• Title/Summary/Keyword: Long Leg

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The Cross-Leg Gastrocnemius Muscle Flap for Leg Reconstruction of the Difficult and Unfavorable Conditions (비복근을 이용한 교차하지 근육 피판술)

  • Kim, Ji Ye;Yang, Eun Jung;Hwang, Eun A;Kim, Sug Won
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.583-590
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    • 2009
  • Purpose: In the cases of a vascular compromised condition in an injured lower extremity, soft tissue coverage with free tissue transfer presents a challenging problem to the reconstructive surgeon. For this reason, cross - leg flaps are still used in unusual circumstances. Advances in surgical technique has made the cross - leg free flap possible although it may require long operation time along with significant donor site morbidity. Therefore, a pedicled cross - leg muscle flap may be an alternative treatment modality when local flap or free flap is not possible. Methods: Twelve patients(9 males and 3 females) underwent the operation between October of 2001 and December of 2008. The patients' age ranged from 6 to 82 years. The unusual defects included the regions such as the knee, popliteal fossa, distal third of the tibia, dorsal foot, and the heel. Indications for the cross - leg gastrocnemius flap are inadequate recipient vessels for free flap(in eight cases), extensive soft tissue injuries(in three cases) and free flap failure(in one case). The muscle flap was elevated from contralateral leg and transferred to the soft tissue defect on the lower leg while both legs were immobilized with two connected external fixator systems. Delay procedure was performed 2 weeks postoperatively, and detachment was done after the establishment of the adequate circulation. The average period from the initial flap surgery to detachment was 32 days (3 to 6 weeks). Mean follow - up period was 4 years. Results: Stable coverage was achieved in all twelve patients without any flap complications. Donor site had minimal scarring without any functional and cosmetic problems. No severe complications such as deep vein thrombosis or flap necrosis were noted although mild to moderate contracture of the knee and ankle joint developed due to external fixation requiring 3 to 4 weeks of physical treatment. All patients were able to walk without crutches 3 months postoperatively. Conclusion: Although pedicled cross - leg flaps may not substitute free flap surgery, it may be an alternative method of treatment when free flap is not feasible. Using this modification of the gastrocnemius flap we managed to close successfully soft tissue defects in twelve patients without using free tissue transfers.

Reconstruction of Lower Extremity Soft Tissue Defect Using Cross-leg Free Flap (교차 하지 유리 피판술을 이용한 하지 연부 조직 결손의 재건)

  • Lee, Jung-Hun;Yang, Jung-Dug;Lee, Sang-Youn;Chung, Ho-Yun;Cho, Byoung-Chae
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.591-596
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    • 2009
  • Purpose: To reconstruct soft tissue defect on lower extremity especially combined with osteomyelitis, free flap with enough blood supplies is required. There are some instance when patients have inadequate recipient vessels for microanastomosis. Anastomosis with harvested vein graft can solve the problem. It may be more problematic or even increase recipient site complication. Cross leg free flaps using contra - lateral vessel can be a solution. Methods: From 2005 to 2008, 12 cases of cross leg free flap were done for 12 patients(male = 9, female = 3). External fixators used in all cases. Free flaps used were laissmus dorsi muscle flap(n=5), anterolateral thigh flap(n=4), gracilis muscle flap(n=2) and medial plantar artery fasciotaneous flap(n=1). In all cases, contralateral posterior tibial artery and vein were used as recipient pedicle. Results: All flaps survived without additional operative procedures. There were no complications such as hematoma or Infection. Sometimes patients needs further therapeutic exercise for fast movement recovery. Conclusion: Although cross leg free flaps require long period of bed resting and rehabilitation after pedicle cutting, It can be practical alternative for soft tissue defect on lower distal extremity with inadequate recipient vessels for free flap on affected leg.

Development of an Electronically Controlled Knee-Type Prosthetic Leg with a 4-Bar Linkage Structure for Lower Limb Amputee (대퇴 절단 장애인을 위한 4절 링크 구조의 전자 제어식 무릎형 의족)

  • Ji-Woon Lee;Hyun-Soo Woo;Dong-Young Ahn;Min Jo;Hak Yi;Ki-Young Kim
    • The Journal of Korea Robotics Society
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    • v.19 no.2
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    • pp.159-168
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    • 2024
  • Lower limb amputees are increasing due to various reasons. It is difficult for lower limb amputees to walk without an assistive device such as a prosthetic leg. In this paper, an electronically controlled knee-type prosthetic leg with a 4-bar linkage structure for lower limb amputees was developed. The knee-type prosthetic leg has a 4-bar linkage structure and assists walking by using an integrated drive module. The torque is 90 Nm, the rotation speed is up to 120 deg, and it weight 1.9 kg, so it is lighter than a commercial prosthetic leg, so it can be used for a long time because there is less fatigue when walking. An integrated control board was developed by applying various sensors and microprocessor. The motor drive and encoder are built into the integrated drive module. The integrated control board and integrated drive module communicate using CAN. When a lower limb amputee wears a knee-type prosthetic leg and walks, it shows a shape similar to the swing phase graph of a normal people, and it is possible to walk naturally while walking.

Physicochemical Properties of Pork Neck and Chicken Leg Meat under Various Freezing Temperatures in a Deep Freezer

  • Kim, Eun Jeong;Lee, SangYoon;Park, Dong Hyeon;Kim, Honggyun;Choi, Mi-Jung
    • Food Science of Animal Resources
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    • v.40 no.3
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    • pp.444-460
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    • 2020
  • This study was conducted to investigate the effects of freezing and storage temperature (-18℃, -50℃, and -60℃) on the physicochemical properties of pork neck and chicken leg meat in home-scale deep freezers. Pork neck was cut into a thickness of 3 cm (9×9×3 cm, 150 g), individually packed in air-containing packages, and stored at different temperature (-18℃, -50℃, and -60℃) for 6 months. Chicken leg meats were prepared (10 cm long, weighing 70 g) and packed in the same manner. Frozen samples were thawed at 2℃. Physicochemical properties such as thawing loss, cooking loss, water-holding capacity, color, volatile basic nitrogen (VBN), and thiobarbituric acid reactive substances (TBARS) were evaluated. The samples frozen by deep freezing (-60℃) was favorable with respect to thawing loss, color, and VBN. Samples frozen at -60℃ had lower values of thawing loss and VBN than those frozen at -18℃ for all storage periods (p<0.05). Color parameters were more similar to those of fresh meat than to those of samples frozen at -18℃ for 6 months. The TBARS of all samples were below 0.3 mg malondialdehyde/kg, thereby indicating oxidative stability of lipids. Consequently, deep freezing at -60℃ may be acceptable for maintaining the quality of fresh pork neck and chicken leg meat for 6 months without deterioration.

Investigation of Girdle Wearing of Female College Students (여대생(女大生)의 거들 착용실태(着用實態) 분석(分析))

  • Park, Eun-Joo;Han, Eun-Gyeong
    • Journal of Fashion Business
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    • v.5 no.3
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    • pp.49-61
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    • 2001
  • In this study, girdle wearing was surveyed on the female college students in Seoul and Seoul satellite cities. Data were collected by convenient sampling method, and sample size was 252 subjects in 18 to 29 years. Questionnaire was composed of 5 parts: experience of girdle wearing, the preference of girdle type, degree of dissatisfaction/discomfort in wearing girdle, wear sensation evaluation of girdle fabrics, including demographic and anthropometric data. The results of surveys are as follows: Experience of girdle wearing (season of wearing girdle, main intention of wearing girdle, frequency of wearing, body part to want to be shaped by girdle) was examined. Especially body parts to be shaped by girdle were in order of abdomen > hip > thigh > waist-hip sideline. Therefore, it would be considered that female college students want to care about the shape of abdomen or hip. The long leg panty type was most preferred among the girdle types. The reason of preference of long leg panty type was cost > easiness of putting on-and-off > shaping many body parts at once. For dissatisfaction/discomfort in wearing the commercial girdles, it showed in order of poor ventilation at sweating > static electricity with outer garment > difficult breathing due to pressure > deformation after laundering.

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Experience of Right Leg Pain Control by Left Epidural Space Inserted Spinal Cord Stimulator -A case report- (우하지통 환자에서 좌측 경막외강에 삽입된 척수자극기의 치료 경험 -증례 보고-)

  • Kim, Bum Jin;Lee, Woo Yong;Woo, Seung Hoon;Hong, Ki Hyeok
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.214-217
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    • 2005
  • Spinal cord stimulation (SCS) was first attempted by Shearly et al for the relief of intractable pain. A spinal cord stimulator has traditionally been used for failed back surgery syndrome (FBSS) angina pectoris, complex regional pain syndrome (CRPS) and ischemic pain in the extremity. However, the complications associated with the use of a spinal cord stimulator, such as wound infection, hematoma, lead migration and device malfunction; make its long term application difficult. Here, our experience of an interesting case, in which intractable right leg pain was controlled using a spinal cord stimulator placed in the left epidural space, is reported, with a review of the literature.

Influence on the Difference in Proportion of Leg Joint Angle during Walking, Cobb's Angle, Foot Pressure (가방 착용 방법에 따른 보행 시 다리관절 각도, 콥스 각, 족압 비율의 변화)

  • Lee, Jonathan;Lee, Su-Hyun;Jang, Sang-Hun
    • Journal of Korean Physical Therapy Science
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    • v.25 no.2
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    • pp.7-14
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    • 2018
  • Purpose: This study was conducted to analyze the effect of bag type on gait kinematic factors. The purpose of this study was to compare the Cobb's angle, leg angle and foot pressure difference according to bag type among 20 university students. Methods: The bag type was applied with two kinds of bags: not wearing a bag, backpack, and an eco bag. The bag weight was 10% of subjects weight in during experiment and only bag weight was 0.5kg. Results: Knee joint angle is increased when wearing backpack or an eco bag than not wearing bag. Cobb's angle increased when wearing backpack and wearing eco back. The difference in right and left foot pressure increased when wearing eco bag than not wearing bag and wearing backpack. Conclusion: Therefore, wearing a heavy backpack or an eco bag when walking for a long time may cause scoliosis and change the walking form.

Vertical Limb Stiffness Increased with Gait Speed in the Elderly (노인군 보행 속도 증가에 따른 하지 강성 증가)

  • Hong, Hyun-Hwa;Park, Su-Kyung
    • Journal of the Korean Society for Precision Engineering
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    • v.28 no.6
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    • pp.687-693
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    • 2011
  • Spring-mass models have been widely accepted to explain the basic dynamics of human gait. Researchers found that the leg stiffness increased with gait speed to increase energy efficiency. However, the difference of leg stiffness change with gait speed between the young and the elderly has not been verified yet. In this study, we calculated the lower limb stiffness of the elderly using walking model with an axial spring. Vertical stiffness was defined as the ratio of the vertical force change to the vertical displacement change. Seven young and eight elderly subjects participated to the test. The subjects walked on a 12 meter long, 1 meter wide walkway at four different gait speeds, ranging from their self-selected speed to maximum speed randomly. Kinetic and kinematic data were collected using three force plates and motion capture cameras, respectively. The vertical stiffness of the two groups increased as a function of walking speed. Maximum walking speed of the elderly was slower than that of the young, yet the walking speed correlated well with the optimal stiffness that maximizes propulsion energy in both groups. The results may imply that human may use apparent limb stiffness to optimize energy based on spring-like leg mechanics.

Comparisons between Dancing Costumes Style of Kokurye and Han dynasty (漢代와 고구려의 長袖衣 무용복 비교)

  • 윤지원
    • Journal of the Korean Society of Costume
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    • v.50 no.5
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    • pp.41-52
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    • 2000
  • During the 3C(B.C.) and 2C(A.D.), there were large influx of variety of arts to Jin and Han dynasty such as music, dancing, and at performing from neighboring countries. It made a tremendous impact on the development of dancing an in Han dynasty. On the other hand, Kokurye people had also enjoyed their own singing and dancing culture (styles) for a long time. Han and Kokurye's dancing costumes were studied based on artifacts (data) such as wall paintings, clay doll, and other small paintings all from tombs in Han and Kokurye. A similarity was found between two dynasties' dancing costume, since both had tong sleeve dresses. However, the further detailed study showed that one can't simply say both are in the same style. For example, the dress in Han dynasty had a long length style of coat(深衣) covering all the way to feet, and there were round neckline coat(團領) and long Jacket(장유). In contrast, that of Kokurye had a shorter length in coat(直領) covering only up to calf of the leg or long jacket(장유).

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A Study on Performance of Indirect-contact Driven-right-leg Ground in Indirect-contact ECG Measurement (간접접촉 심전도 측정에서의 간접접촉 오른발 구동 접지 성능에 대한 연구)

  • Lim, Yong-Gyu;Kim, Ko-Keun;Park, Kwang-Suk
    • Journal of the Institute of Convergence Signal Processing
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    • v.9 no.4
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    • pp.280-287
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    • 2008
  • For the reduction of common-mode noise level in Indirect-contact ECG (IDC-ECG) measurement a driven-right-leg grounding method was a lied to the IDC-ECG. Because the IDC-ECG does not require any direct contact between the electrodes and the human skin. it is adequate for un-constraining long-term ECG measurement at home and its various applications are now under development. However, larger 60 Hz noise induced by power line a ears in IDC-BCG than in conventional ECG, that is a restriction of IDC-ECG a application. In this study, the driven-right-leg ground which has been used in conventional direct-contact ECG, was adapted to the IDC-ECG measurement by feedback of the inversion of amplified common-mode noise to the body through the conductive fertile laid on the chair seat By this study, indirect-contact driven-right-leg ground was developed and it was shown to work stably. It was shown that the level of 60Hz power line noise was reduced to about -40 dB when the driven-right-leg gain was 1000. This study shows that we can extend the upper limit of the frequency band of IDC-ECG to 100Hz from 30Hz which is conventional upper limit in IDC-ECG, and we can raise the ground impedance between the body and conductive textile. So it is expected that the application area of the IDC-ECG will be extended by the results of this study.

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