• 대한두개안면성형외과학회지
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• 제20권2호
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• pp.130-133
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• 2019

Ehlers-Danlos syndrome (EDS) is an inherited disorder of collagen biosynthesis and structure, characterized by skin hyperextensibility, joint hypermobility, aberrant scars, and tissue friability. Besides the skin, skeleton (joint) and vessels, other organs such as the eyes and the intestine can be affected in this syndrome. Accordingly, interdisciplinary cooperation is necessary for a successful treatment. Three basic surgical problems are arising due to an EDS: decreased the strength of the tissue causes making the wound dehiscence, increased bleeding tendency due to the blood vessel fragility, and delayed wound healing period. Surgery patients with an EDS require an experienced surgeon in treating EDS patients; the treatment process requires careful tissue handling and a long postoperative care. A surgeon should also recognize whether the patient shows a resistance to local anesthetics and a high risk of hematoma formation. This report describes a patient with a wide open wound on the foot dorsum and delayed wound healing after the primary approximation of the wound margins.

• 한국공간구조학회논문집
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• 제7권6호
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• pp.61-68
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• 2007

대공간구조에서 접합부의 신뢰도는 매우 중요하다. 접합부에 사용되는 고력볼트의 나사부 유효단면적은 축부단면적보다 작고 볼트 축부에 락핀용 구멍이 있기 때문에 볼트 나사부 또는 락핀용 구멍에 응력집중 현상이 발생하여 취성 파단이 발생할 우려가 높다. 특히 접합부는 직렬형 구조로 이루어져 있다. 따라서 접합부에서의 극한상황시 파괴유형은 필히 취성파괴를 피해야 하며 연성파손으로 유도해야 한다. 따라서 본 연구에서는 볼 조인트 접합부의 소성변형능력을 향상시키고 현장에서 발생할 수 있는 시공오차의 흡수가 가능하도록, 볼트의 나사부나 핀부의 취성파단 없이 소성변형능력 향상을 목표로 하였다. 에너지흡수형 볼트를 사용함으로써 소성변형능력이 향상된 스페이스 프레임의 접합상세를 제안하였다.

• 한국소성가공학회:학술대회논문집
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• 한국소성가공학회 2005년도 춘계학술대회 논문집
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• pp.283-286
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• 2005

Because CV Joint which is one of the component of automobile power train system communicates high power and performs power steering function, it requires high qualities such as high strength, high toughness and high fatigue resistance. This component undergoes a series of production processes such as forging, machining and heat treatment and required properties for this component depends on plastic deformation and heat treatment heavily. Therefore in this study, in order to these effects on mechanical properties due to plastic deformation and heat treatment we performed heat treatment following plastic deformation and then tensile test.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제35권6호
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• pp.412-420
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• 2013

The literature on alloplastic total temporomandibular joint (TMJ) replacement is encouraging, with acceptable improvement of treatment outcomes in terms of both pain level and jaw function. This is a case report on patients who suffered from degenerative joint disease and ankylosis after mandibular condyle fracture or prior TMJ surgery and were treated by TMJ replacement with condyle prosthesis. We obtained good results from the procedures, including total TMJ replacement.

• Progress in Superconductivity
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• 제3권2호
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• pp.218-223
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• 2002

The void volume fraction of cables is one of the effective parameters to characterize the joints of superconducting magnet. Because electrical resistance and cooling stability in the CICC (Cable-in-Conduit Conductors) joint are governed by the void volume fraction, it should be controlled constantly in the termination of cable. The change of cross-section shape in the cable was fecund during the unidirectional compaction of terminal sleeve. The non-uniform thickness of the sleeve after compaction is expected because the loading is not taxi-symmetric, and the plastic flow is also not axi-symmetric. The CICC was compacted from 45% void volume fraction to 15% by using two-piece compaction jig, which could be pressed mini-directionally. Commercial code, ABAQUS, was used to analyze the plastic flow in the sleeve during the unidirectional compaction. The increment of radius of curvature of compaction jig could minimize the change of the deformed shape of cables. The calculated results were agreed with the experimental observations.

• Archives of Plastic Surgery
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• 제39권2호
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• pp.138-142
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• 2012

Background : Electrical burns are one of the most devastating types of injuries, and can be characterized by the conduction of electric current through the deeper soft tissue such as vessels, nerves, muscles, and bones. For that reason, the extent of an electric burn is very frequently underestimated on initial impression. Methods : From July 1999 to June 2006, we performed 15 cases of toe tissue transfer for the reconstruction of finger defects caused by electrical burns. We performed preoperative range of motion exercise, early excision, and coverage of the digital defect with toe tissue transfer. Results : We obtained satisfactory results in both functional and aesthetic aspects in all 15 cases without specific complications. Static two-point discrimination results in the transferred toe cases ranged from 8 to 11 mm, with an average of 9.5 mm. The mean range of motion of the transferred toe was $20^{\circ}$ to $36^{\circ}$ in the distal interphalangeal joint, $16^{\circ}$ to $45^{\circ}$ in the proximal interphalangeal joint, and $15^{\circ}$ to $35^{\circ}$ in the metacarpophalangeal joint. All of the patients were relatively satisfied with the function and appearance of their new digits. Conclusions : The strategic management of electrical injury to the hands can be both challenging and complex. Because the optimal surgical method is free tissue transfer, maintenance of vascular integrity among various physiological changes works as a determining factor for the postoperative outcome following the reconstruction.

• Archives of Plastic Surgery
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• 제41권4호
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• pp.394-397
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• 2014

Background Proximal interphalangeal joint (PIPJ) dislocations represent a significant proportion of hand clinic visits and typically require frequent follow-ups for clinical assessment, orthotic adjustments, and physiotherapy. There are a large number of treatment options available for PIPJ dislocations, yet no prospective or controlled studies have been carried out, largely due to the diversity of the various types of injuries. Methods We retrospectively reviewed all the PIPJ dislocations in our institution over a five-year period and directly compared the different splinting techniques that we have used over this time frame. Results There were a total of 77 dislocations of the PIPJ (57 men and 20 women) that were included in our study. We found that our management has shifted gradually from complete immobilisation to controlled early mobilisation with figure-of-eight splints. Following treatment, the range of motion of the PIPJ in the figure-of-eight group was significantly greater than that in the other three methods (P<0.05) used. There were significantly fewer hospital visits in the figure-of-eight splint group than in the other treatment groups. Conclusions The treatment of PIPJ dislocations has undergone a significant evolution in our experience. Early controlled mobilisation has become increasingly important, and therefore, splints have had to be adapted to allow for this. The figure-of-eight splint has yielded excellent results in our experience. It should be considered for all PIPJ dislocations, but careful patient selection is required to achieve optimum results.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제36권4호
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• pp.135-139
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• 2014

Purpose: We review published research on temporomandibular joint (TMJ) total replacement that compares costochondral graft and customized total joint reconstruction (especially TMJ concepts), focusing on effectiveness. Methods: We searched PubMed databases, including prospective, retrospective, case-control or longitudinal studies and significant statistical analysis. In data analysis, we divided outcomes into 'Acceptable' or 'Non-acceptable'. Results: There were seven articles found dealing with costochondral graft and 180 patients. The majority of patients had satisfactory treatment outcomes (n=109, 61%). There were six articles including 275 patients using the alloplastic material TMJ concepts. Almost all patients had satisfactory treatment outcomes (n=261, 95%). Conclusion: Comparing customized total joint reconstruction with costochondral graft, use of TMJ concepts resulted in increased quality of life and fewer complications. In conclusion, we judged that alloplastic material such as TMJ concepts is more effective device in total joint replacement than costochondral graft.

• Archives of Plastic Surgery
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• 제41권6호
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• pp.777-780
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• 2014

• 터널과지하공간
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• 제11권3호
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• pp.225-236
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• 2001

암반 절리면의 거칠기는 전단강도 및 변형거동에 가장 중요한 영향을 미치는 요소 중의 하나이다. 절리면은 전단변형이 발생하는 동안 손상을 받게 되고 이에 따라 거칠기각은 연속적으로 낮아진다. 절리면의 수직팽창성과 강도 경화 및 연화현상도 거칠기의 변화와 관련이 있는 것으로 이해되고 있다. 따라서 절리면의 거칠기의 변화를 효율적으로 반영시킬 수 있는 수치해석 모델의 개발이 중요하다. 이 연구에서는 탄소성이론을 바탕으로 거칠기 변화를 고려할 수 있는 탄소성 응력-변형 증분식을 유도하여 절리면 거질기 변화가 절리면 전단거동에 미치는 영향을 정량적으로 평가하는데 이용하였다. 유도된 탄소성 증분식을 검증하기 위하여 수치 주기전단시험을 실시하였다. 수치시험결과 개발된 탄소성 증분식은 거친 절리면의 주기전단시험에 나타나는 일반적인 현상들을 모사하는데 효과적임을 알 수 있었다.