• Archives of Plastic Surgery
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• v.36 no.5
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• pp.660-662
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• 2009

Purpose: There are several modalities to reattach the amputated auricle. Microvascular replantation can achieve the best outcome, but technically difficult. Conventional composite graft is technically easy, but uniformly unsuccessful. Our successful experience of reattachment using postauricular subcutaneous pocket is presented. Methods: The amputated tissue was placed in its anatomical position with buried sutures. The amputated part is dermabraded to remove the epidermis and outer layer of dermis(Fig. 1, Center, left). Postauricular skin flap was then raised and the reattached dermabraded ear was buried beneath the flap(Fig. 1, Center, right). Two weeks after the original surgery, the buried ear was removed from its pocket (Fig. 1, Below, left). Results: The ear was reepithelialized spontaneously in 7 days. At 3 months, the reattached ear has satisfactory appearance without contour deformity(Fig. 1, Below, right). Conclusion: This technique provides increase in contact surface between the amputated segment and the surrounding tissues which supply blood, serum, oxygen and nutrients, maximizing the probability of "take". Minimally injured dermis can be healed from spontaneous reepithelialization and provides minimal contour deformity. We have used this non-microsurgical technique with very satisfying outcome.

• Steel and Composite Structures
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• v.39 no.4
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• pp.353-366
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• 2021

Cored moment resisting stub column (CMSC) was previously developed by the features of adopting a core segment which remains mostly elastic and reduced column section (RCS) details around the ends to from a stable hysteretic behavior with large post-yield stiffness and considerable ductility. Several full-scale CMSC components with various length proportions of the RCSs with respect to overall lengths have been experimentally investigated through both far-field and near-fault cyclic loadings followed by fatigue tests. Test results verified that the proposed CMSC provided very ductile hysteretic responses with no strength degradation even beyond the occurrence of the local buckling at the side-segments. The effect of RCS lengths on the seismic performance of the CMSC was verified to relate with the levels of the deformation concentration at the member ends, the local buckling behavior and overall ductility. Estimation equations were established to notionally calculate the first-yield and ultimate strengths of the CMSC and validated by the measured responses. A numerical model of the CMSC was developed to accurately capture the hysteretic performance of the specimens, and was adopted to clarify the effect of the surrounding frame and to perform a parametric study to develop the estimation of the elastic stiffness.

• Steel and Composite Structures
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• v.44 no.6
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• pp.899-912
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• 2022

To study the seismic performance of the all-steel buckling-restrained brace (BRB) using the novel soft steel LY315 for core member, a total of three identical BRBs were designed and a series of experimental and numerical studies were conducted. First, monotonic and cyclic loading tests were carried out to obtain the mechanical properties of LY315 steel. In addition, the parameters of the Chaboche model were calibrated based on the test results and then verified using ABAQUS. Second, three BRB specimens were tested under cyclic loads to investigate the seismic performance. The failure modes of all the specimens were identified and discussed. The test results indicate that the BRBs exhibit excellent energy dissipation capacity, good ductility, and excellent low-cycle fatigue performance. Then, a finite element (FE) model was established and verified with the test results. Furthermore, a parametric study was performed to further investigate the effects of gap size, restraining ratio, slenderness ratio of the yielding segment, and material properties of the core member on the load capacity and energy dissipation capacity of BRBs.

• Journal of the Korean Institute of Gas
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• v.20 no.4
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• pp.33-43
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• 2016

Grinding, weld deposition, type A sleeve, type B sleeve, composite sleeve, hot tapping and clamp are used as the method to repair the buried pipelines in the United States, UK and Europe. In the event of defect to the pipeline, they have repaired the pipeline through the fitness-for-service assessments. In addition, they have guidelines for the possible repair methods to apply to each type of damage, which is occurred due to the 3rd party construction or corrosion. According to the KGS FS551, Safety Validation in Detail including ECDA(External Corrosion Direct Assessment) as one method of integrity management should be carried out for the old pipeline which supply natural gas as the middle pressure in Korea. Where a defect on the pipelines is found, on the result of Safety Validation in Detail, the pipelines should be repaired or replaced by new piping. However, there are no guidelines or regulations regarding the repair and reinforcement of pipeline, so that, cutting the damaged pipeline and replacing it as a segment of new pipe is the only way in Korea until now. We have suggested pipeline repair methods including type A, B sleeve, composite sleeve, after the survey of foreign repair method and standards including the method of United States and the United Kingdom, and after analysis of the results on pipeline repair test including type A, type B sleeve and composite sleeve.

• Journal of Chest Surgery
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• v.38 no.8 s.253
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• pp.551-556
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• 2005

Background: Complete arterial off-pump coronary artery bypass grafting (OPCAB) by sequential anastomoses with one or two arterial grafts provides favorable outcomes. However, problems of insufficient graft length, hypopefusion, kinking of graft, and unfavorable course of graft may be encountered. To solve these problems, we have used different technique with multiple arterial Y composite graft to allow end-to-side rather than sequential anastomoses and evaluated the results of this method. Material and Method: Between February 2003 and October 2004, If patients underwent total arterial OPCAB using multiple arterial V composite grafts with left internal mammary artery (LIMA), radial artery (RA), and right internal mammary artery (RIMA). We divided RA into multiple segments by number of distal target site after measuring of individual proper length and constructed arterial composite graft. One of segments was sutured end-to-side to LIMA and other segment was sutured end-to-side to the previously constructed radial graft. Postoperative graft patency was evaluated in 6f patients by multi-slice computed tomegraphy. Result: An average of $2.5\pm0.6$ arteries and $3.7pm0.7$ distal anastomoses per patient were done. There was no perioperative myocardial infarction, clinical hypoperfusion syndromes, and operative mortality. Postoperative mean CK-MB level was $17.4pm29.7\;IU/L.$Overall graft patency was $99.1\%\;(214/216)(LIMA:\;100\%,\;RA:\;98.4\%,\;RIMA:\;100\%).$ Conclusion: This technique allows total arterial OPCAB without technical problems and provides excellent early clinical results and graft patency. We believe that this technique is more convenient in the obtuse marginal area compared to sequential technique, and helpful in patients who require complex arterial grafting.

• Composites Research
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• v.25 no.4
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• pp.98-104
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• 2012

In recent years, degenerative spinal instability has been effectively treated with a cage. However, little attention is focused on the stiffness of the cage. Recent advances in the medical implant industry have resulted in the use of medical carbon fiber reinforced polymer (CFRP) cages. The biomechanical advantages of using different cage material in terms of stability and stresses in bone graft are not fully understood. A previously validated three-dimensional, nonlinear finite element model of an intact L2-L5 segment was modified to simulate posterior interbody fusion cages made of CFRP and titanium at the L4-L5 disc with pedicle screw, to investigate the effect of cage stiffness on the biomechanics of the fused segment in the lumbar region. From the results, it could be found that the use of a CFRP cage would not only reduce stress shielding, but it might also have led to increased bony fusion.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.36 no.5
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• pp.323-330
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• 2023

The development of an analysis model that reflects the microstructure characteristics of polyvinyl alcohol (PVA) fiber-reinforced cementitious composites, which have a highly complex microstructure, enables synergy between efficient material design and real experiments. PVA fiber orientations are an important factor that influences the mechanical behavior of PVA fiber-reinforced cementitious composites. Owing to the difficulty in distinguishing the gray level value obtained from micro-CT images of PVA fibers from adjacent phases, fiber segmentation is time-consuming work. In this study, a micro-CT test with a voxel size of 0.65 ㎛³ was performed to investigate the three-dimensional distribution of fibers. To segment the fibers and generate training data, histogram, morphology, and gradient-based phase-segmentation methods were used. A U-net model was proposed to segment fibers from micro-CT images of PVA fiber-reinforced cementitious composites. Data augmentation was applied to increase the accuracy of the training, using a total of 1024 images as training data. The performance of the model was evaluated using accuracy, precision, recall, and F1 score. The trained model achieved a high fiber segmentation performance and efficiency, and the approach can be applied to other specimens as well.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.35 no.6
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• pp.437-447
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• 2013

The fibula is one of the most useful sources for harvest of a vascularized bone graft. The fibula is a straight, long, tubed bone, much stronger than any other available bone that can currently be used for a vascularized graft. It has a reliable peroneal vascular pedicle with a large diameter and moderate length. There is a definite nutrient artery that enters the medullary cavity, as well as multiple arcade vessels, which add to the supply of the bone through periosteal circulation. The vascularized fibula graft is used mainly for long segment defects of the long tubed bone of the upper and lower extremities. It can provide a long, straight length up to 25 cm in an adult. The fibula can be easily osteotomized and can be used in reconstruction of the curved mandible. Since the first description as a vascularized free fibula bone graft by Taylor in 1975 and as a mandibular reconstruction by Hidalgo in 1989, the fibula has continued to replace the bone and soft tissue reconstruction options in the field of maxillofacial reconstruction. For the better understanding of a fibular free flap, the constant anatomical findings must be learned and memorized by young doctors during the specialized training course for the Korean National Board of Oral and Maxillofacial Surgery. This article reviews the anatomical basis of a fibular free flap with Korean language.

• Steel and Composite Structures
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• v.21 no.5
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• pp.1017-1029
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• 2016

When a welded circular hollow section (CHS) tubular joint is subjected to brace axial loading, failure position is located usually at the weld toe on the chord surface due to the weak flexural stiffness of the thin-walled chord. The failure mode is local yielding or buckling in most cases for a tubular joint subjected to axial load at the brace end. Especially when a cyclic axial load is applied, fracture failure at the weld toe may occur because both high stress concentration and welding residual stress along the brace/chord intersection cause the material in this region to become brittle. To improve the ductility as well as to increase the static strength, a tubular joint can be reinforced by increasing the chord thickness locally near the brace/chord intersection. Both experimental investigation and finite element analysis have been carried out to study the hysteretic behaviour of the reinforced tubular joint. In the experimental study, the hysteretic performance of two full-scale circular tubular T-joints subjected to cyclic load in the axial direction of the brace was investigated. The two specimens include a reinforced specimen by increasing the wall thickness of the chord locally at the brace/chord intersection and a corresponding un-reinforced specimen. The hysteretic loops are obtained from the measured load-displacement curves. Based on the hysteretic curves, it is found that the reinforced specimen is more ductile than the un-reinforced one because no fracture failure is observed after experiencing similar loading cycles. The area enclosed by the hysteretic curves of the reinforced specimen is much bigger, which shows that more energy can be dissipated by the reinforced specimen to indicate the advantage of the reinforcing method in resisting seismic action. Additionally, finite element analysis is carried out to study the effect of the thickness and the length of the reinforced chord segment on the hysteretic behaviour of CHS tubular T-joints. The optimized reinforcing method is recommended for design purposes.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.30 no.5
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• pp.480-488
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• 2008

Orthodontists often treat cases which are difficult to treat with conventional orthodontics. In such cases, it could be treated with surgical procedures with the help of an oral surgeon. Especially, transverse deficiency of the mandible can be corrected by widening the transverse width of mandibular symphysis, using distraction osteogenesis. Transverse widening of mandibular sympysis is known as a safe treatment but still complications could occur during the treatment. We are reporting some complications of cases that mandibular symphysis transverse widening were applied. Some cases showed complications because of the inappropriate osteotomy line. Since straight vertical osteotomy line was inclined to the left, only the left bony segment was likely to expand. According to bio-mechanical considerations, it will be better to perform a step osteotomy, cutting the eccentric area of the alveolar crest and the centric area of the basal symphyseal area. Complications could also occur by the failure of the distraction device. The tooth borne distraction device was attached on the lingual side of the tooth with composite resin. During the distraction period, it was impossible to obtain appropriate distraction speed and rhythm because of frequent fall off of the distraction device. Therefore, distraction device should be attached firmly with orthodontic band or bone screw, etc. Tooth mobility increasement could also occur as a complication. 'Walking teeth phenomenon' was observed during the distraction period, showing severe teeth mobility and pain during mastication. These symptoms fade out during the consolidation period. Since the patient could feel insecure and uncomfortable, it should be notified to the patient before the procedure. Finally, alveolar crestal bone loss could occur. Alveolar crestal bone loss occurred because of lack of distraction device firmness and teeth trauma caused by lower lip biting habit. Therefore, adequate firmness of the distraction device and habit control will be needed.