• Journal of Korean Foot and Ankle Society
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• v.4 no.1
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• pp.13-18
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• 2000

Purpose: To show the results in term of pain and functional recovery in the mid-term follow up of total ankle replacement. Materials and Methods: We followed up 7 patients who had undergone total ankle arthroplasty during the periods between April 1990 and May 1997. They were evaluated after mean follow up of 3.6 years. Results: We reviewed these cases with regand to (in terms of) pain, function and alignment according to the Ankle-Hindfoot Scale designed by American Orthopaedic Foot and Ankle Society. The average point was 78. Conclusion: Total ankle replacement especially unconstrained type seems good alternative to arthrodesis in selected cases of ankle arthrosis.

• Journal of Korean Foot and Ankle Society
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• v.24 no.2
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• pp.94-97
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• 2020

Purpose: Fatigue breakage of cortical screws sometimes occurs after syndesmosis fixation, regardless of the period of screw retention. This study compared the fatigue strength of a novel screw design to conventional cortical screws in the fixed state of syndesmosis. Materials and Methods: Twelve sawbone models were tested mechanically to determine the fatigue strength of three screw designs. The first group was composed of cortical screws, while the second and third groups were newly-designed screws. The second group was composed of screws with a 2.4-mm diameter thread-free portion of the mid-shank while the third group had a 2.0-mm diameter thread-free mid-shank. A 400 N load was applied repetitively to a fibula model and the number of cycles until screw failure was recorded. Four screws from each group were tested, giving a total of 12 fatigue tests. Results: The average cycles until screw failure for groups 1, 2, and 3 were 8,134, 63,186, and 2,581, respectively. The second group showed the highest fatigue strength (p=0.018). The other two screw designs showed similar fatigue strength (p=0.401). Conclusion: New screw designs with a thread-free portion in the mid-shank could reduce the occurrence of fatigue breakage after syndesmosis fixation.

• Journal of the Korean Society of Costume
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• v.52 no.2
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• pp.71-80
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• 2002

The purpose of this study was to examine the correlation between the shape of the foot and foot abrasion. and to provide preliminary data for shoe manufacturing by comparing the length of a woman's feet and the shoe size. The Martin calibrator and measuring tapes were utilized to measure the shapes of 163 female college students' feet. Indirect measurements were also obtained by line drawing of the feet for additional analysis. Brief questionnaires about what type of shoes are worn were given to the subjects of the study. Data analysis was presented by frequency, percentage, and standard deviations. Factor analysis and correlation co-efficiency of data was conducted on the significance level of p〈.05. The results of the study are as follows (1) The average number of days per week in which the subjects wear ladies' shoes per week were 4.5. Little over half of the subjects (53.87% ) answered that they wear heeled shoes for more than 8 hours per day. The most preferred height of a ladies'shoe heel was between 2 cm and 4 cm, as replied by 41.0% of the subjects. (2) The foot area where abrasion occurs most often was around the heel (51.2%) and the middle part of the sole (50.9%) (3) Factors correlated to the heel abrasion included the circumference and the breadth of the foot. The abrasion on the side of the first toe of mid-sized feet was most affected by the angle of the first the and inner foot line. The height of the foot heel was a significant factor for the abrasion near the anklebone. In conclusion, the abrasion resulted from the inappropriate fitting of the shoe and the foot. Also, the circumference and the width factors were more influential rather than the foot length. Therefore, more database on this should be systemized and available to the footwear manufacturers and the customers for more practical use of shoe size and public education.

• Journal of Korean Foot and Ankle Society
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• v.13 no.2
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• pp.189-192
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• 2009

M$\ddot{u}$ller-Weiss disease is a rare disease presenting severe deformity of navicular with osteoarthritis. This disease can be confused with Kohler's disease, but has a different entity. A 68 years-old male with painful mid-foot deformity had diagnosed as M$\ddot{u}$ller-Weiss disease, and triple arthrodesis with autogenous iliac bone graft had been performed on his left foot. Here is a report of our case with brief review of this disease.

• Korean Journal of Applied Biomechanics
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• v.22 no.2
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• pp.141-150
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• 2012

This study aims to provide the basic biomechanical data on the average, maximum and distribution of plantar pressure during hockey penalty stroke by comparing five skilled and five unskilled players. Following are the conclusions. First in the case of average and maximum planter pressure during penalty stroke, the skilled players showed higher pressures at the moment of left foot landing in rear plantar of left foot and fore, rear plantar of right foot compared to the unskilled players. Also at the moment of impact, the skilled players showed higher pressures in fore, rear plantar of left foot and fore plantar of right foot compared to the unskilled. The analysis drew the conclusion that the skilled players move their center of body from fore, rear plantar of right foot to fore, rear plantar of left foot at the moment of left foot landing and impact in order to perform a quick and strong shooting. Second in the case of plantar distribution, as the skilled players put over 70% of their weights on left foot, they showed overall higher plantar pressure distributed on the outer fore, mid and rear parts of left foot plantar, in contrast with the unskilled players who showed about 50/50 distribution of weights on their right and left foot. The analysis concluded that such distribution was shown because the skilled players transferred their weights from the right to left foot effectively while the unskilled players could not do so.

• Korean Journal of Applied Biomechanics
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• v.26 no.3
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• pp.265-272
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• 2016

Objective: The aim of this study was to analyze X-factor, triple X-factor, and the center of pressure (COP) according to the feel of golf driver swing. Method: For this research, 9 golfers from the Korea Professional Golfers' Association (age: $30.11{\pm}2.98yrs$, height: $178.00{\pm}8.42cm$, weight: $76.22{\pm}8.42kg$, experience: $10.06{\pm}3.11yrs$) were recruited to participate in the experiment. Twelve Motion Analysis Eagle-4 cameras were installed and an image analysis was conducted by using the NLT (non-linear transformation) method, and 2 units of Kistler type 5233A dynamometer were used to measure ground reaction force. The sampling ratio was set at 1000 Hz. The golfers each took 10 swings by using their own driver, and chose the best and worse feel from among 10 shots. A paired-sample t-test was used to analyze the results. Results: In regard to feel, no change in head speed, X-factor, and the triple X-factor's X-factor stretch, hip rise, and head swivel, was observed (p>.05). Regarding ground reaction force, a difference was observed between the top of the backswing (p<.05) and impact (p<.05) in the vertical force of the left foot. For COP, a difference was also observed between the mid backswing (p<.001), late backswing (p<.001), and top of the backswing (p<.05) for the right foot X-axis and Y-axis mid follow through (p<.01). Conclusion: It can be reasoned that, irrespective of feel, the head speed, X-factor and triple X-factor's X-factor stretch, hip rise and head swivel did not have an effect on drive distance for domestic golfers, and the vertical reaction force of the left foot and left-right movement span's pressure dispersal of the right foot had an increasing effect on drive distance.

• PNF and Movement
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• v.6 no.3
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• pp.29-35
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• 2008

Purpose : To describes the important aspects of the foot and ankle movement and function used when git and balance strategy. Method : The foot and ankle was a very important roles in the lower limb movement and gait. This study summarizes the physiologic movement of knee to the PNF lower extremity patterns. Result : The ankle joint composed of the talocural joint, the subtalarl joint, transverse tarsal joint, talocalcaneonavicular joint. The onset of dorsiflexion muscle activity starts in pre swing gait patterns. First contract muscle is the extensor hallucis. Activity of tibialis anterior and extensor digitorum longus quickly follows in mid swing gait phase. During stance phase, the soleus and gastrocnemius muscle provided plantar flexor torque, which muscle reacts quickly to restrain ankle dorsiflexion, and contributes modulated control of the ankle motion in gait patterns. Conclusions : The understanding of ankle kinematics, could provide a good therapeutic approach for improving gait patterns in patients with various pathological condition.

• Journal of Biomedical Engineering Research
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• v.27 no.6
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• pp.351-356
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• 2006

The purpose of this study is to investigate the gait characteristics in Parkinson's disease patients. Specifically, the total stance time and the ratio of each stance phase (heel strike, mid-stance, propulsion) are analyzed from the foot-pressure measurement system which requires low cost and small space compared to the conventional gait analysis system. The gait characteristics were analyzed in 23 Parkinson's disease patients (before and after L-dopa medication), 34 elderly (sixties) normal subjects and 21 young (twenties) normal subjects. Bradykinesia global score (self-developed score of slowness of body movement) of patients before medication was determined to see the relationship between the score and the gait characteristics. The total stance time was greater in the erde. of patients, elderly, youngs (p<0.05). The phase ratio of heel strike and propulsion was smaller and that of mid-stance was greater in the order of patients, elderly, youngs (p<0.05). However, there was no significant difference in the above gait characteristics of patients before and after medication. There was a tendency, though statistically non-significant, that the total stance time is longer and the propulsion phase ratio is shorter in patients with greater Bradikinesia global scale, and this tendency was relieved after medication.

• Journal of the Korean Society of Physical Medicine
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• v.5 no.1
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• pp.43-51
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• 2010

Purpose : The purpose of this study was to compare plantar pressure distribution between affected side and unaffected side and to analyze plantar pressure distribution of affected side according to the extent of hemineglect in the adult hemiplegia. Methods : Twenty-five hemiplegia participated in this study. The analysis of plantar pressure distribution was conducted by the F-scan system, and the extent of hemineglect was evaluated with line-bisection test. While the subject walked about 10 meters in their comfortable speed the plantar pressure was evaluated and stored. Results : Total contact area, AP CoP trajectory, contact pressure of mid-foot of the affected side were significantly different from the unaffected side. Total contact area, AP CoP trajectory and contact pressure of mid-foot were smaller than those of unaffected side. In the comparison among the group according to the extent of hemineglect, AP CoP trajectory of subject who has severe hemineglect was significantly different from the patient that has no hemineglect and it was shorter than that of no hemineglect. Conclusion : The plantar pressure distribution was generally different between affected side and unaffected side and the hemineglect affected negatively the patient to move CoP forwardly while walking. Accordingly, it will help the clinician to understand the hemineglect which has an effect on abnormal walking and to intervent the hemiplegia who has a neglection to the affected side.

• Journal of Korean Foot and Ankle Society
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• v.11 no.2
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• pp.182-186
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• 2007

Purpose: We examined the relationship of interdigital neuroma occurring site and the surrounding structures, including the deep transverse metatarsal ligament (DTML) by cadaver study and clinical results. Materials and Methods: Seventeen fresh frozen cadavers study were done to evaluate the relationship of interdigital neuroma occuring site and the DTML at two phase of the gait cycle with 60 degree of metatarsophalangeal dorsiflexion and with 15 degrees of ankle dorsiflexion. We measured the distance from interdigital nerve bifurcation of the common digital nerve to anterior margin of the DTML and longitudinal length of DTML itself. Clinically, we checked the location of interdigital neuroma and DTML length during surgery in 32 feet. Results: In the second and third web space, the mean distance from bifurcation of the common digital nerve of foot to the anterior margin of DTML was 16.7 mm, 15.1 mm in the mid-stance position, and 15.9 mm. 14.6 mm in heel-off position. Second, Third web space ligament itself length were average 12.8 mm, 10.6 mm. Clinically, all of the cases of interdigital neuroma started at the bifurcation area of the common digital nerve and interdigital neuroma was average 7.5 mm (range; 6-11 mm). Conclusion: Interdigital neuroma were located more distally than DTML in both the mid-stance and heel off stage. The main lesion was located between metatarsal head and metatarsophalangeal joint and more distal than the DTML anterior margin.