• Journal of Korean Foot and Ankle Society
• /
• v.8 no.2
• /
• pp.126-130
• /
• 2004

Purpose: In this study, we tried to develop the technique of osteotomy for hallux valgus. The new modified technique of osteotomy was accomplished with even more greater stability, accurate correction of the deformity and more effective than 'chevron' osteotomy in terms of correction of the deformity. Materials and Methods: Between March 1998 and December 2001, 55 cases of new modified osteotomy for hallux valgus were performed for 39 patients, 16 of whom underwent operation of both feet. Operations were made for 34 women and 5 men whose average age was 46 years old (range, $20{\sim}71$ years). Average follow up period was three years (range, $2{\sim}5$ years), and during the follow up, the patients underwent physical examination and assessment with use of the American Orthpaedic Foot and Ankle Society's hallux-metatarso-phalangealinterphalangeal scale and standard foot radiographic measurements. Results: 37 patients (53 cases) out of 39 patients (55 cases) had no pain, good cosmesis, and all of the patients were satisfied with the results of the operation. Two had occasional mild discomfort. The average score according to the hallux-metatarso-phallangeal-interphalangeal scale was 93.2 points (range, $78{\sim}100$ points). The average preoperative intermetatarsal angle was $14.4^{\circ}$, which was decreased to $7.9^{\circ}$ after the osteotomy with an average correction of $6.5^{\circ}$ and The average preoperative hallux valgus angle was $34.1^{\circ}$, which was decreased to $11.1^{\circ}$ after the osteotomy with an average correction of $23^{\circ}$. This new modified technique would prevent the angulation or shortening at the osteotomy site and it was also even more stable at osteotomy site, and could do even more effective and accurate correction of the deformity than conventional Chevron osteotomy. Conclusion: New modified chevron osteotomy for the treatment of symptomatic hallux valgus was done in 55 cases, and the results were satisfactory in all cases. This method was more stable at the osteotomy site than conventional Chevron osteotomy and was also possible to do more accurate and more effective correction of the deformity. It was also easy to control the distal fragment of first metatarsal bone.

• PNF and Movement
• /
• v.9 no.4
• /
• pp.41-48
• /
• 2011

Purpose : The purpose of this study was to assess the tibialis anterior, soleus, gluteus maximus, transverse abdominis muscle activity of tibialis anterior, soleus, gluteus maximus, transverse abdominis according to pronated foot and supinated foot. Methods : Group of pronation and supination were taped using augmented low-day method to make pronated and supinated foot the three case were assessed by agnostic radiology for investigating foot structure. Results : 1) When supinated foot & pronated foot, tibialis anterior & gluteus maximus muscle activity was augmented in one step. 2) When supinated foot & pronated foot, soleus & transverse abdominis muscle activity was decreased in one step. 3) When supinated foot & pronated foot, tibialis anterior & gluteus maximus muscle activity was augmented in squat. 4) When supinated foot & pronated foot, soleus muscle activity was decreased in squat. 5) When pronated foot, transverse abdominis muscle activity was decreased in squat. 6) When supinated foot, transverse abdominis muscle activity was augmented in squat. 7) When pronated foot, transverse abdominis & gluteus maximus & tibialis anterior muscle activity was augmented in sit to stand. 8) When supinated foot, transverse abdominis & gluteus maximus & tibialis anterior muscle activity was decreased in sit to stand. 9) When supinated foot & pronated foot, soleus muscle activity was decreased in sit to stand. Conclusion : 1) Pronated foot & supinated foot effects on soleus, gluteus maximus, transverse abdominis muscle activity in one step. 2) Pronated foot & supinated foot effects on tibialis anterior, gluteus maximus, transverse abdominis muscle activity in squat. 3) Pronated foot & supinated foot effects on soleus, transverse abdominis muscle activity in sit to stand. Therefore we suggest the deformity of the foot effects on tibialis anterior, soleus, gluteus maximus, transverse abdominis muscle activity.

• Journal of the Ergonomics Society of Korea
• /
• v.23 no.2
• /
• pp.1-12
• /
• 2004

The purposes of this study were to investigate the relationship between anthropometric data of foot and other body sizes. to categorize the foot shape of elementary school boys and to find out determinant factors related the foot that enable us to deduce the foot shape and size for the design of more comfortable shoes. Subjects of this study were 249 elementary school boys of age ranged from 6 to 11 residing Seoul and lncheon area. Anthropometric sizes were measured with the direct measurement method using Martin scales and the indirect measurement method using digital photos. Pearson's correlation, factor analysis. cluster analysis. analysis of variance, post-hoc test, and cross tabs were performed for statistical analysis of the data by SPSS program. From the investigation on the relationship between foot-related items and body items, most items of foot measure were significantly related to body size items. However, angle of the foot did not related to other body sizes although other height items and mass items of the foot did have relationships with other body sizes. Results of ANOVA indicated there were significant differences in foot-related items except for items of foot angle and all body anthropometric items by subjects' age. This implicates big toe angle, little toe angle and foot ratio factors are required in sizing shoes besides foot length. On the basis of cluster analysis using factor scores. three different foot shapes were categorized. Type 1 was large and wide foot, Type 2 was small and narrow foot with large toe angle. and Type 3 was medium foot with no deformity on big toe. These three groups show significant differences in almost all measurement items. However, Rorher index and foot angle didn't show any significant differences among groups. This implicates the foot shape can be a determinant of shoe size.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.12 no.2
• /
• pp.1-10
• /
• 2006

The purpose are to assess the efficacy of a contact lateral-wedged insole with strapping on the femorotibial angle in patients with varus deformity osteoarthritis of the knee after treatment period. 25 outpatients with knee osteoarthritis (OA) were randomized to be treated with a contact lateral-wedge insole with strapping. Standing radiographs were used to analyze the femorotibial angle for each subject. The result of repeated two-way ANOVA's reveled that a contact lateral-wedged insole with strapping produced significantly differences in the femorotibial angle between groups after treatment period (P<0.05). and repeated one-way ANOVA's reveled that it produced significantly differences in the femorotibial angle between experimental groups after treatment period (P<0.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and later compartment forces in the knee varus-valgus deformity.

• Journal of Korean Neurosurgical Society
• /
• v.57 no.4
• /
• pp.295-297
• /
• 2015

We report the case of 57-year-old woman diagnosed with Charcot-Marie-Tooth (CMT) disease and lumbar disk herniation (LDH). She had left leg weakness and foot numbness, foot deformity (muscle atrophy, high arch, and clawed toes). The lumbar spine MRI showed LDH at L4-5. Additionally, electrophysiology results were consistent with chronic peripheral motor-sensory polyneuropathy (axonopathy). In genetic testing, 17p11.2-p12 duplication/deletions characteristic of CMT disease were observed. We confirmed the patient's diagnosis as CMT disease and used conservative treatment.

• Journal of the Institute of Convergence Signal Processing
• /
• v.18 no.1
• /
• pp.1-5
• /
• 2017

It is important to train lower limb muscle strength using a tilting table to recover the lower extremity function of hemiplegia patients. It is known that the foot deformity and poor posture of hemiplegia patients can reduce the effectiveness of lower limb rehabilitation training. In this study, we developed a sensor system that can measure the foot pressure distribution of the patients for the load control of the lower extremity during lower limb rehabilitation training and it can be substituted for conventional high-cost technologies.

• Journal of Korean Foot and Ankle Society
• /
• v.20 no.4
• /
• pp.158-162
• /
• 2016

Purpose: To evaluate the radiological and clinical effects of early weightbearing after distal reverse oblique osteotomy of bunionette. Materials and Methods: Between 2009 and 2015, 52 patients who underwent surgical treatment at our hospital for bunionette deformity with a minimum follow up of one year were included in the study. Postoperatively, foot cast was applied and full weightbearing was permitted in 28 patients. And short leg splint was applied with only partial weightbearing using crutches allowed in 24 patients. Clinical scores were evaluated. Radiologically, the 4th~5th intermetatarsal angle (IMA), and 5th metatarsophalangeal angle (MPA) were analyzed preoperatively and at the final follow up visit. Results: The visual analogue scale and American Orthopaedic Foot and Ankle Society scores improved in the partial weightbearing group and full weightbearing group, but without significant differences. The average 4th~5th IMA and average 5th MPA correction also did not showed significant differences between the partial weightbearing group and full weightbearing group. Moreover, the full weightbearing group did not encourage non-union rate compared with the partial weightbearing group. Conclusion: Effective bone union may be achieved through early weightbearing, resulting in better clinical outcomes. It is considered that early weightbearing did not have any effect on the changes of IMA and bone union.

• PNF and Movement
• /
• v.20 no.2
• /
• pp.167-177
• /
• 2022

Purpose: Pes planus is a common foot deformity that involves the loss of the medial longitudinal arch. The medial longitudinal arch deformity is usually asymptomatic; however, it can lead to an increased risk of pain and injury. Low-Dye taping is designed to treat plantar heel pain and pes planus. However, low-Dye taping is relatively complex, and a considerable amount of time is required to apply the tape correctly. The purpose of this study was to compare the acute effect of two different types of taping (low-Dye taping and modified Mulligan taping) on arch reformation, plantar pressure, and gait characteristics in participants with asymptomatic flexible pes planus. Methods: Twenty subjects (9 males and 11 females; mean age = 21.95 years) with asymptomatic flexible pes planus voluntarily participated in this study. Arch reformation was evaluated using navicular height measurements. Changes in plantar pressure distribution were measured using BioRecue equipment. Gait parameters were measured using spatiotemporal data collected during consecutive gait cycles using a G-WALK device. One-way analysis of variance was used to compare the three different conditions (i.e., bare foot, low-Dye taping, and modified Mulligan taping) for each variable. Results: Navicular height was significantly increased in subjects who underwent the two types of taping compared to those who experienced the bare foot condition. The plantar pressure was significantly shifted to the posterolateral area after modified Mulligan taping compared with the bare foot condition. There were no significant differences in the gait parameters. Conclusion: The findings of this study indicate that modified Mulligan taping has a similar effect to low-Dye taping, and modified Mulligan taping is a simpler method than low-Dye taping.

• Archives of Plastic Surgery
• /
• v.42 no.2
• /
• pp.207-213
• /
• 2015

Background Pincer nail deformity is a transverse overcurvature of the nail. This study aimed to define the anatomical characteristics of pincer nail deformity and to evaluate the surgical outcomes. Methods A retrospective review was conducted on 20 cases of pincer nail deformity of the great toe. Thirty subjects without pincer nail deformity or history of trauma of the feet were selected as the control group. Width and height indices were calculated, and interphalangeal angles and base widths of the distal phalanx were measured with radiography. We chose the surgical treatment methods considering perfusion-related factors such as age, diabetes mellitus, kidney disease, and peripheral vascular disease. The zigzag nail bed flap method (n=9) and the inverted T incision method (n=11) were used to repair deformities. The outcomes were evaluated 6 months after surgery. Results The interphalangeal angle was significantly greater in the preoperative patient group ($14.0^{\circ}{\pm}3.6^{\circ}$) than in the control group ($7.9^{\circ}{\pm}3.0^{\circ}$) (P<0.05). The postoperative width and height indices were very close to the measurements in the control group, and most patients were satisfied with the outcomes. Conclusions We believe that the width and height indices are useful for evaluating the deformity and outcomes of surgical treatments. We used two different surgical methods for the two patient groups with respect to the perfusion-related factors and found that the outcomes were all satisfactory. Consequently, we recommend taking into consideration the circulatory condition of the foot when deciding upon the surgical method for pincer nail deformity.

• 대한족부족관절학회:학술대회논문집
• /
• 2009.04a
• /
• pp.28-28
• /
• 2009