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

• Journal of the Korea Institute of Information and Communication Engineering
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• v.18 no.11
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• pp.2727-2732
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• 2014

Recently, the researches of object tracking and recognition using Microsoft's Kinect are being actively studied. In this environment human hand detection and tracking is the most basic technique for human computer interaction. This paper proposes a method of improving the accuracy of the detected hand region's boundary in the cluttered background. To do this, we combine the hand detection results using the skin color with the extracted depth image from Kinect. From the experimental results, we show that the proposed method increase the accuracy of the hand region detection than the method of detecting a hand region with a depth image only. If the proposed method is applied to the sign language or gesture recognition system it is expected to contribute much to accuracy improvement.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.13 no.10
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• pp.2180-2188
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• 2009

This paper is study on real-time hand gesture recognition system based on vision for intelligent robot control. We are proposed a recognition system using PCA and BP algorithm. Recognition of hand gestures consists of two steps which are preprocessing step using PCA algorithm and classification step using BP algorithm. The PCA algorithm is a technique used to reduce multidimensional data sets to lower dimensions for effective analysis. In our simulation, the PCA is applied to calculate feature projection vectors for the image of a given hand. The BP algorithm is capable of doing parallel distributed processing and expedite processing since it take parallel structure. The BP algorithm recognized in real time hand gestures by self learning of trained eigen hand gesture. The proposed PCA and BP algorithm show improvement on the recognition compared to PCA algorithm.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.21 no.2
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• pp.117-124
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• 2021

This study is a study to recognize hand movements using a neural network for wrist rehabilitation. The rehabilitation of the hand aims to restore the function of the injured hand to the maximum and enable daily life, occupation, and hobby. It is common for a physical therapist, an occupational therapist, and a security tool maker to form a team and approach a doctor for a hand rehabilitation. However, it is very inefficient economically and temporally to find a place for treatment. In order to solve this problem, in this study, patients directly use smart devices to perform rehabilitation treatment. Using this will be very helpful in terms of cost and time. In this study, a wrist rehabilitation dataset was created by collecting data on 4 types of rehabilitation exercises from 10 persons. Hand gesture recognition was constructed using a neural network. As a result, the accuracy of 93% was obtained, and the usefulness of this system was verified.

• Archives of Plastic Surgery
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• v.48 no.4
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• pp.395-403
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• 2021

Background Groin wounds occurring after vascular surgical site infection, oncologic resection, or occasionally orthopedic surgery and trauma may represent a surgical challenge. Reconstruction of these defects by the usual workhorse flaps may be contraindicated following previous surgery and in patients with lower limb lymphedema or extreme morbidity. Methods This study included 15 consecutive patients presenting with inguinal wounds after vascular or general surgery that required debridement and soft tissue coverage. All cases had absolute or relative contraindications to conventional reconstructive techniques, including a compromised deep femoral artery network, limb lymphedema, scarring of potential flap harvesting sites, or poor overall condition. Abdominal adipocutaneous excess enabled the performance of adipocutaneous advancement flaps in an abdominoplasty-like fashion. Immediate and long-term outcomes were analyzed. Results Soft tissue coverage was effective in all cases. Two patients required re-intervention due to flap-related complications (venous congestion and partial flap necrosis). All patients fully recovered over a mean±standard deviation follow-up of 2.4±1.5 years. Conclusions Abdominal flaps can be an effective and simple alternative technique for inguinal coverage with reproducible outcomes. In our experience, the main indications are a compromised deep femoral artery network and poor thigh tissue quality. Relative contraindications, such as previous open abdominal surgery, should be considered.

• Journal of Korean Neurosurgical Society
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• v.58 no.6
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• pp.578-581
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• 2015

A rigid spino-pelvic fixation to anchor long constructs is crucial to maintain the stability of long fusion in spinal deformity surgery. Besides obtaining immediate stability and proper biomechanical strength of constructs, the S2 alar-iliac (S2AI) screws have some more advantages. Four Korean fresh-frozen human cadavers were procured. Free hand S2AI screw placement is performed using anatomic landmarks. The starting point of the S2AI screw is located at the midpoint between the S1 and S2 foramen and 2 mm medial to the lateral sacral crest. Gearshift was advanced from the desired starting point toward the sacro-iliac joint directing approximately $20^{\circ}$ angulation caudally in sagittal plane and $30^{\circ}$ angulation horizontally in the coronal plane connecting the posterior superior iliac spine (PSIS). We made a S2AI screw trajectory through the cancellous channel using the gearshift. We measured caudal angle in the sagittal plane and horizontal angle in the coronal plane. A total of eight S2AI screws were inserted in four cadavers. All screws inserted into the iliac crest were evaluated by C-arm and naked eye examination by two spine surgeons. Among 8 S2AI screws, all screws were accurately placed (100%). The average caudal angle in the sagittal plane was $17.3{\pm}5.4^{\circ}$. The average horizontal angle in the coronal plane connecting the PSIS was $32.0{\pm}1.8^{\circ}$. The placement of S2AI screws using the free hand technique without any radiographic guidance appears to an acceptable method of insertion without more radiation or time consuming.

• Korean Journal of Applied Biomechanics
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• v.31 no.3
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• pp.155-161
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• 2021

Objective: There is a lack of studies using the 3D-2D image registration techniques on the mechanism of a shoulder injury for ice hockey players. This study aimed to analyze in vivo 3D glenohumeral joint arthrokinematics in collegiate ice hockey athletes and compare shoulder scaption with or without a hockey stick using the 3D-2D image registration technique. Method: We recruited 12 male elite ice hockey players (age, 19.88 ± 0.65 years). For arthrokinematic analysis of the common shoulder abduction movements of the injury pathogenesis of ice hockey players, participants abducted their dominant arm along the scapular plane and then grabbed a stick using the same motion under C-arm fluoroscopy with 16 frames per second. Computed tomography (CT) scans of the shoulder complex were obtained with a 0.6-mm slice pitch. Data from the humerus translation distances, scapula upward rotation, anterior-posterior tilt, internal to external rotation angles, and scapulohumeral rhythm (SHR) ratio on glenohumeral (GH) joint kinematics were outputted using a MATLAB customized code. Results: The humeral translation in the stick hand compared to the bare hand moved more anterior and more superior until the abduction angle reached 40°. When the GH joint in the stick hand was at the maximal abduction of the scapula, the scapula was externally rotated 2~5° relative to 0°. The SHR ratio relative to the abduction along the scapular plane at 40° indicated a statistically significant difference between the two groups (p < 0.05). Conclusion: With arm loading with the stick, the humeral and scapular kinematics showed a significant correlation in the initial section of the SHR. Although these correlations might be difficult in clinical settings, ice hockey athletes can lead to the movement difference of the scapulohumeral joints with inherent instability.

• Proceedings of the IEEK Conference
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• 2002.07b
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• pp.838-840
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• 2002

Presently, Analytic Network Process which evaluates man's intention and offers decision-making support is capturing the spotlight. It originates in the ability of Analytic Network Process to treat various decision-making support system. However, no detailed reference is available when dealing with the group case. This paper examines the technique, which can also cope with the group decision-making support system, and describes the validity of the technique. A characteristic feature of the proposed technique is that it can detect a group's intention in a given section, and it decomposes the sectional supermatrix into a small supermatrix and a large one. A general supermatrix treats the convergence value by taking the limiting process method of the power of an evaluation value. On the other hand, when a supermatrix has nonnegative value, it can easily be solved by the eigenvector method. The decomposition of the supermatrix has been considered in this work.

• International Journal of Precision Engineering and Manufacturing
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• v.9 no.3
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• pp.46-50
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• 2008

The present status and future prospects of the levitation mass method (LMM), a technique for precision mass and force measurement, are reviewed. In the LMM, the inertial force of a mass levitated using a pneumatic linear bearing is used as the reference force applied to the objects being tested, such as force transducers, materials, or structures. The inertial force of the levitated mass is measured using an optical interferometer. We have modified this technique for dynamic force calibration of impact, oscillation, and step loads. We have also applied the LMM to material testing, providing methods for evaluating material viscoelasticity under an oscillating or impact load, evaluating material friction, evaluating the biomechanics of a human hand, and generating and measuring micro-Newton-level forces.

• Journal of Powder Materials
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• v.2 no.1
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• pp.19-28
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• 1995

Powder forging is a combined technology of powder metallurgy and precision hot forging. Recently, the technology is developing rapidly because of its economic merits, especially in automotive part manufacturing. In the present study, the finite element technique was developed to predict density variation during P/M forging and the technique was applied to analysis of forging of a P/M connecting rod. Although deformation mode of the connecting rod was quite complex, several sections were selected and analyzed under an assumption of asymmetric or plane strain deformation. It was found that some modifications were necessary on the cross section of the beam portion. Therefore, the cross section was modified repeatedly until a satisfactory result of the analysis was obtained. On the other hand, no modifications were necessary in the ring and the pin portions. It is anticipated that the developed technique can be used to optimize preform design and manufacturing processes in P/M forging, which are highly critical to produce successful products in practice.