ABSTRACT
The claw-foot deformity is only a symptom of some primary lesion, not an entity in itself. The treatment of claw-foot usually depends on the type and severity of the deformity. In the past two years, authors have treated 7 cases of claw-foot, 3 of which were treated by Cole's anterior tarsal wedge osteotomy and 4 cases by Japas “V”-osteotomy of tarsus. In all 7 cases, Steindler's plantar fasciotomy for cavus deformity were combined and 1 case was combined with Achilles tendon lengthening. The followings were noted. 1. AlI patients were military personals and the ages were between 21 to 27 years old male. 2. Two patients were bilateral claw-foot deformity and both sides were operated. 3. The causes were secondary to poliomyelitis in one case and the others were idiopathic. 4. Postoperative complications were skin necrosis in one case and sensory disturbance on the dorsum of the first web space of the foot in 3 cases. 5. All patients can walk and run without pain after average 1 year follow-up period.
Subject(s)
Humans , Male , Achilles Tendon , Ankle , Congenital Abnormalities , Follow-Up Studies , Foot , Foot Deformities , Military Personnel , Necrosis , Osteotomy , Poliomyelitis , Postoperative Complications , SkinABSTRACT
It is well known that double contrast arthrography of the knee is a safe and technically simple procedure permitting accurate diagnosis of lesion of meniscus, especially tears. It has been utilized infrequently until recent years in our country. During the period of Oct. 1977 through Nov. 1978, double contrast arthrography of the knee had been performed in total of 52 cases with soft tissue injury of the knee and a total of 32 cases among them underwent the operation at the Armed Forces Taegu General Hospital. The arthrographic findings of the meniscus injury were presented and analyzed. The results were as follows: 1. Arthrography of the knee is a valuable diagnostic aid for meniscus injury. The diagnostic accuracy was 87.5 per cent for 32 cases. 2. In one case, tear of both menisci unsuspected on the basis of clinical examination were demonstrated one the arthrogram. 3. Arthrography revealed residual portion of the meniscus left after previous menisectomy in one patient. Reoperation resulted in cure. 4. Unnecessary surgery was reduced. 5. There were no complications of arthrography in thts series.