대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제6권2호
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- Pages.181-189
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- 2002
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
급성 아킬레스건 파열 - Krackow 봉합술 후 등속성 족저 굴곡력의 분석 -
Acute Achilles Tendon Rupture : - Isokinetic plantarflexion torque evaluation after Krackow suture technique -
- 정홍근 (단국대학교 의과대학 정형외과학교실) ;
- 유석주 (단국대학교 의과대학 정형외과학교실) ;
- 이성철 (단국대학교 의과대학 정형외과학교실) ;
- 박희곤 (단국대학교 의과대학 정형외과학교실) ;
- 김기영 (단국대학교 의과대학 정형외과학교실) ;
- 김명호 (단국대학교 의과대학 정형외과학교실)
- Jung, Hong-Geun (Department of Orthopaedic Surgery, Dankook University college of Medicine) ;
- Yoo, Suk-Ju (Department of Orthopaedic Surgery, Dankook University college of Medicine) ;
- Lee, Sung-Chul (Department of Orthopaedic Surgery, Dankook University college of Medicine) ;
- Park, Hee-Gon (Department of Orthopaedic Surgery, Dankook University college of Medicine) ;
- Kim, Ki-Young (Department of Orthopaedic Surgery, Dankook University college of Medicine) ;
- Kim, Myung-Ho (Department of Orthopaedic Surgery, Dankook University college of Medicine)
- 발행 : 2002.12.01
초록
Purpose: We try to evaluate the functional outcomes of the ankle with isokinetic plantaflexion torque for acute achilles tendon rupture cases those treated by primary repair with the Krackow suture technique and early rehabilization. Materials and Method: The authors studied retrospectively, 15 patients of acute achilles tendon rupture treated and followed over six months, from July 1997 to May 2001. There were 12 men and 3 women, and mean age was 39.6year. The repair method of ruptured tendon was single or double Krackow suture technique. One week(5days-2weeks) after operation, early ROM with ankle-foot orthosis was started. We used Arner-Lindholm Scale for the clinical evaluation and analyzed patient's satisfaction and subjective strength deficit. We analyzed the dorsiflexion peak torque and plantarflexion peak torque of the ankle statistically with strength test with Cybex dynamometer. Result: In clinical results, we had 11 excellent cases(73%) and 3 good cases(20%). In patients satisfaction degree, 11 excellent cases(66.6%), 3 good cases(20%) and 2 fair cases(13.4%). And in strength deficit, 3 none deficit (20%), 9 minimal deficit(60%). We evaluated the isokinetic plantar flexion torque in 3months or 6months after operation. After 3 months, isokinetic test showed the mean functional deficits, 32% and 25% at
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