ABSTRACT
PURPOSE: The purpose of this study is to find out the normal angles of forefoot for diagnosis of bunionette deformity in Korea. This would be helpful as it would provide a basic angular measurement of bunionette deformity that indicates the need for operation. MATERIALS AND METHODS:Within a period of four months from January 2007 to April 2007. We have established 300 males and 600 feet without trauma history of foot. The source to image distance is 40 inches and erect weight bearing radiographs are obtained in anteroposterior and lateral projections. The significant angular measurements that define a bunionette deformity are the fourth-fifth intermetatarsal angle, the fifth metatarsophalangeal angle RESULTS:The mean age was 21 years(19-22 years) old. The mean 4th-5th intermetatarsal angle was 9.4+/-4.7 degrees , the mean 5th metatarsophalangeal angle was 7.9+/-9.2 degrees . CONCLUSION: We can consider over the 14.1 degrees on the 4th-5th intermetatarsal angle and over 17.1 degrees on the 5th metatarsophalangeal angle as an operational indication.
Subject(s)
Humans , Male , Bunion, Tailor's , Congenital Abnormalities , Foot , Korea , Weight-BearingABSTRACT
PURPOSE: The purpose of this study is to find out the clinical results of excision of the Os trigonum through a posterolateral approach and to compare the surgical results of athletes with non-athletes. MATERIALS AND METHODS: Within a five year and four month period, from July 2001 to October 2006, twenty patients underwent excision of symptomatic os trigonum, with a mean age of 22 years and 9 months at the time of the operation. There were fifteen female patients and five male patients. Eight were athletes and twelve were non-athletes. RESULTS: The average duration of postoperative follow-up was thirty months. The postoperative AOFAS scored an average of 89 points compared to the preoperative AOFAS scored an average of 67 points. Sixteen patients (80%) who were operated, had good or excellent satisfactory results. The average preoperative AOFAS score of the athletes were 61 points, compared to the average postoperative AOFAS score of 90 points. For non-athletes, the average preoperative score was 71 points, compared to the average postoperative AOFAS score of 88 points. Seven athletes (87%) and nine non-athletes (75%) had good or excellent satisfaction results after surgery. The time until full recovery averaged 88 days for all the patients. 133 days for the athletes and 56 days for the non-athletes. There is no analytic difference between result in athletes and result in non-athletes. CONCLUSION: Open surgical treatment through posterolateral approach of os trigonum syndrome of the ankle may be effective modality regardless of the patient being an athlete or non-athlete.
Subject(s)
Animals , Female , Humans , Male , Ankle , Athletes , Follow-Up Studies , TalusABSTRACT
PURPOSE: We evaluated the complications and failures after total ankle arthroplasty during at least 2 years short term follow up. MATERIALS AND METHODS: There were 45 cases of 42 patients of HINTEGRA(R) (Newdeal SA, Lyon, France) model from November 2004 to August 2006. Follow up averaged at least 2 year. We evaluated the complications and analyzed the cause of the failures. RESULTS: There were totally 15 cases of complication, 5 cases of medial impingement syndrome, 3 cases of varus malposition, 2 cases of delayed healing of wounds, and each one case of deep peroneal nerve problem, medial malleolus fracture, post-operative deep infection, gouty arthritis pain, and Achilles tendinitis. CONCLUSION: Total ankle arthroplasty had higher complication rate than any other joint arthroplasty, so we need a more meticulous preoperative and peri-operative care.
Subject(s)
Animals , Humans , Ankle , Arthritis, Gouty , Arthroplasty , Arthroplasty, Replacement, Ankle , Follow-Up Studies , Joints , Peroneal NerveABSTRACT
PURPOSE: The purpose of this study is to determine the results of conservative treatment of osteochondral lesion of talus (OLT). This study would be helpful to determine the treatment methods for OLT patients. MATERIALS AND METHODS: We have established 69 cases of osteochondral lesion of talus, from December 2004 to June 2006 in a period of 18 months. Symptoms were confirmed through survey and a medical examination by interviewing patients. Diagnosis was made through physical examination, simple radiography and MRI. AOFAS score of all the patients were measured. When the patients did not get improved with conservative treatment, surgical operation was done. RESULTS: 27 out of the 69 patients were treated using conservative treatment. Initial AOFAS scored was 66.37+/-8.89 points. After treatment, AOFAS scores had increased to 83.78+/-8.48 points. In cases of surgery, AOFAS scores had increased from 64.17+/-13.43 points preoperatively to 80.45+/-8.67 points. CONCLUSION: 60% of conservative treatment was useless in treating OLT patients. Surgical operation is still needed to be performed. Therefore, treatment should be done with sufficient understanding of the results.
Subject(s)
Humans , Physical Examination , TalusABSTRACT
Although stress fracture of lower extremity is a relatively common, stress fracture of medial malleolus is rare. So we report one case. He is a 17 year old soccer player and successfully treated with surgical treatment (open reduction and internal fixation with one screw.
Subject(s)
Animals , Ankle , Fractures, Stress , Lower Extremity , Quaternary Ammonium Compounds , SoccerABSTRACT
The 4th and 5th metatarsocuboid joint arthritis causes moderate functional deficit during walking. It is difficult to obtain good results with conservative treatment. The arthrodesis of the affected joints can be a possible surgical option, but with a limited success. We report two cases of the 4th and 5th metatarsocuboid joint arthritis managed with anchovy tendon interposition arthroplaty.
Subject(s)
Arthritis , Arthrodesis , Arthroplasty , Joints , Tendons , WalkingABSTRACT
Although Achilles tendinitis is a relatively common disease, tuberculous involvement of Achilles tendon is rare. We report a case of tuberculous Achilles tendinitis, which was successfully treated with chemotherapy and a combined surgical procedure (Achilles tendon parital excision and FHL tendon transfer).
Subject(s)
Achilles Tendon , Drug Therapy , Tendinopathy , TendonsABSTRACT
Although Achilles tendinitis is a relatively common disease, tuberculous involvement of Achilles tendon is rare. We report a case of tuberculous Achilles tendinitis, which was successfully treated with chemotherapy and a combined surgical procedure (Achilles tendon parital excision and FHL tendon transfer).
Subject(s)
Achilles Tendon , Drug Therapy , Tendinopathy , TendonsABSTRACT
PURPOSE: We assessed the clinical results of modified Brostrom procedure as a revision method after failure of a primary reconstruction. MATERIALS AND METHODS: This is a retrospective study of seven patients treated with Modified Brostrom procedure after failed lateral ankle ligament reconstruction between 1996 and 2002. Instability symptom developed average 4.7 month after the initial reconstruction surgery at other clinics. All patients had significant functional impairment before surgery and not responded to conservative protocols. Modified Brostrom procedure was applied to all patients. RESULTS: The average follow up was 51 months (18 to 84). Seven of eight patients had clinical stability following revision reconstruction, six patients (75%) returned to their previous functional level. American Orthopaedic Foot and Ankle Society ankle-hindfoot scores averaged 87.5. There is no difference in active or passive range of motion of plantar flexion or dorsiflexion when compared to the contralateral ankle. However, three patients were noted to have lost some degree of inversion when compated to contralateral ankle. Two patients had osteochondral lesion and multiple spurs and had pain around the ankle that prevented their full recovery. One patient complained of persistent pain which was considered complex regional pain syndrome. CONCLUSION: Though the outcome of the Modified Brostrom procedure as a method of revision surgery was less satisfactory compared to the results of primary ankle reconstruction, it would be an appropriate option when concomitant abnormalities were not accompanying.