• Title/Summary/Keyword: Hind-foot

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Combined Percutaneous and Minimal on Internal Fixation of Calcaneal Fractures Using Extensile Lateral Approach (광범위 외측 도달법을 이용한 종골 골절의 경피적 및 최소 내고정술)

  • Yu, Sun-O;Kim, Joo-Sung;Kim, Jong-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.201-207
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    • 2002
  • Purpose: To present the clinical analysis of the results obtained in 38 cases of displaced intraarticular calcaneal fractures undergone combined percutaneous axial pin fixation of calcaneal body and minimal internal fixation using extensile lateral approach. Materials and Methods: From March 2000 to February 2002, thirty-eight displaced intraarticular fractures of the calcaneus in 35 patients were fixed with 3.5mm cannulated screws and percutaneous 2.5mm K-wires. The extensile lateral approach was used in all cases. The average follow-up period was 16 months. Clinical evaluation was assessed according to the Ankle-Hind Foot Scale of American Orthopedic Foot and Ankle Society. Results: The clinical results were graded as excellent in 8 cases(21%), good in 22 cases(58%), fair in 6 cases(16%), and poor in 2 cases(5%). Two cases of poor result were type IV of Sanders classification. The postoperative reduction status of the articular surface was analyzed by computed tomography in all cases and was found to be less 2mm of step off in 30 cases and between 2 and 4mm in 8 cases. Unsatisfactory results were correlated with severity of articular comminution and failure to obtain accurate reduction of the articular surface. Using early functional postoperative care, all fractures healed without secondary displacement except 1 case on an average of ten weeks. Two cases had superficial necrosis of the wound margins, however, secondary wound healing was uneventful and skin grafting was not needed. Conclusion: Combined minimal internal fixation and percutaneous pin fixation using extensile lateral approach is useful operative method of intraarticular calcaneal fractures because providing enough stability to permit functional aftercare and allowing excellent anatomical reduction. In addition, this method diminishes the risk of lateral soft tissue problems.

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Total ankle arthroplasty - Average 8 year follow up - (족관절 전치환술 - 평균 8년 추시 -)

  • Bae, Dae-Kyung;Kim, Yong-Chan;Cho, Nam-Su;Lim, Chan-Teak;Ha, Jeong-Han
    • Journal of Korean Foot and Ankle Society
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    • v.5 no.1
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    • pp.55-61
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    • 2001
  • Purpose: To evaluate the clinical and functional results of ankle arthroplasty and to analyze the complications in total ankle arthroplasty. Materials and Methods: Between October 1988 and October 1991, the total ankle arthroplasty had been performed in eight ankle joints of seven patients.. There were five patients with rheumatoid arthritis, one with osteoarthritis and one with traumatic arthritis. One patient had bilateral replacement. New Jersey type of prosthesis was used in six patients and one patient was performed with Odland type of prosthesis. The average age at surgery was 42.3 years (range, 33-54 years). The average follow-up period was 8.2 years (range, 6-10.5 years). Clinical evaluation was assessed according to the Ankle-Hind Foot Scale of American Orthopedic Foot and Ankle Society. Results: The average score was 81.4 (range, 76 - 90) at the most recent follow-up. All patients were satisfied with their clinical results. Relief of pain was excellent in most patients, but postoperatively there was no significant improvement in range of motion. One patient had arthrodesis at three year six months after total ankle arthroplasty due to deep infection. Conclusion: This study shows total ankle arthroplasty is a good alternative treatment in selected cases of osteoarthritis and rheumatoid arthritis.

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A Case Report on a Patient of Achilles Tendinitis Treated with Gyeon-mak Chuna, Korean Medicine and Graston Technique (근막추나와 한방치료 및 그라스톤테크닉을 병행하여 호전된 아킬레스건염 증례보고 1례)

  • Park, Jae-Hong;Oh, Eun-Young;Lee, Heun-Ju;Kim, Young-Jun;Shin, You-Bin
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.1
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    • pp.103-110
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    • 2015
  • The objective of this study is to report the improved case of Achilles tendinitis treated with Korean medicine, Gyeon-mak chuna and Graston Technique. The patient diagnosed with Achilles tendinitis is hospitalized at Department of Korean Rehabilitation Medicine, Samse Hospital of Korean Medicine. The subject is treated by herbal medicine, acupuncture, Gyeon-mak chuna and Graston technique. This study was measured by Visual Analogue Scale (VAS) score, walking time without pain per 6 minutes (6MWT) and American orthopaedic foot and ankle society Hind foot scale (AOFAS). The patient showed decreased VAS, AOFAS and improved 6MWT after treated with Korean medicine, Gyeon-mak chuna and Graston Technique. The patient showed reduced pain and positive effect on activities of daily living.

Treatment of Old Achilles Tendon Rupture using Modified Flexor Hallucis Longus Tendon Transfer (변형된 장 족무지 굴건 이전술을 이용한 진구성 아킬레스 건 파열의 치료)

  • Kim, Hyong-Nyun;Suh, Il-Woo;Park, Yong-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.133-137
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    • 2009
  • Purpose: The purpose of this study was to evaluate the clinical results of the old Achilles tendon rupture treated with modified flexor hallucis longus (FHL) tendon transfer. Materials and Methods: Seventeen patients with old Achilles tendon rupture treated with modified FHL tendon transfer between March 2004 and February 2008 were enrolled in this study. Technically FHL was pass through the distal portion of the ruptured tendon instead of the drilled hole made on the calcaneus. The mean age of the patients was 37 years (range, 22~67 years), mean follow-up period was 28 months (range, 12~30 months). Patients' subjective satisfaction, calf circumferential diameter, range of motion of ankle and AOFAS ankle-hind foot score and Arner-Lidholm score was evaluated. Results: The average gap between the ruptured tendon was 52 mm (range, 47~56 mm). The AOFAS score improved from 47 pre-operatively to 91 points at the last follow-up. Sixteen patients were satisfied with the result free from discomfort, a patient had mild discomfort who had DM. fourteen patients had decreased range of motion less than 5 degrees while 2 patients had more than 7 degrees decrease compared to the intact side but had no discomfort in daily activities. Nine patients had less than 1 cm calf circumferential diameter difference and 7 patients had 1 to 3 cm diameter difference compared to the intact side. One who had more than 3 cm diameter difference had deteriorated muscle strength. Conclusion: Modified FHL tendon transfer can be a useful technique for the treatment of old Achilles tendon rupture when the gap is with large gap placed too proximal.

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A Morphological Study on the Androconia of the Lycaenidae(Insecta: Lepidoptera)in Korea (한국산 부전나비과(곤충강:나비목)의 발향린에 관한 형태학적 연구)

  • 이종욱;류성만;이미경
    • Korean journal of applied entomology
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    • v.37 no.1
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    • pp.39-48
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    • 1998
  • To know whether there is any androconia on Korean Lycaenidae, studies were carried out with Korean Lycaenid butterflies for their types and distribution pattern with the aid of scanning electron microscope. As the results, androconia was observed from 8 species; Niphanda fusca (B. et G.), Pseudozizeeria maha (K.), Zizina otis (F.), Everes argiades (P.), Celasrtina argiolus (L.), Maculinea arionides (S.), M. teleius (B.) and Lycaeides argyronomon (B.). Androconia was not found only from males, and it was observed on both dorsal and ventral surfaces of fore wings and on ventral surface of hind wings. Androconia was found to be distributed mainly on the area between the median and anal venis. General structure of androconia on Korean Lycaenids was rather simple with laminar and foot stalk. However, 2 types of androconia were observed from 2 species, Pseudozizeeria maha and Everes argiades, while only one type was observed from other 6 species. The foot stalks of androconia on Niphanda fusca under the tribe Niphandini is located on the ventral surface of laminar and hidden from dorsal view, while one end of that on all other 7 species belong to the tribe Polyommatini is attached to the lower side of laminar and shown from both side.

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Clinical and Radiologic Results of Arthroscopic Treatment for Osteochondral Lesion with Subchondral Cyst on Talus (연골하 낭종을 동반한 거골의 골연골 병변의 관절경적 치료 후 임상적 결과 및 방사선학적 변화)

  • Lee, Jin-Woo;Park, Kwan-Kyu;Kim, Sung-Jae;Hahn, Soo-Bong;Kang, Eung-Shick
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.1
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    • pp.21-29
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    • 2003
  • Purpose: The purpose of this study is to review clinical and radiologic changes after arthroscopic operation without bone graft for osteochondral lesion with subchondral cyst on the talus. And we compared the results with those without cyst. Radiologic changes were also observed. Materials and Methods: Arthroscopic microfrature or abrasion arthroplasty was performed on 10 caeses of osteochondral lesions with subchondral cyst and 20 cases without cysts. Preoperative and postoperative symptoms were evaluated by Ankle-Hind foot scale of AOFAS and the score of two groups were compared(t-Test : Paired Two Test for Means). Radiologic evaluation was performed after operation on patients with osteochondral lesion with cyst. Results: On patients of osteochondral lesion with subchondral cyst on talus, there was clinical improvement compared to the preoperative status and compared to patients without cysts(P=0.01) after arthroscopic operation. We could get increase of density and decrease of size of cystic lesion on plain film with time passage. Conclusion: We report 10 cases with osteochondral lesion with subchondral cyst on talus which resulted in clinical and radiological improvement after arthroscopic microfracture or abrasion arthroplasty without bone graft.

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The Effect of Taping Therapy on the Expression of cFos Protein and Pain Suppression in Acute Ankle Sprain in Rats (흰쥐의 급성 발목삠에서 테이핑요법이 cFos 단백의 발현과 통증억제에 미치는 영향)

  • Choi, Suck-Jun;Byun, Sin-Kyu;Lee, Gyoung-Wan;Kim, Jae-Hyo;Yang, Seung-Bum
    • Korean Journal of Acupuncture
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    • v.34 no.1
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    • pp.1-7
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    • 2017
  • Objectives : The purpose of this study was to evaluate effects of taping therapy on recovery of behavioral symptoms and neural excitability of the lumbar spinal cord in rat model for ankle sprain. Methods : Adult Sprague-Dawley rats was used and divided into 3 experimental groups: normal group(n=6), ankle sprain(n=6), and ankle sprain with taping treatment(n=6). In order to induce ankle sprain the right ankle joint was injured with 4~5 repetitive over-flexions and over-extensions manually. The severity of joint pain was evaluated by measuring foot weight bearing force ratio(FWBRF) of the hind limb and the injury-induced edema formation by diameter of the joint following ankle sprain. The changes of neural excitability in the lumbar spinal cord was tested by observation of cFos protein expression, a metabolic marker for neural excitation. Results : Severity of ankle injury induced in this experiment coincided with Grade 1 ankle sprain. Compared with ankle sprain group, ankle sprain+taping showed a significant reductions of joint pain as well as of edema formation at the ankle joint following ankle sprain. There was significant upregulation of cFos-immunoreactive neurons in the lumbar spinal cord 24 hours after ankle sprain. In contrast, taping therapy resulted in significant inhibition of cFos-immunoreactive neurons in the lumbar spinal cord. Conclusions : Collectively, these results suggest that taping therapy may be an alternative therapeutic intervention for symptom recovery of the mild ankle sprain.

External Morphology and Environment of Foraging Site in Asian parti-coloured Bat Vespertilio sinensis in Naejangsan National Park (내장산국립공원내 서식하는 안주애기박쥐(Vespertilio sinensis)의 외부형태 및 채식지 환경특성)

  • Chung, Chul-Un;Kim, Tae-Geun;Kim, Sung-Chul;Lim, Chun-Woo;Han, Sang-Hoon
    • Journal of Environmental Science International
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    • v.24 no.2
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    • pp.261-266
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    • 2015
  • We have analyzed the external morphology and the environment of the foraging site of Vespertilio sinensis. The external morphology was analyzed by twelve parameters and the environment characteristics of the foraging site was analyzed using GIS 10.1 program. The wing membrane was inserted into the ankle of the hind foot and the wing ratio was 1.42, the middle type between broad-short wing type and long-narrow wing type. The fur color was blackish brown but the guard hair color was whitish. The shape of the ear was a rounded triangle and tragus was a fan shape. This study showed that V. sinensis preferred the deciduous forest of the upper forest zone, where human interference was less. We believed that abundance of insects, depending on water system, was closely related to the use of the foraging site. This result showed that the environment characteristics was very similar to the nature preservation zone including Baekyang valley and Keumsun valley in Naejangsan National Park.

A survey on the incidence rate of foot diseases in dairy cattle

  • Lee, Cheong-San;Ryu, Dae-Yeol;Kwak, Hak-Koo;Hyun, Gong-Yul;Park, Kyung-Jae;Cho, Woo-Young;Lee, Jong-In
    • Korean Journal of Veterinary Service
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    • v.24 no.4
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    • pp.347-352
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    • 2001
  • This study was carried out to investigate the status of hoof diseases and to develope treatment method for cattle with hoof diseases during the period of January to December in 2000. Out of 435 heads, 34 heads(7.8%) had hoof diseases. In respect to season, incidence rate was higher in August to September than that of other seasons. The incidence rates of hoof rot, pododermatitis verrucosae, laminitis, other cases and trauma were 14 cases(41%), 10 cases (29%), 7 cases(21%), 2 cases(6%) and 1 case(3%), respectively. In respect to age and milk production, Incidence rate was higher in the cattle with high milk production. Incidence rate of hoof diseases on the hind-limbs was higher than that of the fore-limbs. E. coli(8 strains), Clostridium spp(8 strains), Staphylococcus spp(6 strains), Fusobacterium spp(6 strains), and Bacteroides spp(6 strains) were isolated from the hoof lesions. All isolates were sensitive to composite preparation made of mainly formalin with picric acid and phenol. (Treatment against each strains isolated was sensitive to composite preparation made out of the main constitutions of formalin with picric acid and phenol).

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Analysis of the Plantar Pressure on the Flat and Slope Walking by Insole Type

  • Kim, Bu Gan;Lee, Joong Sook;Yang, Jeong Ok;Lee, Bom Jin
    • Korean Journal of Applied Biomechanics
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    • v.28 no.3
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    • pp.165-173
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    • 2018
  • Objective: The purpose of this study is to provide biomechanical basis data for the analysis of the maximum vertical ground reaction force, the maximum plantar pressure, the average plantar pressure, and the contact area according to the type of the insole through the insole insertion type foot pressure gauge. Method: In the treadmill, the slope was set at 10%, the first type A was worn at a walking speed of 3.5 km / h, and then walking was carried out using B, C, and D types. Data from 20 boots with consistent walking were extracted and plantar pressure data were collected and analyzed. Results: Functional insole was more effective than conventional insole for maximum vertical ground reaction force, maximum plantar pressure, average plantar pressure, and contact area at 10% of treadmill ramps. Conclusion: In this study, D-type insole supports the cushion in the middle part and supports the heel cup with hardness in the hind part, so that it is the most effective insole by lowering the plantar pressure and dispersing it more widely.