• Archives of Reconstructive Microsurgery
• /
• v.23 no.2
• /
• pp.65-69
• /
• 2014

Purpose: Soft tissue reconstruction is essential for recovery of finger function and aesthetics in any traumatic defect. The authors applied a reverse homodigital artery island flap for soft tissue defect on distal part of digits. The aim of this study is to evaluate the efficacy of the procedure. Materials and Methods: Seven cases of soft tissue defects of finger tip were included in this study. There were six male and one female, mean age was 43 years and mean follow-up period was 38 months. The length of flaps ranged from 2.0 to 2.5 cm and width ranged from 1.0 to 2.0 cm. Flap survival, postoperative complications were evaluated. Results: All flaps survived without loss. Donor sites were repaired with primary closure in five cases and skin graft in two cases. None of the patients showed significant complications and their average finger motion was $255^{\circ}$ in total active motion at the last follow-up. Conclusion: The authors suggest that the reverse homodigital artery island flap could be a versatile treatment option for the soft tissue defect on distal part of digits.

• Archives of Plastic Surgery
• /
• v.37 no.1
• /
• pp.59-66
• /
• 2010

Purpose: In the finger, there are three major palmar arches in the arterial system. The location of this arches are constant. The middle and distal transverse arches are consistently large (almost 1 mm) and may be used for arterial vessel repairs either proximally or distally, depending on the length and direction needed. This paper describes our experiences in reconstruction and replantation of the finger using rerouting the transverse digital palmar arch. Methods: 31 patients with injuries according to our classification were treated from March of 2005 to October of 2008. In this study the authors subdivided injuries into those with amputation distal to the insertion of the flexor digitorum profundus (Class I, 31 fingers); those with amputation distal to the insertion of the flexor digitorum superficialis (Class II, 4 fingers). Replantation was performed using the artery-only technique with neither vein nor nerve repair. Because the artery has been damaged, it is still possible to make a direct suture by transposing the arterial arch in an inverted Y to I arterial configuration or converting the arch. Venous drainage was provided by an external bleeding method with partial nail excision, medical leech, and repaired margin. Results: The success rate was 87% (n=27) in class I and 75% (n=4) in class II. The authors conclude that crushing and complete avulsion injuries & amputations are salvageable, with acceptable functional results in select patients, especially those with amputation distal to the insertion of the flexor digitorum superficialis. Conclusion: We performed replantation and reconstruction with only-arterial transposing anastomosis successfully, resulting in good recovery of aesthetic and functional outcome. Three major digital palmar arches, especially distal two branches, give us additional treatment options. In the finger replantation and reconstructive techniques using rerouting healthy the transverse digital palmar arch increase the survival rate of the finger.

• Archives of Plastic Surgery
• /
• v.37 no.1
• /
• pp.52-58
• /
• 2010

Purpose: The digital artery perforator flap was recently introduced and has been proven to be useful for reconstruction of various finger defects. Short operative time, less invasive surgery, and reliable flap circulation are the major advantages of this flap. The authors presented the clinical cases of the digital artery perforator flap and compared them with the distant flaps within a hand (thenar and hypothenar flaps) to reveal their differences. Methods: From May of 2006 to February of 2009, the authors performed reconstructions of finger defects with the digital artery perforator flaps in 10 patients as with the distant flaps within hand in 9 patients (7 thenar and 2 hypothenar flaps). In these two groups of the patients, flap size, use of skin graft, length of stay in hospital, healing time, complications were reviewed retrospectively and compared with statistical analysis (Student's t-test). Results: All flaps survived completely. The mean size of the perforator flap was $0.9{\times}1.9\;cm$ and the mean distant flap within a hand was $1.9{\times}2.0\;cm$. The use of skin graft was reduced in the perforator group because the donor site of the flap was closed primarily. The hospitalization period and healing time also reduced significantly in the perforator group. Minor complications (partial flap loss) were noted in small percentages in both groups but resolved with conservative management. Mean follow-up period was about 6 weeks. Conclusion: The digital artery perforator flap was smaller than the distant flap but its reconstruction of finger defects was reliable and comparable to the conventional distant flaps within a hand. This flap would be not only an alternative method but very useful in the management of various finger defects, because of ease of operative technique, less invasive surgery, decreased need of skin graft, and shorter period of hospitalization and healing time.

• Archives of Plastic Surgery
• /
• v.34 no.2
• /
• pp.269-273
• /
• 2007

Purpose: High-pressure injection(HPI) injury is an injury caused by accidental injection of substances by industrial equipment. HPI injury of the hand is a serious injury that can be potentially devastating. There have been a number of publications on the results of its treatment and its functional outcome of these hands. Unfortunately, the clinical outcomes were unsatisfactory following an initial treatment approach of digital expression of the injection material, elevation, soaks, dressing changes, and antibiotics. Methods: A 43-year-old right handed man sustained a high pressure injection injury to the tip of the left index finger. The injected material was industrial paint thinner. Tissue necrosis was noted at the pulp of the finger. Several debridements and irrigation were required. A pedicled chest flap transfer was performed on the eighteenth day after injury as the dorsal nail complex remained viable. This is a retrospective review of our experience with high-pressure finger injection injury caused by paint. A literature review, retrospective chart and radiologic review were presented. Results: Follow-up length was about 1 year. The injuried hand was left nondominant hand, the index. Patient complaints were cold intolerance, paresthesia, contact pain, and impairment of activities of daily living. Conclusion: The outcome of high-pressure injection injuries of the hand is affected by many factors. The time between injury and operative treatment has been regarded as a key determinant by a number of authors. The nature of the injected material is probably more important. It has been noted by many authors that injuries with paints have a worse outcome than those with oil or grease. This study confirms the fact that high-pressure injection injury caused by paint thinner to the hand is a significant problem. Virtually a patient suffers sequelae of this injury. The injury has significant repercussions for future function and reintegration into the work force.

• Molecules and Cells
• /
• v.23 no.3
• /
• pp.316-322
• /
• 2007

Zinc finger transcription factor genes are a significant fraction of the genes in the vertebrate genome. Here we report the isolation and characterization of a human zinc finger-containing gene, ZNF435, from a fetal brain cDNA library. ZNF435 cDNA is 1290 base pairs in length and contains an open reading frame encoding 349 amino acids with four C2H2-type zinc fingers at its carboxyl terminus and a SCAN motif at its amino terminus. RT-PCR results showed that ZNF435 was expressed in all tested tissues. A ZNF435-GFP fusion protein was located in the nucleus and the four zinc fingers acted as nuclear localization signals (NLSs). ZNF435 was found to be capable of homo-association, and this effect was independent of its zinc fingers. Furthermore, ZNF435 proved to be a transcription repressor as its overexpression in AD293 cells inhibited the transcriptional activities of AP-1.

• Journal of the Korean Society of Costume
• /
• v.55 no.2 s.92
• /
• pp.116-128
• /
• 2005

The aim of this study is to understand problems with both fit and sizing system of gloves by analyzing the glove production industries with an emphasis on the sizing system, production measurement system, and general marking situation. Also, to suggest the basic raw materials for improving sizing system for gloves, actual glove control sizes were compared to the anthropometric data of the previous study Fifteen domestic production companies were participated in this study-Domestic glove production companies established their own sizing system by copying inter-national brand's glove sizing system or by their experience. The Korean Standard of gloves and the 1997 Korean Standard Anthropometrics Measurement for producing glove patterns are not considered because of its discordance with the reality of the required measurements. Domestic glove production companies used different size designation and labeling system. Size measurement unit also showed difference among the glove production companies. Some companies used 'cm', some used 'mm', some used 'inch' for the measurement unit. In general, companies produced 5 to 4 sizes in one design of glove and the production was the highest in M and L size. In 9 out of 15 companies preferred control size as hand length and hand circumference. For reference size, most of the companies preferred finger circumference, finger length, palm length, hand breadth, crotch height, and hand thickness. Actual glove sizes were compared to the anthropometric data of the previous study. The results indicated that most of the measurements of actual glove sizes were significantly larger than the anthropometric data.

• Journal of the Korean Institute of Intelligent Systems
• /
• v.14 no.4
• /
• pp.506-511
• /
• 2004

Biometrics is getting more and more attention in recent years for security and other concerns. So far, only fingerprint recognition has seen limited success for on-line security check, since other biometrics verification and identification systems require more complicated and expensive acquisition interfaces and recognition processes. Hand-Geometry has been used for biometric verification and identification because of its acquisition convenience and good performance for verification and identification performance. Hence, it can be a good candidate for online checks. Therefore, this paper proposes a Hand-Geometry recognition system based on geometrical features of hand. From anatomical point of view, human hand can be characterized by its length, width, thickness, geometrical composition, shapes of the palm, and shape and geometry of the fingers. This paper proposes thirty relevant features for a Hand-Geometry recognition system. However, during experimentation, it was discovered that length measured from the tip of the finger was not a reliable feature. Hence, we propose a new technique based on Genetic Algorithm for extraction of the center of nail bottom, in order to use it for the length feature.

• Korean Journal of Head & Neck Oncology
• /
• v.39 no.2
• /
• pp.23-26
• /
• 2023

Lower lip reconstruction in cases with a full-thickness defect over one-third of the vermilion is challenging. Numerous conventional techniques have been applied with unsatisfactory surgical outcomes because of microstomia and oral commissure blunting due to shortened horizontal lip length. Herein, we present a case in which a full-thickness lower lip defect of more than one-third of the horizontal lip length was covered with a novel mucosal roofing flap reconstruction to minimize the loss of horizontal lip length and to preserve mouth opening. No recurrences or metastases were observed during 3 years and 6 months of follow-up, with horizontal lower lip length maintained and mouth opening of 2.5 finger breadths.

• Journal of IKEEE
• /
• v.3 no.1 s.4
• /
• pp.118-125
• /
• 1999

A capacitance method to extract the metallurgical channel length of LDD MOSFET's, which is defined by the length between the metallurgical junction of substrate and source/drain under the gate, is presented. The gate capacitances of the finger type and plate type LDD MOSFET gate test patterns with same total gate area are measured. The gate bias of each pattern is changed, and the capacitances are measured with source, drain, and substrate bias grounded. The differences between two test pattern's capacitance data are plotted. The metallurgical channel length is extracted from the peak data at a maximum point using a simple formula. The numerical simulation using two-dimensional device simulator is performed to verify the proposed method.

• Journal of the Korean Society of Clothing and Textiles
• /
• v.28 no.3_4
• /
• pp.509-520
• /
• 2004

The aim of this study was to provide the basic 2-dimensional statistics requisite in the siting system and design of gloves. The 64 static measurements were selected to provide information about hands. Participants in the study were 824 adults, aged between 18 and 64. Subjects were divided into four age groups: 18 to 29, 30 to 39, 40 to 49, and 50 to 64, and separated according to sex. Statistical tests such as Descriptive Analysis, and Anova were conducted to analyze the data and ascertain the differences among the ages. The disparities between sex groups were compared by T-test. In addition, correlation among the 57 measurements was analyzed and the results were compared to the data from Japanese and other studies. The results indicated that all the measurements were significantly larger in the male group. There were significant differences among age groups for most hand circumferences, breadths and thickness items. As the age increased, the hand circumferences, breadths and thickness items became wider and thicker. In addition, as the age increased, the mean measurement value of the length items decreased, so that it became shorter. Hand length was highly correlated with finger length, palm length and height. Maximum hand circumference II was highly correlated with hand circumferences, hand breadth and weight.