• Title/Summary/Keyword: leg skin

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The Posterior Tibial Perforator Adipofascial Flap for Reconstruction of Lower Leg (후경골 동맥 천공지 지방 근막 섬피판을 이용한 전경골부의 재건)

  • Hong, Seung Eun;Pyon, Jai Kyong
    • Archives of Plastic Surgery
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    • v.34 no.3
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    • pp.352-357
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    • 2007
  • Purpose: The coverage of distal soft tissue defects and bony exposure of the lower extremity has long been recognized to be difficult clinical problem. Covering with a local skin flap is usually impractical because of the extensive and deep crush, hence free flap has been used commonly for the coverage of the wound. Although it can provide good results, it has many disadvantages. Designing an adipofascial flap raised on perforating vessels of the posterior tibia artery is a reliable and simple method to perform, and it can solve these problems. Methods: From May 2005 to May 2006, 8 patients underwent reconstruction of lower leg defects utilizing various type of the posterior tibial artery perforator adipofascial flaps. The flap provided a durable and thin coverage for the defect, as well as a well vascularized bed for skin grafting. Results: The flap size ranged $15-80cm^2$, and skin graft was done for the recipient site. The flap were successfully used for the lower extremity reconstruction in most cases. Minor complications occurred in 4 cases. There was no functional disability of the donor site with esthetically pleasing results. Furthermore, these flaps were both easy to raise and insured sufficient arterial blood supply. Conclusion: We believe there are many advantages to this posterior tibial artery perforator adipofascial flap and that it can be highly competitive to the free flaps in the lower extremity reconstruction.

Ipsilateral Dorsalis Pedis Vascularized Pedicle Flap in the Distal Leg and Foot

  • Yu, Chang Eun;Lee, Jun-Mo;Choi, Hee-Rack
    • Archives of Reconstructive Microsurgery
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    • v.22 no.2
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    • pp.52-56
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    • 2013
  • Purpose: We had proceeded seven iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defects and followed-up average for 5 years and 9 months to evaluate the survival rate, neurosensory function and cosmesis in final results. Materials and Methods: From January 1999 through October 2012, we have performed iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defect (average around $3.6{\times}2.4cm$) in 7 cases and average age was 41.6 years (21.5 to 59.0 years). Lesion site was posterior heel in 4 cases, distal anterior leg in 3 cases. Donor structure was the dorsalis pedis artery and the first dorsal metatarsal vessel and deep peroneal nerve in 3 cases and the dorsalis pedis artery and the first dorsal metatarsal vessel in 4 cases. Results: Seven cases (100%) were survived and defect area was healed with continuous dressing without skin graft. The sensory function in the neurovascular flap was restored to normal in 3 cases. Cosmesis was good and fair in 7 cases (85.7%). Conclusion: Ipsilateral dorsalis pedis vascularized pedicle flap in the distal leg and foot is one of the choice to cover the exposed bone and soft tissues without microsurgical procedure.

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Study on skin cold spot distributions of Korean adult (성인남녀의 피부 냉점 분포에 관한 연구)

  • Choi, Jeong-wha;Seol, Hyang
    • Journal of the Korean Society of Clothing and Textiles
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    • v.23 no.5
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    • pp.667-671
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    • 1999
  • The purpose of this study was to determine the number of skin cold receptor in Korean adult as a part of the study to investigate thermal physiological characteristics of Korean. For this 10 healthy subjects were placed in a climatic chamber and received cold stimulation of 1$0^{\circ}C$ on skin surface of each measuring site with a thermo-stimulator. As a result of cold spot measurement we found 23 points/cm2 at face 13. points/cm2 at chest 16 points/cm2 at abdomen 11 points/cm2 at back 14 points/cm2 at upper arm 16 points/cm2 at forearm 18 points/cm2 at back of the hand 15 points/cm2 at thigh 8 points/cm2 at leg 12 points/cm2 at dorsum of foot 8 points/cm2 at sole of foot in male subjects and in female subjects we fund 18 points/cm2 at face 13 points/cm2 at forearm 11 points/cm2 at at back of the hand 8 points/cm2 at palm 9 points/cm2 at thigh 6 points/cm2 at leg 8 points/cm2 at dorsum of foot 2 points/cm2 at sole of foot. The distributions of cold spots varied in different regions of the body surface and was exceptionally dense in the facial skin. There were some differences among other researchers' results but the cause of those differences are not yet known those are due to individual or methodological difference.

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Time Course Variation of Vitamin $C_3$ Content in Leg Skin of Broiler Chicks Exposed to Different Dose of UVB Light (자외선의 상이한 선양을 조사한 브로일러 병아리의 다리 피부중 비타민 $C_3$ 함양의 경시적 변화)

  • 장윤환;김강수;여영수;강훈석;조인호;배은경
    • Korean Journal of Poultry Science
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    • v.20 no.2
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    • pp.93-105
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    • 1993
  • This study was carried out to determine the concentrations of previtamin D$_3$(PreD$_3$), lumisterol$_3$(L3), tachystero1$_3$(73), vitamin D$_3$(VD$_3$) and provitamin D$_3$(ProD$_3$) in leg skins of broiler chicks exposed to UVB lights (maximum intensity at 297 nm) with dose of 0.204 or 0.409 mJ/$\textrm{cm}^2$(30 or 60 min irradiation) . The broiler Hubbard line day old chicks(2 dose $\times$9 elapsed time $\times$4 replica+10 control=82) were fed VD-deficient diet for 31 days in a windowless subdued light room. The skin was collected at 0, 6, 12, 18, 30, 42, 66, 90 or 138 hr after UVB irradiation. The skin lipid was extracted by 9% ethyl acetate/n-hexane, and the fraction of VD$_3$ and its analogues was purified by Sep-Pak silica cartridge. The straight phase HPLC was utilized to analyze ProD$_3$ and its products. The mole %(absolute level expressed in ng/$\textrm{cm}^2$) of PreD$_3$ in leg skin (epidermis+dermis) was 4.67%(44 ng/$\textrm{cm}^2$) or 3.97%(37 ng/$\textrm{cm}^2$) right after UVB irradiation by 0.204 or 0.409 mJ/$\textrm{cm}^2$(30 or 60 min) at 15 cm distance, respectively. It content in leg skin at 0 hr after exposure was 7.24%(12 ng/$\textrm{cm}^2$) or 0.92%(9 ng/$\textrm{cm}^2$), respectively. The increase in irradiation dose did not affect proportionally the If synthesis.73 concentration in leg skin was 0.58%(S ng/$\textrm{cm}^2$) or 0.57%(6 ng/$\textrm{cm}^2$), respectively 0 hr after irradiation. The VD$_3$ in leg skin of birds exposed to UVB light with dose of 0.204 or 0.409 mJ/$\textrm{cm}^2$ was 2.13% (21 ng/$\textrm{cm}^2$) or 0.97% (16ng/$\textrm{cm}^2$), respectively at 0 hr after exposure, 2.72%(26ng/$\textrm{cm}^2$) or 3.84%(37ng/$\textrm{cm}^2$), respectively at 6 hr, and 4.30% ((33ng/$\textrm{cm}^2$) or 6.40%(76ng/$\textrm{cm}^2$), respectively at 12 hr. The peak concentration of VD$_3$ was presented at 18 or 30 hr when 0.204 or 0.409 mJ/$\textrm{cm}^2$) was treated, respectively. It was shown that 18~30 hr were necessary for the thermal conversion of PreD$_3$ into VD$_3$ in the leg skin of broiler chicks. The ProD$_3$ contents in leg skins of negative control, 0.204 mJ/$\textrm{cm}^2$ and 0.409 mJ/$\textrm{cm}^2$ treated birds were 966, 948 and 815 ng/$\textrm{cm}^2$, respectively at right before and after UVB exposure. It was estimated that 18 or 151 ng/$\textrm{cm}^2$ of ProD$_3$ was isomerized to PreD$_3$, L$_3$, T$_3$ and VD$_3$ when exposed to 0.204 or 0.409 mJ/$\textrm{cm}^2$, respective)y. Consequently it was shown that when double dose of UVB light was applied to irradiate the chick body, more but not double synthesis of VD$_3$ and its analogues was occured in leg skin of brolier chicks.

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Systemic Blastomycosis with Osseous Involvement of the Foot - A Case Report - (족부의 골을 침범한 전신성 분아균증 -1예 보고-)

  • Cho, Jin-Ho;Suh, Jin-Soo;Kim, Jin-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.2
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    • pp.216-219
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    • 2005
  • We report a patient who presented with three months of foot pain, lytic navicular bone lesions in the foot, and a painless ipsilateral leg skin ulcer. Bone and skin biopsies revealed organisms compatible with Blastomyces. Systemic blastomycosis is very rare, especially with bone involvement in the foot.

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Dynamic analysis and control of a robot leg with a shock absorber (완충기를 가진 로봇다리의 동역학 해석 및 동적 보행제어)

  • Oh, Chang-Geun;Kang, Sung-Chul;Lee, Soo-Yong;Kim, Mun-Sang;Yoo, Hong-Hee
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.22 no.4
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    • pp.768-778
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    • 1998
  • Human beings usually absorb a shock from terrain during walking through the damping effects of joints, muscles and skin. With this analogy, a robot-leg with a shock absorber is built to absorb the impact forces at its foot during high-speed walking on irregular terrain. To control the hip position while walking, the dynamic controller suitable for high speed walking is designed and implemented based on a dynamic model by Kane's equation. The hip position tracking performances of various controllers (PID controller, computed torque controller and feedforward torque controller) are compared through the experiments of the real robot-leg.

Monthly Changes of Skin Temperature in Koreans by Sexes and Ages (성별, 연령별로 본 한국인의 월별 피부온)

  • 김명주;최정화
    • Journal of the Korean Society of Clothing and Textiles
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    • v.21 no.2
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    • pp.314-324
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    • 1997
  • The purpose of this study was to evaluate the thermoregulatory response level on the heat and cold tolerance with investigating monthly changes of skin temperature in Koreans and to obtain the basal information for standard amount of clothing weight, indoor climate and working condition. Forty eight subjects in 5 age groups (6~11, 12~19, 20~44, 45~64, 65~76 years old) with both sexs were taken from Seoul and Kyunggi probince. All subjects were measured skin temperature, mean skin temperature, Total clothing weight in neutral condition in each month from June 1994 to May 1995. The results obtained are summarized as follows: 1. Skin temperature of all subjects was low on February, March and April, and was high on June, July and August. Temperatures of the torso (forehead and abdomen) and the lower limbs (leg and foot) were remarkably different. In general, most of skin temperatures except of hand, thigh and foot were higher in males. 2. Mean skin temperature was 0.5'c higher in males than female with ranging 32.5~34.5$^{\circ}C$ in males and 32.1~34.1$^{\circ}C$ in females. Also, mean skin temperature of 6~11 age group were higher than that of 45~ 64 age group in both sexs.

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Thermal Dynamics of Core and Periphery Temperature during Treadmill Sub-maximal Exercise and Intermittent Regional Body Cooling (트래드밀에서의 최대하 부하 운동과 간헐적 부위별 인체 냉각 시 심부와 말초 부위의 체온 변화)

  • Lee, Joo-Young;Koscheyev, Victor S.;Kim, Jung-Hyun;Warpeha, Joe M.
    • Journal of Korean Living Environment System
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    • v.16 no.2
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    • pp.89-100
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    • 2009
  • The present study was designed to observe the thermal dynamics of core and skin temperatures during sub-maximal treadmill exercise; to investigate the effect of regional body cooling during short rest after the treadmill exercise on the thermal dynamics. Three conditions (No cooling, Head/Hand cooling, Leg cooling) were simulated in a climatic chamber at 24±1℃ and 50±5%RH. Subjects performed two bouts of treadmill exercise at a rate of 80%HRmax followed by rest. Body cooling with a hood, long gloves, and a blanket that circulated water set at 15℃ was assigned during two bouts of rest. The results showed that (1) rectal temperature (Tre) did not show significant difference between three conditions; (2) Skin temperatures had specific features, depending on body regions. In particular, the initial fall phenomena of skin temperatures at the onset of exercise were noteworthy in the chest, thigh, calf, and finger tip. Of these, the most significant initial fall was found in finger temperature (Tfing). (3) During the period of the initial fall in skin temperatures, Tre gradually increased. (4) The magnitude of the fall of Tfing at the onset of 2nd running was on average 4.8, 5.1 and 3.4℃ for Control, HH cooling, and Leg cooling, respectively (p<0.05). The initial drop of Tfing at the onset of running was maintained for an average of 8.1, 7.9 and 6.3 minutes for Control, HH cooling, and Leg cooling, with no significant differences. In conclusion, the initial fall phenomena at the onset of treadmill exercise reflected non-thermal factors, as opposed to internal thermal status. The magnitude of the initial fall in Tfing was affected by legs cooling. Therefore, the initial fall phenomenon should be considered when interpreting the thermal status of the shell during heavy works/exercises that assigned with intermittent regional body cooling.

Sarcoptes scabiei Infestation in Raccoon (너구리의 Sarcoptes scabiei 감염)

  • Bak, Eun-Jung;Kim, Jae-Hoon;Sohn, Hyun-Joo;Lee, Jae-Hyun;Park, Jung-Won
    • Korean Journal of Veterinary Pathology
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    • v.1 no.2
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    • pp.153-156
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    • 1997
  • This is the first recorded case of Sarcoptes scabiei in a Korean female raccoon confirmed by light and scanning electron microscopies. Grossly the skin on the abdomen head and legs was markedly thickened with alopecia and encrustation. histopathologically skin showed epidermal hyperplasia with spongiotic degeneration and parakeratosis. Ectoparasites were present in superficial and deep epidermal layers. Small numbers of leukocytes predominantly neutrophils were associated with the parasitic infestation. Scanning electron microscopy examination of affected skin scraping demonstrated round to oval parasitic mites measuring approximately 180 -250 x 220 - 350 um in size. The mites possessed four pairs of legs of which the two anterior pairs appeared relatively long with unjointed stalks while the two posterior leg pairs were rudimentary. these morphological features were consistent with Sarcoptes scabiei.

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The Length of Skirt and the Warmth Retentivity (Skirt의 길이와 보온성)

  • Suh Mi A
    • Journal of the Korean Society of Clothing and Textiles
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    • v.1 no.2
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    • pp.59-64
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    • 1977
  • The effects of skirt length on warmth retentivity were examined by measuring skin temperature on several parts of the leg warm differency length of skirts in the chamber which controlled at $-7\pm1^{\circ}C$ and $85\%$ R.H. The results were obtained as follows: 1. The high correlative efficients were found between the length of skirt and the warmth retentivity. Little warmth retentivity was found in a mini-skirt. 2. The skin temperature was dropped gradually lower nearing the ankle. 3. The skin temperature was also dropped immediately when the skin was exposed to the cold air, and showed a gradual fall.

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