• 한국임상수의학회지
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• 제20권3호
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• pp.403-405
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• 2003

A 11 month-old Shihtzu was referred to the Veterinary Medical Teaching Hospital, Seoul National University. Clinical signs of this patient were lameness, shortening limb, angular deformity, rotation of foot, subluxaion of elbow joint and restricted range of movement of left forelimb. For the evaluation of the abnormalities of left forelimb, radiographic examination was carried out. Radiographic findings were characteristics of premature closure of distal ulna such as closure of distal ulna growth plate and cranial bowing of radius. With radiographic signs and physical examination, it was diagnosed as premature closure of growth plate of the left forelimb. After osteotomy of the radius and ostectomy of the ulna, radiographic evaluation of limb about angulation of elbow joint was performed every 2-3 weeks for 3 months. In case of premature closure of distal growth plate of ulna, radiography was very useful for diagnositic method of premature closure of distal ulna and monitoring of healing process.

• 대한족부족관절학회지
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• 제17권2호
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• pp.130-135
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• 2013

Purpose: Preshaped Locking compression plate(LCP) has holes with fixed angle between screw and plate and have advantage firm fixation because it has stability of angular and axial deformity. We evaluated usefulness of LCP after open reduction and internal fixation in distal fibular fracture. Materials and Methods: Between December 2011 and May 2012, 23 patients with fracture of distal fibula were followed up at least 12 months underwent open reduction and internal fixation with LCP. There were 15 males and 8 females with a mean age 39.8(20~69) years. According to Danis-Weber classification, there were 20 cases of type B and 3 cases of type C. There were 13 cases of isolated lateral malleolus fractures, 1 case of bimalleolar fracture, 6 cases of trimalleolar fractures and 3 cases of distal tibia fractures with proximal fibula fracture. Intraoperatively, we assessed whether preshaped LCP fit lateral margin of distal fibula or not and evaluated quality of reduction and postoperative complications. The cases were analyzed by radiological bone union time and clinical results according to the criteria of Meyer Results: Of all cases, complete bone union was achieved and average radiological bone union time was 7.3(6~12) weeks. The clinical results were excellent in 18 cases(78%), good in 5 cases(22%). There were 5 cases of plate with 3 holes, 13 cases of plate with 4 holes, 2 cases of plate with 5 holes, 1 case of plate with 6 holes and 2 cases of plate with 7 holes. The average number of screws at proximal fragement was 2.5 and at distal fragment was 3.5. In 14 cases (60.8 %), we needed re-bending of plate because the distance between plate and lateral cortical margin of distal fibula was more than 5 mm at anteroposterior X-ray after reduction. All cases have anatomical reduction and there were no complications of wound infections. There were no complaint about hardware irritation. Conclusion: At fractures of distal fibula,preshaped LCP had a excellent stability although far cortex was not fixed with screw and bending of plate. And there are less complications of hardware irritation and wound problems. But, Some complement would be needed because there were no complete fitting between precontour of LCP and lateral cortical margin of distal fibula.

• Physical Therapy Rehabilitation Science
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• 제5권3호
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• pp.132-137
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• 2016

Objective: Eversion of the foot is created with internal rotation of the shank, and inversion of the foot is created with external rotation of the shank. The purpose of the study was to investigate the effect of continuous changes in the angle of the subtalar joint on lower extremity alignments. Design: Cross-sectional study. Methods: Seventeen healthy young adult subjects recruited. The subjects were asked to stand up in a natural standing position on a footplate with eye open and equal weight on each foot for 10s in two different conditions: The right subtalar joint was everted continuously $0^{\circ}-20^{\circ}$ and in separate segments of $0^{\circ}$, $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, $20^{\circ}$. The averages of three trials were used. The observation of the changes in the lower extremity was performed with the use of 3-dimensional motion analysis. For data analysis, the SPSS 18.0 software using paired t-test and repeated measures analysis of variance (ANOVA) was applied. Results: The angle was significantly increased at the horizontal rotation angle of the shank, thigh, and ankle without anterior rotation of the pelvis (p<0.05). The maximum horizontal rotation angle at the thigh on $20^{\circ}$ was $-4.52^{\circ}$ in static, and $-3.10^{\circ}$ in the dynamic conditions compared to $0^{\circ}$. Conclusions: Increased unilateral foot pronation, thigh, shank, ankle horizontal rotation variance was significantly effective. The observation of the changes in foot abduction with the use of a 3-dimensional motion analysis augmented in predicting the angle values of each segment of the lower extremity. In further studies, a comparison of the right and left subtalar joints need to be investigated.

• The Journal of Korean Physical Therapy
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• 제21권3호
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• pp.47-52
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• 2009

Purpose: To examine the correlation between the gait speed and muscle activation or foot pressure in stroke patients. Methods: Twenty five functionally ambulant stroke patients (male/female: 15/10, mean age: $57.65\pm2.30$) were enrolled in this study. The patients were asked to walk on a plate at a self-selected and comfortable speed. Three walking trials were obtained and then averaged for data analysis. The gait speed and foot pressure were measured from a RS-Scan system. Activation of the quadriceps femoris muscle and biceps hamstring muscle (%RVC) were recorded using ProComp $Infiniti^{TM}$. Results: There was a significant positive correlation between Hamstring muscle activation (%RVC) and gait speed. The gait speed correlated with the foot pressure of the lateral metatarsal zone (M3-5) in the affected side. There was a correlation between the gait speed and the foot pressure of the lateral metatarsal (M3-5) and heel (medial, lateral) zone in the less-affected side. Conclusion: The gait speed is related to hamstring muscle activation and the characteristics of foot pressure. This information was observed in both the affected and less-affected sides, suggesting that rehabilitation programs should be implemented on both sides.

• The Journal of Korean Physical Therapy
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• 제14권4호
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• pp.342-366
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• 2002

An excessive Q-angle has been implicated in the development of knee injuries by altering the lower-extremity locomotion kinematics. The purpose of this study was measured the Q-angle and the CTA when the foot moves pronation and supination of the foot in the standing status. The participants of this examination were 60 adult(30 men and 30 women) who had no orthopaedic and neurological impairment, aged between 20 and 40years. The foot tilt(FT 1)is made of acrylic plate and the slope of the suface is altered as $0^{\circ}$, pronation ($10^{\circ},20^{\circ},30^{\circ}$)and supination($10^{\circ},20^{\circ},30^{\circ}$). The results were as follows : 1. The result about the left/right Q-angle and the left/right CAT There was no statistical significant difference between the left and the right side of the Q-angle with different position of the foot(P > 0.05). While significant difference in the left CTA at the $0^{\circ}$, pronation($10^{\circ},20^{\circ},30^{\circ}$) and supination($10^{\circ},20^{\circ}$) has been observed(P < 0.05). 2. The result about the Q-angle and the CTA between male and female There was significant difference in the Q-angle between male and female with different position of the foot(P < 0.05). while significant different in the right CTA at the $0^{\circ}$ pronation ($20^{\circ}$)(P < 0.05), no significant difference in the left CTA have been observed(P > 0.05). 3. The result about correlation between the left/right Q-angle and the left/right CAT There was statistical significant positive correlation between the left/right Q-angle and the left/right CAT with the different position of the foot(P < 0.01).

• 대한기계학회논문집
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• 제18권8호
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• pp.2101-2112
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• 1994

A two-dimensional biomechanical model was developed in order to calculated the lower extremity kinematics and kinetics during level walking. This model consists of three segments : the thigh, calf, and foot. Each segment was assumed to be a rigid body ; its motion to be planar in the sagittal plane. Five young males were involved in the gait experiment and their anthropometric data were measured for the calculation of segmental masses and moments of inertial. Six markers were used to obtain the kinematic data of the right lower extremity for at least three trials of walking at 1.0m/s, and simultaneously a Kistler force plate was used to obtain the foot-floor reaction data. Based on the experimental data acquired for the stance phase of the right foot, calculated vertical joint forces reached up to 0.91, 1.05, and 1.11 BW(body weight) at the hip, the knee, the ankle joints, respectively. The flexion-extension moments reached up to 69.7, 52.3, and 98.8 Nm in magnitude at the corresponding three joints. It was found that the calculated joint loadings of a subject were statistically the same for all his three trials, but not the same for all five subjects involved in the gait study.

• 대한족부족관절학회지
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• 제17권2호
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• pp.136-142
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• 2013

Purpose: To analyze the outcome of distal tibia fracture treated with the Distal Tibia LCP with combination of interfragmentary screw. Materials and Methods: Between January 2008 and March 2012, data of 34 patients with fracture of distal tibia treated with the Distal Tibia LCP with or without combination of interfragmentary screws were reviewed. There were 17 males and 17 females with an average age of 51.8 years (range, 18~77 years). Radiographic union time and time from surgery until ability to full weight bearing were measured and compared. Callus index was measured as quotient of callus thickness and diameter of corticalis both in AP and sagittal direction. Results: 12 fractures were treated with interfragmentary screws and 22 fractures were treated with bridging plate alone. In interfragmentary fixation group, time to full weight bearing was 14 weeks versus 15.75 weeks without screw. Callus index at bearing was not significantly lesser in patients with screw compated with those without, but callus index difference at posterative 4weeks was sigficant. Radiologic union time was 11.3 weeks in interfragmentary fixation group and 12.58 weeks without screw. Conclusion: The osteosynthesis with the Distal tibia LCP with combination of interfragmentary screw seems to be more stable in postoperative 4weeks than Distal tibia LCP alone, expecting to earlier ROM exercise and rehabilitation.

• 대한족부족관절학회지
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• 제13권1호
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• pp.80-84
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• 2009

Purpose: The purpose of this article is to assess the efficacy of a bioabsorbable polylactide (PLA) plate and screw for treating injuries of ankle fractures. Materials and Methods: 24 patients who underwent an open reduction and internal fixation operation for ankle fractures from July 2005 to March 2007 were enrolled into the study. There were 15 men and 9 women. The average age of the patients was 44 years and the average follow-up period was 16 years and two months (16.2 months). All cases were divided into low grade fracture patient (11) who belongs in type A and B of Danis-Weber classification and high grade fracture patient (13) who belongs in type C1, C2 of Danis-Weber classification, and each groups were analyzed by clinical (Meyer score) and radiological finding at the time of their last follow-up evaluation. Results: The clinical results according to Meyer scoring system, showed that all patient with low grade fracture had good to excellent result, but only 54% of patient with high grade fracture had good to excellent result. According to Cedell's radiologic finding, there were 91% cases above fair in low grade fracture. But there were 62% of patient above fair result in high grade fracture, the reduction losses were seen in 38% of patient with high grade fracture. Conclusion: Bioabsorbable PLA plate and screw is good internal fixation device which doesn't have additional operation for removal of implant because of slow absorption within the human body. It showed sufficient strength for acquisition and maintenance of reduction in low grade fracture, but need attention to use because of many cases of reduction loss in high grade fracture. So, it seems to be safe and effective when used in heeling of low grade fracture under considering about type of fracture sufficiently.

• 한국운동역학회지
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• 제13권3호
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• pp.341-354
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• 2003

The purpose of this study was to develop the uniaxial force plate system which is measured by the vertical force. The VGRF(vertical ground reaction force) 1.0 was composed of 2 bath digital scales, 2 indicaters, and analyzing software. This system was newly renovated to VGRF 2,0 which are 2 industrial digital scales, 2 adjustable indicators, and enforced analyzing software. Changes of the new system were as follows. First, the height of the plate was 75% lower than before. Second, sensing ability of the load cell was changed from 90 - 0.05kg to 300 - 0.1kg. Third, the speed of data processing was changed from 17 per second to 60 per second. Fourth, analyzing software was enforced to develop and calculate the data. For the test of the system, two different types(bare foot, high-heeled shoes) gait was adopted. highly skilled female walker(23yrs, height 165cm, body mass 46.8kg) participated for the experimental study. During the dynamic performance(gait analysis), the data of each load cell were very similar to the previous studies. Specifically, bare foot walking had less vertical force than high-heeled shoes. Consequently, VGRF 2.0 can sense the general dynamic movements as well as static load conditions.

• 대한족부족관절학회지
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• 제23권3호
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• pp.135-138
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• 2019

According to a recent systemic review, hallux valgus deformity has a prevalence rate of about 23% among adults aged 18 to 65 years. To date, more than 100 operative methods have been reported for the correction of hallux valgus deformity. For young female with mild to moderate hallux valgus deformity, minimally invasive surgery can be considered for aesthetic demands. Here, we report a case of a young female patient with mild hallux valgus deformity treated by minimally invasive surgery using intramedullary low profile plate fixation. This can be the favorable method for secure fixation of the osteotomy site and prevention of medial skin irritation symptoms derived from a sharp osteotomy margin.