• Archives of Reconstructive Microsurgery
• /
• v.22 no.2
• /
• pp.63-68
• /
• 2013

Purpose: In case of the failed replantation, if the patients want to preserve the length of amputated stump, toe transfer is the ideal choice. However, reconstruction of these amputated stump with a free flap can be a useful method when the patients refuse sacrificing their toe. Our purpose of this study is to evaluate availability of functional results and patient satisfaction after this procedure. Materials and Methods: From March 2008 to February 2012, we reconstructed the amputated stump with free flap by patients demand. Eleven patients were included, medial plantar artery perforator flap in seven cases and great toe pulp flap in five cases. Follow-up range 12 to 24 months and we evaluate patient satisfaction by using a visual analogue scale (VAS; 1=unsatisfied, 5=excellent) and functional recovery by measuring the range of motion of remaining joint at 12 months after operation. Results: During follow-up period, all transferred free flaps survived and no major complications were noted. Range of motion of remaining joint appeared satisfactory result ($15^{\circ}$ to $100^{\circ}$). The VAS patient satisfaction score for aesthetic were five in six patients, four in four patients, and three in one patient. Conclusion: In case of the failed digital replantation, if patient refuse toe transfer, it could be useful method to reconstruction with the free flap to preserving maximal length of amputated stump.

• Journal of Korean Neurosurgical Society
• /
• v.50 no.6
• /
• pp.528-531
• /
• 2011

Although posterior segmental fixation technique is becoming increasingly popular, surgical treatment of craniovertebral junctional disorders is still challenging because of its complex anatomy and surrounding critical neurovascular structures. Basilar invagination is major pathology of craniovertebral junction that has been a subject of clinical interest because of its various clinical presentations and difficulty of treatment. Most authors recommend a posterior occipitocervical fixation following transoral decompression or posterior decompression and occipitocervical fixation. However, both surgical modalities inadvertently sacrifice C0-1 and C1-2 joint motion. We report two cases of basilar invagination reduced by the vertical distraction between C1-2 facet joint. We reduced the C1-2 joint in an anatomical position and fused the joint with iliac bone graft and C1-2 segmental fixation using the polyaxial screws and rods C-1 lateral mass and the C-2 pedicle.

• Archives of Plastic Surgery
• /
• v.39 no.6
• /
• pp.643-648
• /
• 2012

Background Aggressive treatment of sternoclavicular joint (SCJ) infection involves systemic antibiotics, surgical drainage and resection if indicated. The purpose of this paper is to describe a classification of post resectional SCJ defects and highlight our reconstructive algorithm. Defects were classified into A, where closure was possible often with the aid of topical negative pressure dressing; B, where parts of the manubrium, calvicular head, and first rib were excised; and C, where both clavicular, first ribs and most of the manubrium were resected. Methods Twelve patients (age range, 42 to 72 years) over the last 8 years underwent reconstruction after SCJ infection. There was 1 case of a type A defect, 10 type B defects, and 1 type C defect. Reconstruction was performed using the pectoralis major flap in 6 cases (50%), the latissimus dorsi flap in 4 cases (33%), secondary closure in 1 case and; the latissimus and the rectus flap in 1 case. Results All wounds healed uneventfully with no flap failure. Nine patients had good shoulder motion. Three patients with extensive clavicular resection had restricted shoulder abduction and were unable to abduct their arm past $90^{\circ}$. Internal and external rotation were not affected. Conclusions We highlight our reconstructive algorithm which is summarised as follows: for an isolated type B SCJ defect we recommend the ipsilateral pectoralis major muscle for closure. For a type C bilateral defect, we suggest the latissimum dorsi flap. In cases of extensive infection where the thoracoacromial and internal mammary vessels are thrombosed, the pectoralis major and rectus abdominus cannot be used; and the latissimus dorsi flap is chosen.

• The Journal of Korean Physical Therapy
• /
• v.16 no.2
• /
• pp.1-16
• /
• 2004

The purpose of this paper is to review changes in articular cartilage properties from the joint immobilization. Joint immobilization is accompanied not only by many disorders including rheumatologic disorders, degenerative disorders, trauma and fracture but treatment for disorders. Articular cartilage are sensitive to mechanical events. Immobilization is associated with cartilage degradation that may cause joint pain and reduced range of motion. An understanding of the effects of immobilization on the articular cartilage will help to plan of physical therapy program

• Journal of Korean Physical Therapy Science
• /
• v.4 no.2
• /
• pp.373-382
• /
• 1997

This study has been aimed at figuring out the fact that four kinds of body type grouped according to the tilting of scapular of upper extremity and ilium of low extremity showed the mobility increase for joint parts and the limitation. When we make a thrapy plan which should be comprehensive and general in preventative management and therapy. For the sake of patients who have spinal disabilities including low back pains, it is required for many joints distributing among upper and lower extremity to have hypermobility and hypomobility based on regulation. So, this study was conducted to establish a standard for the effective pattern of hypermobility or hypomobility. I hope that the result of this study can help support the practics of physical therapy as a part of scientic method. Especially I think it will be able to be conductive to those who major in physical therapy on the arthrogenic region.

• Proceedings of the Korean Society of Precision Engineering Conference
• /
• 1995.10a
• /
• pp.538-541
• /
• 1995

Joint flexibilities and frictional uncertainties are known to be a major cause of performance degration in motion control systems. This paper investigates the modeling and compensation of these undesired effects. A hybrid controller, which consists of a predictive controller and a neural network controller, is designed to overcome these undesired effects. Also learning scheme for friction uncertainies, which don't interfere with feedback controller dynamics, is discussed. Through simulation works with two inetia-torsional spring system having Coulomb friction, the effectiveness of the proposed hybrid controller was tested. The proposed predictive & neural network hybrid controller shows better performance over one when only predictive controller used.

• Archives of Plastic Surgery
• /
• v.43 no.2
• /
• pp.189-196
• /
• 2016

Background Several techniques have been designed to treat fifth metacarpal fractures reported to be effective. However, these methods cannot be easily applied to the fourth metacarpal due to its central anatomical position. In this study, we sought to analyze the functional outcomes of patients who underwent transverse pinning for a fourth metacarpal bone fracture. Methods A total of 21 patients were selected and their charts were retrospectively reviewed. After fracture reduction, two transverse Kirchner wires were first inserted from the fifth metacarpal to the third metacarpal transversely at the distal part of the fractured bone, and then another two wires were inserted at the proximal part of the fractured bone. The splint was removed approximately one week postoperatively and the Kirchner wires were removed four to five weeks postoperatively. Patients started active and passive exercise one week after the operation. Pain visual analog scores, total active and passive motion, and the active and passive range of motion of the metacarpophalangeal joint and grip strength were evaluated. Results Dorsal angulation improved from a preoperative value of $44.2^{\circ}$ to a postoperative value of $5.9^{\circ}$. Six weeks after surgery, functional recovery parameters, such as range of motion and grip strength, had improved to 98% of the function of the normal side. No major complication was observed. Conclusions We suggest that the transverse pinning of fourth metacarpal bone fractures is an effective treatment option that is less invasive than other procedures, easy to perform, requires no secondary surgery, minimizes joint and soft tissue injury, and allows early mobilization.

• Journal of Power System Engineering
• /
• v.20 no.3
• /
• pp.5-10
• /
• 2016

The structure of the variable liquid column oscillator(VLCO) is analogous to that of the tuned liquid column damper used to suppress oscillatory motion in large structures like tall buildings and cargo ships. VLCO is using the technology which absorbs high potential energy made by process of accelerated motions effect of air spring by installation of inner air chamber. So, the application of VLCO can improve the efficiency of energy than that of wave energy converters made in Pelamis Company. In this research, experiments were performed for the models which have two different liquid column sizes. In order to find out the biggest motion response, two major conditions are taken into account. Two conditions are to open(or close) the valves and to differentiate the height of the liquid column.

• Clinics in Shoulder and Elbow
• /
• v.12 no.2
• /
• pp.236-239
• /
• 2009

Purpose: We wanted to evalulate the clinical results of pectoris major tendon transfer for a neglected winged scapula that was caused by paralysis of the serratus anterior due to injury to the long thoracic nerve. Materials and Methods: A patient had neglected winged scapula that followed an arthroscopic operation for multi-directional instability of the shoulder joint, which was caused by traumatic dislocation. The patient was treated with pectoralis major tendon transfer using the modified Eden-Lange procedure. The range of a motion was improved from forward flexion $90^{\circ}$ and external rotation $70^{\circ}$ to $170^{\circ}$ and $150^{\circ}$ respectively. Results and Conclusion: There were no complications or recurrence and the patient's psychological satisfaction was also high. If the shoulder girdle muscles are intact, except for the serratus anterior, then pectoralis tendon transfer is a satisfactory method that can provide normal scapulo-thoracic motion.

• Korean Journal of Applied Biomechanics
• /
• v.13 no.3
• /
• pp.133-149
• /
• 2003

The purposes of present study were to determine the major check-points of golf swing from the review of previous studies, and to suggest additional information on the teaching theory of golf. The golf swing motion of 6 male and female elite university golf players were filmed with 16mm Locam II high speed cameras at the speed of 200f/s, and variables such as time, displacement, angle, velocity were calculated and analyzed by 3D Cinematography using DLT method. The results were: 1. Differences were shown in the ratio of weight distribution on the feet, cocking angle, take-back velocity, club-head velocity at impact depending upon the physical characteristics and club used for swing. 2. Time for the down-swing and impact were $0.27{\sim}0.29s$ in men and $0.29{\sim}0.32s$ in women, which was 1/3 of the time for the back-swing. Women showed longer total swing time than men because of longer time in back-swing, follow-through and finish. 3. Men showed larger range of motion in shoulder and knee joints than women, on the other hand women showed larger range of motion in hip joint than men. 4. Cocking motion and right elbow flexion were occurred at the top of back-swing and cocking release was occurred at the moment of impact. Maximum rotations of shoulder and hip joints were found between the top of back-swing and down-swing phase. 5. Women showed lower back-swing velocity than men, and men showed higher club velocity(men: $38.2{\sim}38.6m/s$, women: $35.1{\sim}36.4m/s$) than women.