• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.15 no.4
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• pp.239-247
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• 2015

Recently, various research studies on frontal collision and rear-ender which occur more frequently compared to others are underway as the public interest on them is growing. This study analyzes scientifically the relationship between effective impact speed and injury incidence for vehicle crash accident reconstruction and presents a relevant model formula. Because real vehicle experiments have certain limitations such as possible injuries, this study efforts to collect and analyze as many materials as possible to substitute real vehicle experiments, including data from various collision tests and human experiments. As a result, this study present a threshold in which head-on collisions and rear impacts do not cause injuries under 7 km/h of effective impact speed, and suggests a model formula showing that injury extent is linearly proportional to effective impact speed through collision speed and amount of plastic deformation. In conclusion, a model formula for estimating effective impact speed and injury incidence newly proposed in this study is expected to be used as a minimum standard of judgment in disputes on the injury extent of passenger in head-on collisions and rear impacts. Furthermore its availability in terms of technological analysis in legal arguments is expected to be very high if this study will be enhanced by referring to scientific analyses of various real accidents so as to apply it in various types of collision accidents.

• Archives of Reconstructive Microsurgery
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• v.5 no.1
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• pp.35-45
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• 1996

After transplantation of groin free flap was sucessed by the Daniel and Taylor in 1973, the reconstruction of plastic surgery was extensive and universal due to rapidly developement of anatomic study of the donor site and technique of microvascular surgery. The free tissue transfers is possible to be early activity and rehabilitation by one stage operation. It currently available allow transfer of specific tissue quality as bone, muscle, nerve to achieve a functional and cosmetic result as well as the most favorable secondary defect. But free flaps require critical, skillful technique and lengthy operating time. Also it has disadvantage of donor site morbity at the large tissue transfer. Authors were transferred with 107 cases in 103 patients from May 1987 to June 1996, and then we analysed free tissue transfer to acquire more increased sucess rate, satisfactory functional and cosmetic results. The sexual distribution was male prominent in 79 cases(76.7%), female in 24(23.3%) and age was variable distribution from 3 to 76 years old. The cause of defects was most prevalent in trauma of traffic and industrial accident in 51 cases(49%). The common recipient site were lower extremities in 47 cases(43.9%), upper extremities in 28 cases(26.5%), head and neck in 25 cases(23.4%), and trunk in 7 cases(6.5%). The type of transfer were free skin flaps in 46 cases(43%), free muscle or musculocutaneous flaps in 31 cases(29%), free vasculized or osteocutaneous flaps in 10 cases(9.3%), and specilized free flaps in 20 cases(18.7%). The anastomosis of artery was end to end anastomosis in 94 cases(87.9%), end to side anastomosis in 13 cases(12.1%) and all vein was end to end anastomosis. The number of anastomosed vessels were one artery one vein in 62 cases(57.9%), one artery two vein in 45 cases(42.1%) and vein graft was performed only one case. The postoperative mornitoring were used with temperature, color of flap, capillary refilling time, ultrasonogram, bone scan, doppler, and endoscopy. The reexploration was performed in 9 cases(8.4%), and then flap was loss in 3 cases(2.8%). Accordingly overall success rate was 97.2%. The postoperative complication was early vascular occlusion, hematoma, partial necrosis and late bulkiness, scarring, color dismatch etc. Therefore, free tissue transfer is the preferred method of treatment, even through conventional local and distant flaps are available.