• Journal of Korean Foot and Ankle Society
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• v.23 no.4
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• pp.183-188
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• 2019

Purpose: Bone contusion is usually treated with conservative therapy for 3 months. Bone contusion around knee and hip joints has been extensively reported on, but there are scant reports on this condition in foot and ankle joints. This study evaluated the nature, characteristics and location of bone contusion around foot and ankle joints to enlighten clinicians on how to better treat this disease entity. Materials and Methods: We classified bone contusion of the 76 patients into three types (102 sites; 47 ankle sprains, 18 traffic accidents, 11 falls) according to the Costa-Paz system with employing magnetic resonance imaging (MRI), and the study then analyzed the common sites and areas of occurrence according to the mechanism of injury and duration of pain after first conducting conservative therapy. Results: Of the 76 patients (102 sites) on the MRI, 43 case (42.2%) for talus, 19 cases for distal tibia, and 12 cases for calcaneus were involved. The classification, according to the Costa-Paz system, was Type I, 51 cases; Type II, 32 cases; and Type III, 19 cases. The duration of pain after conservative treatment was 12.15±2.17 weeks for Type I, 14.5±2.15 weeks for Type II, and 21.0±3.8 weeks for Type III. Conclusion: The most common location of post-traumatic bone contusion around both the foot and ankle is the talus, distal tibia, and calcaneus. The most common type of injury noted on MRI is a diffuse signal with change of the medullary component (Type I), In cases of bone contusion extending to a subjacent articular surface or disruption or depression of the normal contour of the cortical surface (Types II, III), the patients' pain appears to last longer. Thus, it is necessary to consider a longer period of conservative treatment in cases of Types II and III bone contusion because the patients' pain may last longer than 3 months.

• Journal of Korean Society of Forest Science
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• v.94 no.6
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• pp.377-386
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• 2005

This study was carried out to analyse the landslide characteristics by ground investigation, borehole image processing system, field seismic test, laboratory test and ground stability analysis at the landsliding area occurred in Maeri, Sangdong-myeon, Gimhaesi, Gyeongsangnam-do. Region I needs to install data logger system to monitor a land displacement during the heavy rainfall events because the region can be liable to occur the land slide by land creeping. It is needed to restore rapidly, if the land displacement occurs in Region I. Region II needs to monitor and repair because of the possibility of slope failure by long-term soil loss. Region III needs constructions to remove ground runoff and ground water to be infiltrated from talus. Region IV where is a stable region, needs to be protected from land cutting or other man-made damage.

• Journal of Environmental Impact Assessment
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• v.20 no.3
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• pp.381-395
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• 2011

Present work aims to establish an integrated management system of environmental data base for nine typical wind holes or air holes in Korea. It basically deals with definition, geographical distribution, morphological pattern, physical characteristics and anthropogenic environments of wind hole to propose systematic preservation strategy of their periglacial landscape and flora, which are known to be sensitive to global warming. Wind hole, in which cool air blows out during the summer, but mild air comes out during the winter from a cave or hole, is frequently found on northwest- and north-facing slopes on the terminal point of steep talus, block field, and block stream, and can be categorized into three types, i.e., talus, cave and sink types. Environmental characteristics of nine wind holes are analyzed on the basis of their geology, landform, climate, soil, hydrology, vegetation, road, footpath, land-use, and management system, and relevant DB are prepared. Wind hole areas with unique landscape and ecological values need to be designated as a nature reserve, and zoning of core, buffer, and transitional zones are required for the multi-dimensional preservation of periglacial landscape and ecosystem. Phytogeographical values of glacial relict plants, including mountain cranberry(Vaccinium vitis-idaea) at its global southernmost limit at Bangnaeri wind hole, Hongchon County, Gangwon Province of Korea are discussed in detail as a floristic refugia in connection with climate change during the Pleistocene Epoch and potential in-situ and ex-situ preservation sites in the future.

• Journal of the Korean Arthroscopy Society
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• v.9 no.2
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• pp.206-213
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• 2005

Purpose: To evaluate the outcome of symptomatic osteochondritis dissecans of the talus treated with arthroscopic debridement and multiple drilling. Materials and Methods: Between 1997 and 2003, 14 arthroscopic debridement(group I) and 15 arthroscopic multiple drilling(group II) were performed. There are 21 male and 8 female patients. Mean age was 34.4 years(33.8 years in group I, 37.5 years in group II) and average follow-up period was 43.2 months(46.4 months in group I, 40.1 months in group II). Simple radiographs and MRI were performed preoperatively and postoperatively, and the progressive stage of the lesions was evaluated through the arthroscopic surgery. Clinical results were evaluated with ankle-hindfoot scale and scoring scale for subjective and objective functional outcomes. The results were compared between 2 groups. Results: There are 20 medial(7 in group I, 13 in group II), 6 lateral(5 in group I, 1 in group II), and 3 both-side(2 in group I, 1 in group II) lesions. According to the classification of Berndt and Harty, there are 4 stage II(4 in group I, 0 in group II), 19 stage III(9 in group I, 10 in group II), and 6 stage IV(1 in group I, 5 in group II). According to the ankle-hindfoot score, the mean score was significantly improved $53.1{\pm}2.7$ points preoperatively to $85.1{\pm}8.5$ points postoperatively in group I and $54.6{\pm}6.8\;to\;80.7{\pm}8.5$ points group II. Subjective and functional scores was also improved $49.6{\pm}10.5$ points preoperatively to $84.6{\pm}7.7$ points postoperatively in group I and $50.7{\pm}9.2\;to\;83.0{\pm}9.6$ points in group II. But there were no statistical significance between them. Conclusion: Arthroscopic debridement and multiple drilling for the treatment of osteochondral lesions of the talus showed successful results and there was no statistically significant difference between them.

• Journal of Korean Foot and Ankle Society
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• v.9 no.2
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• pp.197-200
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• 2005

We performed lateral ankle ligament reconstructions using Achilles allograft on patients who had failed previous Brostrom repair. The bone plug is fixed with an interference screw into the calcaneus, the tendon graft is passed through a fibular tunnel, and then anchored into the talus with the biotenodesis screw. The graft is strong enough to maintain joint stability until graft incorporation and remodeling occurs. In patients with chronic failed lateral ankle instability requiring graft for ligament reconstruction, this technique allows anatomic reconstruction without the need to sacrifice autogenous peroneal tendons.

• Journal of Korean Foot and Ankle Society
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• v.9 no.2
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• pp.209-212
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• 2005

Osteochondral lesion usually occurs in the elbow, knee and ankle joints. Many articles about osteochondral lesion of the talus in the ankle joint have been reported. We experienced a rare case of partially detached osteochondral lesion of the tibial plafond treated with excision and multiple drilling.

• Journal of Korean Foot and Ankle Society
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• v.4 no.1
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• pp.35-38
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• 2000

Osteochondral fracture is common in adolescent and usually occurs in the knee and ankle. Many authors have written concerning osteochondral fracture of the ankle joint, however, many of these pertain only to the talus. The author has found an osteochondral fracture of the articular surface of the medial malleolus within the ankle joint not previously described. We report a case of this lesion that was treated by arthroscopic osteochondral fragment removal.

• Journal of Korean Foot and Ankle Society
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• v.10 no.2
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• pp.255-258
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• 2006

For the adequate intraarticular exposure in medial talar dome lesions, medial malleolar osteotomy is necessary in some cases. Many operative techniques including transverse, oblique, inverted V-shape, crescentic and step-cut osteotomies of the medial malleolus have been described previously. But their techniques have several problems such as nonunion, rotation and limited access to lesions. So we introduce the new reverse chevron medial malleolar osteotomy which provides excellent access to lesions, good stability and a broad cancellous surface for rapid healing.

• Journal of Korean Foot and Ankle Society
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• v.10 no.2
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• pp.271-273
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• 2006

In closed calcaneus fractures, the occurrence of FHL interposition in subtalar joint is relatively rare and difficult to diagnosis preoperatively. But careful physical examination and significant radiologic findings could be useful tools to diagnosis preoperatively. This findings is shearing off a superior medial fragment made up of the sustentaculum talus connected to a significant portion of the medial wall and medial aticular surface of the posterior facet.

• Journal of Korean Orthopaedic Sports Medicine
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• v.6 no.1
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• pp.19-26
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• 2007

최근에 스포츠 손상이 증가하고 관절경을 이용한 치료가 발전하면서 조기에 더 적극적인 치료를 하는 추세이다. 또한 방사선 소견에 비하여 관절경하에서는 연골이 불안정하거나 분리되어 있는 경우도 있으므로 기존의 수술 적응증보다는 좀 더 광범위하게 관절경 검사 및 수술적 치료가 요구된다고 생각한다. 치료 방법을 하면 $1.5cm^2$ 이하의 병변을 가진 50세 이하의 환자는 관절경을 이용하여 변연 절제술, 연골하 천공, 연마, 미세 골절술, 소파술 등의 방법으로 치료할 수 있다. 같은 방법으로 50세 이상의 $3cm^2$ 이하의 병변을 가진 환자 중 mosaicplasty와 자가 연골 세포 이식술을 적용할 수 없는 환자에서 시도해볼 수 있다. $1.5\sim3cm^2$의 병변을 가진 50세 이하의 환자, 그전의 관절경적 치료로 실패한 경우에는 자가골 연골 이식 또는 자가 연골 세포 이식술을 이용하여 치료해야 한다. $3cm^2$ 이상의 병변을 가진 50세 이하의 환자는 자가 연골 세포 이식술이나 동종 골 연골 이식을 이용하여 치료하며, 50세 이상의 환자는 관절 고정술이나 족근 관절 인공치환술을 고려하는 것이 바람직하다.