• 대한족부족관절학회지
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• 제6권2호
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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.

• 대한족부족관절학회지
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• 제5권1호
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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.

• 한방재활의학과학회지
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• 제25권1호
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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.

• 대한족부족관절학회지
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• 제13권2호
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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.

• 한국응용곤충학회지
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• 제37권1호
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• pp.39-48
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• 1998

한국산 부전나비과 40종 2,850여 개체를 재료로 광학현미경으로 발향린의 유무 및 분포를 확인하였다. 이중 발향린이 확인, 관찰된 8종을 대상으로 주사전자현미경을 이용하여 미세구조를 비교하였다. 발향린이 관찰된 종은 Pseudozizera maha(K.), Celasrtina argiolus(L.), Everes argiades (P.), Lycaeides argyronmon(B.), Zizina otis(F.), Maculinea arionides(S.), M. teleius(B.), Niphanda fusca(B. et G.)등 8종이었다. 암컷에서는 발향린이 관찰되지 않았고 수컷에서만 확인되었으며, 앞날개의 표면과 이면, 그리고 뒷날개의 표면에서 관찰되었다. 발향린은 주로 중맥, 주맥, 둔맥에 분포하였으며 종별로 형태적 차이를 보였다. 확인, 관찰된 8종의 발향린은 잎새, 자루병반만을 가지는 단순한 모양을 나타내었다. Niphanda fusca는 잎새모양과 자루병반의 위치 등 많은 차이점이 확인되었으며, Pseudozizeera maha, Everes argiades등 2종에서는 두가지 형태의 발향린이 관찰되었다. 본 연구에서는 관찰된 8종은 모두 Polymmatina아과에 속하였다. 이중 Niphanda fusca는 Niphandini족에 속하며 나머지는 Polymmatini족에 속하였다.

• 대한족부족관절학회지
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• 제7권1호
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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.

• Korean Journal of Acupuncture
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• 제34권1호
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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.

• 한국환경과학회지
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• 제24권2호
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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.

• 한국동물위생학회지
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• 제24권4호
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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).

• 한국운동역학회지
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• 제28권3호
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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.