• Title/Summary/Keyword: Knee surgery

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Muscle Infarction and Calcification of the Semitendinosus Tendon: A Case Report (반건양건내에 발생한 근육 경색 및 석회화: 증례 보고)

  • Cho, Jin-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.18 no.2
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    • pp.89-93
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    • 2012
  • The most common anatomic location of calcific tendinitis is the suprasupinatus muscle of the shoulder joint. However, it is known to develop in any joint including the hip, knee. Infarction of skeletal muscle in the distal areas of the limbs due to vascular occlusion is a well recognized systemic condition in patients who have diabetes. The author experienced mass-like lesion combined muscle infarction and calcification within pure semitendinosus tendon without diabetes in posterosuperior area of distal thigh in old age.

Effect of Balance Performance in the Elderly by the Strengthening Exercise (근력강화운동이 노인의 균형수행력에 미치는 영향)

  • Kim On-Ju;Lee Han-Suk;Kim Jong-Youl;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.149-161
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    • 1999
  • The purpose of study wan to compare the effect of balance performance in the elderly by the strengthening exercise. Thirty-one health elderly women aged 60 to 79 years participated in this study. Participants were divided into exercise(21) and control group(10). Exercise participants received strengthening exercise for 45 minutes in three times a week for 6 weeks while control subjects continued their normal activities, Exercise included resisted hip flexion, extension, abduction and adduction, knee flexion and extension, ankle dorsiflexion and plantrarflexion. All subjects were assessmented clinical test of sensory interaction and balance. one leg stance test, Berg balance test. Exercise and control subjects were teated before, midway through, and at the end of the trial. These collected data were analyzed by using oneway and repeated ANOVA, scheffe's test, 1-test and correlation. The results of this study were as fellows. 1. There were statistically significant difference in balance performance clinical teat of sensory interaction, and balance(p<.01), one leg stance test(p<.05), Berg balance test(p<.05) by the strengthening exercise. 2. There was correlation between static balance and dynamic balance(p<.01). 3. There was correlation between static balance and weight(p<.05), dynamic balance and height(p<.01), and weight(p<.01).

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Ewing's Sarcoma of the Calcaneus:A Case Report

  • Choi, Joon-Hyuk;Yeo, Ji-Hyun;Kim, Mi-Jin;Shin, Duck-Seop;Cho, Kil-Ho
    • Journal of Yeungnam Medical Science
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    • v.21 no.2
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    • pp.256-261
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    • 2004
  • Ewing's sarcoma is rarely foundoccurs in the bones of the hands and feet. We report a case of Ewing's sarcoma of the left calcaneus in a 15-year-old girl who complained of left heel pain and swelling. An open biopsy was performed and histological examination showed the proliferation of uniform small round cells. Immunohistochemical staining for CD99 showed diffuse strong positivity in the cytoplasmic membrane of the tumor cells. After preoperative chemotherapy, a below knee amputation was performed.

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Graft Selection in ACL Reconstruction (전방 십자 인대 재건술에서 이식건 선택)

  • Lee Dong-Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.92-99
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    • 2003
  • The prevalence of anterior cruciate ligament (ACL) injury is continuously increased due to sports activities and traffic accident. Simultaneously ACL reconstruction operations are on the increase. Several kinds of autografts and allografts are used in ACL reconstruction. Although ACL reconstruction using an autogenous bone-patellar tendon-bone graft is the good standard, it might have potential morbidity, anterior knee pain and minimal extension loss. To minimize the complications and disadvantages on each graft and to select appropriate graft for each patient, it is necessary to understand the unique characteristics of each graft for biomechanical aspect, morbidity and disadvantage. Selecting the appropriate graft depends on numerous factors including surgeon's preference and experience, patient's activity level and age, extent of ligament injury, tissue availability, and patient's selection for graft .

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Warm Sensation of Left lower Extremity as a Complication of Left Stellate Ganglion Block (좌측성상교감신경절차단후(左側星狀交感神經節遮斷後)에 합병증(合倂症)으로 온 좌측하지온감(左側下肢溫感))

  • Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.1 no.1
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    • pp.125-128
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    • 1988
  • A case of the left stellate ganglion block (SGB) with a warm serration of the left lower extremity in a 25-year-old male soldier is presented. During the Korean War, this patient received a penetrating gun shot wound from the right knee through the left abdominal wall, left upper arm and left thumb. He was evacuated to the a marine corps surgical hospital where amputation of the left thumb and an end-to-end anatomosis of the left brachial artery were performed. After surgery, left ulnar and median nerve paralysis and causalgia developed and about 9 months later an upper thoracic ganglionectomy was proposed at the Chin-Hae Navel Hospital. Before the ganglionectomy a stellate ganglion block for diagnostic and prognostic purposes was requested by the surgeon. This block was performed by the supraclavicular anterior approach using 10 ml of 2% procaine. The effect of the block including Horner's syndrome was confirmed 5 minute later in this patient. This patient returned to the ward by walking unassisted 10 minutes after the block, and complained of a warm sensation in the left lower extremity 20 minutes later as well as the left upper arm. This warm sensation in the lower extremity following ipsilateral stellate ganglion block indicates that the local anesthetics solution injected tinto the neck spread down to lumbar sympathetic ganalgion along the fascial membrane of the sympathetic chain as a consequence of the 10 minutes walk.

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Useful effect of a clinical shoe insole, Mubal®, as orthotics

  • Park, Chan-Lee;Go, Ji-Hyun;Han, Na-Ra;Moon, Hong-Hee;Seo, Min-Jun
    • CELLMED
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    • v.5 no.2
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    • pp.10.1-10.3
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    • 2015
  • Arthritis is a major cause of joint pain, stiffness, and subsequent disability which adversely affects quality of life. Seriously, it can lead to long term social and psychological effects including loss of independence, depression, and anxiety. Arthritis is usually treated with joint replacement surgery or medications. However, the artificial joint is temporary and pharmacological measures have side effects, such as addiction or hypersensitivity. Thus, orthotics has been developed to improve arthritis as a nonpharmacological measure. The increased regional load across compartments of articular cartilage is an important factor in the cause of the arthritis. Mubal$^{(R)}$, a clinical shoe insole, has a sliding function to help people to walk straight and realign the body balance. The slide of Mubal$^{(R)}$ reduces the knee joint loading in patients with arthritis. In addition, pumping function of Mubal$^{(R)}$ can mitigate arthritis by stretching the squashed nerves from lumbar to cervical vertebral and actively circulating blood of pelvic limb. In addition, Mubal$^{(R)}$ could help to stimulate the growth plate. Therefore, Mubal$^{(R)}$ can be used for the child with short stature as well as patients with arthritis.

Comparison of Medical Compression Garments by Manufacturing Country (의료용 화상환자 압박복의 제조 국가별 비교)

  • Cho, Shin-Hyun
    • Journal of the Korea Fashion and Costume Design Association
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    • v.17 no.4
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    • pp.31-39
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    • 2015
  • A special medical compression garment has been developed to be worn after surgery or treatment using an elastic fiber in which the amount of compression can be adjusted to a specified targeted area to reduce the formation of hypertrophic scarring. In order to develop this medical compression garments, specialized technical skill in fiber, compression class and body measurements are needed. This study provides product survey data for the development of medical compression garments. An investigation analyzed medical compression garments of 16 brands from 6 countries sold in the Korean market & online, such as Make Me Heal, Jobst, Bio Concepts, Design Veronique$^{(R)}$ Nouvelle and Leonisa$^{(R)}$ (USA), Respire(Germany), Malcom$^{(R)}$, Holistic garments and Jobskin(UK), Technomed, kanav Healthcare and Sindhoori surgicals(India), Soo medical and C&C medical(Korea), Secondskin(Australia). The main fibers of compression garments were nylon and spandex: in addition, the fiber content was different by country and brand. The number of compression classes of products was USA(4), UK(4), and India(4). For body measurements, USA and many brands used (bust, under bust, waist, hip, thigh, knee, calf, ankle, upper arm, elbow, wrist, armhole bicep) circumference and length.

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A Study of Joint Therapy (II) (관절치료에 관한 연구 (II))

  • Bae, Sung-soo;Lee, Myung-hee;Lee, Sang-yeul;Kim, Sang-soo
    • PNF and Movement
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    • v.7 no.4
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    • pp.17-23
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    • 2009
  • Purpose : The objective of this study was conducted to find out treatment of weight bearing joint problems. Method : This is a literature study with books, seminar note and international PNF course books. Result : In joint therapy have to consider that what kind joint mechanics during movement, what kind relation between rotatory component of the force and translatory component of the force, what kind muscles are in the global mobilizer(GM) and local stabilizer(LS). One joint has muscle imbalance between GM and LS. It will make joint surface degenerative change which will make joint pain. Conclusion : Joint therapy is not only joint mobilization but also biomechanics of joint and GM's and LS's role. Total knee of hip joint replacement is not perfect. Before surgery have to be find out problem solving method within the physical medicine.

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Clinical Review in Double-Bundle Anterior Cruciate Ligament Reconstruction (이중 다발 전방십자인대 재건술의 임상적 결과)

  • Lee, Ju-Hong
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.111-114
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    • 2009
  • Double-bundle anterior cruciate ligament reconstruction (DBACLR) has been developed to produce better clinical outcomes in traditional single-bundle reconstruction, which showed considerable rate of dissatisfaction in restoration of stability and function of the anterior cruciate ligament deficient knee. There is plenty of evidence that DBACLR has theoretical advantages in anatomical, biomechanical, biological, kinematical, and possibly clinical standpoint compared with traditional one but still a lack of available clinical outcome studies with sufficient follow-up to demonstrate the substantial advantages of DBACLR. The purpose of this article is to review the clinical outcomes of double-bundle technique and to address controversy exists over the usefulness of this technique.

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Total Ankle Arthroplasty Management and Rehabilitation (족관절 인공관절 치환술 후 관리 및 재활)

  • Lee, Kwang-Bok
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.3
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    • pp.118-122
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    • 2022
  • Although total ankle arthroplasty (TAA) has increased considerably in the past ten years, reflecting improvements in implant design and survivorship, the clinical outcomes have been less satisfactory than total hip or total knee arthroplasties. Several issues under debate include postoperative management and rehabilitation in TAA. Especially, there is no consensus or evidence for the most appropriate postoperative management and rehabilitation for patients undergoing TAA. This study was therefore undertaken to suggest appropriate postoperative management and rehabilitation in TAA, after reviewing published articles and focusing on the following topics: prehabilitation, hospital stay, immobilization type and duration, weight-bearing management, pharmacological treatment, and adopted rehabilitation protocols. In previous studies, the postoperative management and rehabilitation proposed depended on the surgeon's preference, the patient's characteristics, and the associated surgical procedures performed after TAA. Nonetheless, our research indicates the best approach is to include a prehabilitation program, immobilization in the early postoperative stage (2~4 weeks), range of motion exercise with partial weight-bearing ambulation, followed by full weight-bearing ambulation after six weeks. Further studies are required to develop a standardized rehabilitation protocol and improve the overall quality of care after TAA.