• Journal of Korean Foot and Ankle Society
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• v.8 no.2
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• pp.204-207
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• 2004

An unstable second metatarsophalangeal joint may produce pain in the forefoot. Plication of stretched lateral ligament and capsule and transfer of the extensor digitorum brevis under the transverse intermetatarsal ligament performed as the primary procedure to stabilize this painful joint. But the pain was not subsided and the proximal phalanx was resubluxated. So, we osteotomized the second metatarsal to restore a normal alignment of the second toe. Then the symptom was subsided. We report a case of painful instability of the metatarsophalangeal joint of the second toe.

• Archives of Reconstructive Microsurgery
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• v.9 no.1
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• pp.56-61
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• 2000

Recommendable reconstructive surgery in the patient with thumb amputation through base of the first metacarpal bone is pollicization. Some patients who do not agree with harvest sound finger as a new thumb, we can consider other options as toe transplantation or osteoplastic thumb reconstruction for creating thumb. Toe transplantation to the thumb is effective procedure in the amputation of distal to metacarpal shaft, it is rarely indicated in the cases of proximal to base of the first metacarpal bone. We performed three cases of modified osteoplastic thumb reconstruction with free vascularized rib that combined with scapular free flap or radial forearm flap. The length of transplanted rib ranged from 7~11cm, the donor vessels are posterior intercostal artery and vein which anastomosed to radial artery. The grafted rib wrapped with additional free flap for creating new thumb. Result of that procedure was not much encouraging, aesthetic appearance and mobility of thumb were not so satisfactory but reconstructed thumb gave improvement of the hand function without sacrificing toe or other digit. That gave reasonable stability for powerful side pinch and three pod pinch and opposable thumb with normal carpo-metacarpal joint motion that can give much function to the thumb absent hand. In spite of those disadvantages, thumb reconstruction with rib transfer can be useful for patients who do not want to lose another part of the body for creating thumb in basal amputation of the thumb metacarpal.

• Archives of Reconstructive Microsurgery
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• v.19 no.1
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• pp.37-45
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• 2010

Purpose: First introduced by Buncke and Rose in 1979, the neurovascular partial $2^{nd}$ toe pulp free tissue transfer has been attempted to reconstruct posttraumatic finger tip injuries. Although some surgeons prefer other reconstructive methods such as skin graft and local flap, we chose the partial $2^{nd}$ toe pulp flap owing to its many advantages. We report three successful surgical cases in which the patients had undergone this particular method of reconstruction. Methods: We retrospectively examined three cases of fingertip injury patients due to mechanical injury. Bone exposure was seen in all three cases, All had undergone partial toe pulp free flap for soft tissue defect coverage. Results: All flaps survived without any complications such as partial necrosis, hematoma or dehiscence. Although tingling sensation has returned in both cases, two-point discrimination has not returned yet. Currently no patient is complaining of any pain which gradually improved during their course of recuperation. All stitches were removed on postoperative 2 weeks. Patients are satisfied with the final surgical result and there are no signs of any edema or hematoma. Conclusion: The homodigital reconstruction of finger tip injury using the partial $2^{nd}$ toe pulp flap has numerous advantages compared to other reconstructive modalities such as its resistance to wear and tear and in that it provides a non-slip palmar digital surface. However it requires microsurgery which may not be preferred by surgeons. Advanced age of the patient can be a relative contraindication to this approach since atheromatous plaque from the donor toe can compromise flap circulation after surgery. We report three successful cases which patient age was considered appropriate. Further investigation with a larger number of cases and long term follow-up is deemed necessary.

• Archives of Plastic Surgery
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• v.43 no.1
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• pp.66-70
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• 2016

Background In this study, we characterize the morbidity at the donor-site of partial second toe pulp free flaps in terms of wound management as well as long-term outcomes. Methods A single-institutional retrospective review was performed for patients who had undergone partial second toe pulp free flap transfer to the fingertip. Patient charts were reviewed for infection, skin necrosis, wound dehiscence, and hematoma for the donor site. Additionally, a questionnaire survey was given to patients who had a follow-up of longer than 1 year to characterize long-term postoperative pain and appearance. Results The review identified a total of 246 cases. Early wound complications were significant for wound dehiscence (n=8) and hematoma (n=5) for a wound complication rate of 5.3%. The questionnaire was distributed to 109 patients, and 54 patients completed the survey. Out of these 54 patients, 15 patients continued to have donor-site pain (28%) at a mean follow-up period of 32.4 months. However, the pain intensity was relatively low in the range between 2 to 5, on a 0-10 scale. None of these patients felt this donor-site pain interfered significantly with daily activity, nor did any patient require pain medications of any type. Donor-site appearance was satisfactory to most patients. Conclusions The partial second toe pulp flap was associated with low rates of wound complications and favorable long-term outcomes. Given the functional and aesthetic gain in the recipient finger, donor-site morbidities appear acceptable in this patient population. This study can be helpful in counseling patients regarding donor-site morbidity during the informed consent process.

• Proceedings of the Korea Concrete Institute Conference
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• 2000.10b
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• pp.845-850
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• 2000

This paper presents the results of tests performed on the transfer girders which have been generally used between upper walls and lower frames in the hybrid structures. The 8 specimens were designed using (1) ACI method, (2) strut-tie model, and (3) X-type shear reinforcement cage. The capacities of the specimens are in general larger than the design values except the one designed according to strut-tie model. The reason for this difference seems to be due to the arbitrary allocation of transferred shear force to the path of direct compression strut and the path of indirect strut and tie. The failure modes turn out toe be (1) shear failure at critical shear zone, (2) compressive concrete crushing in the diagonal strut in the shear zone of transfer girder, and (3) compressive concrete crushing in the corner of upper wall.

• 대한미세수술학회:학술대회논문집
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• 1993.10a
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• pp.102.2-102.2
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• 1993

• Journal of the Institute of Electronics Engineers of Korea SD
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• v.41 no.10
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• pp.51-56
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• 2004

We propose and fabricate an 1${\times}$2 asymmetric optical switch by TOE using SOI wafer based on silicon which has very large TOE figure and it is a good material for optical devices. SOI wafer consists of 3 layers; upper Si layer for device(waveguide;core, n=3.5), buried oxide layer for insulator(clad, n=1.5) and Si substrate layer. We designed 1${\times}$2 asymmetric y-branched single mode optical waveguide switch by BPM simulation and metal heater by heat transfer simulation. Fabricated switch shows about 3.5 watts of power consumption and over 20dB of crosstalk between output channels.

• Proceedings of the Korean Geotechical Society Conference
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• 2004.03b
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• pp.74-81
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• 2004

In this study, static end loading tests with load transfer measurement were accomplished for large diameter drilled shaft constructed in fault zone. Yield pile capacity (or ultimate pile capacity) from load-settlement curve was determined and axial load transfer behavior was measurd. The end bearing capacity was increased 2 times due to grouting the toe ground under pile base.

• Journal of the Korean Geotechnical Society
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• v.25 no.8
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• pp.77-93
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• 2009

The load distribution and deformation of rock socketed drilled shafts subjected to axial loads were evaluated by a load transfer approach. The emphasis was laid on quantifying the end bearing load transfer characteristics of rock socketed drilled shafts based on 3D Finite Difference (FD) analysis performed under varying rock strength and rock mass conditions. From the results of FD analysis, it was found that the ultimate unit toe resistance ($q_{max}$) was influenced by both rock strength and rock mass conditions, while the initial tangent of end bearing load transfer curve ($G_{ini}$) was only dependent on rock strength. End bearing load transfer function of drilled shafts socketed in rock was proposed based on the FD analysis and the field loading tests which were performed on weathered rock in South Korea. Through the comparison with the results of the field loading tests, it is found that the load transfer curve by the present study is in good agreement with the general trend observed by field loading tests, and thus represents a significant improvement in the prediction of load transfer behavior of drilled shaft.

• Journal of the Korean Geotechnical Society
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• v.24 no.12
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• pp.33-40
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• 2008

The load distribution and deformation of rock-socketed drilled shafts subjected to axial loads are evaluated by a load-transfer method. The emphasis is on quantifying the effect of coupled soil resistance in rock-socketed drilled shafts using the 2D elasto-plastic finite element analysis. Slippage and shear load transfer behavior at the pile-soil interface are investigated by using a user-subroutine interface model (FRlC). It is shown that the coupled soil resistance provides the influence of pile toe settlement as the shaft resistance is increased to an ultimate limit state. The results show that the coupling effect is closely related to the value of pile diameter over rock mass modulus (D/$E_{mass}$) and the ratio of total shaft resistance against total applied load ($R_s$/Q). Through comparisons with field case studies, the 2D numerical analysis reseanably presented load transfer of pile and coupling effect due to the transfer of shaft shear loading, and thus represents a significant improvement in the prediction of load deflections of drilled shafts.