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Staged Tendon Repair to Improve Range of Motion in Tamai Zone 4 Replantation: Two Case Reports

  • Takeo Matsusue
    • Archives of Plastic Surgery
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    • v.51 no.1
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    • pp.118-125
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    • 2024
  • Tamai zone 4 replantation, defined as the replantation at a level proximal to the flexor digitorum superficialis' insertion and distal to where the common digital artery branches into the proper digital artery, has poor functional results because making orthosis and rehabilitation protocols that protect the bone and the flexor and extensor tendons simultaneously difficult. Two cases of Tamai zone 4 replantation are presented: one case of an index finger replantation at the proximal phalanx and a case of ring finger replantation at the proximal interphalangeal joint. The author did not repair the flexor tendon intentionally in the primary replantation and performed two-stage flexor tendon reconstruction later. The total active motions (TAMs) at the last follow-up were 215 and 180 degrees, respectively, with the latter distal interphalangeal joint being an arthrodesis. Both cases had no extension lag in the proximal interphalangeal joint. These results were much better than those in previous reports, in which the mean TAM was 133 degrees or less. The good results appeared to be mainly due to the reasonable and clear postoperative rehabilitation protocols made by the proposed procedure. This procedure may be useful for obtaining reproducible functional results even in Tamai zone 4 replantation.

Effect of Inorganic Environmental Factors on the Growth of Pinus koraiensis Seedlings (VII) -The Influence of Shading Pretreatment on the Weight Growth in Transplanting Bed- (무기적(無機的) 환경요인(環境要因)이 잣나무 유묘(幼苗)의 생육(生育)에 미치는 영향(影響)에 관(關)한 연구(硏究) (VII) -이식상(移植床)에서의 중량생장(重量生長)에 대(對)한 피음처리(被陰處理) 영향(影響)-)

  • Kim, Young Chai
    • Journal of Korean Society of Forest Science
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    • v.77 no.1
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    • pp.100-108
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    • 1988
  • This research was performed to estimate the influence of relative light intensity, planting density, growth period on the growth of fresh and dry weight of the stem and branches, and root in the pretreatment transplanting bed. 1. The growth of fresh and dry weight of the stem and branches per seedling varied in the order of 63%>100%>37%>19% in relative light intensity, and increased with decrease of planting density, and grew highly during the period from May to June. The contribution rates to the growth of fresh and dry weight of the stem and branches were 49.4% and 39.6% in shading treatment, and 4.3% and 6.4% in planting density, and 34.2% in growth period respectively. Of the three factors, that is, shading, density and period, all of the interactions between two factors, and among the three factors in the growth of fresh and dry weight of stem and branches were significant. The growth of fresh and dry weight of root per seedling increased with light intensity and decreased with increase of density. The best growth of root, showed during the period from May to June in fresh weight, but during the period from July and August in dry weight of root. For the three factors, that is, shading, density and growth period, all the interactions between any two factors, and among the three factors in the growth of fresh and dry weight of root were significant.

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Fine Structure of Blue-green Algae, Microcystis aeruginosa Kutzing (남조(藍藻) Microcystis aeruginosa Kutzing의 미세구조(微細構造)에 관(關)한 연구(硏究))

  • Choi, Min-Kyu;Kim, Baik-Ho;Mun, Yeun-Ja;Chung, Yeun-Tai;Lee, Jong-Bin;Wui, In-Sun
    • Applied Microscopy
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    • v.26 no.4
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    • pp.389-399
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    • 1996
  • In order to understand the morphological differences between two different organic loadings by its upstream, and to compare with other algal groups with references, the fine structure of blue-green algae, Microcystis aeruginosa Kitzing, taken from two branches, Tongbok and Bosung stream of Lake Chuam, Korea pennisula was examined. It showed extinct differences in most physicochemical factors between both branches, except water temperature and pH values. The concentrations of total phosphorus in Tongbok branch were twice as those of Bosung. M. aeruginosa cells were enumerated totally $1.2X10^4cells/ml$ and these individuals in branch of Tongbok were close to two times as much as Bosung. In light and electron microscopy, natural M. aeruginosa colonies formed irregular shape and non-directional array in amorphous matrix. They were consisted of many kinds of cells, youngs or olds in cell division, solitary, and various size of cells. Each cell ranged from 2.61 to $5.40{\mu}m$ in diameter, and averaged as $3.54{\pm}0.19{\mu}m$. In cytoplasm, they contained a number of inclusions in various size, shape and appearances. Among them, polyhedral bodies or carboxysomes, a structured granules, photosynthetic lamellae or thylakoids, and gas vacuoles were prominent and easy to recognize. Although it was failed to find the definable morphological variations in the ultrastructure of M. aeruginosa in terms of algal habitual environments, some useful characters were founded, outer layer of cell wall, polyhedral bodies and gas vacuoles, in blue-green algal classification and taxonomy.

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Scapular Free Flap (유리 견갑 피판 이식술)

  • Chung, Duke-Whan;Han, Chung-Soo;Yim, Chang-Moo
    • Archives of Reconstructive Microsurgery
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    • v.5 no.1
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    • pp.24-34
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    • 1996
  • There are many kinds of free flaps for management of extensive soft tissue defect of extremities in orthopaedic field. Free vascularized scapular flap is one of the most useful and relatively easy to application. This flap has been utilize clinically from early eighties by many microsurgical pioneers. Authors performed 102 cases of this flap from 1984 to 1995. We have to consider about the surgical anatomy of the flap, technique of the donor harvesting procedures, vascular varieties and anatomical abnormalities and success rate and the weak points of the procedure. This flap nourished by cutaneous branches from circumflex scapular vessels emerges from the lateral aspect of the subscapular artery 2.5-5cm from its lateral origin passing through the triangular space(bounded by subscapularis, teres minor, teres major, long head of triceps). The terminal cutaneous branch runs posteriorly around the lateral border of the scapular and divided into two major branches, those transeverse horizontally and obliquely to the fascial plane of overlying skin of the scapular body. We can utilize these arteries for scapular and parascapular flap. The vascular pedicle ranged from 5 to 10 cm long depends on the dissection, usually two venae comitantes accompanied circumflex scapular artery and its major branches. The diameter of the circumflex scapular artery is more than 1mm in adult, rare vascular variation. Surgical techniques : The scapular flap can be dissected conveniently with prone or lateral decubitus position, prone position is more easier in my experience. There are two kinds of surgical approaches, most of the surgeon prefer elevation of the flap from its outer border towards its base which known easier and quicker, but I prefer elevation of the flap from its outer border because of the lowering the possibilities of damage to vasculature in the flap itself which runs just underneath the subcutaneous tissue of the flap and provide more quicker elevation of the flap with blunt finger dissection after secure pedicle dissection and confirmed the course from the base of the pedicle. There are minimal donor site morbidity with direct skin closure if the flap size is not so larger than 10cm width. This flap has versatility in the design of the flap shape and size, if we need more longer and larger one, we can use parascapular flap or both. Even more, the flap can be used with latissimus dorsi musculocutaneous flap and serratus anterior flap which have common vascular pedicle from subscapular artery, some instance can combined with osteocutaneous flap if we include the lateral border of the scapular bone or parts of the ribs with serratus anterior. The most important shortcoming of the scapular free flap is non sensating, there are no reasonable sensory nerves to the flap to anastomose with recipient site nerve. Results : Among our 102 cases, overall success rate was 89%, most of the causes of the failure was recipient site vascular problems such as damaged recipient arterial conditions, and there were two cases of vascular anomalies in our series. Patients ages from 3 years old to 62 years old. Six cases of combined flap with latissimus dorsi, 4 cases of osteocutaneous flap for bone reconstruction, 62 parascapular flap was performed - we prefer parascapular flap to scapular. Statistical analysis of the size of the flap has less meaningful because of the flap has great versatility in size. In the length of the pedicle depends on the recipient site condition, we can adjust the pedicle length. The longest vascular pedicle was 14 cm in length from the axillary artery to the enter point cutaneous tissue. In conclusion, scapular free flap is one of the most useful modalities to manage the large intractable soft tissue defect. It has almost constant vascular pedicle with rare anatomical variation, easy to dissect great versatility in size and shape, low donor morbidity, thin and hairless skin.

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Technical Consideration of Non-Insulated Audio Frequency Track-Circuit Device (무절연 가청주파수(AF) 궤도회로장치에 관한 고찰)

  • Cho, Bong-Kwan;Kim, Jong-Ki;Hwang, Hyeon-Chyeol;Ryu, Sang-Hwan;Kang, Shin-Ju
    • Proceedings of the KSR Conference
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    • 2011.05a
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    • pp.1709-1715
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    • 2011
  • A track-circuit device exploits two rails as a conductor of an electrical circuit. It detects the presence or absence of the trains with variation of received level when wheel sets of the train shunt rails together. So, it plays an important role in train operation. Non-insulated audio frequency(AF) track-circuit device can separate the rails into tracks by insulated joints without physically cutting the rails. And it transmits AF signals at track boundary, of which frequency is different between adjacent tracks. It has been employed at station-to-station section of domestic high speed rail, general rail, and subway. But It was not used at station yard of complicated general railway where lots of branches exist. In this paper, we consider current development status of non-insulated AF track-circuit device for the use of station yard.

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First Record of Ulva torta (Ulvales, Chlorophyta) in Korea

  • An, Jae Woo;Nam, Ki Wan
    • Korean Journal of Environmental Biology
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    • v.35 no.3
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    • pp.329-334
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    • 2017
  • A marine ulvalean species (Chlorophyta) was collected from Imgok, which is located on the eastern coast of Korea. This species is morphologically characterized by distromatic, filiform to strap compressed or tubular thallus. Many branches were found near the base, but lacked proliferations. Cells were longitudinally aligned in the younger part of the branch and were disordered in the older part of the branch. A cap-like parietal chloroplast with one or two pyrenoids was contained in each cell. In a phylogenetic tree based on ITS and rbcL sequences, this species was nested in the same clade as Ulva torta and U. clathratioides from Australia, but formed a sister clade to U. torta from Japan. However, the genetic divergence between them was included in an intraspecific variation range within Ulva. This finding suggests that U. clathratioides should be reduced to a synonym of U. torta. Accordingly, the Korean alga was identified as U. torta based on the morphological and molecular data. This investigation is the first record of U. torta in the Korean marine algal flora.

ROBUST $L_{p}$-NORM ESTIMATORS OF MULTIVARIATE LOCATION IN MODELS WITH A BOUNDED VARIANCE

  • Georgly L. Shevlyakov;Lee, Jae-Won
    • The Pure and Applied Mathematics
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    • v.9 no.1
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    • pp.81-90
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    • 2002
  • The least informative (favorable) distributions, minimizing Fisher information for a multivariate location parameter, are derived in the parametric class of the exponential-power spherically symmetric distributions under the following characterizing restrictions; (i) a bounded variance, (ii) a bounded value of a density at the center of symmetry, and (iii) the intersection of these restrictions. In the first two cases, (i) and (ii) respectively, the least informative distributions are the Gaussian and Laplace, respectively. In the latter case (iii) the optimal solution has three branches, with relatively small variances it is the Gaussian, them with intermediate variances. The corresponding robust minimax M-estimators of location are given by the $L_2$-norm, the $L_1$-norm and the $L_{p}$ -norm methods. The properties of the proposed estimators and their adaptive versions ar studied in asymptotics and on finite samples by Monte Carlo.

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Stubbed Branch-Line Compact Balun (스터브를 이용한 소형화된 분기선로 발룬)

  • Park, Myun-Joo;Lee, Byung-Je
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.6 no.2
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    • pp.107-112
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    • 2007
  • A new impedance transforming balun scheme is presented based on the branch-line structure with stubs on the vertical branches. The stubbed vertical branch eliminates the unwanted even mode output and provides only the balanced output of the balun with opposite phase. Also, the use of stubs reduces the branch lengths by two times the stub length, which is useful for the compact balun design.

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Gender Variation in Relation to Resource Allocation in Ambrosia artemisiifolia (Ambrosia artemisiifolia에 있어서 자원분배와 관련된 성비의 변이)

  • Kang, Hyesoon
    • The Korean Journal of Ecology
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    • v.18 no.2
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    • pp.231-241
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    • 1995
  • I examined the relationship between allocations to plant size components such as plant height, total leaf weight, and nuber of branches and to reproductive components such as the number and weight of male and female fowers in three populations of the monoecious, wind-pollinated Ambrosia artemisiifolia. In particular, the two types of gender of plants, phenotypic and functional gender, were related to resource allocation. Mean values of all plant size and reproductive components differed significantly among the three populations. Such inter-population differences did not exist for both photosynthetic and reproductive efforts, Plant size components were mostly positively correlated with reproductive components among plants. However, the relationships between photosynthetic effort and reproductive components were largely negative and inconsistent among populations. The phenotypic gender was much lover than 0.5 in all of the three populations. Pairwise correlations between functional gender and each allocation measurement such as plant size components, reproductive components, photosynthetic effort, and reproductive effort were not consistent across the three populations. These results suggest that the gender of A. artemisiifolia measured as flower production responds sensitively to environmental conditions which might differ whithin as well as among populations.

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Generation of DEM Data Under Forest Canopy Using Airborne Lidar

  • Woo Choong-Shik;Kim Tae-Guen;Shin Jung-Il;Lee Kyu-Sung
    • Proceedings of the KSRS Conference
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    • 2005.10a
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    • pp.512-514
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    • 2005
  • Accurate DEM surface of forest floor is very important to extract any meaningful information regarding forest stand structure, such as tree heights, stand density, crown morphology, and biomass. In airborne lidar data processing, DEM data of forest floor is mostly generated by interpolating those elevation points obtained from last laser returns. In this study, we try to analyze the property of the last laser return under relatively dense forest canopy. Airborne laser data were obtained over the study area in relatively dense pine plantation forest. Two DEM data were generated by using all the points in the last laser returns and using only those points after removing non-ground points. From the preliminary analysis on these DEM data, we found that more than half of points among the last laser returns are actually hit from canopy, branches, and understory vegetation that should be removed before generating the surface DEM data.

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