• 대한족부족관절학회지
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• 제13권1호
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• pp.23-27
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• 2009

Purpose: The purpose of this study was to evaluate the clinical outcome of neglected Achilles tendon rupture treated with reconstruction and augmentation with flexor hallucis longus (FHL) tendon using one incision technique. Materials and Methods: Between July 2006 and March 2008, eleven patients with neglected Achilles tendon rupture received surgical treatment. Through one incision technique, augmentation with auto FHL tendon transfer was performed using a Bio-Interference screw (Arthrex, Naples, FL) and followed by V-Y advancement (5 cases) or gastronemius fascial turn-down flap procedure (6 cases). After mean follow up of 20.7 months (range, 11.8-33.3 weeks), clinical outcomes were evaluated with Visual Analogue Scale (VAS), American Orthopedic Foot and Ankle Society (AOFAS) score, 10 repetitive double heel raise test, 10 repetitive single heel raise test and subjective satisfaction. Results: The length of the gap after debridement was $5.4{\pm}2.0$ cm. The VAS improved from $4.1{\pm}0.9$ to $1.5{\pm}0.8$ at last follow up (p<0.05). The AOFAS score increased from $38.9{\pm}12.2$ to $91.5{\pm}8.9$ at last follow up (p<0.05). Eight patients were satisfied with excellent results and three were satisfied with good results. All patients were able to perform 10 repetitive double heel raise and nine out of eleven patients were able to perform 10 repetitive single heel raise at last follow up. There were no complications including deep infection or re-rupture. Conclusion: Augmentation with FHL tendon transfer and reconstruction with V-Y advancement or turn-down flap through one incision technique appeared to be effective and safe. This technique is recommendable for the treatment of neglected Achilles tendon rupture.

• 대한족부족관절학회지
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• 제25권2호
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• pp.95-99
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• 2021

The surgical treatment of Achilles tendinopathy can be considered after the failure of conservative treatment, and the surgical methods may be divided into two groups; treatments for insertional and non-insertional tendinopathy. In the case of insertional tendinopathy, debridement including tendon and calcification of the diseased lesion, reattachment of the tendon, and calcaneal ostectomy of the Haglund lesion are the primary treatments. If reattachment is not possible, reconstruction should be performed by other methods such as tendon transfer. As a result of surgery for insertional tendinopathy, there is an improvement in the pain and function after surgery, but there are some patients whose pain does not completely disappear. Some residual pain may persist; therefore, the overall success rate of the surgery can be expected to be 80% to 90%. For the patients of non-insertional tendinopathy, conservative treatment through eccentric exercise is the primary treatment, and most of them have reported good results. In case of failure after various conservative treatments, debridement of the diseased lesion and repair of the remaining tendon would be the primary surgical treatments. If the remaining tendon is not sufficient, reconstruction such as tendon transfer should be considered.

• 대한족부족관절학회지
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• 제19권3호
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• pp.114-117
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• 2015

Deep infection of Achilles tendon is one of the serious complications that occur after open repair of the tendon. It sometimes leads to a very large tendon defect during the course of treatment. We report on a case of massive defect in Achilles tendon, which was successfully treated with Achilles tendon allograft and flexor hallucis longus tendon transfer.

• Clinics in Shoulder and Elbow
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• 제12권2호
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• pp.236-239
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• 2009

목적: 저자들은 장흉 신경 손상에 의한 전거근 마비로 발생한 진구성 익상 견갑에서 대흉근 이전 술 시행 시 유용성과 임상적 결과를 평가하고자 하였다. 대상 및 방법: 외상 성 탈구로 야기된 견관절 불안정성에 대해 관절경 수술을 시행 후 발생한 진구성 익상 견갑 환자1예를 대상으로 Modified Eden-Lange 술식을 이용한 대흉근 이전술을 시행하였고, 술 전 전방 거상 90도, 외전 70 도에 비해 술 후 전방 거상 170도, 외전 150 도로 술후 향상된 관절운동 범위와 합병증 및 익상 견갑의 재발은 보이지 않았으며, 환자의 술 후 심리적 만족도 또한 높게 나타났다. 결과 및 결론: 장흉 신경에 의한 전거근 마비로 발생한 익상 견갑의 경우 다른 견갑대의 근육, 신경의 이상이 동반되지 않았을 때 대흉근 근육 이전술은 정상적인 견갑흉곽 운동을 제공할 수 있는 만족스러운 치료법 중 하나로 생각된다.

• 한국지반공학회논문집
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• 제15권6호
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• pp.143-154
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• 1999

본 연구에서는 암반 앵커의 텐던-그라우트 경계면의 하중전달기구(load transfer mechanism)를 규명하기 위하여 암질이 강한 자연 화강암과 콘크리트로 제작된 모형 암반에 시공된 모형 암반 앵커에 대한 정적 인발험(static uplift test)을 수행하였다. 불연속면이 텐던-그라우트의 전단응력 분포에 미치는 영향을 밝히기 위하여 수평한 절리면을 갖고 있는 모형암반도 제작되었다. 실험 결과 불연속면이 없는 암반에 시공된 암반 앵커의 경우 앵커 상단에 심한 응력 집중이 발생함을 알 수 있었고 불연속면이 증가할수록 깊이에 따라 균일한 전단응력 분포를 나타냈다. 또한, 실험결과에 대한 회귀분석을 통하여 텐던-그라우트 경계면의 전단응력 분포에 관한 경험식을 산정하였으며, 실험에 의한 전단응력 분포는 텐던 직경의 2~3배 깊이에서는 이론에 의한 전단응력 분포 보다 작게 나타나고 그 이하에서는 반대 현상을 관찰할 수 있었다.

• 대한족부족관절학회지
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• 제9권2호
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• pp.201-203
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• 2005

Although Achilles tendinitis is a relatively common disease, tuberculous involvement of Achilles tendon is rare. We report a case of tuberculous Achilles tendinitis, which was successfully treated with chemotherapy and a combined surgical procedure (Achilles tendon parital excision and FHL tendon transfer).

• 대한족부족관절학회지
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• 제18권3호
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• pp.93-99
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• 2014

Acquired adult flatfoot deformity is characterized by flattening of the medial longitudinal arch and dysfunction of the posteromedial soft tissues, including the posterior tibial tendon. When the non-operative treatment fails to result in improvement of symptoms, surgery should be considered. Operative techniques include flexor digitorum longus tendon transfer, calcaneal medial slide osteotomy, lateral column lengthening, and arthrodesis of the hindfoot. The principle of correcting the deformity while avoiding overcorrection and excessive stiffness is important in achievement of good outcomes in these patients.

• 대한족부족관절학회지
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• 제17권4호
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• pp.325-328
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• 2013

Fracture of os peroneum can occur, but the fracture fragments are seldom displaced. Complete rupture of peroneus longus through the fracture of the os peroneum causing displacement of the fracture fragments is not well reported in the literature. Differential diagnosis with bipartite os peroneum or calcific tendinitis is important because misdiagnosis of the tendon rupture can lead to serious sequela including chronic pain, ankle instability, and peroneal compartment syndrome. We report a case of complete rupture of peroneus longus associated with fracture of the os peroneum with a review of the literature.

• 대한물리치료과학회지
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• 제5권3호
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• pp.617-624
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• 1998

A variety of neuromuscular diseases in children cause muscle imbalance. impaired function, and resultant deformity of the lower extremities. Equinovarus, equinos, adductor contracture are common deformity of lower extremities in the children. Generally, the transfer was successful in improving or maintaining range of motion, stability of the joint and gait. Postoperative physical therapy is important. Physical therapy was instituted after cast removal. All children received stretching exercise, range of motion exercise for the joint, proprioceptive neuromuscular fascilitation and gait training was administered. This article describes our experience with the physical therapy for tendon transfered spastic cerebral palsy and discusses the therapeutic protocol.

• 대한족부족관절학회지
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• 제10권2호
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• pp.168-172
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• 2006

Purpose: Theaim of this study was to review the results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer. Materials and Methods: Five cases of Achilles tendon infection in five patients were treated using reverse sural arterialized flap and/or flexor hallucis longus transfer at our hospital with followed up of average 23.6 months (range, 13-43 months). Three patients were male and average age at surgery was 52.0 years (range, 42-59 years). Clinical results were evaluated by the method of Percy and Conochie, and the isokinetic peak torque value was interpreted according to the guideline of Sapega. Results: The clinical result was excellent in three cases, good in one case and fair in one case. The isometric peak torque value for $30^{\circ}$ per second was normal in two cases, possibly abnormal in one case, and probably abnormal in two cases, and for $120^{\circ}$, normal in one case, probably abnormal in four cases. Five cases in five patients were satisfied with the result of treatment. Conclusion: We can expect satisfactory results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer.