• Title/Summary/Keyword: Soft tissue reconstruction

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Acquired Hallux Varus Treated Using Extensor Hallucis Brevis Tendon - A Case Report - (무지 내반증의 단무지 신전근을 이용한 치료 - 증례보고 1예 -)

  • Lee, Kyung-Tai;Young, Ki-Won;Ong, Sang-Suk;Kim, Jin-Young;Seon, Jae-Myoung
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.1
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    • pp.23-29
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    • 2000
  • Acquired Hallux varus is defined radiographically by a negative metatarsophalangeal angle and clinically by adduction of the hallux on the first metatarsal and most commonly occurs after hallux valgus surgery. It's the prevalence has ranged from 2% to 17%. We report a case of hallux varus resulted from weakening of support of lateral soft tissue and resection of an excessive amount of the metatarsal head during a bunionectomy after initial correction of hallux valgus. We corrected the hallux varus deformity using transfer of extensor hallucis brevis tendon with reconstruction os lateral capsule.

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A CASE REPORT OF THE ARTHROSIS OF THE TEMPOROMANDIBULAR JOINT RESULTED NONTREATED FRACTURES OF THE ZYGOMATIC ARCH AND CORONOID PROCESS (협골궁과 근돌기 골절의 미처치로 초래된 악관절증의 외과적 치험례)

  • Chung, Hoon;Oh, Byung-Sub
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.2
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    • pp.215-220
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    • 1994
  • In the case of the trauma on the maxillofacial region occurred, we think that one of the most important thing is recovery of the function as well as reconstruction of the anatomical form. Especially, it has been that the structure of the surrounded temporomandibular joint has a great possibility to cause mouth opening limitation when a bit of displacement is caused. Therefore, in the case of the trauma on mid-face we think that we treat it after complete evaluate condition of soft and hard tissue surrounding the articular disc as well as fracture site. We report results of our study, since we obtained good results from our study concerning the refixation of the zygomatic arch, high condylectomy, coronoidectomy and myotomy for the patient being suffered from the arthrosis of the temporomandibular joint caused by insufficient fracture treatment of zygomatic arch and coronoid process.

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Huge chondrosarcoma on the anterior chest wall (전흉부에 발생한 거대 연골육종)

  • 박영우;장원호;고정관;이철세;박형주;탁민성;이영만
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.960-963
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    • 2001
  • Huge chondrosarcoma is a rare form of primary malignant tumor of the chest wall. We operated on a 60 year old female patient who had a huge anterior chest wall mass with local invasion into the pericardium and satellite tumors on the visceral pericardium of the heart. En-bloc resection of the huge tumor including both upper 3 ribs, both clavicles, manubrium of the sternum, pleura, and pericarium, was followed by complex chest wall reconstruction using a Gore-tex soft tissue patch and latissimus dorsi musculocutaneous free flap.

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Residual Pain after Operative Treatment for Chronic Ankle Instability (만성 발목 불안정증 수술 후의 지속적인 발목 통증)

  • Cho, Byung-Ki;Ahn, Byung-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.32-37
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    • 2021
  • Patients with chronic lateral ankle instability often experience a range of associated injuries. The well-known comorbidities include intra-articular pathologies (osteochondral lesion, soft tissue or bony impingement, and loose body), peroneal tendon pathologies, neural injuries, and other extra-articular pathologies. Surgeons should have a high index of suspicion for these associated pathologies before operative intervention, correlate the clinical findings, and plan the treatment. Despite the restoration of ankle stability following ligament repair or reconstruction surgery, a high prevalence (13%~35%) of postoperative residual pain has been reported. This pain can negatively affect the clinical outcomes and patient satisfaction. This study examined the causes of persistent pain after surgical treatments for chronic ankle instability.

Ehrlichia Infection-Related Monoarthropathy in a Dog

  • Min, Sun-Hong;Woo, Heung-Myong;Kang, Byung-Jae
    • Journal of Veterinary Clinics
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    • v.36 no.2
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    • pp.126-128
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    • 2019
  • A 5-year-old male Labrador Retriever that lived outdoors was presented to the animal hospital with a right hind limb lameness. The lameness had been present for more than 10 days, and there was a severe swelling of the right stifle joint. The dog underwent physical, laboratory, and radiographic examinations. As a result, the dog was diagnosed with infectious monoarthropathy secondary to granulocytic ehrlichiosis. The dog received medication for the rickettsial arthritis and surgical treatment for reconstruction of the soft tissue damage caused by the infection. After treatment, the function of the dog's leg was recovered. This report describes a case of atypical monoarthropathy caused by ehrlichiosis in a dog.

Multidisciplinary Treatment of Persistent Nontuberculous Mycobacterial Spinal Hardware Infection with a Pedicled Superior Gluteal Artery Perforator Flap

  • Tuano, Krystle R.;Yang, Jerry H.;Kleck, Christopher J.;Mathes, David W.;Chong, Tae W.
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.604-607
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    • 2022
  • Nontuberculous mycobacterial hardware infections are extremely challenging to treat. Multidisciplinary care involving removal of infected hardware, thorough debridement, and durable soft tissue coverage in conjunction with antibiotic therapy is essential for successful management. This case report presents a patient with chronic mycobacterial spinal hardware infection that underwent successful treatment with aggressive serial debridements and reconstruction with a large pedicled superior gluteal artery perforator flap coverage.

Unilateral Chronic Organizing Hematoma after Breast Explantation Mimicking Chest Wall Tumor: a Case Report with Imaging Features

  • Jang, Seon Woong;Lee, Ji Young
    • Investigative Magnetic Resonance Imaging
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    • v.26 no.1
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    • pp.76-81
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    • 2022
  • The number of women undergoing breast augmentation surgery with a prosthesis for cosmetic purposes or reconstruction after a mastectomy is steadily increasing. Hematoma is one of complications associated with breast augmentation surgery. It usually occurs early in the postoperative period. It rarely occurs late (after six months). However, chronic hematomas after prosthesis removal have not yet been reported in the radiological literature. We present a case of unilateral chronic organizing hematoma that developed late and grew persistently over long period after breast explantation, mimicking a soft tissue tumor of the chest wall clinically. Meanwhile, characteristic magnetic resonance imaging features of heterogeneous signal intensities on T1-weighted and T2-weighted images and dark signal intensity with a persistent enhancement of the peripheral wall of the lesion were found. These can be used for a differential diagnosis.

Tendon Transfer with a Microvascular Free Flap in Ijured Foot of Children (건 이전술 및 유리피편 이식술을 이용한 소아 외상성 족부 손상의 재건)

  • Hahn, Soo-Bong;Lee, Jin-Woo;Jeong, Jae-Hun
    • Archives of Reconstructive Microsurgery
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    • v.5 no.1
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    • pp.112-120
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    • 1996
  • We peformed tendon transfer with a microvascular free flap for recovery of handicapped function and reconstruction for the skin and soft tissue loss. We review the clinical data of 11 children who underwent these operation due to injured foot by pedestrian accident from January, 1986 to June, 1994. The mean age of patients was 5.6 years old(3-8). Five cases underwent tendon transfer and microvascular free flap simultaneously. Another 6 cases underwent operations separately. The time interval between tendon trasnfer and microvascular free flap was average 5.6 months(2-15 months). The duration between initial trauma and tendon transfer was average 9.6 months(2-21 months). The anterior tibial tendon was used in 6 cases. Among these, the technique of splitting the anterior tibial tendon was used in 5 cases. The posterior tibial tendon was used in 3 cases and the extenosr digitorum longus tendon of the foot in 2 cases. Insertion sites of tendon transfer were the cuboid bone in 3 cases, the 3rd cuneiform bone in 3 cases, the 2nd cuneiform bone in 1 case, the base of 4th metatarsal bone in 1 case, and the remnant of the extensor hallucis longus in 3 cases. The duration of follow-up was average 29.9 months(12-102 months). The clinical results were analysed by Srinivian criteria. Nine cases were excellent and 2 cases were good. The postoperative complications were loosening of the tranferred tendon in 2 cases, plantar flexion contracture in 1 case, mild flat foot deformity in 1 case and hypertrophic scar in 2 cases. So we recommend the tendon transfer with a microvascular free flap in the case of injured foot of children combined with nerve injury and extensive loss of skin, soft tissue and tendon.

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Effect of slow forced eruption on the vertical levels of the interproximal bone and papilla and the width of the alveolar ridge

  • Kwon, Eun-Young;Lee, Ju-Youn;Choi, Jeomil
    • The korean journal of orthodontics
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    • v.46 no.6
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    • pp.379-385
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    • 2016
  • Objective: Forced eruption has been proposed for the reconstruction of deficient bone and soft tissue. The aim of this study was to examine the changes in the alveolar ridge width and the vertical levels of the interproximal bone and papilla following forced eruption. Methods: Patients whose hopeless maxillary anterior teeth were expected to undergo severe bone resorption and soft tissue recession upon extraction were recruited. In addition, patients whose maxillary anterior teeth required forced eruption for restoration due to tooth fracture or dental caries were included. Before and after forced eruption, the interproximal bone height was measured by radiographic analysis, and changes in the alveolar ridge width and the interproximal papilla height were measured with an acrylic stent. Results: This prospective study demonstrated that the levels of the interproximal alveolar bone and papilla were significantly increased by 1.36 mm and 1.09 mm, respectively, in the vertical direction. However, the alveolar ridge width was significantly reduced by an average of 0.67 mm in the buccolingual direction. The changes in the level of the interproximal alveolar bone and papilla were positively correlated. Conclusions: Although the levels of the interproximal bone and papilla were significantly increased, the alveolar ridge width was significantly decreased following forced eruption. There was a modest positive and significant correlation between the changes in the height of the interproximal alveolar bone and the papilla. Based on our findings, modification of vertical forced eruption should be considered when augmentation of the alveolar ridge width is required.

THE CLINICAL STUDY OF THE MAXILLOFACIAL WAR INJURIES IN KOREAN (한국인 전상환자의 악안면결손에 대한 임상적연구)

  • Choi, Kyu-Hwan;Min, Seung-Ki;Um, In-Woong;Kim, Soo-Nam
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.4
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    • pp.275-282
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    • 1992
  • Maxillofacial war injures is specific representative of severe hard and soft tissue defect. This type of injuries were different from the trauma because it may be fatal. The purpose of this study was to evaluate the injury type base on the retrograde medical record in the 104 patients from Feb. 1991 to Aug. 1992 in Korea Veterans Hospital. The obtained results were as follows. 1. Among 104 cases, 51 cases(49.0%) were classified as mandibular defects only, and 53 cases (51.0%) were classified as maxillary with mandibular defect (combined). 2. The etiologic factors of injury were gunshot, artillery and grenade or shell: 33 cases, 14cases, and 10 cases respectively in Korea War, 19 cases, 5 cases, and 8 cases respectively in Vietnam War. 3. In 57 cases of mandibular partial defect, the angle area showed the highest frequencies, 18 cases(31.6%). 4. In 42 cases of mandibular segmental defect, the area between the 1st molar and the ascending ramus showed the highest frequencies. 17 cases(40.4%), and almost all cases were unilateral defect (40 cases, 95.0%) 5. Reconstruction method performed for segmental mandibular defect were wire or plate(15 cases, 35.7%) and soft tissue closure only(12 cases, 28.7%), respectively.

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