• Journal of Veterinary Clinics
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• v.30 no.2
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• pp.134-137
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• 2013

A 4-month-old intact male Jindo dog was presented for left hindlimb lameness. On radiographs, a small mineralized piece was identified beneath the apophysis of tibia with no or minimal displacement of apophysis bilaterally. Subsequently, the cranioproximal bony aspect of the tibia changed radiolucent to radiopaque. The left side recovered after surgical management, but the right side was self-limited with conservative management. The diagnosis was partial avulsion fracture of the tibial tuberosity which has been called 'Osgood-Schlatter disease' in dogs.

• Journal of Veterinary Clinics
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• v.31 no.1
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• pp.11-14
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• 2014

This is a retrospective study describing postoperative complication encountered with surgery performed in dogs with medial patellar luxation (MPL). During the 4-year period, 77 operations had been performed in 66 dogs for correction of MPL. The patients were surgically treated with medial soft tissue release, lateral soft tissue tightening, trochlear block recession, and/or tibial tuberosity transposition (TTT). Their prognoses were periodically evaluated for 6 months postoperatively. The failure rate was higher in revision surgery than in the first surgery, and the most common postoperative complication was migration of the tibial tuberosity fragment. The causes for the migration of the tibial tuberosity fragment were identified as the downward insertion of a surgical pin, the eccentric position of an inserted pin in the tibial tuberosity fragment, and blunt angle formation of the tibial tuberosity. It is suggested that the appropriate methods for TTT could minimize complications and lead to a good prognosis.

• Journal of Veterinary Clinics
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• v.31 no.2
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• pp.133-136
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• 2014

An 8 kg, 9-month-old castrated male Shiba Inu presented with a history of intermittent bilateral hind limb lameness. On examination, grade III medial patellar luxation of the bilateral hind limbs was diagnosed. A novel surgical method involving relatively noninvasive tibial tuberosity transposition was used to restore normal alignment of the quadriceps mechanism. The procedure involved an incision on the medial cortical bone of the tibial tuberosity along the tibial crest and placement of a cortical screw on the medial side of the tibial crest to laterally transpose the tibial tuberosity. Lameness and patellar luxation of bilateral hind limbs were improved at a 3-month postoperative examination. This technique could be considered an effective treatment for medial patellar luxation in skeletal immature patients.

• Journal of Veterinary Clinics
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• v.31 no.2
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• pp.141-144
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• 2014

Two dogs (Case 1 weighing 27 kg, Case 2 weighing 42 kg) were referred with hindlimb lameness. On physical examination, there was moderate pain on stifle joint testing and mild cranial translation on cranial drawer testing in Case 1. This translation was obvious when the patient was under general anesthesia. Case 2 showed discomfort during hyperextension of the stifle joint, but no significant cranial translation under general anesthesia. Joint effusion was detected on radiography in both cases. Based on physiologic and radiographic examinations, cranial cruciate deficiency was suspected, so exploratory arthroscopy was performed. Arthroscopy revealed partial rupture of the cranial cruciate ligament (CrCL) in both cases. Case 1 showed unstable partial CrCL rupture, while Case 2 had stable CrCL rupture. Tibial tuberosity advancement (TTA) was carried out as planned. Seroma occurred one week postoperatively in Case 2, and was removed surgically. The patients returned to satisfactory weight-bearing ambulation 5 months after initial surgery. Based on the results of these cases, TTA appears to be a useful procedure in the treatment of CrCL partial rupture.

• Journal of Korean Orthopaedic Sports Medicine
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• v.6 no.1
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• pp.33-37
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• 2007

Purpose: The harvest of hamstring tendon is technically demanding because of the inadequate identification of hamstring tendon separation and accessory tendon of semitendinosus tendon. We conducted therefore conducted an anatomic study, aiming at the anatomic knowledge for graft harvest. Materials and Methods: 20 human cadaveric knees (10 cadavers) were used for the study. The location of tendon separation in conjoined tendon and accessory tendon of semitendinosus tendon were described and recorded. Results: The location of tendon separation of conjoined tendon was average $39.68{\pm}9.97mm$ vertically and $18.57{\pm}2.91mm$ horizontally from the tibial spine. We found that the accessory structure of the semitendinosus tendon was mostly fascia-like structure(17 knees), the tendinous structure, 3 cases which was straightly located 15cm from the tibial crest. Conclusion: We propose that the expected incision for hamstring tendon harvest is centered on the inferior 40mm, medial 20mm from the tibial spine. The accessory structure of the semitendinosus tendon was mostly found of fascia-like structure.

• Journal of Acupuncture Research
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• v.27 no.6
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• pp.67-75
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• 2010

목적 : 족삼리($ST_{36}$) 자침이 유방 조직에 미치는 혈역학적 변화를 측정하기 위하여 diffuse optical imaging 기법을 사용하였다. 방법 : 실험에 사용한 쥐는 자침을 하지 않은 대조군 7마리, 자침을 한 실험군 7마리로 총 2개의 군으로 나누었다. 몸무게 170g 정도의 건강한 암컷 쥐는 100% 산소와 1.5% isoflurane을 혼합한 것을 이용하여 마취 시켰다. 자침은 경골 조면에서 2mm 외측에 위치한 지점인 족삼리($ST_{36}$)에 20분간 시행하였다. 자침을 시작할 때와 자침 후 10분에 각각 침을 5회 회전하였다. Diffuse optical imaging system을 이용하여 자침하는 동안 의 산화혈색소(OHb), 탈산소혈색소(RHb), 총 혈색소(THb)와 조직 산소 포화도($StO_2$)의 변화를 측정했다. 결과 : 실험 결과 족삼리($ST_{36}$) 자침을 시행한 실험군에서 대조군에 비하여 유의성이 있는 OHb, RHb, THb의 증가와 유의성이 없는 $StO_2$의 감소가 나타났다. 결론 : 이러한 결과 족삼리($ST_{36}$) 자침이 혈류를 증가시키고 동시에 세포 대사 활동을 증가 시키는 것을 알 수 있었다. 또한 diffuse optical imaging 기법으로 족삼리($ST_{36}$) 자침 시의 유방 조직의 산소공급과 혈류량의 변화를 확인할 수 있었고, 이는 비침습적으로 자침의 효과를 측정하는 데 활용될 수 있을 것으로 생각된다.

• Journal of the Korean Arthroscopy Society
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• v.12 no.2
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• pp.112-117
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• 2008

Purpose: Double-bundle reconstruction of anterior cruciate ligament(ACL) has the advantage of restoring the isometry and original function of ACL. The purpose of this study is to evaluate the clinical results following double-bundle reconstruction of ACL using autogenous hamstring grafts through an accessory anteromedial portal. Materials and Methods: From January 2005 to July 2006, sixty patients(52 males, 8 females) underwent double-bundle ACL reconstruction using autogenous hamstring tendons..The mean age was 31.7 years($20{\sim}51$ years). The mean follow up period was 13.4 months($12{\sim}16$ months). We made a horizontal-oblique skin incision just medial to tibial tuberosity and harvested semitendinosus and gracilis tendon. Tibial tunnel for posterolateral bundle was made near its anatomical position. By modifying an anatomic reconstruction of ACL by Yasuda et al., we made a femoral tunnel for posterolateral bundle through accessory anteromedial portal. Tunnels for anteromedial bundle were made with conventional method. We reconstructed anteromedial bundle with semitendinosus tendon and posterolateral bundle with gracilis tendon. Clinical results at last follow up were evaluated by range of motion, extent of anterior displacement(KT-1000 arthrometer), pivot-shift test. Functional evaluation of clinical outcomes were evaluated by Lysholm score and modified Feagin Scoring System. Results: There was no limitation of motion of knee joint at last follow up. Mean side to side difference of anterior displacement of tibia by KT-1000 arthrometer was improved from 8.4 mm preoperatively to 1.7 mm postoperatively(p<0.05). Average Lysholm score was improved from 64.1 preoperatively to 92.2 postoperatively(p<0.05). In modified Feagin Scoring System, 90% of cases were rated as good or excellent. Conclusion: Double-bundle reconstruction of ACL using autogenous hamstring grafts through accessory anteromedial portal results in good clinical outcomes.

• Applied Microscopy
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• v.32 no.3
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• pp.265-273
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• 2002

The purpose of this study was to observe the influences of the water fluoride concentration on the growth changes, the histologic characteristics of osteoblast in the tibia of growing newborn rats by using electron microscopy and on the composition changes of bone matrix in those by using energy dispersive x-ray system (EDX). The water fluoride concentration was respectively 0 ppm (contrast group), 100 ppm (100 ppm group), 200 ppm (200 ppm group) and 300 ppm (300 ppm group). The results of the investigation by using electron microscopy were as followed. In contrast group, the traditional cuboidal osteoblasts were observed. In 100 ppm group, several reversal line, the newly formed osteoid by the strongly activated osteoblast and the well developed rough endoplasmic reticulum, mitochondria in cytoplasm of osteoblast were observed. Also, many secretory vesicle around cell membrane were observed and some fused with cell membrane released secretory granule out of cell. In 200 ppm group, the depressed osteoblasts were observed, mitochondria in cytoplasm were expanded and cristae shape in mitochondria were destroyed. Also, the ribosome at the surface of rough endoplasmic reticulum were not observed. In 300 ppm group, the adjacent osteoblasts with endosteum were irregularly arranged, the cell membrane were destroyed and organelles were flowed out of cell. On the other hand, the results of the investigation by using energy dispersive x-ray system were as followed. P and Ca concentrations in 100 ppm group were increased more than those in contrast group. But, in 200 and 300 ppm group were not increased more than those in 100 ppm group. Therefore, the activities of the osteoblasts were increased, the bone matrix were actively synthesized by the supplied water fluoride. But, the osteoblasts were destroyed, inhibited by the higher water fluoride concentration.

• Journal of Veterinary Clinics
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• v.32 no.1
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• pp.22-27
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• 2015

We evaluated outcomes of dogs surgically treated for grade 2 or 3 medial patellar luxation (MPL) with and without trochleoplasty. A retrospective study of 63 dogs with grade 2 or 3 MPL surgically treated with or without trochleoplasty was performed. Results of radiographic evaluation were expressed numerically as degenerative joint disease score and were compared between the groups with and without trochleoplasty. The study included 7 (7/68, 10.3%) cases of reluxation and 1 case of tibial tuberosity transposition implant failure. Reluxation and complications requiring additional surgery were confirmed in 3 cases (3/47, 6.4%) in trochleoplasty group and in 1 case (1/21, 4.8%) in nontrochleoplasty group. The nontrochleoplasty group showed a shorter recovery time than the trochleoplasty group (P < 0.05). There was a significant difference in degenerative joint disease scores over time between the groups, with nontrochleoplasty group having lower scores (P < 0.05). This study suggests that surgical treatment without trochleoplasty results in favorable outcomes compared to treatment with trochleoplasty. It is not mandatory to exclude trochleoplasty when performing surgery for grade 2 or 3 MPL, but we propose that surgical treatment without trochleoplasty is one option when choosing a combination of surgical techniques.