Extensor Hallucis Longus Tendon Rupture in TaeKwonDo Players: Two Case Report / 대한족부족관절학회지

Occasionally, extensor hallucis longus tendon (EHL) ruptures becames open by laceration and spontaneous rupture of EHL that has previous story of diabetes mellitus, steroid injection, systemic steroid administration, operation and rheumatoid arthritis. But, closed traumatic EHL ruptures are reported rarely. Especially, we diagnosed the closed EHL ruptures in TaeKwonDo players. We reported the 2 patients, differently treated end to end anastomosis and EHL transfer, had the course and treatment methods. Be care the prognosis can be altered according to the treatment time and method.

Treatment of Postoperative Tarsal Tunnel Syndrome with Autogeneous Vein Wrapping Graft / 대한족부족관절학회지

Management of postoperative tarsal tunnel syndrome is a perplexing problem to the surgeons. Autogenous vein wrapping graft is a effective method to decompress the tarsal tunnel. We treated 2 cases of postoperative tarsal tunnel syndrome with autogenous saphenous vein wrapping graft technique, and could get good results. Autogenous vein wrapping graft seems to be a good technique for tarsal tunnel syndrome with severe adhesion, particularly after surgery, and postoperative nerve adhesion can be prevented.

Resection, Reconstruction and Functional Result for Malignant Neoplasm of Humerus / 대한정형외과학회잡지

PURPOSE: This purpose of this study is to analyze the results of resection, reconstruction and functional results for malignant humeral lesions. MATERIALS AND METHODS: Thirty-five cases were eligible to this study. There were stages IB (3) , IIB (26) , and IIIB (6) . Resection type varied from extraarticular humeral resection (3) , intraarticular humeral resection (31) , to humeral segmental resection (1) . Reconstruction consisted of spacer arthroplasty (18) , shoulder fusion (4) , composite arthroplasty (8) , fibular graft (2) , intercalary reconstruction with autogenous recycled bone (1) , and tumor prosthesis (2) . RESULTS: 138 months actual/continuous disease free survival rate for 16 osteosarcomas were 47/25%. Complications needed operation were local recurrence (4) , failure of distal fixation (1) . Overall functional score of the 35 cases was 24, spacer arthroplasty (23) , composite arthroplasty (25) and shoulder fusion (22) , respectively. CONCLUSION: There were no functional difference among reconstructive options and shoulder fusion and arthroplasty. More biologic reconstructions such as living fibula or autogenous recycled bone are recommendable options for cases which nesessitate resection up to 3/4 of humerus.