Free Semitendinosus Tendon Graft in Re-ruptured Achilles Tendon / 대한족부족관절학회지

The acute Achilles tendon rupture usually occurs to the people who participate in sports-related activities between 30 and 40 years of age. Recently surgical repair is the standard treatment in acute Achilles tendon rupture. After the Achilles tendon rupture in the left ankle, a 30-years old young man had been suffered from re-rupturing within three months after the primary repair. 2 years later, right-side Achilles tendon was reruptured after primary repair consequently. In the revision surgery, we performed V-Y advancement of the gastrocnemius-soleus fascia and reinforcement of the semitendinosus tendon. None of the English-literature was reported about using the semitendinosus tendon in revision surgery of the Achilles tendon retear previously. Therefore, we report this case and surgical technique because of the simple technique and the excellent results.

Secondary Septic Arthritis Due to Lateral Malleolar Bursitis: A Case Report / 대한족부족관절학회지

Lateral malleolar bursitis rarely progresses to septic arthritis. In our case, the 27 year old man visited due to progressive left ankle pain, despite the antibiotics treatment of lateral malleolar bursitis. 8 years ago, modified Brostrom procedure was performed owing to chronic ankle instability. Previous surgery altered anatomical structure of lateral ankle bursa, so it may cause the infection to spread to the ankle joint. We reported rare case of secondary septic arthritis caused by lateral malleolar bursitis.

Fatal Pulmonary Embolism after Total Knee Arthroplasty: A case Report

Thromboembolic disease is particularly a problem in lower extremity joint arthroplasty secondary to the development of deep vein thrombosis and proximal propagation of the thrombus. A fatal pulmonary embolism is one of the catastrophic complications of the total knee arthroplasty. However, it is easy to neglect its importance because of its relatively lower rate of incidence in asian people and subclinical symptoms in most cases. We report a case of fatal pulmonary embolism after bilateral total knee arthroplasty which was confirmed by spiral computed tomography.