• 대한족부족관절학회지
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• 제26권2호
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• pp.103-106
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• 2022

Peroneal tendon disorders are one of many causes of chronic lateral ankle pain. They are related to chronic conditions and anatomical factors and can cause persistent pain and functional impairment if neglected. Peroneal tendon tears are frequently misdiagnosed due to the absence of clear symptoms. For subacute or chronic peroneal tendon ruptures, tendons often became irreparable, and hence various surgical options have been introduced to address this issue. Current surgical treatment options include debridement and tubularization, tenodesis, tendon transfer, and reconstruction with a graft. There have been a few reports on the use of reconstruction techniques with an allograft. In this report, we present a rare case of a peroneal tendon reconstruction technique using an allograft in a young male with simultaneous irreparable peroneus longus and a complete rupture of the brevis tendon. The management plan, prognostic outlook, and a subsequent review of the relevant literature are also presented.

• 대한두개안면성형외과학회지
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• 제21권6호
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• pp.351-356
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• 2020

Background: We have devised a novel surgical method, termed as temporalis muscle tendonperiosteum (T-P) compound surgical method, by modifying pre-existing techniques. Our method is characterized by elevation of temporalis muscle tendon and the periosteum of the mandibular ramus as a single compound. Here, we describe the concept and clinical outcomes of our method. Methods: We conducted both a cadaveric study and a clinical study. First, we used four human cadavers (two males and two females) to confirm the anatomy of the temporalis muscle tendon and availability of sufficient length extension through the elevation of the T-P compound. Moreover, we obtained measurements of the mouth angle and the philtrum angle from a total of six patients (two males and four females) and compared them between preoperatively and postoperatively. Results: The mean length of the periosteal portion was measured as 2.43± 0.15 cm (range, 2.2-2.6 cm). There was an improvement in the mouth angle postoperatively as compared with preoperatively (7.2°± 3.0° vs. 14.5°± 4.7°, respectively). Moreover, there was also an improvement in the philtrum angle postoperatively as compared with preoperatively (7.2°± 3.4° vs. 17.2°± 6.5°, respectively). Conclusion: Our method is a simple, minimally-invasive modality that is effective in achieving good clinical outcomes. Its advantages include an ability to achieve a firm extension of the temporalis muscle tendon as well as a lack of requirement for a donor site that may cause complications.

• 대한족부족관절학회지
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• 제18권2호
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• pp.72-75
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• 2014

We experienced a patient in whom rupture of the peroneus longus tendon occurred after ostectomy of the peroneus tubercle of the calcaneus. Acute rupture of the peroneus tendon can be managed by end-to-end anastomosis, while neglected cases can be treated by tenodesis, tendon transfer, or tendon graft. In the current patient, the tendon ends were mildly retracted, yielding a small gap. We successfully repaired the retracted tendon ends after lengthening by Z-plasty.

• Archives of Plastic Surgery
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• 제32권4호
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• pp.539-542
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• 2005

Reconstructions of soft tissue defect of the posterior ankle including Achilles the tendon should take into account not only coverage but functional outcome. Various methods of tendon transfer and tendon graft have been reported as a single-stage procedure. With advances and refinements in microsurgical techniques, several free composite flaps including tendon, fascia, or nerve have been used in single-stage reconstructions of large defects in this area minimizing further damage to the traumatized leg. However, when free flap is not feasible for some reasons, this cannot be accomplished successfully. Here we present a patient with Achilles tendon and circumferential large soft tissue defect. Because of circulatory compromise of the lower extremity, free flap reconstruction could not be applied. Instead, cross-leg composite flap of the dorsalis pedis flap including the extensor hallucis brevis musle and tendon, and tendon strips of the Second, third and fourth extensor digitorum logus were employed, Functional reconstruction of the tendon and resurfacing were obtained at the same time. The flap was detached 3 weeks postoperatively, and the transplanted flap has survived without any complications. By 3 months after surgery, full weight bearing, tip-toe standing and even walking without crutch assistance was possible. When functional reconstruction with the free flap is unattainable in the large defect of the posterior ankle including the Achilles tendon, cross-leg composite island flap of dorsalis pedis flap and tendon strips of the extensor digitorum longus tendon is a viable alternative.

• 대한족부족관절학회:학술대회논문집
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• 대한족부족관절학회 2008년도 추계학술대회 및 총회
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• pp.27-27
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• 2008

• 대한인간공학회:학술대회논문집
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• 대한인간공학회 1992년도 추계학술대회논문집
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• pp.54-62
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• 1992

This work has been directed at studying and developing a prototype Computer Aided Design(CAD) tool to be used for planning tendon paths in hand reconstructive surgery. The application of CAD to rehabilitative surgery of the hand is a new field of endeavor. There are currently no existing systems designed to assist the orthopedic surgeon in planning these complex peocedures. Additionally, orthopedic surgeons are not trained in mechanics, kinematics, math modeling, or the use of computers. It was also our intent to study the mechanisms and the efficacy of the application of CAD techniques to this important aspect of hand surgery. The following advances are reported here: Interactive 3D tendon path definition tools., Software to calculate tendon excursion from an arbitrary tendon path crossing any number of joints., A model to interactively compute and display the foirces in muscle and tendon., A workstation environment to help surgeons evaluate the consequences of a simulated tendon transfer operation when a tendon is lengthened, rerouted, or reattached in a mew location., It also has been one of the primary concerns in this work that an interactive graphical surgical workstation must present a natural, user-friendly environment to the orthopedic durgeon user. The surgical workstation must ultimately aid the surgeon in helping his patient or in doing his work more efficiently or more reliably.

• 대한족부족관절학회지
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• 제8권1호
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• pp.111-113
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• 2004

In neurogenic equinovarus deformity, surgical intervention such as tendon transfer or osteotomy can be expected to improve symptoms. However, in rare cases of hereditary spastic paraplegia, the deformity and paralysis gradually progress. So limited operation and early post-operative rehabilitation are preferred to aggressive operation. We would like to report our clinical experience with one case of hereditary spastic paraplegia patient with reference review. A 40 year-old male, given tendon transfer of ankle and foot and tendo achilles lengthening 10 years ago, complained about aggravated spastic paraplegia which resulted in dynamic equinovarus and limited walking ability since his operation. Family history showed limited walking ability of his father with gradually progressing spastic paralysis and he was diagnosed as hereditary spastic paraplegia type I. We had performed a limited operation such as tendo achilles and tibialis posterior lengthening to induce plantigrade standing and walking with crutch. As a result, the patient was able to maintain a stabilized standing posture and walk after the operation. Hereditary spastic paraplegia presents with a progressive paralysis which limits rehabilitation after tendon transfer, and the symptoms can be aggravated. Therefore, considering potential hereditary neurogenic disorders in paients with equinovarus deformity and performing limited operative procedures seem to be important.

• 한국방재학회 논문집
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• 제9권5호
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• pp.79-86
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• 2009

최근 도심 구조물의 규모가 급격히 대형화됨에 따라 인접구조물이 존재하는 상태에서 대규모의 기초구조물의 설치를 위한 넓고 깊은 범위의 굴착이 빈번히 시행되고 있어 안전관리의 중요성이 크게 부각되고 있다. 시공 및 사용 중에 토류구조물의 안전성을 확보하기 위해서는 쏘일앵커, 쏘일네일 및 락앵커 등의 지반보강재에 작용하는 프리스트레스 하중(prestress force) 및 변형을 지속적이고 효과적으로 관측할 수 있는 방법이 필요하다. 그러나 현재 현장에서 주로 사용되는 전기저항식 로드셀과 스트레인게이지, 바이브레이팅 타입의 변형율계를 이용한 변형 및 장력의 측정은 센서 자체의 자기열화 특성 때문에 장기적인 모니터링에는 효과적이지 않을뿐더러 시험체 내부에서 다수의 측정점을 측정하기 위해서는 많은 스트레인게이지를 설치하기 위해 리드선의 공간이 크게 필요한 단점이 있다. FBG(Fiber Bragg Grating)센서는 스트레인게이지와 비교해서 매우 작은 직경을 가지며 전자기파에 의한 노이즈가 없고 내구성이 커서 장기적인 모니터링이 필요한 구조물에 매우 유용하게 사용될 수 있다. 본 연구에서는 7연 강연선의 센터 킹케이블에 FBG 센서를 내장한 스마트 텐던을 이용하여 토류구조물의 보강에 활용되고 있는 앵커와 주변 그라우트면의 하중전이 특성에 대한 일련의 실내실험 결과를 기술하였다. 연구결과 스마트 텐던은 기존의 스트레인 게이지 변형율계로는 마땅히 측정할 수 없던 7연 강연선과 그라우트면의 변형률을 매우 효과적으로 측정할 수 있을 뿐 아니라 하나의 선으로 여러 위치의 변형을 효과적으로 측정할 수 있어 지반보강재의 장력모니터링 뿐만 아니라 그라우트로 부착된 부분의 하중전이 특성을 효과적으로 파악할 수 있는 것으로 나타났다.

• 대한족부족관절학회지
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• 제26권4호
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• pp.183-186
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• 2022

Anterior tibialis ruptures are a rare type of injury related to the foot and ankle. Specifically, chronic and non-traumatic ruptures are related to preexisting chronic tendinopathic conditions and anatomical factors. These ruptures may cause persistent pain and functional impairments if neglected. Chronic tibialis anterior ruptures are frequently diagnosed late because the symptoms are not distinct. In cases with chronic or non-traumatic tibialis anterior tendon ruptures, tendons often become irreparable. Hence, various surgical options have been introduced to address this issue. The current surgical treatment options are as follows: free sliding anterior tibialis graft, extensor hallucis longus tendon transfer, and reconstruction with an allograft tendon. To date, there have been few reports about the reconstruction technique using Z-plasty for irreparable tibialis anterior tendon ruptures. In this report, we present a rare case of the application of the tibialis anterior tendon reconstruction technique using Z-plasty and tenodesis for a middle-aged man with an irreparable avulsion injury rupture. We also present the management plan and prognostic outlook, as well as a subsequent review of the relevant literature.

• Archives of Plastic Surgery
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• 제49권1호
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• pp.76-79
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• 2022

Kienböck disease, a rare disease that can cause chronic pain and motor dysfunction, occurs due to avascular necrosis of the lunate bone, which leads to dislocation of the carpal bone. Among various other etiologies, Kienböck disease can cause closed tendon rupture of the finger. In this report, we introduce a case of total rupture of the second extensor digitorum communis and the extensor indicis proprius tendons caused by undiagnosed Kienböck disease in an elderly female patient.