• 대한족부족관절학회지
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• 제16권1호
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• pp.70-72
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• 2012

Stress fractures of the proximal phalanx of the great toe are rare. This fractures have been associated with halux valgus deformity in most reports. We performed open reduction and internal fixation with distal chevron osteotomy for the stress fracture of the proximal phalanx of the great toe in a basketball player with hallux valgus, and obtained successful bony union and rapid return to sports.

• Journal of Welding and Joining
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• 제1권1호
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• pp.37-46
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• 1983

This paper describes a study of fillet welded joint stressed perpendicular to the weld line. The finite element method was used to determine the stress intensity factor for cruciform joint at weld toe and root cracks according to variation of H/Tp, weld angle and main plate thickness. But, in this study, weld angle was fixed at 45.deg., since the variation of weld angle affect the stress intensity factor little, also main plate thickness was fixed. Pulsating tension fatigue test was done at the second phase of experiment. The work using the concepts of the fracture mechanics on the stable crack growth, was in the correlation of the experimental fatigue stress-life behavior because the fatigue behaviors of various joint geometries are related to the stress intensity factors calculated by F.E.M. analysis. Main results obtained are summarized as follows. 1) According to the propagation of toe crack, the variation of the stress intensity factor at root crack is obvious as H/Tp is smaller. 2) According to the propagation of root cracks, the change of the stress intensity factor of the toe is very large with propagation of root crack. 3) The calculation formula of the stress intensity factor of crack propagation at the root crack was obtained. 4) The calculation formula of the stress intensity factor at the toe cracks was obtained in similar manner. 5) From the results of experiment, the velocity of fatigue crack propagation at the weld toe and root was estimated.

• 한방재활의학과학회지
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• 제29권4호
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• pp.143-149
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• 2019

The purpose of this study is to report the effect in treating a patient with delayed union of 4th toe distal phalanx fracture with a combination of Korean Medicine treatment. We treated the patient with acupuncture, cupping, pharmacopuncture, moxibustion and herbal medicine, from March 3, 2018 to June 25, 2018 (total 33 times). The numeric rating scale (NRS), X-ray were applied as outcome measures. After complex Korean medicine treatment was carried out, delayed union of 4th toe distal phalanx fracture was improved and pain was reduced. This result shows that Korean medicine treatment may be an effective option for delayed union. Further clinical studies are needed to clarify the effect of Korean medicine treatment on delayed union.

• Archives of Plastic Surgery
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• 제37권4호
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• pp.457-460
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• 2010

Purpose: The great toe presents a reconstructive challenge for plastic surgeons. The big toe has much importance not only for the gait and the stability, but also for appearance aspects. Few reports have documented the reconstruction of big toe defects and we report a unique case of free flap reconstruction technique. Methods: A 41-year-old man with right great toe open fracture with soft tissue necrosis was referred from the orthopedic surgery department. On physical examination, there was the skin necrosis circumferentially and the fratured bone was severely fragmented. The metatarsophalangeal (MTP) joint of the big toe was intact. After the wound debridement, we harvested the innervated anterolateral thigh flap and transposed to the defected area. After five months, we finally retouched the flap by the dorsal defatting and distal debulking. Results: He had an uneventful postoperative course without infection, dehiscence and flap necrosis. He has remained asymptomatic for eight months without any recurrence such as the osteomyelitis. Finally, he kept the normal gait and posture with weight bearing on the reconstructed great toe and foot. Conclusion: The anterolateral thigh flap is described for the reconstruction of the great toe. It involves two stage procedure with the minimal donor site morbidity and provides a good cosmetic result.

• 대한조선학회지
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• 제7권2호
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• pp.27-40
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• 1970

The distribution of stress and strain in elastic stages is investigated by the experiments of two dimensional photoelastic coating and Moire fringe method. Center block type and cover plate type of fillet welds are used as specimens in the test. The results are as follows. 1) Center block type gets less uniform stress distribution than cover plate type. And its stress concentration factor, especially at root, is larger than that at toe. 2) When main plate and cover plate closely contact and it cause friction, stress concentration decreases more than that in case of slit. That is because stress can be transmitted on the contact surface. 3) When slit is made, the outside of fillet gets more stress than the inside of it. 4) While the plastic strain distribution of center block type reaches the maximum at root and differs very slightly from that under lower loading, the plastic strain distribution of cover plate type is inclined to get the maximum at the outside of fillet rather than at root. 5) When the plastic strain value of cover plate type is compared with that of center block type at toe and root, the relations between the former and the latter shows root<toe and root>toe. 6) Because stress distribution becomes changed according to loading, fracture angle cannot be estimated by the peaks of elastic stress distribution. 7) The strain distribution just before fracture can be found by Moire fringe method.

• 대한용접접합학회:학술대회논문집
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• 대한용접접합학회 1990년도 특별강연 및 추계학술발표 개요집
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• pp.93-94
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• 1990

• 한국해양공학회지
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• 제3권2호
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• pp.587-587
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• 1989

• 대한족부족관절학회지
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• 제7권2호
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• pp.274-278
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• 2003

Rare complications of distal tibia fracture are claw-toe deformity, cavus deformity and checkrein deformity. These complications may be due to contracture of the muscles of the deep posterior compartment of the leg after a compartment syndrome. These 4 cases were treated by selective tendon lengthening of flexor tendon at the retromalleolar level.

• 대한용접접합학회:학술대회논문집
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• 대한용접접합학회 1996년도 특별강연 및 춘계학술발표 개요집
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• pp.115-118
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• 1996

1. The crack is inifiated at a toe notch and reptured for the skip and continuous welding. 2. Fatigue life of continuous welding is greater than that of skip welding and fatigue life of 2pad continuous welding appears 1.7 times more than that of pad continuous welding. 3. For the skip and continuous welding, fatigue than that of welding materials appears shorter than that of welding materials because of the effect of plastic strain and compressive residual stresses at the crack tip, which are generated by the over loading. 4. Inter-relationship between da/dN-ΔK and delayed phenomenon increases linearly at the state growth area of heat effect section for the skip and continuous welding.

• 대한족부족관절학회지
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• 제19권1호
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• pp.35-38
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• 2015

The checkrein deformity describes tethering of the flexor hallucis longus tendon, which mainly occurs after fracture of the distal tibia. The deformity increases with dorsiflexion of the ankle and decreases or disappears with plantarflexion of the ankle. In some cases, the deformity may occasionally include the second and third toes. In the current study, the authors experienced secondary checkrein deformity of all lesser toes after open reduction and plate fixation for comminuted fracture of the calcaneus. As a treatment, plate and screws were removed, followed by an additional medial incision which showed a partially ruptured flexor digitorum longus tendon with severe adhesion. Resection of the adhesed tendon and tenodesis of its distal portion to the flexor hallucis longus was performed for correction of the checkrein deformity. Then the lessor toe checkrein deformity recovered immediately. The authors report on this rare lessor toe checkrein deformity after calcaneal fracture fixation with a review of literature.