• Title/Summary/Keyword: orthopedic

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Talonavicular Dislocation with Nondisplaced Fracture of Navicular - Case Report - (족근 거주상탈구와 동반된 비전위성 주상골 골절 - 증례 보고 -)

  • Hong, Chang-Hwa;Park, Jong-Seok;Choi, Ho-Rim;Lee, Sang-Soen;Kwon, Sai-Won;Cho, Ju-Hyeong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.1
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    • pp.55-57
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    • 2008
  • Isolated navicular fracture and dislocation of talonavicular joint is extremely rare. It is recommended closed or open reduction for displaced fracture. We reported one case of isolated tarsal navicular fracture and dislocation of the talonavicular joint, treated with open reduction and internal fixation using K-wires.

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A HISTOLOGICAL STUDY ON THE CHANCES OF THE SURROUNDING TISSUE IN MANDIBULAR JOINT BY THE ORTHOPEDIC FORCE IN RATS (ORTHOPEDIC FORCE에 의한 백서악관절 주위조직의 변화에 대한 조직학적 연구)

  • Lee, Baik Min
    • The korean journal of orthodontics
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    • v.13 no.2
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    • pp.155-163
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    • 1983
  • Many different appliances have been used to move teeth or to attempt to inhibit or stimulate growth of the jaws. Especially, Orthopedic force was used to apply a constant force on the mandible. Various orthopedic forces bring the changes of surrounding tissue, growth and development on the mandibular joint. Author carried out this study to find the histological changes of the mandibular joint in rats when the mandible applied posterior displacement. For the purpose of this study, $009\times036inch$ closed coil spring and 030inch orthopedic wire were used between the post occipital region and the chin region in order to render the orthopedic forces, posteriorly. The experimental animals vu. used 1 month old (GroupI), 3 months old (Group II), and 12 months old (Group III) rats. Following results were obtained; 1. At the beginning of the experimental Group I, there were predominant increment of Cartilage layer in the posterior parts of condylar head. Especially, the mature chondrocyte zone was increased. 2. In the experimental Group II, the chondroblastic zone was decreased while it showed slightly increased mature cartilage zone. 3. In the experimental Group III, the mature chondrocyte zone was disappeared gradually and there was a tendency to reduce the endochondral bone formation in condylar head. 4. After 30 days of experimental Group I and in experimental Group II, there was a tendency to decrease the immature cellular zone in the glenoid fossa by pressure. 5. There were no histological changes in the articular disc by pressure.

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Treatment of Large Heel Defect in Diabetic Patients; Use of Artificial Bypass Graft and Antero-lateral Thigh Perforator Flap - A Case Report - (당뇨족에서 감염에 의한 발뒷꿈치 결손의 인조 혈관 이식술과 전외측 대퇴 천공 유리 피판술을 이용한 치료 -1예 보고-)

  • Kim, J-Young;Lee, Kyung-Tai;Young, Ki-Won;Cha, Seung-Do;Kim, Eung-Su;Jeong, Ju-Seon
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.2
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    • pp.224-226
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    • 2005
  • In diabetic foot with arterial occlusive disease, skin defect on heel was tried to treat with free flap or local flap, but couldn't be treated well. Therefore below knee amputation was perfomed mostly. But we treated a patient of large heel defect with using of artificial bypass graft and antero-lateral thigh perforator flap.

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Reconstruction of Large Bone and Soft Tissue Defect Combined with Infection in the Lower Extremity with Free Flap Followed by Ipsilateral Vascularized Fibular Transposition

  • Chung, Duke Whan;Han, Chung Soo;Lee, Jae Hoon;Kim, Eun Yeol;Park, Kwang Hee;Kim, Dong Kyoon
    • Archives of Reconstructive Microsurgery
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    • v.22 no.2
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    • pp.57-62
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    • 2013
  • Purpose: The aim of this study is to report on the results and discuss the role of free flap followed by ipsilateral vascularized fibular transposition (IVFT) for reconstruction of large bone and soft tissue defect combined with infection by open tibia fracture. Materials and Methods: During the research period, lasting from December 2002 to June 2008 (Kyung Hee University Medical Center), data were collected from three patients who underwent IVFT after free flap. We analyzed the successiveness and persistency of the infection using free flapping, bone union, and hypertrophy between transposed fibula and tibia. Results: Regarding free flap, successive results were observed in all examples. In the final follow-up results, transposed fibulas all survived, having hypertrophy similar to that of adjacent tibia. Conclusion: Reconstruction of tibia defect with free flap followed by IVTF is a useful and safe method for avoidance of the potential risk of infection for patients with a large tibial bone defect and soft tissue defect associated with infection.

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Diagnostic Consistency between Sonoelastography and Conventional Sonography of Long Head of the Biceps

  • Yoon, Sunghyun;Seo, Joong-Bae;Yoo, Jae-Sung;Ryu, Jee-Won
    • Clinics in Shoulder and Elbow
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    • v.17 no.3
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    • pp.107-113
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    • 2014
  • Background: Sonoelastography (SE) is a new technique that can assess differences in tissue stiffness, the purpose of this study was to evaluate the ability of SE to assess the long head of biceps tendon alteration. Methods: Forty shoulders of 36 consecutively registered patients with clinical symptoms and conventional ultrasonography findings of biceps tendinitis or tendinosis, and 40 asymptomatic shoulders of 20 healthy volunteers were assessed with SE. Transverse and longitudinal images of long head of biceps tendon were obtained using SE. SE images were performed by one orthopedic surgeon and evaluated by two orthopedic surgeons using an experimentally proven color grading system. Results: The transverse images of SE showed a sensitivity of 87.5%, a specificity of 95.0% and a accuracy of 91.3%, the longitudinal images of SE showed a sensitivity of 92.5%, a specificity of 90.0% and a accuracy of 91.3%. Inter-observer reliability of SE was in 'almost perfect agreement' with a weighted kappa coefficient of 0.83. Conclusions: SE is valuable in the detection of the intratendinous and peritendinous alterations of biceps tendon, and has excellent accuracy and excellent correlation with conventional ultrasound findings.

Parosteal Lipoma in the Femur - A Case Report - (대퇴골에 발생한 방골성 지방종 - 1례 보고 -)

  • Kang, Yong-Koo;Lee, Han-Yong;Koh, Hae-Seok;Rhyu, Kee-Won;Song, Joo-Hyoun;Jang, Il-Suck
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.1
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    • pp.82-85
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    • 1999
  • A parosteal lipoma is a benign tumor containing mature adipose tissue and is intimately related to the adjacent periosteum. We experienced a very rare case of parosteal lipoma arising from the shaft of femur. A 46 years old lady visited the hospital with complaining of slowly growing mass in her thigh for 7 month. Initially, it was difficult to differentiate from osteochondroma, parosteal osteosarcoma or liposarcoma. Based on the assessment of plain radiogram and magnetic resonance imaging, it was suspected the parosteal lipoma or osteosarcoma. Marginal excision was performed, and it was confirmed to parosteal lipoma histologically. We present the case with review of literatures.

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Parosteal Lipoma with Hyperostosis of the Tibia - A Case Report - (경골의 과골증을 동반한 방골성 지방종 -증례 보고-)

  • Lee, Sang-Soo;Lee, Young-Hyun;Youn, Young-Gone;Yun, Tae-Kyung;Park, Yong-Wook;Kim, Do-Young
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.1
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    • pp.105-109
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    • 2003
  • The parosteal lipoma is a very rare benign neoplasm of adipose tissue having an intimate relationship to the periosteum. The parosteal lipomas comprise only 0.3% of all lipomas. We have experienced a parosteal lipoma with hyperostosis of the left tibia, in 52 years old male. We report a case of parosteal lipoma and its clinical feature with review of the literature.

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Treatment of Lateral Malleolar Fractures with Cannulated Screws in Danis-Weber type B Ankle Fractures (Danis-Weber B형 족근 관절 골절에 있어 유경 나사를 이용한 비골 외 과 골절의 치료)

  • Park, Yong-Wook;Chung, Yung-Khee;Yoo, Jung-Han;Park, Hong-Jun;Yu, Sun-O;Kang, Ki-Man
    • Journal of Korean Foot and Ankle Society
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    • v.5 no.2
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    • pp.129-135
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    • 2001
  • Purpose: To evaluate the radiographic results of the treatment for Danis-Weber type B lateral malleolar fracture with 2 cannulated screws. Materials and Methods: Thirty-four cases of Danis-Weber type B lateral malleolar fracture were available. Follow-up averaged 8 months (6-25 months). The medial clear space for lateral displacement of talus, talo-crural angle for lateral malleolar shortening, and malunion evidence of lateral malleolar fracture were observed. Results: Medial clear space was from 2mm to 4mm in 34 cases. Talo-crural angle was from $73^{\circ}$ to $82.5^{\circ}$ in 33 cases. One case was complicated with malunion of lateral malleolus. But, we found the same condition in the immediate post- operative radiographic film. Conclusion: We believe that the 2 cannulated screws fixation for Danis-Weber type B lateral malleolar simple fractures is an excellent treatment method.

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Accessory Navicular in Sports Players (스포츠 선수에서 발생한 주상골 부골)

  • Lee, Kyung-Tae;Young, Ki-Won;Kim, J-Young;Kim, Eung-Soo;Cha, Seung-Do;Son, Sang-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.2
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    • pp.161-165
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    • 2004
  • Purpose: To analyze clinical symptom and clinical course of accessory navicular bone and to evaluation of surgery of accessory navicular bone in sports players Materials and Methods: Twenty-two patients with accessory navicular bone were identified between January 1 2001 and June 30. 2003 Results: Subjective satisfaction of 23 patients rated very satisfaction (16), satisfaction (6), common (1). Symptomatic pain were thoroughly disappeared at average 2.5 months ($1{\sim}6$ months) after operation. On one year follow-up, most of patients could maintain daily life and could go back to their sports carreer at 3 months. Conclusion: In athlete, excision of accessory navicular and reattachment of posteior tibial tendon to navicular like non-athletes is the best solution to management of symptomatic accessory navicular failed to manage conservatively.

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Operative Treatment of the Bilateral 1,4th Brachymetatarsia with Painful Callosity and Hallux Varus using Massive Metatarsal Axial Shortening (A Case Report) (중족골 단축술을 이용한 동통성 족저부 굳은살과 무지 내반증을 동반한 양측 제 1,4 단중족증의 치료(1예 보고))

  • Lee, Yeong-Hyun;Ahn, Gil-Yeong;Moon, Gi-Hyuk;Kim, Ki-Choul;Nam, Il-Hyun;Lee, Sang-Chung
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.218-222
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    • 2009
  • In general, the operative treatment of the brachymetatarsia is the lengthening of the affected metatarsal bone due to the cosmetic problem rather than the functional one. We experienced 22 year-old female bilateral congenital foot deformities such as hallux varus and 1,4th brachymetatarsia treated with reverse Scarf osteotomy on the hallux varus and massive axial metatarsal shortening Weil osteotomy on the 2,3,5th metatarsals which could reconstruct the normal metatarsal parabola.

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