in damage detection, a simple damage localization method is proposed based on the Singular Value Decomposition (SVD) for the mode shape of composite plates. In the proposed method, the boundary effect problem is addressed by the decomposition and reconstruction of mode shape, and the noise robustness in enhanced by the noise filtering during the decomposition and reconstruction process. Numerical validations are performed on plate-like structures for various damage and boundary scenarios. Validations show that the proposed method is accurate and effective in the damage detection for the two-dimensional structures.

• 대한기계학회논문집
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• 제18권2호
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• pp.251-259
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• 1994

Nearfield acoustic holography is known as a powerful tool to study sound radiation from a structure. In this work, the so called backward propagation of sound pressure field is studied to obtain the structure velocity distribution. The results, which were obtained using FFT algorithms, are presented for a finite plate excited at the frequencies above and below coincidence. These results illustrate the effect of stand-off distance and noise. An optimum cutoff frequency in wavenumber domain was suggested to reduce the effects of evanescent wave in the backward propagation. The experimental results were also included for a plate to demonstrate the effectiveness of the suggested cutoff frequency. The optimum cutoff frequency to exclude the unwanted noise in the process of reconstruction of the velocity field gives the good results in both simulations and experiments.

• Journal of Chest Surgery
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• 제54권5호
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• pp.400-403
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• 2021

A 63-year-old patient was admitted with a sternal fracture and mass. On evaluation, most of the body of the sternum had been destroyed by a tumor. Radical resection of the sternum was performed and part of the major pectoral muscles adherent to the sternal tumor was also resected. The chest wall defect was reconstructed with mesh, bone cement, and a titanium rib plate system. Reconstruction with this method seemed to be an appropriate procedure to prevent instability of the chest wall.

• 조명전기설비학회논문지
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• 제27권11호
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• pp.1-6
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• 2013

It is introduced the phase error sources of a incoherent hologram in incoherent triangular holography and derived the reconstruction image of point-source including the phase error in the lateral direction. From the reconstruction image of point-source, we analyzed the effect of phase error on the lateral resolution. When the phase retardation errors and azimuth angle error of a wave plate and a polarizer range from 0 to $2{\pi}/15$, the normalized intensities of reconstructed images are down by about 0.1% and 2.3%, respectively.

• Archives of Plastic Surgery
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• 제41권1호
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• pp.77-80
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• 2014

We report a case of sternal reconstruction using bilateral sternal bar turnover flaps in a 4-year-old boy with an inferior sternal cleft, as part of Cantrell's pentad. When the patient was 10 months old, he underwent sternal reconstruction using a resorbable poly-L-lactic-polyglycolic acid plate in the first stage when there was insufficient autogenous tissue to provide a reliable reconstruction. Bilateral sternal bar turnover was performed in the second stage at 4 years of age. This operative technique is described in this report. This novel technique provides a robust, dynamic, and reliable reconstruction for inferior sternal defects.

• Journal of Chest Surgery
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• 제54권6호
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• pp.539-542
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• 2021

Resection and reconstruction of the chest wall for the radical surgical treatment of malignant soft tissue tumors are currently considered a substantial challenge for thoracic surgeons. We present an unusual case of infantile fibrosarcoma with tropomyosin 3-neurotrophic receptor tyrosine kinase 1 fusion in a 13-year-old patient. The surgical treatment consisted of radical resection of the right posterior chest wall and reconstruction with the use of the STRATOS (Strasbourg Thoracic Osteosynthesis System) titanium rib bridge system. The patient had a favorable postoperative course and received respiratory-ventilatory rehabilitation, adjuvant therapy with chemotherapeutic agents, immunotherapy, and radiotherapy.