• 대한족부족관절학회지
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• 제18권2호
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• pp.76-79
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• 2014

In treatment of failure in ankle joint replacement therapy, talar avascular necrosis with massive bone defect, talus fracture with severe comminution and bone defect and ankle dislocation, treatment of large bone defects is considerably important for ankle joint stability and union, therefore, the choice of treatment for large bone defects is use of femoral head or iliac crest bone graft and rigid internal fixation. Because first generation total ankle arthroplasty performed for the first time using a cemented fixation technique requires a large amount of bone resection during re-surgery and there is some possibility of a larger bone defect after removal of implants, in cases where prosthesis for the defect is needed, performance of palliative femoral head or iliac crest bone graft and rigid internal fixation can be difficult. We report on a case of a 48-year-old woman who had experienced ankle pain for 25 years since undergoing total ankle arthroplasty. Because the patient had little ankle motion and rigid soft tissue despite a large bone defect caused by aseptic loosening, a good outcome was obtained only for the femoral cancellous bone graft using allo femoral head without internal fixation.

• 한국해양환경ㆍ에너지학회지
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• 제15권2호
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• pp.150-155
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• 2012

예인선의 주요 목적의 하나는 구난 작업시 다른 선박을 예인하는 것이다. 예인선이 이러한 작업을 안전하게 수행하기 위해서는 적절한 예인력을 가질 수 있어야 한다. 따라서 예인 작업중 피 예인선박에 대한 저항을 추정하는 것은 매우 중요하고도 필수적인 과정이다. 본 논문에서는 예인력을 추정할 수 있는 선박의 저항 계산 프로그램을 연구하였다. 계산 프로그램은 정수중의 기본 선체 저항과 바람, 표류, 선체 표면 거칠기, 파랑, 천수 및 조류에 의한 부가저항을 계산하는 기능을 가지고 있다. 모든 추정값은 도표 또는 수식을 이용하는 통계적이고 경험적인 방법으로 계산된다. 본 프로그램에 의한 계산 결과는 미국 해군의 예인 매뉴얼로부터 계산된 결과와 비교하였다. 그 결과 본 프로그램은 손상 선박의 저항을 적절히 추정할 수 있는 유용한 프로그램이라고 판단된다.

• 대한족부족관절학회지
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• 제9권1호
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• pp.31-37
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• 2005

Purpose: To report our opinions of management about avascular necrosis following operative treatment of talar fracture and dislocation. Materials and Methods: We followed up 5 patients who were diagnosed as talar avascular necrosis after operation of talar fracture and dislocation. Clinical and radiological analysis were performed. The mean age of patients was 36 years. There were 4 males and 1 females. The average follow up was 51 months. Hawkins scoring system was used as clinical evaluation. Results: Regardless of radiological sclerotic finding, all patients showed satisfactory clinical result. Despite arthritic change in one patient, there were no further radiological and clinical deterioration to require salvage procedure. Conclusion: Most avascular necrosis after operative treatment of talar fracture and dislocation showed satisfactory result with conservative treatment. Thus, salvage operation such as talectomy or ankle fusion should be reserved in cases of intractable ankle pain and claudication.

• Archives of Reconstructive Microsurgery
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• 제19권1호
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• pp.46-49
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• 2010

Purpose: It has been reported that the ear perfusion can maintain by a very small pedicle because the ear has good vascularized system. Replantation of an amputated ear with vascular anastmosis, has been reported before and offers the succeessful reconstructive results. But, in this paper we report a case of complete nonmicrosurgical salvage of a nearly amputated ear based on 7 mm-wide small skin pedicle with adjunctive therapies. Methods: A 49-year-old man was referred with a nearly complete detachment of left ear. The blood supply to the ear was maintained exclusively on 7 mm-wide small skin pedicle in the lobule. After we identified the fresh bleeding at the distal margin of the detached ear, we performed the primary repair. At the end of the procedure, the areas of the concha bowl and helical root appeared to be congested. So the immediate postoperative treatment for improving the tissue survival was done with Lipo-Prostaglandin E1 (Eglandin$^{(R)}$) injection, leech apply and antibiotics medications. Results: Assessment of the replanted ear on postoperative day 14 revealed a nearly viable auricle including the helical root. The ear appeared to be entirely healed, with excellent projection and fully restored normal elasticity. Conclusion: We found the complete salvage of a nearly amputated ear based on 7 mm-wide small skin pedicle with adjunctive therapies including Lipo-Prostaglandin E1 (Eglandin$^{(R)}$) injection, leech apply and antibiotics without microsurgery.

• Archives of Reconstructive Microsurgery
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• 제13권1호
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• pp.74-81
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• 2004

This study was designed to introduce the cross-leg free flap only for vein anastomosis as an alternative salvage method for the reconstruction of severe soft tissue defects in vascular-compromised lower extremities. Four cross-leg free flap reconstructions were performed using the latissimus dorsi muscle to reconstruct soft tissue defects in the lower extremity. The recipient artery was confined to the ipsilateral side and the venous anastomosis was carried out in the contralateral side. Both legs were immobilized together with an external fixator. All patients were males, and had a mean age of 31 years. The mean time of pedicle division was 8.8 days range of 7 to 10 days. The mean size of the flap was 186.5 cm2. All flaps survived after pedicle division without venous congestion. There was no complication in joint stiffness, nor donor site morbidity except for a linear scar. The cross-leg free flap only for vein anastomosis is a refinement of a salvage procedure used for the reconstruction of severe soft tissue defects in vascular-compromised lower extremities.

• 한국정보통신학회논문지
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• 제5권1호
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• pp.227-231
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• 2001

본 논문에서는 해양사고들을 분석하고 이로부터 우리나라에 도입되어야 할 제도를 검토해 본다. 해상에서 유류오염방제 국가긴급계획 수립과 해난사고시 과학적인 의사결정과정을 소개하고, 이를 바탕으로 과학 기술적인 측면에서 구난 및 방제작업을 지원하기 위한 해난사고 신속대응기술지원체제를 설계하여 제안한다. 신속대응기술체제를 제도적으로 도입함으로써 해양오염사고로부터 국민의 생명과 재산을 보호하고 깨끗하고 안전한 바다를 후손에 물려주도록 연구하고자 한다.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2000년도 추계종합학술대회
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• pp.610-613
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• 2000

본 논문에서는 시프린스호 사고를 거울삼아 이들 사고를 분석하고 이로부터 우리 나라에 도입되어야 할 제도를 검토해 본다. 유류오염방제 국가긴급계획 수립과 해난 사고시 과학적인 의사결정과정을 소개하고, 이를 바탕으로 과학 기술적인 측면에서 구난 및 방제작업을 지원하기 위한 해난사고 신속대응 기술지원체제를 설계하여 제안한다. 신속대응기술체제를 제도적으로 도입함으로써 해양오염사고로부터 국민의 생명과 재산을 보호하고 깨끗하고 안전한 바다를 후손에 물려주도록 연구하고자 한다.

• 품질경영학회지
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• 제8권2호
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• pp.15-22
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• 1980

This paper deals with the problem of determining a minimum cost sampling inspection plan for a single destructive testing by attribute. The cost for inspection lot is constructed by following three cost factors: (1) cost of inspection, (2) cost of accepted defective, (3) cost of rejected lot Using Hald's Bayesian approach in a single non-destructive testing, procedure's for finding the minimum cost single destructive sampling inspection plan by attribute are given. Assuming the uniform distribution as a prior-distribution and using numerical analysis by computer, a minimum cost single destructive sampling inspection plan by attribute for several lot sizes, unit cost, destructive testing cost, and salvage cost is given.

• Archives of Reconstructive Microsurgery
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• 제17권1호
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• pp.51-54
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• 2008

We experienced a case of 49-year-old male patient with amputated two fingers preserved in Soju (Korean traditional liquor, a kind of alcoholic beverages). The amputation level of the two fingers was at the distal interphalangeal joint. The Soju was not an adequate physiologic solution for preserving the amputated tissues. Even though arterial anastomosis was successful, there was no venous drainage visible in the operative field. On the first day after the initial operation, we succeeded in the anastomosis of one vein in one of the two amputated fingers. This was 12 hours after arterial anastomosis was carried out. But no venous dranage was visible in the other finger. In spite of a salvage procedure sustained with external bleeding for 7 days, this replanted fingertip eventually fell into necrosis.

• Archives of Reconstructive Microsurgery
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• 제8권1호
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• pp.64-70
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• 1999

Digit that were formerly assessed as non replantable may now be replanted with the help of salvage procedure. In case that, venous repair is either marginal or technically impossible and postoperative venous congestion developed following replantation, are treated with the application of medical leeches. From July 1997 to April 1998, the authors performed arterial anastomosis and venous drainage using medical leeches in 3 children(The age of the patients ranged from 13 months to 6 years.) to have a result of aesthetic and functional success with minimizing the complications. Leech therapy has many advantages, to avoid injuring of finger tip, to decrease focal capillary coagulation, to prevent severe bleeding, and to prevent thromboembolism. The authors conclude that the use of medical leeches shows promise as a safe and effective method of providing temporary venous drainage in replanted digits.