• Title/Summary/Keyword: angular deformity

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Korean Medicine Treatments for the Angular Deformity of Wrist Fracture with Disuse Osteopenia: A Case Report (불용성 골감소증을 동반한 손목골절환자의 각변형에 대한 증례 보고)

  • Oh, Myung Jin
    • Korean Journal of Acupuncture
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    • v.35 no.4
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    • pp.234-238
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    • 2018
  • Objectives : This report details on a single case of Korean Medical treatments for the angular deformity of wrist fracture with disuse osteopenia. Methods : A 74-year-old lady with angular deformity of wrist fracture with disuse osteopenia was treated by Korean Medical therapies including manual acupuncture with electroacupuncture, pharmacopuncture, and chuna, twice daily for 41 days. Visual analogue scale for pain and range of motion were evaluated. Results : 1. Wrist pain decreased by Korean medical treatments over 41 days. 2. As a result of evaluation by visual analogue scale, the score marked from 6 to 3. 3. ROM of wrist joint increased from $0^{\circ}$ to $10^{\circ}$. Conclusions : Korean medical treatments helped symptom improvement in a patient with angular deformity of wrist fracture with disuse osteopenia.

Can Angular Deformity Due to Sacrococcygeal Fracture Cause Permanent Impairment? : Current State and Problems in Korea

  • Cho, Dosang
    • Journal of Korean Neurosurgical Society
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    • v.65 no.2
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    • pp.173-179
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    • 2022
  • Disabilities can emerge due to traumatic spinal fractures. In terms of sacrococcygeal spine, because of its unique anatomic structure with minimal movement, the possibility for it to have a disability is relatively low. In Korea, unlike most disability criteria, private insurance companies acknowledge angular deformities caused by vertebral fractures as disabilities according to their degree, so there were several cases where patients required compensation, arguing angular deformity caused by sacrococcygeal fracture, which in some cases led to legal conflicts. Except the Act Welfare of Persons with Disabilities which recognizes only severe angular deformity affecting internal organs as disability and the industrial accident disability evaluation which does not recognize coccygeal fracture as disability but rarely recognizes sacral vertebra deformity equivalent to compressive deformation, there is little or no case where angular deformity is recognized as disability. Given the impairment evaluation standards in social insurance, McBride system, American Medical Association (AMA) guides, and newly proposed standards by the Korean Academy of Medical Sciences (KAMS), the most contentious point in the general terms and conditions of private insurance is spinal deformity. To overcome controversy over disability evaluation, the private insurance sector is now applying criteria for axial skeleton to sacrococcygeal vertebrae through revision of standards. Under these circumstances, it is fair to recognize sacrococcygeal fracture as impairment in terms of the pelvis only when the fracture leaves serious deformity and neurological symptoms with clear relevancy. Though it may not be easy to develop accurate disability evaluation standards, improvement is necessary to remove any irrationalities and make the standards as objective as possible.

Single oblique osteotomy for correction of congenital radial head luxation with concurrent complex angular limb deformity in a dog: a case report

  • Kim, Junhyung;Song, Jaeyong;Kim, Sun-Young;Kang, Byung-Jae
    • Journal of Veterinary Science
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    • v.21 no.4
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    • pp.62.1-62.7
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    • 2020
  • A 5-month old Shih Tzu was diagnosed with congenital elbow luxation and uniapical complex angular deformity of the radius. Single radial oblique and dynamic ulnar osteotomies were performed, using patient-specific 3D-printed osteotomy guide. External skeletal fixation was maintained for three weeks to prevent re-luxation of elbow joint. Three months after the surgery, objective gait analysis indicated markedly improved limb function. In addition, radiograph showed improved congruity of elbow joint and appropriate bone healing. In dogs with congenital radial head luxation and concurrent complex angular deformity, a single oblique osteotomy might be a viable option to preserve bone length and correct the luxation of elbow joint.

Surgical Correction of an Antebrachial Deformity with Severe External Rotation in Two Dogs (심각한 외측 회전을 동반한 전완 기형의 외과적 교정 치료 2 증례)

  • Yoon, Hun-Young;Roh, Mi-Young;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.28 no.3
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    • pp.328-331
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    • 2011
  • Two dogs presented to the Dueckso Animal Hospital with a history of intermittent lameness of the left forelimb. On physical examination, a visible antebrachial deformity that resulted in gross external rotation of approximately $90^{\circ}$ was observed in two dogs. Medial-lateral radiographic views revealed distal ulnar subluxation, cranial bowing of the radius, radial and ulnar shortening, and external rotation of the paw. A distal ulnar ostectomy and distal radial closing wedge osteotomy were performed in two dogs. A proximal ulnar osteotomy was performed, adjacent to the elbow joint in case 1. Then, the osteotomized site was supported with an intramedullary pin. A T-plate and cortical screws were applied to the proximal and distal radial segments after derotating the distal segment internally. Postoperative radiographic view verified the correction of the angular deformity in two dogs. The follow-up was completed by physical examination 6 and 10 months after surgery respectively. There was no evidence of lameness of the left forelimb in two dogs. Gross observation of the limb revealed an apparent appropriate correction of the rotational and angular deformity in two dogs.

A Prototype of Robotic External Fixation System for Surgery of Bone Deformity Correction

  • Kim, Yoon-Hyuk;Joo, Sang-Min;Lee, Soon-Geul
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.2448-2450
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    • 2005
  • A robotic external fixation system for the surgery of bone deformity correction was developed to simulate the execution process of mal-unioned femur by the adjustment of the joints of the fixation system. An inverse kinematics analysis algorithm was developed to calculate the necessary rotations and translations at each joint of the robotic system. The computer graphic model was developed for validation of the analysis result and visualization of the surgical process. For given rotational and angular deformity case, the surgical execution process using the robotic system was well matched with the pre-operative planning. The final residual rotational deformities were within $1.0^{\circ}{\sim}1.6^{\circ}$ after surgical correction process. The presented robotic system with computer-aided planning can be useful for knowledge-based fracture treatment and bone deformity correction under external fixation.

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A Case of New Surgical Correction of Angular Limb Deformities Using One Screw Implant & Periosteal Transection in a Thoroughbred Foal (Thoroughbred 망아지에서 단일나사못 장착 및 골막박리를 이용한 지세교정술)

  • Yang, Jae-Hyuk;Lim, Yoon-Kyu
    • Journal of Veterinary Clinics
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    • v.29 no.2
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    • pp.177-180
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    • 2012
  • Angular limb deformities (ALD) are common in foals. A 30-days-old Thoroughbred foal was presented for the evaluation of severe ALD of the both forelimbs. On radiographic examination, both distal radiuses were diagnosed as valgus angular limb deformities. But the degree of deviation of right forelimb was so severe that we tried to correct one after the other. We tried new surgical correction method combination of one screw implant on medial aspect for growth retardation and periosteal transection on lateral aspect of the right forelimb. 40 days later, successfully corrected and then removed the screw. After the right forelimb correction, the periosteal transection on left forelimb was performed. We did the inhalation anesthesia using isoflurane. There were no complications such as fibrosis over the screw heads, and overcorrection that produces an opposing deformity identified. These results suggest that combination of one screw implant and periosteal transection technique is able to be a safe and effective method to correct severe ALD in the foal.

The $4^{th}-5^{th}$ Intermetatarsal Angle and the $5^{th}$ Metatarsophalangeal Angle of Young Men in Korea (한국 정상 젊은 남성에서의 제 4-5 중족골간 각 및 제 5 근위-종족골간 각)

  • Lee, Kyung-Tai;Lee, Young-Koo;Yim, Su-Jae;Young, Ki-Won;Park, Shin-Yi;Kim, Hyung-Tae
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.1
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    • pp.46-49
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    • 2009
  • Purpose: The purpose of this study is to find out the normal angles of forefoot for diagnosis of bunionette deformity in Korea. This would be helpful as it would provide a basic angular measurement of bunionette deformity that indicates the need for operation. Materials and Methods: Within a period of four months from January 2007 to April 2007. We have established 300 males and 600 feet without trauma history of foot. The source to image distance is 40 inches and erect weight bearing radiographs are obtained in anteroposterior and lateral projections. The significant angular measurements that define a bunionette deformity are the fourth-fifth intermetatarsal angle, the fifth metatarsophalangeal angle Results: The mean age was 21 years(19-22 years) old. The mean $4^{th}-5^{th}$ intermetatarsal angle was $9.4{\pm}4.7^{\circ}$, the mean $5^{th}$ metatarsophalangeal angle was $7.9{\pm}9.2^{\circ}$. Conclusion: We can consider over the $14.1^{\circ}$ on the $4^{th}-5^{th}$ intermetatarsal angle and over $17.1^{\circ}$ on the $5^{th}$ metatarsophalangeal angle as an operational indication.

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