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Anterior Compartment Syndrome after Surgery of Bosworth Fracture-Dislocation of the Ankle: A Case Report.

Hyung Jin CHUNG ; Se Jin PARK ; Yun Seok CHOI

Journal of Korean Foot and Ankle Society.2004;8(2):221-223.

Bosworth fracture-dislocation of ankle is very rare, occurred by eversion and external rotation force. It is known as irreducible fracture by closed method. Also, compartment syndrome after ankle fracture are exceedingly rare. There are only a few reported cases of compartment syndrome after ankle fracture and compartment syndrome are involved commonly deep posterior compartment. We present a case in which a patient had a Bosworth fracturedislocation of the ankle underwent open reduction with internal fixation and subsequently occurred an anterior compartment syndrome of the leg.
Ankle Fractures ; Ankle* ; Anterior Compartment Syndrome* ; Compartment Syndromes ; Humans ; Leg

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Spontaneous Achilles Tendon Rupture After Repeated Local Steroid Injention: A Case Report.

Hyung Jin CHUNG ; Jung Yun CHOI

Journal of Korean Foot and Ankle Society.2004;8(2):218-220.

It is known that steroids increase the risk for tendon ruptures. Despite this local steroids are still used in the treatment of achilles tendinitis. 46-year-old women had occurred achilles tendon rupture after repeated local steroid injection. Intraoperatively, necrotic change were seen at both side of ruptured end. Like this, tendon rupture after repeated steroid injection often result in a large defect, which needed surgical repair. After debridement of ruptured end, tenorrhaphy with single Krackow method and plantaris tendon augmentation was done. The patient showed favorable result with return to range in a degree of activity levels.
Achilles Tendon* ; Debridement ; Female ; Humans ; Middle Aged ; Rupture* ; Rupture, Spontaneous ; Steroids ; Tendinopathy ; Tendons

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Tumoral Calcinosis of the Foot: MRI & Histologic Findings; Two Cases Report.

Woo Sung CHOI ; Jong Hun JI ; Yeon Soo LEE ; Mohamed SHAFI ; Kwang Young CHOI ; Won yoo KIM ; Sae Cheal OH

Journal of Korean Foot and Ankle Society.2004;8(2):213-217.

Tumoral calcinosis is rarely encountered disease, and most of reported cases involved large joints such as hip or elbow. We report two patients with tumoral calcinosis in the foot. In the 1st case, the lesion was observed at the 1st MP joint of foot, and in the 2nd case it was found at the DIP joint of 5th toe area with bony erosion which is rare in other tumoral calcinosis. They all needed evaluation with MRI, and eventually surgical excision.
Calcinosis* ; Elbow ; Foot* ; Hip ; Humans ; Joints ; Magnetic Resonance Imaging* ; Toes

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4th Metatarsal Head AVN Treated by Callotasis in 4th Brachymetatarsia (A Case Report).

Jun Young LEE ; Sung Won CHO ; Chi Hyoung PAK

Journal of Korean Foot and Ankle Society.2012;16(3):197-201.

Callotasis has been widely used to treat brachymetatarsia. But various complications have been reported. Avascular necrosis of the 4th brachymetatarsia treated by callotasis has not been frequently addressed in the literature. We report 1 cases of avascular necrosis of the 4th brachymetatarsia treated by callotasis with a review of the literature.
Head ; Metatarsal Bones ; Necrosis ; Osteogenesis, Distraction

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Treatment of Ankle Lateral Malleolar Fractures Accompanying Osteoporosis using Lag Screw.

Jun Young LEE ; Kwang Chul LEE

Journal of Korean Foot and Ankle Society.2006;10(2):207-212.

PURPOSE: To evaluate the results of ankle lateral malleolar fractures classified as Danis-Weber type B accompanying osteoporosis that were treated with lag screw. MATERIALS AND METHODS: 15 cases of Danis-Weber type B ankle lateral malleolar fractures that had T score of less than -2.5 in BMD(bone mineral density) test were selected from June 2003 to December 2005. 10 cases were males and 5 cases were females with mean age of 59 years. The main injury mechanism was supination and external rotation. Mean follow-up period was 16 months. Clinical and radiologic evaluation was done according to Meyer and Kumler's criteria. RESULTS: All cases showed satisfying result and mean radiologic bone union period was 3 months. Anatomic reduction and bone union was acquired in all cases without complications including wound infection, skin necrosis, delayed union and nonunion CONCLUSIONS: Lag screw fixation seem to be excellent treatment of Danis-Weber type B lateral malleolar fractures with osteoporosis as it can minimize soft tissue injury and enable anatomic reduction with firm fixation.
Ankle* ; Female ; Follow-Up Studies ; Humans ; Male ; Necrosis ; Osteoporosis* ; Skin ; Soft Tissue Injuries ; Supination ; Wound Infection

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Comparative Study for the Fixation Method in the Danis-Weber Type B Lateral Malleolar Fractures: An Antiglide Plate Fixation versus A Lateral Plate Fixation.

Hun Kyu SHIN ; Jae Yeol CHOI ; Dong Ho KANG

Journal of Korean Foot and Ankle Society.2006;10(2):201-206.

PURPOSE: To evaluate the advantages of the antiglide plate fixation procedure for Danis-Weber type B lateral malleolar fractures of ankle compared to other methods of lateral plate fixation. MATERIALS AND METHODS: We reviewed 70 cases that antiglide plate fixation and lateral plate fixation procedures were performed from Mar. 2001 through Mar. 2006. Of the total 70 cases, they were divided into two groups ; 22 cases were treated with the antiglide plate procedure (Group I) and 48 cases were treated with the lateral plate procedure (Group II). The results of the two groups were analyzed both radiographically and clinically using Ankle-Hindfoot scale of the American Orthopedic Foot and Ankle Society (AOFAS). RESULTS: All fractures were healed at average of 8 weeks both radiographically and clinically. According to the Ankle-Hindfoot scale, all cases of Group I and 48 cases of Group II were above 80 points. 2 cases (9%) in Group I complained of peroneal tendinitis, while 19 cases (39%) in Group II showed skin irritation resulting from the screw or the plate. A total of 6 cases (27%) in Group I and 27 cases (55%) in Group II complained cosmetic problems. CONCLUSION: we concluded that the antiglide plate fixation for Danis-Weber type B lateral malleolar fractures is one of the good methods. But, further analysis will be need to find a solution for the peroneal tendinitis.
Ankle ; Foot ; Orthopedics ; Skin ; Tendinopathy

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Predicting Factors on Surgical Management of Unilateral Calcaneal Fracture.

Sang Wook LEE ; Sang Bong KO ; Hyun Sub LEE

Journal of Korean Foot and Ankle Society.2006;10(2):196-200.

PURPOSE: To study prognostic factors of unilateral calcaneus fracture underwent surgery. MATERIALS AND METHODS: We selected appropriate 60 cases of 236 calcaneus fracture cases between March 1985 and March 2004, and analyzed the correlation between sex, age, smoking, injury mechanism, Essex-Lopresti classification of calcaneus fracture, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle and Visual Analogue Scale (VAS), P.S. Kerr's Calcaneal Fracture Score (CFSS). The average age was 41.4 and average follow up period was 74 (12 to 240) months. RESULTS: For follow up period, average VAS is 3.43 and CFSS is 81.23. The sex, age, smoking, injury mechanism, and preoperative, postoperative, postoperative 1 year Bohler angle had no correlation with the prognosis. But the Essex-Lopresti classification of calcaneus fracture, tongue type had better prognosis than joint depression type (VAS : p=0.041, CFSS : p=0.021). CONCLUSION: In unilateral calcaneus fracture, the sex, age, smoking, injury mechanism, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle had no correlation with the prognosis of fracture, but in Essex-Lopresti classification, the tongue type fracture had better prognosis than the joint depression type.
Calcaneus ; Classification ; Depression ; Follow-Up Studies ; Joints ; Prognosis ; Smoke ; Smoking ; Tongue

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Operative Treatment of Displaced Talar Neck Fracture.

Jae Hoon AHN ; Chang Hyun BAEK ; Won Sik CHOY ; Yong In KIM

Journal of Korean Foot and Ankle Society.2006;10(2):190-195.

PURPOSE: To evaluate the results of open reduction and internal fixation for displaced talar neck fracture. MATERIALS AND METHODS: Fourteen patients were followed for more than 1 year after open reduction and internal fixation of displaced talar neck fracture. The mean age was 41.5 years, and the mean follow-up period was 3.8 years. There were 10 type II, 3 type III and 1 type IV fractures per Hawkins. There were 3 open fractures. Clinically AOFAS ankle-hindfoot scale and Hawkins criteria were utilized. Radiologically quality of reduction, duration of bony union, avascular necrosis and posttraumatic arthritis were evaluated. RESULTS: At last follow-up, AOFAS scale was mean 89.1 points. There were 8 excellent, 4 good, and 2 fair results according to Hawkins criteria. Radiologically anatomical reduction was obtained in 13 cases. Mean duration of bony union was 11.8 weeks. There were 3 avascular necrosis and 2 post-traumatic arthritis. There was no significant difference in the incidence of avascular necrosis between early operation group and surgically delayed group. CONCLUSION: Accurate open reduction and rigid internal fixation seem to be prerequisites for satisfactory treatment of a displaced talar neck fracture.
Arthritis ; Follow-Up Studies ; Fractures, Open ; Humans ; Incidence ; Neck* ; Necrosis

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Treatment of The Pilon Fracture involving Tibial Shaft using Two Staged MIPO Technique.

Hun Kyu SHIN ; Jae Yeol CHOI ; Ji Won LEE

Journal of Korean Foot and Ankle Society.2006;10(2):184-189.

PURPOSE: To evaluate surgical treatment using two-staged MIPO technique in tibial pilon fractures involving tibial shaft. MATERIALS AND METHODS: Twelve patients, who underwent two-staged MIPO technique for pilon fractures involving tibial shaft between January 2003 and May 2005, were followed for more than one year. Radiographs were graded by the criteria of Anglen and ankle functions were graded by the criteria of Mast and Teipner. Ankle function, union time and postoperative complications were also analysed. RESULTS: Clinically there were eight (67%) good results, three (25%) fair results and one (8%) poor result. At the last follow-up, the radiographic results showed seven (58%) excellent results, three (25%) good results, and two (17%) fair results. During the follow up, There was one case of nonunion CONCLUSION: Two-staged MIPO techinque is one of the good methods for the treatment of pilon fractures invloving tibial shaft.
Ankle ; Follow-Up Studies ; Humans ; Postoperative Complications ; Tibia

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Treatment of Superficial Peroneal and Sural Nerve Lesions Unrelated to Laceration.

Woo Chun LEE ; Yu Mi KIM ; Han Suk KO

Journal of Korean Foot and Ankle Society.2006;10(2):179-183.

PURPOSE: To review the results of surgical treatment for superficial peroneal and sural nerve lesion unrelated to laceration. MATERIALS AND METHODS: Eleven superficial peroneal and sural nerve lesions in eleven patients were surgically treated at our hospital with follow up of average 20.7 months (range, 9-64 months). The anatomical locations of the lesion were on superficial peroneal nerve in seven patients including two patients having ganglion and sural nerve in four patients. Two patients were male and the average age at surgery was 41.5 years (range, 23-57 years). Six cases developed after repetitive sprain and five cases had no trauma history. Clinical results were assessed according to the criteria of Pfeiffer and Cracchiolo. RESULTS: The methods of operation were proximal resection of the nerve lesion in nine cases and removal of ganglion only in two cases. The results were excellent in four cases, good in five cases, fair in one case and poor in one case. Ten cases (10 patients) were satisfied with the result of treatment. CONCLUSION: We can expect satisfactory results of surgical treatment for superficial peroneal and sural nerve lesion unrelated to laceration.
Follow-Up Studies ; Ganglion Cysts ; Humans ; Lacerations* ; Male ; Peroneal Nerve ; Sprains and Strains ; Sural Nerve*

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