• Archives of Plastic Surgery
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• v.38 no.6
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• pp.821-828
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• 2011

Purpose: The authors applied Bilhaut-Cloquet procedure to Wassel type III and IV duplicated thumb, which was limited to patients with Wassel type I, II. This procedure was applied in order to improve the growth potential, range of joint motion, joint stability and cosmetic outcome. Methods: Sixteen patients received Bilhaut-Cloquet procedures to correct duplicated thumbs from May, 2005 to December, 2010. Seven patients were Wassel type III, nine patients were type IV. This procedure was applied not only to balanced type, but also unbalanced type or convergent type. Five patients were balanced type and eleven patients were unbalanced type. Convergent type of Wassel type IV was three. Sex ratio was the same, mean age at the operation was 20.1 months old (8~52 months old). Angular deformity, joint stability and range of joint motion and cosmetic outcome were considered together and estimated in Tada score. Also, postoperative subjective satisfaction score of the parents was evaluated by a 100-points scale. Results: Mean subjective satisfaction scored 75 points at 28 months after the operation. Radiologic study showed bony union of proximal phalangeal bone and stable joint in all patients. Range of motion was mean 20 degrees in interphalangeal joint and mean 73 degrees in metacarpophalangeal joint. Tada score showed 'good' in eleven patients (68.8%), 'fair' in three patients (18.7%) and 'poor' in two patients (12.5%). In seven patients those who were able to follow up for a long term showed no significant difference in length of proximal and distal phalangeal bones compared to the opposite thumb. Conclusion: Bilhaut-Cloquet procedure can be applied not only to balanced type of Wassel type III, IV duplicated thumb, but also to unbalanced type or convergent type that focused on functional reconstruction and cosmetic improvement.

• Journal of Ocean Engineering and Technology
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• v.9 no.1
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• pp.92-100
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• 1995

The effect of different anisotropy and stress ratio on fatigue crack propagation behavior was investigated under various stress ratio(R=-0.4, -0.2, 0.2, 0.2, 0.4) using pure titanium sheet used in aerospace, chemical and food industry. The rack closure behavior under constant load amplitude fatigue crack propagation test was examined. Fatigue crack propagation rate da/dN was estimated in terms of effective stress intensity factor range, $\Delta$K$_{eff}$, regardless of various stress ratio but was influenced by anisotropy. Also, it was found that the effect of anisotropy was considerably decreased but still not negligible when he da/dN was evaluated by a conventional parameter, $\Delta$$K_{eff}$/E and when the modified da/dN.$\sqrt{\varepsilon}_f$ was evaluated by $\Delta$$K_{eff}$/E. On the other hand, da/dN could be evaluated uniquely by effective new parameter, $\Delta$K$_{eff}$/$sigma_{ys}$, regardless of anisotropy, as int he following equation da/dN=C''[\frac{{\Delta}K_{eff}}{{\sigma}_{ys}}]^{n''}. And effective stress intensity factor range ratio, U was estimated by the following equation with respect to the ratio of reversed plastic zone size, $\Delta r_{p}$ to monotonic plastic zone size, $r_p$ regardless of stress ratio and anisotropy. U=-4.45$(\Delta r_{p}/r_{p})^{2}$+4.1$(\Delta r_{p}/r_{p})$+0.245_{p})$+0.245

• Transactions of the Korean Society of Mechanical Engineers
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• v.18 no.9
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• pp.2331-2338
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• 1994

Experimental conditions of the optical shadow methods of caustics for measurement of the stress intensity factor and the J-integral in various materials(polycarbonate, PMMA, Al 5586D) are investigated. The necessary experimental requirements toe determine accurate values of the stress intensity factors and the J-integrals are described. The ratio of $r_o$ (radius of initial curve) to $r_p$ (plastic zone size) is selected as a parameter to verify the experimental limitation of the method of caustics in determination of fracture parameters. In this study, transmission caustics method was used for compact tension specimens made of polycarbonate and PMMA. while reflection caustics method was applied to c-shaped tension specimen made of Al 5586D. The appropriate ranges of $r_o/r_p$ tp determine accurate values of stress intensity factors were found to be 1.5~1.8. Existing experimental results have been obtained mainly by changing $r_p$ with different loads in $r_o/r_p$. However, in this study we could obtain varying $K_{caus}/K_{th}$ over the wide range of $r_o/r_p$ at fixed load conditions with newly designed optical arrangement. Thus, we could find the range in which theoretical and experimental results agree well each other by changing $r_o$ values only. In Al 5586D specimen, experimental caustics were located inside of the plastic zone, and $K_{caus}/K_{th}$ were found to be not unity in this range. It is found that $J_{caus}/J_{th}=1{\;}with{\;}r_o/t{\geq}0.8$ and the experimental plastic zone includes the contours of caustics.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.32 no.2
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• pp.105-118
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• 2008

The newly developed analysis method for nanoindentation load-displacement curves are focused on not only obtaining elastic modulus and hardness values but also other mechanical properties, such as yield strength and strain hardening properties. Dao et al. developed a forward and reverse algorithm to extract the elasto-plastic properties of materials from the load-displacement curves obtained in nanoindentation test. These algorithms were only applicable for engineering metals (Poisson#s ratio 0.3) using the equivalent conical indenter of the Berkovich. However, the applicable metals are substantially limited because range of used in the finite element analysis is narrow. This study is designed to expand range of the applicable metals in the reverse algorithms established by Dao et al. and to improve the accuracy of that for extracting the elasto-plastic properties of materials. In this study, a representative strain was assumed to vary according to specific range of $E^*/{\sigma}_r$ and was defined as function of $E^*/{\sigma}_r$. Also, an initial unloading slope in reverse algorithms improved in this study was not considered as independent parameters of the load-displacement curves. The mechanical properties of materials for finite element analysis were modeled with the elastic modulus, E, the yield strength, ${\sigma}_y$, and the strain hardening exponents, n. We showed that the representative strain (0.033) suggested by Dao et al. was no longer applicable above the $E^*/{\sigma}_r$ of 400 and depended on values of $E^*/{\sigma}_r$. From these results, we constructed the dimensionless functions, in where the initial unloading slope was not included, for engineering metals up to $E^*/{\sigma}_r$ of 1500. These functions allow us to determine the mechanical properties with greater accuracy than Dao#s study.

• Archives of Reconstructive Microsurgery
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• v.25 no.1
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• pp.7-11
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• 2016

Purpose: In recent decades, amputation is still recommended for patients with extensive lower extremity wounds requiring coverage. Although the feet contribute relatively little to total body surface area, they are essential organ for ambulation, and a high mortality rate after amputation has been reported. We report on 10 challenging cases of a mangled foot which was reconstructed using an anterolateral thigh (ALT) free flap, and analyze the advantages and disadvantages of this technique. Materials and Methods: This retrospective study was conducted on 10 patients who underwent reconstructive surgery on a foot. Patients' charts were reviewed for age, sex, causes, defect size and site, flap size and type, flap type, and complications. Cases with a defect size of > $100cm^2$ were included. Results: Seven of the 10 patients were male, and overall mean age was 38.5 years (range, 22 to 61 years). Mean defect size was $179.6cm^2$ (range, 104 to $330cm^2$), and mean flap size was $193cm^2$ (range, 120 to $408cm^2$). Three cases were reconstructed with a musculocutaneous free flap and seven cases were reconstructed with a fasciocutaneous free flap. There were two occurrences of local wound complication. All ten flaps survived well, however five patients underwent a debulking procedure to reduce flap volume. Conclusion: Reconstruction of a near completely degloved soft tissue defect or a wide defect containing two or more surfaces of extremity with an ALT free flap was performed. The purpose of this case study is to report on free tissue transfer using the ALT flap for salvage of the lower extremity.

• Archives of Plastic Surgery
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• v.41 no.5
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• pp.486-492
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• 2014

Background We conducted this study to identify the correlation between the time to surgery and that to recovery from postoperative diplopia. Methods In the current single-center, retrospective study, we enrolled a total of 11 patients (n=11) who were diagnosed with white-eyed blowout fracture and underwent surgical operation at our institution between January 2009 and January 2013. To identify the correlation between the time to surgery and that to recovery from postoperative diplopia, we divided our patients into the three groups: the group A (time to surgery, <2 days) (n=4), the group B (time to surgery, 3-7 days) (n=4) and the group C (n=3) (time to surgery, 8-60 days). Then, we compared such variables as sex, age, signs of soft tissue injury, preoperative nausea/vomiting, the degree of preoperative diplopia and the side of the fracture on computed tomography scans between the three groups. Results In our series, mean age at the onset of trauma was nine years (range, 5-16 years); the mean time to surgery was 30 days (range, 2-60 days); and the mean follow-up period was one year (range, 6 months-2 years). Our results showed that the time to recovery was shorter in the patients with a shorter time to surgery. Conclusions We found that the degree of recovery from impaired ocular motility and diplopia was the highest in the patients undergoing surgical operations within 48 hours of the onset of trauma with the reconstruction of the fracture sites using implant materials.

• Tunnel and Underground Space
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• v.28 no.1
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• pp.59-71
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• 2018

Since the generalized Hoek-Brown (GHB) function predicts the strength of the jointed rock mass in a systematic manner by use of GSI index, it is widely used in rock engineering practices. In this study, a series of 2D elasto-plastic FE analysis, which adopts the GHB criterion as a yield function, was carried out to investigate the radial convergence characteristics of circular tunnel excavated in the GHB rock mass. The effect of the plastic potential function on the elasto-plastic displacement was also examined. In the analysis, the wide range of both the $K(={\sigma}_h/{\sigma}_v)$ and GSI values are considered. For each K value, the variation of the ratio of sidewall displacement to roof displacement was calculated with varying GSI values and the obtained displacement patterns were analysed. The calculation results show that the displacement ratio significantly depends not only on the K value but also on the range of GSI value. In particular, for lower range of GSI value, the displacement ratio pattern calculated in the elasto-plastic regime is opposite to that predicted by the elasticity theory. In addition, the variation of the radial displacement ratio with GSI value for different types of plastic potential function showed similar trend.

• Archives of Plastic Surgery
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• v.41 no.5
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• pp.550-555
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• 2014

Background Nipple reconstruction following breast mound reconstruction is the final step in breast reconstruction. Although nipple reconstruction is a simple surgery, the psychological aspects of nipple reconstruction are thought to be important. Nipple projection is a key factor in determining patient satisfaction with the surgery. In the present study, the Hammond flap technique was introduced for nipple reconstruction. Methods Twenty-six patients who had undergone breast reconstruction from February 2008 to March 2012 were enrolled in this prospective study. All patients were evaluated based on preoperative photos, and their nipple diameters and heights were measured. Postoperative evaluation was conducted 3, 6, 9, and 12 months following nipple reconstruction. A questionnaire on patient satisfaction with the nipple reconstruction was administered 12 months after nipple reconstruction. Moreover, the same plastic surgeon scored nipple projection and overall cosmetic result of the new nipple. Results The mean projection was 4.4 mm (range, 3-6 mm), and it well matched the contralateral nipple. Twelve months following nipple reconstruction, the mean reduction rate in the nipple projection was 43.6%. Patients were satisfied or very satisfied with the nipple projection and the overall cosmetic result in 80.7% cases. Conclusions In the present study, compared with other techniques, the use of the Hammond flap technique in nipple reconstruction showed competitive results with regard to nipple projection and patient satisfaction.

• Computers and Concrete
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• v.26 no.3
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• pp.227-237
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• 2020

Strain rate investigations are needed to calibrate strain-rate-dependent material models and numerical codes. An appropriate material model, which considers the rate effects, need to be used for proper numerical modeling. The plastic concrete cut-off wall is a special underground structure that acts as a barrier to stop or reduce the groundwater flow. These structures might be subjected to different dynamic loads, especially earthquake. Deformability of a structure subjected to dynamic loads is a principal issue which need to be undertaken during the design phase of these structures. The characterization of plastic concrete behavior under different strain rates is essential for proper designing of cut-off walls subjected to dynamic loads. The Cowper-Symonds model, as one of the most commonly applied material models, complies well with the behavior of a plastic concretes in low to moderate strain rates and will be useful in explicit dynamics simulations. This paper aims to present the results of an experimental study on mechanical responses of one of the most useful types of plastic concrete and Cowper-Symonds constant determination procedures in a wide range of strain rate from 0.0005 to 107 (1/s). For this purpose, SHPB, uniaxial, and triaxial compression tests were done on plastic concrete samples. Based on the results of quasi-static and dynamic tests, the dynamic increase factors (DIF) of this material in different strain rates and stress state conditions were determined for calibration of the Cowper - Symonds material models.

• Proceedings of the Korean Society for Technology of Plasticity Conference
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• 2009.10a
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• pp.453-453
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• 2009