• Title/Summary/Keyword: 거골

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Treatment of Bilateral Hawkins Type II Talar Neck Fractures (양측성 Hawkins 제 2형 거골 경부 골절의 치료)

  • Kim, Jee Hoon;Kim, Jung Rae;Park, Chul Hyun
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.124-127
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    • 2013
  • Talus fracture is less common than most fractures, and bilateral talar neck fracture is extremely rare. Complications associated with talus fractures are generally deemed common because of the anatomical characteristics of the talus, but few reports have described the methods of treating such complications and the results of bilateral talar neck fracture. We report here a case of bilateral Hawkins type II talar neck fracture that had good clinical results without complications after early surgical treatment.

Supramalleolar Osteotomy in Patients with Varus Ankle Osteoarthritis (내반 퇴행성 족관절염에 대한 과상부 절골술)

  • Lee, Woo-Chun;Kim, Jung-Rae
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.3
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    • pp.119-123
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    • 2011
  • This article has reviewed the alignment of the ankle and hindfoot in varus ankle osteoarthritis. The indication and surgical technique of the supramalleolar osteotomy has been reviewed. Alignment of tibial plafond and hindfoot is variable in early stages of ankle osteoarthritis. Supramalleolar osteotomy is indicated for the treatment of ankle osteoarthritis in patients with minimal talar tilt and neutral or varus heel alignment.

Giant Cell Tumor in Talar Body - A Case Report - (거골 체부에 생긴 거대세포종 - 증례보고 -)

  • Suh, Jeung-Tak;Jung, Ju-Young;Yoo, Chong-Il
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.4
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    • pp.229-234
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    • 1999
  • Giant cell tumor of the talus is an extremely rare condition and therapeutic options are ill defined. Recently we experienced a case of giant cell tumor of the talar body in a 20-year-old male treated by curettage and bone graft. There was no recurrence at 1year follow-up. A case report and review of the literature are presented.

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Posterior Subtalar Dislocation -1 Case Report - (거골하 관절 후방탈구 - 1례 보고 -)

  • Ym, Soo-Jae;Seo, Woo-Seok
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.1
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    • pp.39-43
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    • 2000
  • A subtalar dislocation of the foot is a dislocation of the talonavicular and talocalcaneal joint while the tibiotalar relationship is unchanged. Posterior subtalar dislocation in particular, is a extremely rare. Only a few cases were reported previously in the literature. We treated a 25 year-old man who sustained the posterior subtalar dislocation in high energy traffic accident. The dislocation of subtalar joint was reduced by closed means with excellent clinical result. In this paper, we report 1 case of posterior dislocation of the subtalar joint and describe the pathomechanics, diagnosis, and treatment.

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Reverse Chevron Transmalleolar Osteotomy for Exposure of the Medial Talar Dome Lesions - Operative Technique - (역 갈매기형 내과 절골술을 이용한 거골 원개 내측 병변에의 접근 -수술 방법-)

  • Cho, Seong-Beom;Lee, Keun-Bae;Choi, Jin;Kim, Byeong-Soo;Choi, Min-Sun
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.255-258
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    • 2006
  • For the adequate intraarticular exposure in medial talar dome lesions, medial malleolar osteotomy is necessary in some cases. Many operative techniques including transverse, oblique, inverted V-shape, crescentic and step-cut osteotomies of the medial malleolus have been described previously. But their techniques have several problems such as nonunion, rotation and limited access to lesions. So we introduce the new reverse chevron medial malleolar osteotomy which provides excellent access to lesions, good stability and a broad cancellous surface for rapid healing.

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Treatment of Os Trigonum Syndrome using Subtalar Arthroscopy (A Case Report) (거골하 관절경을 이용한 Os Trigonum Syndrome의 치료(1예 보고))

  • Ahn, Jae-Hoon;Baek, Chang-Hyun;Lee, Kwang-Won;Kim, Seung-Kwon;Choy, Won-Sik
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.267-270
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    • 2006
  • Os trigonum syndrome is a clinical disorder characterized by posterior ankle pain which occurs in excessive plantar flexion. The pain is elicited by the impingement of os trigonum between the calcaneus and the posterior edge of tibial plafond. Mostly, symptoms can be improved with nonsurgical management, however surgery is required for refractory cases. We report of a case of os trigonum syndrome in a female ballet dancer, which was successfully treated with subtalar arthroscopic excision of os trigonum.

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Total Talus Dislocation (A Case Report) (거골의 완전 탈구(1예 보고))

  • Cho, Jae-Ho;Kim, Jun-Ho;Han, Seung-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.4
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    • pp.247-250
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    • 2011
  • Talar fracture and total dislocation, each known as one of rare injuries mainly caused by high-energy trauma, tend to cause avascular necrosis, post-traumatic arthritis, non-union, skin necrosis and infection because of weak blood supply. The authors have experienced and reports a total talus dislocation of 16 year old male associated with medial malleoalr fracture, who showed relatively good result by early reduction and operation.

The Calcaneus Fracture of Joint Depression Type with Lateral Subtalar Dislocation (A Case Report) (외측 거골하 탈구를 동반한 관절 함몰형 종골 골절(1예 보고))

  • Lee, Seung-Yong;Kim, Gab-Lae;Ban, Tae-Seo;Kang, Jung-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.1
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    • pp.106-108
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    • 2009
  • Calcaneus fracture with a subtalar dislocation are extremely rare. A case of a joint depression type calcaneus fracture with a lateral dislocation of the calcaneal posterior facet and tuberosity is presented. We treated it with open reduction and internal fixation with Steinmann pins and K-wires through limited posterior approach and obtained satisfactory radiographic and clinical outcome.

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Osteochondral Lesion of the Talus (거골의 골연골 병변)

  • Lee, K.B.
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.1
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    • pp.19-26
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    • 2007
  • 최근에 스포츠 손상이 증가하고 관절경을 이용한 치료가 발전하면서 조기에 더 적극적인 치료를 하는 추세이다. 또한 방사선 소견에 비하여 관절경하에서는 연골이 불안정하거나 분리되어 있는 경우도 있으므로 기존의 수술 적응증보다는 좀 더 광범위하게 관절경 검사 및 수술적 치료가 요구된다고 생각한다. 치료 방법을 하면 $1.5cm^2$ 이하의 병변을 가진 50세 이하의 환자는 관절경을 이용하여 변연 절제술, 연골하 천공, 연마, 미세 골절술, 소파술 등의 방법으로 치료할 수 있다. 같은 방법으로 50세 이상의 $3cm^2$ 이하의 병변을 가진 환자 중 mosaicplasty와 자가 연골 세포 이식술을 적용할 수 없는 환자에서 시도해볼 수 있다. $1.5\sim3cm^2$의 병변을 가진 50세 이하의 환자, 그전의 관절경적 치료로 실패한 경우에는 자가골 연골 이식 또는 자가 연골 세포 이식술을 이용하여 치료해야 한다. $3cm^2$ 이상의 병변을 가진 50세 이하의 환자는 자가 연골 세포 이식술이나 동종 골 연골 이식을 이용하여 치료하며, 50세 이상의 환자는 관절 고정술이나 족근 관절 인공치환술을 고려하는 것이 바람직하다.

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A Osteochondroma of Calcaneus with Gouty Arthritis of the Subtalar Joint (A Case Report) (거골하 관절에서 발생한 통풍성 관절염을 동반한 골연골종(1예 보고))

  • Gwak, Heui Chul;Kim, Jeon Gyo
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.4
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    • pp.280-285
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    • 2012
  • Osteochondroma, which is an osteocartilaginous exostosis, is essentially the most common primary bone tumor. These benign neoplasms are generally asymptomatic and have a relatively small potential for adverse effects. Calcaneal osteochondroma is rare, furthermore osteochondroma accompanying with gouty arthritis is very rare. Also, the subtalar joint is not a classic site of acute gout. In this report, we report the case of a patient who experienced an unusual calcaneal osteochondroma with undiagnosed gouty arthritis of the subtalar joint.