• Title/Summary/Keyword: Ankle and foot

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Ankle Arthrodesis (족관절 유합술)

  • Lee, Jun Young;Park, Sang-Ha
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.4
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    • pp.147-152
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    • 2014
  • Ankle arthrodesis has been used as standard treatment of ankle arthritis unresponsive to conservative treatment. Transfibular approach was used for ankles with severe deformities and minimally invasive arthroscopic ankle arthrodesis was used for patients with mild deformities. Anterior approach may be used when lateral approach couldn't be performed. Tibiotalocalcaneal arthrodesis is standard treatment for coexisting ankle and subtalar arthritis, and modified Blair arthrodesis can be used if the talus body resection is necessary in severe talar necrosis. In serious infection of ankle arthritis, arthrodesis can be performed as staged operation. In cases with low bone density and severe deformities, Charcot arthropathy should be considered.

Ligament Repair in Chronic Lateral Ankle Instability: Efficacy and Technique of Broström Procedures (족관절 불안정성의 인대 봉합술: Broström 술식의 효과 및 술기)

  • Jeong, Bi O;Hwang, Yeok Gu
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.83-90
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    • 2018
  • Chronic lateral ankle instability occurs in 10% to 20% of individuals after acute ankle sprain. The management of chronic lateral ankle instability is traditionally conservative treatment in the acute phase. On the other hand, surgical intervention is considered if conservative treatment fails and the symptoms are ongoing. This review focuses on the surgical approaches to treatment of chronic lateral ankle instability, including $Brostr{\ddot{o}}m$ surgical techniques, with a review of the traditional procedure and newer techniques.

Chronic Lateral Ankle Instability (만성 족관절 외측 불안정증)

  • Jung, Hong-Geun;Park, Jae-Yong;Park, Jong-Tae
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.2
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    • pp.73-78
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    • 2012
  • Severe ankle sprain secondarily leads to chronic lateral ankle instability in 20-30%. Many surgical procedures have been presented for reconstruction of the lateral ankle instability, but controversy still remains for the ideal surgical option. Br$\ddot{o}$strom procedure or its modifications have been widely used but they have some limitations for the instabilities for the over-weight, physically high demanding patients and especially for significantly deficient or attenuated ligaments. Moreover the tenodesis procedures using peroneus brevis tendon are non-anatomical and sacrifice important lateral stabilizing tendon. Therefore recently, many reconstructive procedures for lateral ankle instability utilizing free allograft or autograft tendon have been introduced to anatomically stabilize the lateral ligaments to various degrees.

Postoperative Rehabilitation of Foot Fracture in Korean Medicine Treatment: Clinical Case Report (족부 골절수술 후 한방 재활치료의 효과: 증례보고)

  • Park, Na-Ri;Lee, Yun-Jin;Ahn, Hee-Duk;Yang, Doo-Hwa
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.165-172
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    • 2019
  • The objective of this study is to propose postoperative rehabilitation for foot fracture in Korean Medicine and to report its effectiveness. There were three patients who were got foot fracture surgery received korean medicine with acupuncture, herbal medicine, cupping and exercise treatment. Patients were evaluated numeric rating scale (NRS), range of motion (ROM), American Orthopaedic Foot and Ankle Society (AOFAS) ankle hindfoot score, foot function index (FFI) and EuroQol-5 dimension (EQ-5D) index. Case 1 and 2 were improved NRS from 6 to 3. Case 3 was improved NRS from 5 to 2. These cases were improved ROM in all directions, AOFAS score, FFI, EQ-5D and walking status. This study suggest that Korean medicine rehabilitation could be effective for patients who have received foot fracture operation.

A cavernous Hemangioma After a Removal of a Pigmented Villonodular Synovitis in Mid-foot (A Case Report) (색소 융모 결절성 활액막염 제거 후 발생한 중족부 해면 혈관종(1예 보고))

  • Song, Kyoung-Won;Kim, Gab-Lae;Kim, Tae-Hwa;Park, Hyun-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.97-100
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    • 2010
  • Hemangioma are not rare tumors. They can be found in almost any of the vascular structures of the body. Hemangiomas involving the deep structures of the extremities may produce extremely difficult therapeutic problems for the orthopedic surgeon. Pigmented villonodular synovitis (PVNS) is a rare proliferative disorder that affects synovium, tendon sheath and bursa. Although the condition can present in any joint, knee joint is the most commonly affected site and only 2.5% of cases occur in foot and ankle joint. We have experienced a patient who has of foot and report an optimal method of surgical treatment. Authors report the result of hemangioma in mid-foot which arise from removal of a pigmented villonodular synovitis that has low out break rate of benign tumor in mid-foot with literature review.

Treatment of Diabetic Charcot Arthropathy (당뇨병성 샤콧 관절의 치료)

  • Chung, Hyung-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.4
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    • pp.243-250
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    • 2013
  • Diabetic Charcot arthropathy is a severe joint disease in the foot and ankle that can result in fracture, permanent deformity, limb loss. Although recent research has improved our level of knowledge regarding its etiology and treatment, it still remains a poorly understood disease. It is a serious and potentially limb-threatening lower-extremity late complication of diabetes mellitus and its diagnosis is commonly missed upon initial presentation. Clinicians treating diabetic patients should be vigilant in recognizing early signs of acute Charcot arthropathy, such as pain, warmth, edema, or pathologic fracture in a neuropathic foot. Early detection and prompt treatment can prevent joint and bone destruction. If left untreated, it can reduce overall quality of life and dramatically increase morbidity and mortality of patients. The goal of this manuscript is to evaluate the current concepts of Charcot arthropathy through review of various literature and help clinicians decide the treatment strategy.

Analysis of Foot Shape and Size System of Male High School Students Using 3D Scan Data (3D 스캔 데이터를 활용한 남자 고등학생의 발 형태 및 치수체계 분석)

  • Shin, Yu Jin;Park, Soonjee
    • Journal of the Korean Society of Clothing and Textiles
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    • v.44 no.1
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    • pp.53-67
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    • 2020
  • The purpose of this study is to analyze the foot shape and size specification of male high school students. 3D modeling programs such as 'Artec Studio', 'CATIA', and 'Auto CAD' measured the 3D scan data of 361 male high school students provided by KATS. Through principal factor analysis, 10 factors were extracted, including foot length, medial-lateral ratio, and foot length ratio. As the result of the cluster and ANOVA with post-hoc test (Duncan method), the differences among types were clarified. Type 1 (24.7%) represented outward medial-lateral ratio (M-L ratio) with the lowest instep, ankle and little deformed first toe. Type 2 (41.8%) was characterized by the shortest, even M-L ratio, thin ankle and heel, the highest instep and ankle. Type 3 (33.5%) showed the longest, inward M-L ratio, thick ankle and heel, and deformed first toe. As the cross-tabulation of foot length and ball circumference, 17.2 percent was not covered by KS standard; in addition, the foot length was longer than the KS standard. The correlation analysis of key dimensions showed that foot length and ball circumference were highly correlated with other items; therefore, regression equations were derived to estimate other foot measurements using these two items as independent variables.

Measurement of the Angle related Hallux Valgus in Normal Korean Adults (무지외반증에서 한국인의 정상 방사선각도 계측치에 대한 연구)

  • Lee, Kyung-Tai;Song, Joon-Sub
    • Journal of Korean Foot and Ankle Society
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    • v.1 no.1
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    • pp.11-14
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    • 1997
  • Hallux valgus is a complex deformity which contains static subluxation of the first metatarsophalangeal joint with lateral deviation of the great toe and medial deviation of the first metatarsal bone. Among the several parameters, radiographic indices are the important ones in the choice of the treatment method. Even though, the normal values of the western peoples are already estabilished, there was no standard values for Korean who has different genetics, and cultural background, till now. So, we tried to estimate the noraml values of the HVA (hallux valgus angle ), IMA ( Intermetatarsal angle) and DMAA (Distal Metatarsal Articular surface Angle) in a normal adult. Fifty normal adult (each 25 male and female) were chosen and took 100 cases of foot radiograph and radiologic indices of the hallux valgus were measured. Average age at the investigation was 34.5 years old. The average HVA is $13.3^{\circ}$, IMA is $8.5^{\circ}$ and DMAA is $34.6^{\circ}$.

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Unhealed Wound of the Lower Leg due to Synovial Fistula of the Ankle Joint (발목관절 활액막 누공으로 인한 치유되지 않은 상처)

  • Park, Chul Hyun;Ryu, Seung Min;Park, Jae Woo
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.3
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    • pp.113-116
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    • 2017
  • Synovial fistula of the ankle joint is an uncommon complication from an ankle sprain. This may likely result in an unhealed wound around the ankle joint due to continuous leakage of joint fluid. However, in the event of an open wound on the lower leg, and not on the joint, it may be difficult to consider synovial fistula as a cause of the open wound. We experienced an interesting case with an unhealed open wound on the lower leg due to a synovial fistula of the ankle joint following an ankle sprain. We obtained good results after a treatment using a self-produced suction drainage device on the unhealed open wound.

Surgical Decision and Patient Selection in End-Stage Ankle Arthritis: Total Ankle Arthroplasty vs. Arthrodesis (말기 발목 관절염에 대한 술식 결정 및 환자 선택: 인공관절 치환술 vs. 관절유합술)

  • Ahn, Jungtae;Cho, Byung-Ki
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.3
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    • pp.111-117
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    • 2022
  • Despite the lack of evidence-based standard guidelines to select the best surgical treatment option for end-stage ankle osteoarthritis, the rate of total ankle arthroplasty (TAA) is increasing rapidly relative to ankle arthrodesis (AA) with the development of implant designs and surgical techniques. Physicians and patients would benefit from a more comprehensive understanding of the differences in postoperative pain relief, functional improvement, the rates of complication or reoperation, and restoration of gait ability and sports activity. This paper overviews the current consensus on indications and contraindications for TAA and provides a literature review on a comparison of the clinical and functional results between TAA and AA.