• Title/Summary/Keyword: amputation

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Recurred Macrodystrophia Lipomatosa of the Foot: A Case Report (족부에 재발한 지방종 거대증: 증례 보고)

  • Lee, Myoung Jin;Kim, Dong Ryul
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.1
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    • pp.32-35
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    • 2016
  • We reported on a rare case of recurred macrodystrophia lipomatosa of the foot, and reviewed the literature. A 62-year-old male patient presented with right foot second toe pain; preoperative magnetic resonance imaging and radiograph examination was performed. After surgery the biopsy confirmed the diagnosis. American Orthopaedic Foot and Ankle Society score was checked before and after surgery. Wide excision of the affected area including ray amputation is an effective way to prevent recurrence and relieve the pain after surgery. The 2nd toe ray amputation was performed in the treatment of recurred macrodystrophia lipomatosa of the foot, and is thought to be an effective way to relieve pain and prevent recurrence. After minimally invasive surgery with complete excision surgery, additional data on recurrence and pain relief rate are needed.

Treatment of Large Arteriovenous Malformation in Right Lower Limb

  • Lee, Young Ok;Hong, Seong Wook
    • Journal of Chest Surgery
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    • v.47 no.1
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    • pp.66-70
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    • 2014
  • A 10-year-old boy with arteriovenous malformation (AVM) of the right lower limb was scheduled for an amputation of the affected limb. Limb amputation was necessary because of the ineffectiveness of previous sclerotherapy and the rapid progression of AVM causing pain and heart failure. Right hip disarticulation was considered the best option to improve his quality of life. To prevent congestive heart failure and uncontrollable hemorrhage during surgery, the disarticulation was done under a partial cardiopulmonary bypass. The patient underwent surgery successfully without complications.

Two Cases of Paraphimosis in Dogs (개 감돈포경의 2례)

  • 조종기;이소현;현상환;김대영;이병천;황우석
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.499-501
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    • 2000
  • Paraphilmosis, is a condition in which the extruded penis cannot be withdrawn back into the preputial cavity. In this study, the 2 dogs that showed prolonged erection. exposed penis from the sheath and hair surrounding the prepural orifice for several days, were ana1ysis of blood and urine ard carried out surgical treatment. In urinalysis, there were struvites, spermuria and bactera (streptococci) in urine. Firstly, these dogs were treated with non-surgical method, however severe necrosis of the Penis was developed form prolonged exposure and vascular compromise. Finally, partial penile amputation and preputial lengthening were performed and resulted in successful treatment.

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Pulsed Radiofrequency Ablation Under Ultrasound Guidance for Huge Neuroma

  • Kim, Young Ki;Jung, Il;Lee, Chang Hee;Kim, Se Hun;Kim, Jin Sun;Yoo, Byoung Woo
    • The Korean Journal of Pain
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    • v.27 no.3
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    • pp.290-293
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    • 2014
  • Amputation neuroma can cause very serious, intractable pain. Many treatment modalities are suggested for painful neuroma. Pharmacologic treatment shows a limited effect on eliminating the pain, and surgical treatment has a high recurrence rate. We applied pulsed radiofrequency treatment at the neuroma stalk under ultrasonography guidance. The long-term outcome was very successful, prompting us to report this case.

Amniotic constriction band: a report of two cases with unique clinical presentations

  • Richardson, Sunil;Khandeparker, Rakshit Vijay;Pellerin, Philippe
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.3
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    • pp.171-177
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    • 2017
  • Amniotic constriction band is a rare clinical entity with varied manifestations that range from a combination of congenital malformations to isolated malformations that are unique to each patient. The etiology of this entity remains unknown. Herein, we highlight two cases of amniotic constriction band that presented to our unit with unique clinical characteristics. To the best of our knowledge, an isolated circumferential band of scarring on the face with ocular involvement, as demonstrated by the first case, and a combination of bilateral complete cleft lip and palate with bilateral microphthalmia, auto-amputation of the right thumb, and a constriction band on the left thumb, as demonstrated by the second case, are extremely rare presentations of amniotic constriction band that were not previously reported in the literature and therefore necessitate a special mention. We discuss potential etiologies for these cases and review the existing literature on this entity.

Training-Free sEMG Pattern Recognition Algorithm: A Case Study of A Patient with Partial-Hand Amputation (무학습 근전도 패턴 인식 알고리즘: 부분 수부 절단 환자 사례 연구)

  • Park, Seongsik;Lee, Hyun-Joo;Chung, Wan Kyun;Kim, Keehoon
    • The Journal of Korea Robotics Society
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    • v.14 no.3
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    • pp.211-220
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    • 2019
  • Surface electromyogram (sEMG), which is a bio-electrical signal originated from action potentials of nerves and muscle fibers activated by motor neurons, has been widely used for recognizing motion intention of robotic prosthesis for amputees because it enables a device to be operated intuitively by users without any artificial and additional work. In this paper, we propose a training-free unsupervised sEMG pattern recognition algorithm. It is useful for the gesture recognition for the amputees from whom we cannot achieve motion labels for the previous supervised pattern recognition algorithms. Using the proposed algorithm, we can classify the sEMG signals for gesture recognition and the calculated threshold probability value can be used as a sensitivity parameter for pattern registration. The proposed algorithm was verified by a case study of a patient with partial-hand amputation.

A Case Study of Prosthetic Ambulation Training for Upper and Both Lower Extremity Amputated Patient (상지 및 하지절단 환자의 의지보행훈련 증례연구)

  • Hong, Do-Sun;Park, Chang-Ju
    • Journal of Korean Physical Therapy Science
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    • v.7 no.1
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    • pp.367-375
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    • 2000
  • The purpose of this study is to announce the present condition, walking training, and adaptable training of a limb amputated patient. The study is a successful report of the limb amputated patient through the medical treatment of the physical therapy. A cause of the limb amputated patient, a truck driver, was that the patient was hit by a train when the driver alight from the truck. Then, the driver was surgical operated on left AK (Above Knee) amputation and left AE (Above Elbow) amputation by orthopedics at the Young Dong Severance Hospital on Dec.7, 1996. Two weeks after the operation (Dec., 22, 1996), the patient was trained at the Yonsei Medical Center Physical Therapy Hospital for the walking and temper adjust training. It was possible to do a flat surface walking and a slope surface walking without helping due to the patients optimistic personal character and motivation. However, the patient struggled to a dull surface walking and his weak endurance. the patient has several problems when the patient wears artificial legs and hands, fears on fall down, and mentally worries on noise when he walks. It is necessary to approach for this problems by many fields of the helpers, such as Rehabilitation medical doctor, physical therapist, occupational therpist, artificial limbs makers, psychologists, and etc. Therefore, in order for recovering from the amputated parts function after the surgical operation, more approved reports have to be for the amputated patients due to increasing traffic accidents, industrial disaster, cancer, diabetes, obstacles of the peripheral nervous system, and etc.

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Risk Factors of Treatment Failure in Diabetic Foot Ulcer Patients

  • Lee, Kyung Mook;Kim, Woon Hoe;Lee, Jang Hyun;Choi, Matthew Seung Suk
    • Archives of Plastic Surgery
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    • v.40 no.2
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    • pp.123-128
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    • 2013
  • Background Some diabetic feet heal without complication, but others undergo amputation due to progressive wounds. This study investigates the risk factors for amputation of diabetic feet. Methods A total of 55 patients who visited our institution from 2008 to 2012 were included in the study. The patients with abnormal fasting blood sugar levels, lower leg vascularity, and poor nutrition were excluded from the study group, and the wound states were unified. The patients were categorized into a treatment success group (n=47) and a treatment failure group (n=8), and their hemoglobin A1C (HgA1C), C-reactive protein (CRP), white blood cell count (WBC), and serum creatinine levels were analyzed. Results The initial CRP, WBC, and serum creatinine levels in the treatment failure group were significantly higher than that of the treatment success group, and the initial HgA1C level was significantly higher in the treatment success group. The CRP and WBC levels of both groups changed significantly as time passed, but their serum creatinine levels did not. Conclusions The initial CRP, WBC, and serum creatinine levels were considered to be risk factors for amputation. Among them, the serum creatinine level was found to be the most important predictive risk factor. Because serum creatinine represents the renal function, thorough care is needed for the feet of diabetic patients with renal impairment.