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Two Stage Procedure with a Temporary Antibiotic-impregnated Cement Spacer of Infected Hallux Interphalangeal Joint (A Case Report).

Soo Uk CHAE ; Yeung Jin KIM ; Ha Heon SONG ; Jong Yun KIM

Journal of Korean Foot and Ankle Society.2012;16(2):135-139.

The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.
Arthritis, Infectious ; Debridement ; Dislocations ; Hallux ; Intra-Articular Fractures ; Joints ; Metatarsophalangeal Joint ; Osteoarthritis ; Osteomyelitis ; Sepsis ; Transplants

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Novel Balance Tests for Assessing Functional Ankle Instability: Relationships with BMI and Gender.

Harshad P PATANKAR ; Eui Dong YEO ; Seung Joo KIM ; Hong Chul LIM ; Myong Hoi HWANG ; Sehyun PARK ; Hak Jun KIM

Journal of Korean Foot and Ankle Society.2012;16(2):128-134.

PURPOSE: To design novel balance tests to assess FAI and evaluate whether these tests are affected by BMI or gender, with the goal of developing reliable FAI assessment tests that are not influenced by these factors. MATERIALS AND METHODS: Participants included 20 young, healthy volunteers, 12 males and 8 females, with a mean age of 24+/-4 years and a mean BMI of 23+/-2.28. None of the subjects had known ankle instability. The following tests were assessed in each participant: single leg balance (SLB), percentage of leg press (PLP), single leg cycling (SLC), one leg squat (OLS), multiple direction reach-front/back/side (MDR-F/B/S), single leg hop (SLH), two leg jump (TLJ) and side step (SS). Data were analyzed using the SPSS 12.0 software program with ANOVA and t-test used. RESULTS: When grouped by BMI, we found that despite differences in BMI, the performances of all subjects were equivalent except for the one-leg-squat test, for which the mean ratios for underweight (1.69+/-0), normal weight (1.05+/-0.19), and overweight (0.93+/-0.30) individuals were significantly different (p=0.02); ratios for SLB (p=0.273), SLC (p=0.903), PLP (p=0.664), MDR-F/B/S (p=0.498, 0.908, and 0.503, respectively), SLH (p=0.332) were not significantly different. When calculated according to gender, we found that the OLS (p=0.013) and MDRS (p=0.034) were significantly different, while parameters for all the remaining tests were not affected. CONCLUSION: We found that the SLB, PLP, SLC, MDR-F/B, and SLH ratios were unaffected by BMI or sex and, therefore, are reliable parameters for assessing ankle instability.
Animals ; Ankle ; Female ; Humans ; Humulus ; Leg ; Male ; Overweight ; Thinness

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Treatment Results of Hallux Valgus Deformity by Parallel-Shaped Modified Scarf Osteotomy.

Hyun Woo PARK ; Sung Jin KIM

Journal of Korean Foot and Ankle Society.2012;16(2):123-127.

PURPOSE: The purpose of this study was to evaluate the clinical and radiographic results of the parallel-shaped modified Scarf osteotomy which is performed the Scarf osteotomy parallel to the shaft of the 1st metatarsal bone for hallux valgus deformities. MATERIALS AND METHODS: We retrospectively reviewed 43 patients who had been treated by the parallel-shaped modified Scarf osteotomy for hallux valgus deformities between January 2006 and March 2011. We evaluated the results after this Scarf osteotomy with respect American Orthopaedic Foot & Ankle Society (AOFAS) scores, radiologic results by comparing intermetatarsal angle between 1stand 2nd metatarsal bones and hallux valgus angle. RESULTS: We checked out the pre-operational and post-operational radiologic evaluation of intermetatarsal angle and hallux valgus angle between 1st and 2nd metatarsal bones. The mean AOFAS scores improved from 63.5 to 88.5. At final follow up, The hallux valgus angle improved from 31.4degrees (16-52) to 9.0degrees (3-13) and the intermetatarsal angle improved from 18.6degrees (12-30) to 9.3degrees (6-12) postoperatively. There was no case of major complications included recurrence of valgus deformity, correction or fixation failure and stress fractures. CONCLUSION: Our results suggest the our parallel-shaped modified Scarf osteotomy produces improved AOFAS scores, and effective correction of hallux valgus deformities. Our Scarf technique of osteotomy which is performed in parallel to the metatarsal bone minimizes the need for skill while more reliable and obtaining good correction and avoids associated complications.
Animals ; Ankle ; Congenital Abnormalities ; Follow-Up Studies ; Foot ; Hallux ; Hallux Valgus ; Humans ; Metatarsal Bones ; Osteotomy ; Recurrence ; Retrospective Studies

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Calcified Angioleiomyoma on Sole: A Case Report.

Chung Shik SHIN ; Byeong Yeol CHOI

Journal of Korean Foot and Ankle Society.2014;18(1):40-42. doi:10.14193/jkfas.2014.18.1.40

Angioleiomyomas are relatively uncommon benign tumors originating from smooth cells of a blood vessel. Although curative by surgical excision, they are rarely diagnosed definitely before surgery. We report on a case of calcified angioleiomyoma occurring on the sole, which was treated by surgical excision without recurrence and a review of literature is presented.
Angiomyoma* ; Blood Vessels ; Foot ; Recurrence

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Tarsal Tunnel Syndrome Secondary to Recurred Schwannoma Arising from the Posterior Tibial Nerve.

Jae Young KIM ; Hye Kyung LEE ; Jaeho CHO

Journal of Korean Foot and Ankle Society.2014;18(1):36-39. doi:10.14193/jkfas.2014.18.1.36

Tarsal tunnel syndrome is defined as a compressive neuropathy of the posterior tibial nerve in the tarsal canal. Schwannoma is a benign tumor that arises from the peripheral nerve sheath. It presents as a discrete, often tender, and palpable nodule associated with neurogenic pain or paresthesia when compressed or traumatized. The growth rate is usually slow, and these lesions seldom exceed 2 cm in diameter. In addition, local recurrence occurs less than 5%. We report on a case of tarsal tunnel syndrome caused by a large recurred space-occupying lesion measuring 4.3x2.7x2.7 cm3.
Neurilemmoma* ; Paresthesia ; Peripheral Nerves ; Recurrence ; Tarsal Tunnel Syndrome* ; Tibial Nerve*

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Parosteal Lipoma in the Metatarsus: A Case Report.

Young Jin SEO ; Young Hee CHOI ; Jae Hyuk SHIN ; Cheol Jung YANG ; Si Young SONG

Journal of Korean Foot and Ankle Society.2015;19(3):132-135. doi:10.14193/jkfas.2015.19.3.132

We experienced a rare case of parosteal lipoma, which located on the periosteum of the foot 4th metatarsus. A 22-year-old woman visited the hospital with painful mass in her foot. Based on the assessment of plain radiographs, computed tomography scan, and magnetic resonance image, it was suspected as lipoma. Marginal excision was performed and parosteal lipoma was confirmed histologically. Any local recurrence and complications were not observed in 2 years after surgery.
Female ; Foot ; Humans ; Lipoma* ; Metatarsus* ; Periosteum ; Recurrence ; Young Adult

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Overuse Capsuloligamentous Injury of the First Metatarsophalangeal Joint: A Case Report.

Jihong PARK ; Terry L GRINDSTAFF

Journal of Korean Foot and Ankle Society.2015;19(3):128-131. doi:10.14193/jkfas.2015.19.3.128

Capsuloligamentous injury at the first metatarsophalangeal (MTP) joint is a common traumatic injury during physical activity, particularly on artificial turf. Mechanism of injury include excessive flexion, extension, or valgus stress. We report a non-operatively treated capsuloligamentous injury at the first MTP joint, which did not occur traumatically but developed by a stress-related mechanism in a collegiate rower.
Cumulative Trauma Disorders ; Joints ; Metatarsophalangeal Joint* ; Motor Activity

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Treatment of Calcaneal Fracture Malunion Using Lateral Exostectomy and Corrective Osteotomy: A Report of Three Cases.

Young Min NOH ; Yu Mi KIM ; Sang Yul KIM

Journal of Korean Foot and Ankle Society.2015;19(3):122-127. doi:10.14193/jkfas.2015.19.3.122

Inappropriate treatment for calcaneus fracture may result in malunion causing long-lasting pain and functional deficits. When such complications occur, the ideal principle of management is preserving congruence and motion of adjacent joints. For three patients with calcaneus fracture malunion, subtalar joint-preserving surgery using exostectomy and corrective osteotomy was performed, and satisfactory outcomes were achieved postoperatively.
Calcaneus ; Humans ; Joints ; Osteotomy* ; Subtalar Joint

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Surgery for Synovial Fistula after Excision of the Lateral Malleolar Bursitis of the Ankle: A Case Report.

Hyo Seok JANG ; Hong Joon CHOI

Journal of Korean Foot and Ankle Society.2015;19(3):118-121. doi:10.14193/jkfas.2015.19.3.118

Lateral malleolar bursitis of the ankle is a commonly encountered disease in the department of orthopedic surgery. Although most cases of lateral malleolar bursitis are managed by conservative treatments, operative treatment is considered in cases of infected bursitis or complication after surgery. There are several potential complications associated with operative treatment, including wound healing problem, skin necrosis, nerve injury, or recurrence. However, synovial fistula of the ankle as a complication after surgery for lateral malleolar bursitis has not been previously reported. The author experienced the complication of synovial fistula after surgery for lateral malleolar bursitis and obtained a satisfactory result in revision surgery for the complication, which was coverage of the fistular formation with a periosteal flap from the distal fibula.
Ankle* ; Arthritis, Infectious ; Bursitis* ; Fibula ; Fistula* ; Necrosis ; Orthopedics ; Recurrence ; Skin ; Wound Healing

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Treatment of Massive Defect in Achilles Tendon with Tendon Allograft: A Case Report.

Jung Woo LEE ; Myung Jin KIM ; Jae Hoon AHN ; Chu Hwan BYUN

Journal of Korean Foot and Ankle Society.2015;19(3):114-117. doi:10.14193/jkfas.2015.19.3.114

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.
Achilles Tendon* ; Allografts* ; Tendon Transfer ; Tendons*

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