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원위부를 접은 대퇴근막긴장근 피판을 이용한 대전자부 압박궤양의 치험례
이병렬,오석준 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.6
Tensor fascia lata myocutaneous flap is the most useful local flap in surgical treatment of greater trochanteric sore. But the small volume of muscle included in Tensor fascia lata myocutaneous flap makes the thickness of flap thinner and the rate of recurrence higher than any other muscle flap. To overcome this disadvantage, Scheflan(1981) used distal folded Tensor fascia lata myocutaneous flap in treating greater trochanteric sore. But Scheflan used this flap as an island flap, that made the blood supply unstable and unreliable, and required skillful technique. And he didn`t use distal part of the thigh which made the efficacy of flap bulk small. In order to thicken the flap bulk, we used the distal folded tensor fascia lata myocutaneous flap. We have treated 10 patients by using newly designed distal folded tensor fascia lata myocutaneous flap. All of them had previous systemic disease. Some had general paresthesia and others had heart failure, diabetic mellitus, neuralgia and so on. We drew V-shaped design, one wing was from the anterior superior iliac spine to the lateral condyle of the femur and the other wing was from the center of the greater trochanter to the lateral condyle of the femur. After design, we harvest the flap and fold the flap two or three times. Flap bulk is enough to prevent sore recurrence. We follow up the patients from 6 months to 35 months. No recurrence is occurred. Our newly designed flap has sufficient volume and reliable blood supply. The result is good and satisfactory.
이병렬 한국무역연구원 2018 무역연구 Vol.14 No.6
The aim of this study is to analyzed the role of central bank and the governing structure the main countries on low-value, high-volume retail electronic payment system. For example, U.S.A, Canada, Australia and Korea. The paper is organized as fellows. In Section Ⅰ, I outline the purpose of this paper. In Section Ⅱ, I outlines previous research in domestic and foreign literature and conduct the legal background. In Section Ⅲ, I explain a development process and the advent of central bank. In Section Ⅳ, I did comparative analysis the governing structure and the role of central bank in their electronic payment system. In Section Ⅴ , I summarizes and suggested that the payment system have to assume, with good reason, more efficiently accurately and securely operation together with conclusion. The results of analysis is to fellow. FedACH is operated by federal reserve bank, while retail payment system is owned-operated by Korea Financial Telecommunication & Clearing Institute (KFTC) in korea. KFTC is a non-profit corporation. And Canadian payment Association (CPA) operated ACSS and Australian Payment Clearing Association (APCA) operates BECS as a private institute. But their central banks settle finally. The Intervene degree is different. This research contributes by comparative assessing investigating the role of central bank and the governing structure the main advance countries on electronic payment system.