• 제목/요약/키워드: Large defects

검색결과 805건 처리시간 0.028초

혈관 부착 생골 이식술을 이용한 대량 골결손의 치료 (Treatment of Large Bone Defect with Vascularized Bone Graft)

  • 정문상;백구현;김태균;원중희;고영도
    • Archives of Reconstructive Microsurgery
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    • 제2권1호
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    • pp.20-28
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    • 1993
  • From 1981 to 1991, twenty one vascularized bone grafts had been performed for the treatment of large bone defects of the extremities, with average follow-up of 65.4 months. Fibulae were used in 15 patients Including two cases of osteocutaneous flap, iliums in 5 including two of osteocutaneous flap, and osteocutneous rib in one. Ten of these patients were treated for segmental defects derived from trauma or infection sequelae of long bones, while eight for locally aggressive benign or malignant bone tumors ; and three for congenital pseudarthrosis of tibia. The location of the lesions were 8 cases in tibia; 7 in humerus ; 3 in forearm bone ; 2 in foot ; and 1 in femur. The length of bone defects were averaged as 10 cm, ranging from 3 to 17.5. In eighteen patients(85.7%), the operation was successful. The duration from operation to bony union was average 5.1 months on successful cases, and three of them needed additional procedures, such as bone graft and electrical stimulation to promote bony union. Local recurrence was found in one case of chondrosarcoma, resulting in AK amputation. Wound infections were noted each one case on donor or recipient site. In five cases, the fracture of grafted bone, which united with cast immobilization in four, occurred average 16.7 months after operation.

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Application of Local Axial Flaps to Scalp Reconstruction

  • Zayakova, Yolanda;Stanev, Anton;Mihailov, Hristo;Pashaliev, Nicolai
    • Archives of Plastic Surgery
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    • 제40권5호
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    • pp.564-569
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    • 2013
  • Background Scalp defects may be caused by various etiological factors, and they represent a significant surgical and aesthetic concern. Various surgical techniques can be applied for reconstructive work such as primary closure, skin grafting, pedicled or free flaps. In this article, the authors share their clinical experience with scalp operations using the technique of local flaps and discuss the application of this method from the perspective of not only the size of the defect, but also in relation to the anatomical area, quality of surrounding tissue, and patient's condition. Methods During the period from December 2007 to December 2012, 13 patients with various scalp defects, aged 11 to 86 years, underwent reconstruction with local pedicle flaps. The indications were based on the patients' condition (age, sex, quality of surrounding tissue, and comorbidities) and wound parameters. Depending on the size of the defects, they were classified into three groups as follows: large, 20 to 50 $cm^2$; very large, 50 to 100 $cm^2$; extremely large, 100 $cm^2$. The location was defined as peripheral (frontal, temporal, occipital), central, or combined (more than one area). We performed reconstruction with 11 single transposition flaps and 1 bipedicle with a skin graft on the donor area, and 2 advancement flaps in 1 patient. Results In all of the patients, complete tissue coverage was achieved. The recovery was relatively quick, without hematoma, seroma, or infections. The flaps survived entirely. Conclusions Local flaps are widely used in scalp reconstruction since they provide healthy, stable, hair-bearing tissue and require a short healing time for the patients.

파이프 용접에서 다중 시각센서를 이용한 용접선 추적 및 용접결함 측정에 관한 연구 (A Study on Seam Tracking and Weld Defects Detecting for Automated Pipe Welding by Using Double Vision Sensors)

  • 송형진;이승기;강윤희;나석주
    • Journal of Welding and Joining
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    • 제21권1호
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    • pp.60-65
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    • 2003
  • At present. welding of most pipes with large diameter is carried out by the manual process. Automation of the welding process is necessary f3r the sake of consistent weld quality and improvement in productivity. In this study, two vision sensors, based on the optical triangulation, were used to obtain the information for seam tracking and detecting the weld defects. Through utilization of the vision sensors, noises were removed, images and 3D information obtained and positions of the feature points detected. The aforementioned process provided the seam and leg position data, calculated the magnitude of the gap, fillet area and leg length and judged the weld defects by ISO 5817. Noises in the images were removed by using the gradient values of the laser stripe's coordinates and various feature points were detected by using an algorithm based on the iterative polygon approximation method. Since the process time is very important, all the aforementioned processes should be conducted during welding.

Nondestructive Contactless Sensing of Concrete Structures using Air-coupled Sensors

  • Shin, Sung-Woo;Hall, Kerry S.;Popovics, John S.
    • International Journal of Safety
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    • 제7권2호
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    • pp.17-22
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    • 2008
  • Recent developments in contactless, air-coupled sensing of seismic and ultrasonic waves in concrete structures are presented. Contactless sensing allows for rapid, efficient and consistent data collection over a large volume of material. Two inspection applications are discussed: air-coupled impact-echo scanning of concrete structures using seismically generated waves, and air-coupled imaging of internal damages in concrete using ultrasonic tomography. The first application aims to locate and characterize shallow delamination defects within concrete bridge decks. Impact-echo method is applied to scan defected concrete slabs using air coupled sensors. Next, efforts to apply air-coupled ultrasonic tomography to concrete damage imaging are discussed. Preliminary results are presented for air-coupled ultrasonic tomography applied to solid elements to locate internal defects. The results demonstrate that, with continued development, air-coupled ultrasonic tomography may provide improved evaluation of unseen material defects within structures.

알루미늄 소재의 레오로지 직접단조공정에서 가압력이 액상 편석에 미치는 영향 (The Effect of Pressure on Liquid Segregation in Direct Rheo-Forging Process of Aluminum Alloys)

  • 오세웅;배정운;강충길
    • 소성∙가공
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    • 제16권3호
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    • pp.178-186
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    • 2007
  • Rheo-forging process of aluminum alloy is suitable for large parts of net shape without defects and excellent mechanical properties in comparison with conventional die casting and forging process. To control the microstructure of the product with high mechanical properties in rheo-forming, solid fraction is required to prevent porosity and liquid segregation. Therefore, in rheo-forging process, die shape, pressure type and solid fraction are very important parameters. The defects such as porosity, liquid segregation and unfitting phenomena occur during rheo-forging process. To prevent these defects, mechanical properties and microstructure analysis of samples versus the change of pressure are carried out and the problem and its solutions are proposed. Also, the mechanical properties versus various pressures were compared with and without heat treatment. The alloys used for rheo-forming are A356 and 2024 aluminum alloy. The rheology material is fabricated by electromagnetic process with controlling current and stirring time.

스텐레스 강 용접부에 형성되는 결함의 저감에 미치는 레이저 펄스 파형의 영향 (Effect of Laser Pulse Shaping on Reduction in Defects of Stainless Steel Sport Weld Metals)

  • 김종도;카따야마세이지
    • 해양환경안전학회지
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    • 제3권2호
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    • pp.13-21
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    • 1997
  • This paper describes the effectiveness of laser pulse shaping in eliminating weld defects such as porosity, cracks and undercuts in pulsed Nd:YAG Laser welding. A large porosity was formed in a keyhole mode of deep penetration weld metal of any stainless steel. Solidification cracks were present in Type 303 with about 0.3%s. The conditions for the formation of porosity were determined in further detail in Type 316. With the objectives of obtaining a fundamental knowledge of formation and prevention of weld defects, the fusion and solidification behavior of a molten puddle was observed during laser spot welding of Type 310S. through high speed video photographing technique. It was deduced that cellular dendrite tips grew rapidly from the bottom to the surface, and consequently residual liquid remained at the grain boundaries in wide regions and enhanced the solidification cracking susceptibility. Several laser pulse shapes were investigated and optimum pulse shapes were proposed for the reduction and prevention of porosity and solidification cracking.

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열전달 시뮬레이션을 통한 최적공극탐지 차트개발 (Development of an Optimum Void Detection Chart using Heat Transfer Simulation)

  • 최현호;박진형;지광습
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2006년도 추계 학술발표회 논문집
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    • pp.241-244
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    • 2006
  • It is essential to develop a large capacity, non-contact nondestructive inspection system having high reliability to investigate repaired and strengthened structures. Nowadays, an infrared camera is widely used in non-contact nondestructive inspection system. Because an infrared camera is sensitive to the surrounding environment, it is necessary to improve a sensitivity of thermal image information and a relationship between defects and thermal image information. In this papaer, presented is an optimum void detection chart for the optimum conditions to detect infrared rays from inside and outside defects like voids and cracks in concrete structures using extensive computer simulation. Sensitivity studies are performed with respect to variables influencing the temperature distribution such as heating temperature, heating time, and geometries of defect, etc. It may be stated that it could be successfully utilized for the non-contact nondestructive inspection system to detect defects in concrete structures.

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개에서 심방중격결손의 증례 (Atrial Septal Defect in Dogs)

  • 정주현;엄기동;장광호;오태호;이영원;장동우;윤정희
    • 한국임상수의학회지
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    • 제19권1호
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    • pp.110-113
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    • 2002
  • An atrial septal defect (ASD) is a congenital hole in the atrial septum that allows flow between the two atria. Small ASDs are usually well-tolerated defects and do not result in significant clinical abnormalities. In large ASDs or in the presence of other cardiac defects, clinically significancy is increased. Atrial septal defects in 2 Dogs with cardiac and respiratory signs were diagnosed at seoul animal medical center. In ascultation, systolic murmur and the splitting of second heart sound were heard at pulmonary or tricuspid valve region. In radiograph, right-sided cardiomegaly, pulmonary artery dilation, increased pulmonary vasculature makings, and pleural effusion or pulmonary edema signs were observed. In echocardiography, the region, location and size of septal defect was identified. Also, the direction and degree of shunt was measured. These dogs were treated with medicine for cardiac failure. One dog is well-tolerated, the other dog died.

A case of congenital cloacal exstrophy/omphalocele-exstrophy-imperforate anus-spinal defects syndrome and a successful pregnancy

  • Seat, Mara;Boxwalla, Munira;Hough, Arielle;Goodwin, Glenn
    • Clinical and Experimental Reproductive Medicine
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    • 제49권3호
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    • pp.215-218
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    • 2022
  • Herein, we report an exceptionally rare case of a 25-year-old woman with cloacal exstrophy/omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) syndrome achieving a viable pregnancy despite many gastrointestinal and genitourinary malformations and multiple respective corrective operations. The patient was born with two vaginas, two uteruses, four ovaries, an imperforate anus, a large omphalocele including bowel and bladder exstrophy, and diaphysis of the pubic rami. This patient is the only documented OEIS patient not to have tethered spinal cord as an anomaly, perhaps contributing to her successful pregnancy. After experiencing preeclampsia with severe features at 35 weeks, the baby was born via cesarean section.

개량차분법에 의한 대형주강품의 3차원 응고해석 (Three Dimensional Solidification Analysis in Large Steel Castings by Modified Finite Difference Method)

  • 유승목;이두호;김종기;소찬영;홍준표
    • 한국주조공학회지
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    • 제11권1호
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    • pp.54-62
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    • 1991
  • A computer program which consists of pre-processor, main solidification simulator and post-processor has been developed for three dimensional solidification analysis of steel castings. The pre-processor is used for mesh generation in a small personal computing system. The modified finite difference method is adopted for the main solidification simulation algorithm. The post -processor graphically presents the simulation results and shows the formation of shrinkage defects. Several experiments on large steel castings in sand mold were carried out. The temperature variations in casting and mold with time are measured experimentally, and the results are compared with calculation results. Several numerical examples for the prediction of shrinkage cavity in large steel casting of SC42 and SCNCrM2 alloys are compared with experimental results. The effect of sleeve and chills on solidification patterns are also studied. Formation of shrinkage defects for the three cases of experimental castings are relatively well predicted by present model.

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