• 제목/요약/키워드: Heel

검색결과 692건 처리시간 0.029초

Reconstruction of the Lower Extremity Using Free Flaps

  • Kang, Min Jo;Chung, Chul Hoon;Chang, Yong Joon;Kim, Kyul Hee
    • Archives of Plastic Surgery
    • /
    • 제40권5호
    • /
    • pp.575-583
    • /
    • 2013
  • Background The aim of lower-extremity reconstruction has focused on wound coverage and functional recovery. However, there are limitations in the use of a local flap in cases of extensive defects of the lower-extremities. Therefore, free flap is a useful option in lower-extremity reconstruction. Methods We performed a retrospective review of 49 patients (52 cases) who underwent lower-extremity reconstruction at our institution during a 10-year period. In these patients, we evaluated causes and sites of defects, types of flaps, recipient vessels, types of anastomosis, survival rate, and complications. Results There were 42 men and 10 women with a mean age of 32.7 years (range, 3-72 years). The sites of defects included the dorsum of the foot (19), pretibial area (17), ankle (7), heel (5) and other sites (4). The types of free flap included latissimus dorsi muscle flap (10), scapular fascial flap (6), anterolateral thigh flap (6), and other flaps (30). There were four cases of vascular complications, out of which two flaps survived after intervention. The overall survival of the flaps was 96.2% (50/52). There were 19 cases of other complications at recipient sites such as partial graft loss (8), partial flap necrosis (6) and infection (5). However, these complications were not notable and were resolved with skin grafts. Conclusions The free flap is an effective method of lower-extremity reconstruction. Good outcomes can be achieved with complete debridement and the selection of appropriate recipient vessels and flaps according to the recipient site.

유방촬영 시 방사선관계종사자의 위치에 따른 공간선량평가 (Evaluation of the Space Scattered Dose According to the Position of the Radiation Workers in Mammography Room)

  • 이동연;이진수
    • 대한방사선기술학회지:방사선기술과학
    • /
    • 제39권3호
    • /
    • pp.297-303
    • /
    • 2016
  • 본 연구는 유방촬영실 내에서 제어기가 위치하는 공간에 대한 선량평가를 실시하여 방사선관계종사자에 대한 피폭을 저감화 할 수 있는 방안에 대한 연구를 진행하였다. 연구결과 제어기가 위치하는 공간에 차폐문이 없을 경우 6.18 mGy/year의 선량이 측정되었으며, 차폐문을 설치할 경우 2.35E-11 mGy/year의 선량이 측정되었다. 또한 X선관의 양극 방향이 제어기를 향하고 있을 경우, 평균 0.30 mGy/year 정도 낮게 측정되었다. 이를 바탕으로 유방촬영 장치 설치 시 양극과 음극 방향을 고려하여야 하며, 촬영공간과 제어공간을 완벽히 분리할 수 있는 차폐문을 설치하는 것이 방사선관계종사자에게 있어서 가장 좋은 방사선 방어 방법으로 판단된다.

플라스틱 IC 패키지 접합부의 수명예측 및 품질향상에 관한 연구 (A Study on the Life Prediction and Quality Improvement of Joint in IC Package)

  • 신영의;김종민
    • Journal of Welding and Joining
    • /
    • 제17권1호
    • /
    • pp.124-132
    • /
    • 1999
  • Thermal fatigue strength of the solder joints is the most critical issue for TSOP(Thin Small Outline Package) because the leads of this package are extremely short and thermal deformation cannot be absorbed by the deflection of the lead. And the TSOP body can be subject to early fatigue failures in thermal cycle environments. This paper was discussed distribution of thermal stresses at near the joint between silicon chip and die pad and investigated their reliability of solder joints of TSOP with 42 alloy clad lead frame on printed circuit board through FEM and 3 different thermal cycling tests. It has been found that the stress concentration around the encapsulated edge structure for internal crack between the silicon chip and Cu alloy die pad. And using 42 alloy clad, The reliability of TSOP body was improved. In case of using 42 alloy clad die pad(t=0.03mm). $$\sigma$_{VMmax}$ is 69Mpa. It is showed that 15% improvement of the strength in the TSOP body in comparison with using Cu alloy die pad $($\sigma$_{VMmax}$=81MPa). In solder joint of TSOP, the maximum equivalent plastic strain and Von Mises stress concentrate on the heel of solder fillet and crack was initiated in it's region and propagated through the interface between lead and solder. Finally, the modified Manson-Coffin equation and relationship of the ratio of $N_{f}$ to nest(η) and cumulative fracture probability(f) with respect to the deviations of the 50% fracture probability life $(N_{f 50%})$ were achieved.

  • PDF

방풍통성산(防風通聖散)의 문헌(文獻) 및 형상의학적(形象醫學的) 고찰(考察) (Documentational Study and Observation from the View of Hyungsang Medicine on Bangpungtongseong-san)

  • 석민희;김준홍;이용태
    • 동의생리병리학회지
    • /
    • 제22권1호
    • /
    • pp.51-59
    • /
    • 2008
  • The following conclusions were obtained from the studies on Bangpuntongseongsan both from the documents and Hyungsang medicine. Bangpungtongseong-san was created by Yu Wan-so to relieve both interior and exterior of disease from the pathogenic fire, and it cures wind syndrome and dry syndrome. Bangpungtongseong-san is of light herbal combination and it works in the upper part of the body and is mainly applied to skin disease. Perspiration without harming the exterior and purgation without hurting the interior shows that it is not a severe prescription belonging to meditation therapy. It is mostly used for curing the disease of internal heat caused by over drinking and consuming heavy food, and it has special relationship with Yangmyung meridian. It is mentioned in the chapters of spirit, head, face, eye, ear, nose, throat, skin, hair, prescription, wind, dryness, fire, internal damage, epidemic infectious disease, carbuncle and cellulitis, ulceration, and pediatrics of ${\ulcorner}$Donguibogam${\lrcorner}$. It is usually applied to those who belong to Yangmyung type of the six meridian types or wind type, who has excessive heat, people with red complexion, reddened nose, pimples over the face and nose, coarse heel, loss of hair due to wind-heat, and to those who tend to have dandruff. Through examination over the cases treated with Hyungsan medicine, Bangpungtongseong-san was found efficacious in bloodshot eyes, brandy nose, loss of hair, various skin problems, tetanus, acute alcoholism, paralysis of hand and foot, deafness, and tinnitus.

16세기 조선 기녀의 일반 연회(宴會) 규정복식 고증 디자인 연구;문화콘텐츠용 이미지 작업을 중심으로 (A Study on the Design of Official Costume of 16th Century Gineyo in Scholar's Banquet;Focusing on the Image Design for Cultural Contents)

  • 최해율
    • 한국의류학회지
    • /
    • 제32권8호
    • /
    • pp.1322-1331
    • /
    • 2008
  • The purpose of this study is to design an official costume of Joseon Ginyeo in the scholar’s banquet in 16th century, thereby making correct historical animation, drama costumes, and various costume contents. Every Ginyeo in and wore a long yellow coat with short front edge. 'Dan-ei', Ginyeo’s court costume, had very similar shape except color and collar, therefore the size of Dan-ei was adapted to design a yellow coat for drama actress. Ginyeo’s Jogori in these paintings was wide and long enough to cover undervelly under the edge of yellow coat, but It was designed more slim and long for better appearence and comfortable movement in my work. A skirt of Ginyeo was designed with circumference of about 360cm and length of about 105cm according as a skirt style of Joseon ladies in 16th century. Ginyeo's Jam(hairpin) was consist of a vase, a plum blossom, and a lotus pattern. And, a wide underpants with a single suspender, portable pouch, Un-hae(women’s shoes) with low heel are needed for drama actress in the role of Ginyeo. In this design, it is very important to save an estimate and time, select suitable mordern fabrics, reform discomportable points, express a charater’s role, and make a trendy appearence.

중년여성의 체형에 적합한 의복형태와 면분할 및 배치 방안에 관한 연구 (A Study on the Effective Design for Figure of Middle Aged Women)

  • 김옥진
    • 한국의류학회지
    • /
    • 제21권7호
    • /
    • pp.1173-1183
    • /
    • 1997
  • In order to flatter the figures of average middle aged women by determining harmonious proportions for their costume forms, this study evaluates effects of varying design details of jackets(coats) with blouses and slacks using a ranking test and paired comparisons test. The result from clothing design C-2 which has the best design effect were as follows; 1. In order to look taller, the jacket(coats) is divided vertical long line and it has the emphasis point close to the face. 2. In order to make shoulder width look wider, armhole seam line attached 1-2 cm from the shoulder point. 3. In order to make chest width look slimmer, division was made up of a tailored collar with a deep V-neckline. 4. In order to make waist circumference look slimmer, the jacket has more fitted waist line than loosed it and tailored collar with a deep V-neckline. 5. In the case of the division of upper and lower garments, when the division was closer to the golden section, i.e., when the jacket hemline is hipline and slacks length is the heel excluded length of shoe heels, the overall appearance was better. 6. The V-neckline looked better, when it was cut along a long acute angle to the waist line. Because of dividing along above factors 1-6 i.e., clothing design C-2 was overall harmonious. Appropriate division of costume forms made for an aesthetic composition, which flattered the body types of middle aged women and presented harmonious, beautiful costume design effects. It made the women look taller, slim and balanced, and highlighted middle aged women's sense of beauty.

  • PDF

기능적인 하지길이 차이에 따른 족저압 변화가 족부체열에 미치는 영향 (The Foot Pressure Change Caused by Functional Leg Length Having an Effect on the Foot Temperature)

  • 김민주;김주연;이혜원;임주연;하현진;안진호
    • 대한통합의학회지
    • /
    • 제1권2호
    • /
    • pp.37-46
    • /
    • 2013
  • Purpose : The purpose of the research was to analyze foot pressure, foot temperature, and correlation between foot pressure and foot temperature to grasp impact on foot pressure and body temperature distribution chart depending on functional difference of leg length. Method : After measuring leg length, put 15 students whose functional difference of leg length was over 10mm to difference group and 15 students whose functional difference of leg length was under 5mm to normal group and categorize soles of foot into 6 sections of hallux head, 1st metatarsal head, 2-4 metatarsal head, 5 metatarsal head, lateral heel, and then measure by foot pressure analyzer to analyze characteristic of pressure distribution and classify into front of the lower leg, back of the lower leg, soles of foot and measure by body temperature analyzer to analyze by checking body temperature. Result : Weight difference depending on foot pressure and body temperature was bigger when functional difference of leg length was bigger, and it could be confirmed that foot pressure and body temperature of short leg side were higher than those of short leg side. Thus, if difference exists in leg length, weight load on short leg side increases which results in higher foot pressure and body temperature, therefore enabling an assumption that mechanical problem will occur in short leg. Conclusion : When functional leg length inequality, weight bearing and pressure was getting high as a result, temperature was getting high in short leg.

하지에 시행한 박근 유리 판 이식술 - 32예 분석 - (Gracilis Muscle Free Flap Transplantation in the Lower Extremities - 32 Cases Snalysis -)

  • 이준모;김학지;김용민;박재규
    • Archives of Reconstructive Microsurgery
    • /
    • 제13권1호
    • /
    • pp.58-62
    • /
    • 2004
  • Purpose: To cover the exposed tendons and bones after trauma and cure the concomitant osteomyelitis in the lower extremities, gracilis muscle free flaps are frequently preferred. 32 cases of gracilis muscle free flap we had done were analysed according to the indications, specification of flap length and width, pedicle length, vessels used in the anastomosis and final healing after at least over 1 year follow up. Materials and methods: From August 1995 through November 2002, we have performed 32 cases of gracilis muscle free flap transplantation with the general microsurgical procedures in the lower extremities. Open fracture of the middle and distal tibia were 12, exposed heel 6, crushing injury in the foot 5 cases, open fracture of the ankle 4, chronic osteomyelitis of the tibia 3 and osteomyelitis of the tarsal bones 2. Tailored flap length were ranged from 16 cm to 4 cm, width were from 5cm to 4cm. Pedicle length averaged around 4 cm. Anastomosis of one artery and two veins in both of donor and recipient were performed in 17 cases and one artery and one vein in 15 cases. Results: All flaps were survived, except 2 cases. Final flap healing was satisfactory to both of the patients and microsurgeon. Conclusion: Gracilis muscle free flaps are frequently chosen to cover the exposed components and cure the osteomyelitis in the lower extremities.

  • PDF

와플형과 더블티형 프리캐스트 콘크리트 바닥판의 수직진동 사용성 평가 (Serviceability Performance Evaluation of Vertical Vibration of Waflle Shape and Duble-Tee Precast Concrete Slabs)

  • 신재상;정란
    • 한국구조물진단유지관리공학회 논문집
    • /
    • 제14권4호
    • /
    • pp.62-69
    • /
    • 2010
  • 본 연구는 PC 부재인 와플형상을 갖는 슬래브와 더블티형 슬래브에 대하여 보행 및 발뒤꿈치 가진등의 수직진동 하중을 대한 실험과 해석을 수행하여, 각각의 사용성을 비교 검토하였다. 수직진동하중에 대한 실험은 와플형 및 더블티형 슬래브가 모두 시공된 하남시에 위치한 상업시설을 대상으로 수행하였다. 실험결과에 대한 사용성 검토는 국제표준화기구의 ISO 2631-2와 일본건축학회의 건축물의 진동에 관한 거주성능 평가지침 동해설에서 제시한 기준을 바탕으로 평가하였다. 실험결과, 와플형 및 더블티형 슬래브 모두 각 기준에 제시된 상업시설 바닥진동 제한범위에 만족하는 것으로 나타나 사용성이 우수한 것으로 나타났으나, 최대가속도 응답은 와플형 슬래브가 더블티형 슬래브보다 낮게 발생하였다.

기능적 발목 불안정성을 가진 대상자에게 동적 자세 안정성 훈련과 연성 발목 보조기가 다중 한발 뛰기 수행에 미치는 효과 비교 (Comparison of the Effects of Dynamic Postural Stability Training Versus Soft Ankle Bracing on Multiple Hop Performance in Participants With Functional Ankle Instability)

  • 차윤상;박규남
    • 한국전문물리치료학회지
    • /
    • 제24권1호
    • /
    • pp.1-8
    • /
    • 2017
  • Background: The multiple hop test is an active performance test that has been commonly used to assess individuals with functional ankle instability. Previous studies have suggested that insufficiency of dynamic postural stability and passive stability during dynamic activities can have an influence on performance in the multiple hop test. However, no study has investigated the effects of dynamic postural stability training and ankle bracing on multiple hop test performance in individuals with functional ankle instability. Objects: The purpose of this study was to compare the immediate effects of dynamic postural stability training versus ankle bracing in the performance of the multiple hop test for participants with functional ankle instability. Methods: Twenty-nine participants with functional ankle instability who scored below 24 in the Cumberland Ankle Instability Tool were selected. The participants were randomly divided into two groups: a dynamic postural stability training group (n1=14) and an ankle bracing control group ($n_2=15$). The multiple hop tests were performed before and after applying each intervention. Dynamic postural stability training was performed using visual-feedback-based balance-training equipment; participants in this group were asked to perform a heel raise in a standing position while watching the centering of their forefoot pressure to prevent excessive ankle inversion. Ankle bracing was applied in the control group. Results: When comparing the pre- and post-intervention period for both groups, both methods significantly improved the results of the multiple hop test (p<.05). However, no significant differences were shown between the dynamic postural stability training and ankle bracing groups (p>.05). Conclusion: Both dynamic postural stability training and ankle bracing showed significant improvement (2.85 seconds and 2.05 seconds, respectively) in test performance. Further study is needed to determine the long-term effects of dynamic postural stability training and to determine whether insufficient dynamic postural stability is a causative factor for functional ankle instability.