• Journal of International Society for Simulation Surgery
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• 제2권2호
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• pp.90-93
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• 2015

The fibula free flap has now become the most reliable and frequently used option for mandible reconstruction. Recently, three dimensional images and printing technologies are applied to mandibular reconstruction. We introduce our recent experience of mandibular reconstruction using three dimensionally planned fibula free flap in a patient with gunshot injury. The defect was virtually reconstructed with three-dimensional image. Because bone fragments are dislocated from original position, relocation was necessary. Fragments are virtually relocated to original position using mirror image of unaffected right side of the mandible. A medical rapid prototyping (MRP) model and cutting guide was made with 3D printer. Titanium reconstruction plate was adapted to the MRP model manually. 7 cm-sized fibula bone flap was designed on left lower leg. After dissection, proximal and distal margin of fibula flap was osteotomized by using three dimensional cutting guide. Segmentation was also done as planned. The fibula bone flap was attached to the inner side of the prebent reconstruction plate and fixed with screws. Postoperative evaluation was done by comparison between preoperative planning and surgical outcome. Although dislocated condyle is still not in ideal position, we can see that reconstruction was done as planned.

• Journal of Mechanical Science and Technology
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• 제14권1호
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• pp.1-10
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• 2000

This work shows that it is possible to obtain information about more than one parameter from acoustic field information. A variety of ultrasonic Lamb wave modes were utilized to reconstruct thickness and density of an isotropic plate. An image reconstruction of one parameter (thickness of a plate) was carried out for four cases, i.e., the lowest symmetrical and anti symmetrical modes, and the fastest symmetrical and anti symmetrical Lamb waves among multiple modes. For two parameter reconstructions (thickness and density), the image processing was performed using the lowest symmetrical and antisymmetrical modes simultaneously. In this work, a modified version of algebraic reconstruction technique (ART), which is a form of finite-series expansion method, was employed to reconstruct the ultrasonically computed tomographic images. Results from several sample geometries are presented.

• 조명전기설비학회논문지
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• 제23권10호
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• pp.1-6
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• 2009

본 논문에서는 변형 삼각간섭계에서 발생하는 파장판의 불완전성, 파장판의 방위각, 그리고 선형편광기의 방위각 오차로 인한 홀로그램의 위상오차를 유도하고, 이러한 위상오차가 포함된 홀로그램을 시뮬레이션을 통해 복원해 봄으로써 복원영상에 대하여 변형 삼각간섭계의 위상오차가 미치는 영향을 분석하였다.

• 한국조명전기설비학회:학술대회논문집
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• 한국조명전기설비학회 2009년도 춘계학술대회 논문집
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• pp.211-213
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• 2009

Derivation of the phase error of hologram due to imperfection of a wave plate and analysis of the effect of phase error on 3-D image reconstruction of hologram are prexented.

• Journal of the Korean Society for Industrial and Applied Mathematics
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• 제19권4호
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• pp.409-416
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• 2015

In many practical applications, we face the problem of reconstruction of an unknown function sampled at some data points. Among infinitely many possible reconstructions, the thin plate spline interpolation is known to be the least oscillatory one in the Beppo-Levi semi norm, when the data points are sampled in $\mathbb{R}^2$. The traditional proofs supporting the argument are quite lengthy and complicated, keeping students and researchers off its understanding. In this article, we introduce a simple and short proof for the optimal reconstruction. Our proof is unique and reguires only elementary mathematical background.

• Archives of Plastic Surgery
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• 제44권2호
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• pp.150-156
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• 2017

Background Digital amputation is a common upper extremity injury and can cause significant impairment in hand function, as well as psychosocial stigma. Currently, the gold standard for the reconstruction of such injuries involves autologous reconstruction. However, when this or other autologous options are not available, prosthetic reconstruction can provide a functionally and aesthetically viable alternative. This study describes a novel technique, known as a tripod titanium mini-plate, for osseointegrated digit prostheses, and reviews the outcomes in a set of consecutive patients. Methods A retrospective review of patients who underwent 2-stage prosthetic reconstruction of digit amputations was performed. Demographic information, occupation, mechanism of injury, number of amputated fingers, and level of amputation were reviewed. Functional and aesthetic outcomes were assessed using the quick disabilities of the arm, shoulder, and hand (Q-DASH) scale and a visual analog scale (VAS) score, respectively. In addition, complications during the postoperative period were recorded. Results Seven patients were included in this study. Their average age was 29 years. Five patients had single-digit amputations and 2 patients had multiple-digit amputations. Functional and aesthetic outcomes were assessed using the Q-DASH score (average, 10.4) and VAS score (average, 9.1), respectively. One episode of mild cellulitis was seen at 24 months of follow-up. However, it was treated successfully with oral antibiotics. No other complications were reported. Conclusions When autologous reconstruction is not suitable for digit reconstruction, prosthetic osseointegrated reconstruction can provide good aesthetic and functional results. However, larger series with longer-term follow-up are required in order to rule out the possibility of other complications.

• Smart Structures and Systems
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• 제28권6호
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• pp.827-838
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• 2021

The dynamic displacement is considered to be an important indicator of structural safety, and becomes an indispensable part of Structural Health Monitoring (SHM) system for high-speed railway bridges. This paper proposes an indirect strain based dynamic displacement reconstruction methodology for high-speed railway box girders. For the typical box girders under eccentric train load, the plane section assumption and elementary beam theory is no longer applicable due to the bend-torsion coupling effects. The monitored strain was decoupled into bend and torsion induced strain, pre-trained multi-output support vector regression (M-SVR) model was employed for such decoupling process considering the sensor layout cost and reconstruction accuracy. The decoupled strained based displacement could be reconstructed respectively using box girder plate element analysis and mode superposition principle. For the transformation modal matrix has a significant impact on the reconstructed displacement accuracy, the modal order would be optimized using particle swarm algorithm (PSO), aiming to minimize the ill conditioned degree of transformation modal matrix and the displacement reconstruction error. Numerical simulation and dynamic load testing results show that the reconstructed displacement was in good agreement with the simulated or measured results, which verifies the validity and accuracy of the algorithm proposed in this paper.

• 대한정형외과스포츠의학회지
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• 제5권1호
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• pp.58-62
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• 2006

목적: 쇄골 원위부 골절의 치료에 있어 재건 금속판과 강선 고정술을 이용한 치료 결과를 알아보고자 하였다. 대상 및 방법: 2001 년 3월부터 2003년 7월까지 본원에서 쇄골 외측단의 골절에 대하여 재건금속판과 강선고정술을 이용하여 수술한 환자 중 1년 이상 추시관찰이 가능하였던 9예를 대상으로 하였다. 수술 방법은 재건 금속판을 쇄골 상단에 지지대로 사용하였고, 분쇄가 있는 골절 부분을 나사를 대신하여 $2{\sim}3$개의 강선 고정으로 고정하였으며 고정이 약한 경우 견봉쇄골 관절을 포함하였다. 수술 후 기능회 복의 정도는 Rowe의 견관절 평가 방법을 이용하였다. 결과: 추시 관찰상 평균 9주에 골유합의 소견을 얻었다. 기능적 평가로 Rowe의 견관절 평가방법상 우수가 7예, 양호가 2이었다. 견관절의 운동 제한이나 견봉 쇄골 관절의 관절염 소견은 보이지 않았고, 합병증으로는 금속판에 의한 피부자극이 1예 있었다. 결론: 쇄골 원위부 골절에서 재건 금속판과 강선 고정술을 이용한 부분적인 고정법은 분쇄가 심하고, 원위골절편이 작은 경우 특히 유용하였다. 이 방법은 간단하고, 관절 운동 향상, 조기 기능 회복과 합병증이 적다는 측면에서 유용할 것으로 사료된다.

• Clinics in Shoulder and Elbow
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• 제6권1호
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• pp.44-49
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• 2003

Purpose: Many different operative technique of mid-shaft clavicle fracture have been reported. The aim of this prospective study was to compare the results of anterior or anterior-inferior plating with superior plating on the acute mid-shaft fracture of clavicle Materials and Methods: From February1997 to February 2002, thirty-eight consecutive open reduction and internal fixation with reconstruction plates were performed in thirty-eight patients. from August 1999, anterior or anterior-inferior plating was mainly used, prospectively. The duration of follow-up averaged 17 months (range,23 to 43 months). The mean age was 38 years old (range,21 to 57 years old) on anterior or anterior-inferior plating group and 35 years old (range,24 to 55 years old) on superior plating group. The physician progress note, VAS patient complement score, Roentgenogram and ASES score was evaluated. Results: Four patients were lost to follow-up. There was no statistical difference on mean radiological bone union time （8.7 weeks vs. 8.6 weeks) and ASES score (92 vs 94) at inferior and superior plating groups (P > 0.05). VAS patient complement score was very good or excellent on anterior or anterior-inferior group, average score was 1.1 (ranger,0 to 2) compare with superior plating group (P < 0.05). There were two cases of infection, 1 case of failed fixation on superior plating group and 1 case of delayed union on anterior inferior plating group. Conclusion: Anterior inferior plating on acute clavicle midshaft fracture results in excellent patient complement score compare with conventional superior reconstruction plate.

• Archives of Plastic Surgery
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• 제41권4호
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• pp.355-361
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• 2014

Background A blow-out fracture is one of the most common facial injuries in midface trauma. Orbital wall reconstruction is extremely important because it can cause various functional and aesthetic sequelae. Although many materials are available, there are no uniformly accepted guidelines regarding material selection for orbital wall reconstruction. Methods From January 2007 to August 2012, a total of 78 patients with blow-out fractures were analyzed. 36 patients received absorbable mesh plates, and 42 patients received titanium-dynamic mesh plates. Both groups were retrospectively evaluated for therapeutic efficacy and safety according to the incidence of three different complications: enophthalmos, extraocular movement impairment, and diplopia. Results For all groups (inferior wall fracture group, medial wall fractrue group, and combined inferomedial wall fracture group), there were improvements in the incidence of each complication regardless of implant types. Moreover, a significant improvement of enophthalmos occurred for both types of implants in group 1 (inferior wall fracture group). However, we found no statistically significant differences of efficacy or complication rate in every groups between both implant types. Conclusions Both types of implants showed good results without significant differences in long-term follow up, even though we expected the higher recurrent enophthalmos rate in patients with absorbable plate. In conclusion, both types seem to be equally effective and safe for orbital wall reconstruction. In particular, both implant types significantly improve the incidence of enophthalmos in cases of inferior orbital wall fractures.