• Title/Summary/Keyword: Arthrodesis

Search Result 144, Processing Time 0.026 seconds

Treatment of 4th & 5th Metatarsotarsal Joint Arthritis with Anchovy Tendon Interposition Arthroplasty - Cases Report - (제 4, 5 족근중족 관절염의 anchovy 건 개재 관절 성형술을 이용한 치료 - 증례 보고 -)

  • Kim, J-Young;Park, Shin-Yi;Lee, Kyung-Tai;Young, Ki-Won
    • Journal of Korean Foot and Ankle Society
    • /
    • v.10 no.2
    • /
    • pp.264-266
    • /
    • 2006
  • The 4th and 5th metatarsocuboid joint arthritis causes moderate functional deficit during walking. It is difficult to obtain good results with conservative treatment. The arthrodesis of the affected joints can be a possible surgical option, but with a limited success. We report two cases of the 4th and 5th metatarsocuboid joint arthritis managed with anchovy tendon interposition arthroplaty.

  • PDF

Total Ankle Replacement in Pigmented Villonodular Synovitis of Ankle Joint (A Case Report) (색소 융모결절종 환자에 시행한 족관절 인공관절 치환술(1예 보고))

  • Ha, Jung-Min;Choi, Sun-Jin;Lee, Chang-Bum;Ha, Jeong-Han;Park, Hyung-Taek
    • Journal of Korean Foot and Ankle Society
    • /
    • v.14 no.1
    • /
    • pp.101-104
    • /
    • 2010
  • Pigmented villonodular synovitis (PVNS) is a rare proliferative disease affecting joint synovium, tendon sheaths, bursae. The usual treatment for PVNS is a surgical excision. If destructive joint lesions have occurred, complete resections must be performed followed by arthrodesis or arthroplasty. We report a case of a pigmented villonodular synovitis involving an ankle joint which was treated by total ankle replacement for recurrence after simple synovectomy.

Corrective Osteotomies in Hallux Valgus (무지외반증에서의 절골술)

  • Ko, Kyung Rae;Sung, Ki-Sun
    • Journal of Korean Foot and Ankle Society
    • /
    • v.21 no.2
    • /
    • pp.43-49
    • /
    • 2017
  • Hallux valgus is a deformity characterized by lateral deviation of the great toe and medial deviation of the first metatarsal. When planning an operative treatment, it is important to realize that the deformity is tridimensional and diverse. Operative techniques include medial eminence resection, distal soft tissue procedure, first metatarsal osteotomy (distal, diaphyseal, proximal, or multiple), proximal phalanx osteotomy, arthrodesis (first metatarsophalangeal or metatarsocuneiform joint), and so on. Among these techniques, osteotomy is the main procedure for correcting the hallux valgus. The objective of this article is to describe the characteristics and recent advancements made for corrective osteotomies in the hallux valgus. The pathophysiology of the hallux valgus is also described.

Treatment of Recurrent Hallux Valgus after Surgery (무지외반증의 수술 후 재발에 대한 치료)

  • Kwon, Ki Bum;Lee, Kyoung Min
    • Journal of Korean Foot and Ankle Society
    • /
    • v.23 no.4
    • /
    • pp.149-153
    • /
    • 2019
  • Recurrence is a common complication following hallux valgus surgery. The postoperative recurrence rates have been reported to be between 2.7% and 16%. Reoperation is considered only for the recurrent deformities with intractable pain. The success of reoperation depends on identifying and addressing the cause of the recurrence appropriately. The surgical principle of reoperation for a recurrent hallux valgus is similar to that of the primary surgery, but arthrodesis and proximal metatarsal osteotomies with greater correcting power are adopted more frequently.

Operative Treatment of Acquired Adult Flatfoot (후천적 성인 편평족 변형의 수술적 치료)

  • Ahn, Chi-Young;Ahn, Jae Hoon;Kim, Man-Soo
    • Journal of Korean Foot and Ankle Society
    • /
    • v.18 no.3
    • /
    • pp.93-99
    • /
    • 2014
  • Acquired adult flatfoot deformity is characterized by flattening of the medial longitudinal arch and dysfunction of the posteromedial soft tissues, including the posterior tibial tendon. When the non-operative treatment fails to result in improvement of symptoms, surgery should be considered. Operative techniques include flexor digitorum longus tendon transfer, calcaneal medial slide osteotomy, lateral column lengthening, and arthrodesis of the hindfoot. The principle of correcting the deformity while avoiding overcorrection and excessive stiffness is important in achievement of good outcomes in these patients.

Treatment with Tendon Interpositional Arthroplasty for Rheumatoid Arthritis of the Lateral Tarsometatarsal Joint (A Case Report) (외측 족근중족관절에 발생한 류마토이드 관절염의 건 개재 관절성형술을 이용한 치료 (증례 보고))

  • Kim, Hyun-Ok;Park, Jin-Sung;Lee, Dong-Yeong;Nam, Dae-Cheol
    • Journal of Korean Foot and Ankle Society
    • /
    • v.17 no.4
    • /
    • pp.329-333
    • /
    • 2013
  • Controversies exist regarding the treatment options for the end-stage arthritic change in the lateral tarsometatarsal joints. Arthrodesis has been frequently performed, but has a disadvantage of sacrificing a mobile joint. Resection arthroplasty also gained its popularity, especially in the patients with Rheumatoid arthritis, but possible hypermobility can lead to deformity. We report a successful clinical outcome of a patient with Rheumatoid arthritis in the 4th, 5th tarsometatarsal joints treated with tendon interpositional arthroplasties.

Subtalar Arthroscopy (거골하 관절의 관절경술)

  • Ahn, Jae-Hoon
    • Journal of the Korean Arthroscopy Society
    • /
    • v.13 no.3
    • /
    • pp.235-241
    • /
    • 2009
  • The development of good quality small-diametered arthroscopes and refined arthroscopic techniques has contributed to the improvement of the subtalar arthroscopy. The therapeutic indications are synovectomy, removal of loose bodies, debridement and drilling of osteochondritis dissecans, excision of subtalar impingement lesions and osteophytes, lysis of adhesions for post-traumatic arthrofibrosis, removal of a symptomatic os trigonum, calcaneal fracture assessment and reduction, and arthroscopic arthrodesis of the subtalar joint. The subtalar arthroscopy can be done in supine position using thigh holder or in lateral decubitus position. The arthroscope generally used is a 2.7-mm 30 degrees short arthroscope. Noninvasive distraction with a strap around the hindfoot can be helpful. Usually anterolateral, middle and posterolateral portals are utilized for inspection and instrumentation within the joint. Twoportal posterior subtalar arthroscopy in prone position can be performed as well with 4.0-mm 30 degrees arthroscope, depending on the type and location of the subtalar pathology. The subtalar arthroscopy is a technically demanding procedure, which requires proper instrumentation and careful operative technique. Possible complications are nerve damage and persistent wound drainage.

  • PDF

Non-osseous Coalition of the Third Metatarsal-Lateral Cuneiform Joint: A Case Report (제 3중족-외측 설상 관절에서 발생한 비골성 족근골 결합: 증례 보고)

  • Seo, Jae-Seong;Min, Hak-Jin;Kim, Ki Chun;Roh, Young Ju;Shin, Seong Kee
    • Journal of Korean Foot and Ankle Society
    • /
    • v.22 no.4
    • /
    • pp.177-180
    • /
    • 2018
  • This paper reports a rare case of the symptomatic third metatarsal (MT3) - lateral cuneiform (LC) in a 55-year-old male who presented with complaints of severe intermittent pain in his right foot. Plain radiographs and computed tomography scans revealed sclerosis and irregularity at this joint. The intraoperative findings demonstrated a fibrocartilaginous coalition. The pain had improved one year after removing the MT3-LC joint by en bloc and arthrodesis.

Irreducible Spacer Subluxation after Total Ankle Replacement Arthroplasty in a Patient with Rheumatoid Arthritis: A Case Report (류마티스 환자의 발목 인공관절 치환술 이후 발생한 정복되지 않는 충전물의 아탈구: 증례 보고)

  • Seo, Dong-Kyo;Kim, Sang Young
    • Journal of Korean Foot and Ankle Society
    • /
    • v.25 no.4
    • /
    • pp.181-184
    • /
    • 2021
  • End-stage ankle arthritis is a debilitating condition that causes functional limitations and consequently a poor quality of life. Total ankle replacement arthroplasty is a good alternative to arthrodesis for preserving the ankle's range of motion. However, many complications can occur in patients with rheumatoid arthritis and with poor soft tissue and bone conditions. A 61-year-old female experienced spacer subluxation after surgery, which was not reduced by medial soft tissue release and spacer change. Buttress plating was found to be a good treatment option to prevent spacer subluxation and can be considered in patients with rheumatoid arthritis with bone erosion and soft tissue damage.