Journal Detail Information

1

Cite

Share

Radiological Change of Kager's Triangle in Patients with Retrocalcaneal Disorders.

Eugene KIM ; Hun Kyu SHIN ; Jong Min KIM ; Yong Taek LEE ; Ki Woong CHANG

Journal of Korean Foot and Ankle Society.2007;11(2):123-129.

PURPOSE: The aim of this study was to analyze radiological change of Kager's triangle in patients with retrocalcaneal disorders. MATERIALS AND METHODS: Areas of Kager's triangle and calcaneus were calculated with Heron's Formula. Average of area ratio (area of Kager's triangle / area of calcaneus) was calculated for comparison and analysis, according to disease activity and aging process. One-tailed Z-test was done with the average of area ratio. RESULTS: Average of area ratio (area of Kager's trianlge / area of calcaneous) tends to decrease according to aging process and disease existence. CONCLUSION: Because area of Kager's triangle in patients with retrocalcaneal disorders tends to change according to disease activity and aging process, we should consider clinical correlation between the anatomical structure of Kager's triangle and retrocalcaneal symptoms.
Aging ; Calcaneus ; Humans

2

Cite

Share

Split Transfer of Extensor Digitorum Longus of the Second Toe for Elongation of EHB after Modified Jones' Procedure.

Jung Rae KIM ; Woo Chun LEE

Journal of Korean Foot and Ankle Society.2011;15(3):183-186.

Extensor hallucis brevis (EHB) is only extensor of the first metatarsophalangeal (MTP) joint after modified Jones procedure. Therefore preserving the normal insertion of the EHB has been emphasized during that procedure. We experienced a case of EHB rupture after modified Jones procedure and had satisfied surgical outcome by partial transfer of extensor digitorum longus (EDL) of second toe.
Joints ; Rupture ; Toes

3

Cite

Share

Operative Treatment of Symptomatic Naviculocuneiform Coalition in Children: 2 Cases Report.

Yoon Hae KWAK ; Won Hyoung SHIN ; Jae Yong PARK

Journal of Korean Foot and Ankle Society.2011;15(3):179-182.

Naviculocuneiform coalition is one of uncommon tarsal coalitions and especially symptomatic cases which need operative treatment are rare. Authors report 2 cases of pediatric naviculocuneiform patients who showed symptomatic condition as mainly pain. Plain radiographs, computed tomography or magnetic resolution imaging study showed bony bridge in naviculo-medial cuneiform joint. After over six months conservative treatment, excision of coalition and interposition Tisseel(R) was performed for motion preservation and relief of pain.
Child ; Humans ; Joints ; Magnetics ; Magnets

4

Cite

Share

Avulsion Fracture of the Talar Attachment of the Anterior Talofibular Ligament in Pediatric Patient: A Case Report.

Hyung Lae CHO ; Tae Hyok HWANG ; Tae Hyun WANG ; Keun Young KIM

Journal of Korean Foot and Ankle Society.2011;15(3):175-178.

Inversion injury of the lateral ankle ligaments is very common. Few studies, however, have focused on avulsion fracture of the lateral ankle ligaments. A fracture producing a small fragment usually avulsed from lateral malleolus and may be easily misdiagnosed as a sprain because the fragment is superimposed on the lateral malleolus and goes undetected on early radiographs, especially in skeletally immature patients. We present a case of isolated avulsion fracture of the talar attachment of the anterior talofibular ligament in 13-year-old male patient. Diagnosis was confirmed by computed tomography and avulsed fragment was fixed to original talar footprint with suture anchors. A high level of suspicion must be maintained to obtain an accurate diagnosis of avulsion fracture in inversion ankle injury because of the high incidence in children and to prevent recurrent instability.
Adolescent ; Animals ; Ankle ; Ankle Injuries ; Child ; Humans ; Incidence ; Ligaments ; Male ; Sprains and Strains ; Suture Anchors

5

Cite

Share

Compression Neuropathy of Superficial Peroneal Nerve and Deep Peroneal Nerve Following Acupuncture Treatment: A Case Report.

Yu Mi KIM

Journal of Korean Foot and Ankle Society.2011;15(3):170-174.

Acupuncture has been widely used to treat a variety of disease and symptoms. But various complications have been reported. Among them, peripheral nerve injuries have been reported less frequently than other complications. The purpose of this report is to describe what we believe to be the first case of delayed superficial and deep peroneal nerve compressive neuropathy caused by fibrotic mass formed by neglected broken acupuncture needle.
Acupuncture ; Needles ; Peripheral Nerve Injuries ; Peroneal Nerve

6

Cite

Share

Analysis of Direct Service Costs about Diabetic Foot Patients.

Chong Rye SONG ; Jin Woo LEE ; Seung Hwan HAN

Journal of Korean Foot and Ankle Society.2011;15(3):165-169.

PURPOSE: The objective of this study was to analyze diabetic foot patients' direct service costs until the cure of the disease. MATERIALS AND METHODS: The subjects of this study were randomly sampled 60 patients who had been treated for diabetic foot at one of two tertiary hospitals and cured of the disease during from January 2008 to December 2009, and whose diagnostic code was E11.5 or E14.5. Data were collected from medical records and direct service costs were analyzed using data on the payments of individual service charges. Direct service costs spent at other medical institutions for the same disease were excluded. Collected data were analyzed using descriptive statistics. RESULTS: The subjects' mean hospital stay was 29 days, and mean period until cure was 132 days. The inpatient cost per patient was 10,844,648 won, outpatient cost was 715,751 won, and home care services cost was 641,854 won, so total direct service cost per patient was 11,913,419 won. The total direct service cost in patients who had their foot amputated was 12,769,822 won, 1.3 times higher than without amputation, who had vascular intervention was 16,219,477 won, 1.9 times higher than non-vascular intervention, who had both infection and artery occlusion was 17,522,435 won, 2.0 times higher than either infection or artery occlusion. CONCLUSION: In diabetic foot patients, the direct service cost was highest as 17,522,435 won in patients accompanied with both infection and occlusion of lower extremity artery.
Amputation ; Arteries ; Diabetic Foot ; Direct Service Costs ; Fees and Charges ; Foot ; Home Care Services ; Humans ; Inpatients ; Length of Stay ; Lower Extremity ; Medical Records ; Outpatients ; Tertiary Care Centers

7

Cite

Share

Comparison of Radiologic Parameters between Weight Bearing Affected Single Ankle Anteroposterior View and both Ankle Anteroposterior View in Ankle Osteoarthritis.

Jung Rae KIM ; Woo Chun LEE

Journal of Korean Foot and Ankle Society.2011;15(3):159-164.

PURPOSE: This study was performed to analyze the results of radiologic parameters between weight bearing affected single ankle anteroposterior (AP) view and both ankle AP view in ankle osteoarthritis (OA). MATERIALS AND METHODS: Between January 2009 and August 2010, 41 patients (50 ankles) who visited our institution to treat ankle OA were reviewed retrospectively. In radiographic assessment, weight bearing affected single ankle AP view and both ankle AP view were checked, and measured tibial anterior surface angle (TAS), tibial medial malleolar angle (TMM), talar tilting angle (TT), maximum and minimun joint space width (JSW) of ankle, width between articular surface of medial malleolar and medial articular surface of talus as radiologic parameters. RESULTS: On weight bearing both ankle AP view, TAS was 85.4+/-4.1degrees, TMM was 33.1+/-9degrees, TT was 5.4+/-6.1degrees, maximum JSW was 3.2+/-2.7 mm, minimum JSW was 1.1+/-1.3 mm, width between articular surface of medial malleolar and medial articular surface of talus was 1.8+/-1.8 mm and on weight bearing affected ankle AP view, TAS was 85.3+/-3.9degrees, TMM was 34.3+/-10.9degrees, TT was 5.4 +/- 6.5degrees, maximum JSW was 3.2+/-2.7 mm, minimum JSW was 1.1+/-1.3 mm, width between articular surface of medial malleolar and medial articular surface of talus was 1.6+/-1.7 mm. CONCLUSION: There is no statistical significance in radiologic parameters between weight-bearing affected single ankle AP view and both ankle AP view in ankle OA.
Animals ; Ankle ; Humans ; Joints ; Osteoarthritis ; Retrospective Studies ; Talus ; Weight-Bearing

8

Cite

Share

Comparison of Antiglide Plate Fixation and Lateral Plate Fixation for Danis-Weber Type B Isolated Lateral Malleolar Fractures.

Joong Won HA ; Hyoung Bok KIM ; Min Suk KO ; Han Kook YOON

Journal of Korean Foot and Ankle Society.2011;15(3):153-158.

PURPOSE: This study was performed retrospectively and to compare the clinical outcomes of the surgical management using Antiglide plating and lateral plating for Danis-Weber type B isolated lateral malleolar fractures. MATERIALS AND METHODS: Between March 2004 and March 2009, 92 patients were followed up for more than 6 months after surgical treatment. 49 patients were treated with Antiglide plating, whereas the remaining 43 patients underwent lateral plating. The results of the two groups were analyzed both radiographically and clinically using Ankle scoring system. RESULTS: Both groups were comparable for age, sex distribution, time to surgery, and operation time. Bone union was noted at average of 8 weeks in all fractures. The mean ankle score was similar in both groups (94% versus 93%). CONCLUSION: Antiglide plating for Danis-Weber type B isolated lateral malleolar fracture is one of the good methods which has some advantages such as early ankle motion, ambulation and smaller operative incision.
Animals ; Ankle ; Humans ; Retrospective Studies ; Sex Distribution ; Walking

9

Cite

Share

Fixation with Absorbable Suture Material in Akin Osteotomy.

Moo Ho SONG ; Bu Hwan KIM ; Seong Jun AHN ; Seong Ho YOO ; Doo Jae LEE

Journal of Korean Foot and Ankle Society.2011;15(3):149-152.

PURPOSE: The Akin osteotomy which is a closing wedge osteotomy of the proximal phalanx widely used for the correction of hallux valgus has several methods of fixation. we tried to report the effects of the fixation using an absorbable suture material during the Akin osteotomy for the hallux valgus. MATERIALS AND METHODS: This study was based on 448 cases of 346 patients who were able for follow-up more than 12 months among the patients who had an Akin osteotomy together with the surgery of hallux valgus between March of 2006 and May of 2010. Absorbable suture material had been used in all cases. Radiologically displacement and union of osteotomy site were observed after the surgery, and clinically postoperative complication such as skin irritation, pain and satisfaction were investigated. RESULTS: Radiologically all cases had showed complete union and no case had the loss of an correction due to loss of fixation. Also, any case had no skin irritation due to a knot. Three cases had a medial cortical breakage due to a strong knot, and the initial one case among them had additionally fixed the osteotomy site for four weeks using K-wire, and the remaining two cases had fixed a suture on an articular surface without any fixation of an additional wire. If a medial cortical bone was lost by carrying out an ostectomy due to proximal protrusion of proximal phalanx, three cases could show union through the fixation of suture on an articular surface. CONCLUSION: This study considers that the fixation of the osteotomy site using an absorbable suture material in an Akin osteotomy was effective method and the advantage of this procedure was unnecessity of the material removal and no skin irritation.
Displacement (Psychology) ; Follow-Up Studies ; Hallux ; Hallux Valgus ; Humans ; Imidazoles ; Lifting ; Nitro Compounds ; Osteotomy ; Postoperative Complications ; Skin ; Sutures

10

Cite

Share

Clinical Result of Modified Percutaneous Repair Technique of Ruptured Achilles Tendon.

Jong Ryoon BAEK ; Ji Hoon KWAK ; Jun Sung WON ; Hong Gi PARK

Journal of Korean Foot and Ankle Society.2011;15(3):144-148.

PURPOSE: To investigate the results of percutaneous repair technique of Achilles tendon ruptures, and to describe the surgical technique. MATERIALS AND METHODS: We retrospectively analyzed the outcomes of 73 patients with ruptured Achilles tendon from October 1995 to September 2009. 28 patients were excluded due to short follow up period. 34 patients were male and 11 patients were female. The mean patient age was 37.19 (10~62) years. The location of rupture site was 6.58 cm proximal to the tendon insertion into the calcaneus on average. Mean follow up period was 55 months and All patients were surgically repaired using percutaneous technique with sural nerve isolation. RESULTS: Arner-lindholm score were excellent in 32 (71%), good in 12 (27%), poor in 1 (2%) case. 44 cases (98%) had the score more than good. Mean American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot function score was 92.93 (67~100). We had 1 case of superficial infection, 1 case of soft tissue irritation by suture knot. CONCLUSION: Percutaneous repair with sural nerve isolation in treating ruptured Achilles tendon showed low complication rate and reliable clinical outcome.
Achilles Tendon ; Animals ; Ankle ; Calcaneus ; Female ; Follow-Up Studies ; Foot ; Humans ; Male ; Organic Chemicals ; Orthopedics ; Retrospective Studies ; Rupture ; Sural Nerve ; Sutures ; Tendons

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share