• Journal of Korean Foot and Ankle Society
• /
• v.12 no.1
• /
• pp.93-99
• /
• 2008

Purpose: To evaluate the result of the early exercise and rehabilitation after limited posterior operative treatment of the calcaneal fractures. Materials and Methods: Between May 2005 and December 2007, 43 cases with intraarticular calcaneal fractures were treated by open reduction with K-wires and Steinmann pins. Mean age and mean follow-up period were 42.5 years old and 15 months. All patients were treated with the same postoperative protocol, the early exercise of subtalar joint without short leg splint and cast was began after postoperative 1 day, non-weight bearing crutch ambulation did after 2 weeks, partial-weight bearing crutch ambulation did after 6 weeks, without crutch ambulation did after 10 weeks. The fractures was classified by Essex-Lopresti and Sanders classification using radiographs and the functional outcomes were evaluated by circle draw exercise, AOFAS score. Results: By Essex-Lopresti classification, the tongue type was 6 cases (14%), the joint depression type was 15 cases (35%), the combined type was 22 cases (51%). By Sanders classification, type II were 10 cases (23%), type III were 15 cases (58%), and type IV were 8 cases (19%). By AOFAS functional evaluation, the mean preoperative scores were 70.3 and 70.5 respectively, mean postoperative scores were 83.7 and 86.9 respectively. There were satisfactory results in 40 cases but 3 cases were unsatisfactory including on case of lateral impingement and 2 cases of traumatic arthritis of subtalar joint. Conclusion: We obtained satisfactory result of the early exercise of subtalar joint without short leg splint and cast and rehabilitation after limited posterior operative treatment of the calcaneal fractures.

• Proceedings of the KIEE Conference
• /
• 2011.07a
• /
• pp.2047-2048
• /
• 2011

장애인 보조기구 중 목발은 수요가 높을 뿐 아니라 사용빈도가 꾸준히 증가하고 있는 것으로 보고되고 있다. 많은 사람이 필요로 하고, 사용하고 있는 목발에 대한 지속적인 관리의 필요성은 충분히 인식되고 있으나 품질관리는 잘 이루어지지 않고 있는 실정이다. 본 연구에서는 목발 사용의 대표적 문제점인 바닥접촉 고무부분의 마모가 빠르고 미끄럼 사고가 많이 발생한다는 점에 착안하여 시중에 유통 중인 목발을 수거하여 고무 경도 시험과 미끄럼저항 시험을 진행하였다. 시험 결과를 바탕으로 안전한 목발 사용을 위한 목발 고무받침의 기준을 제시하고자 한다.

• Journal of Korean Society of Industrial and Systems Engineering
• /
• v.23 no.57
• /
• pp.77-85
• /
• 2000

The purpose of this study is to analyze problems of KS measurement of the wheelchair and a pair of crutches and to propose proper measurements of the wheelchair and a pair of crutches for the posteriori handicapped. Research method is as following ; First, it is compared that Anthropometry of Korean and Japanese adults relevance with design measurement of the wheelchair and a pair of crutches. Second, we compared measurements of KS wheelchairs with measurements of the wheelchair manufactured by the T aids company and the D aids company, and then compared and analyzed differences of measurements about each part of the wheelchair. Third, we compared measurements of a pair of crutches of an fixed and an elastic type with anthropometry and analysis. The result, measurements of KS wheelchair and KS a pair of crutches shows unsuitable to Korean adults. It may cause handicapped. We proposed measurements of the aids(the wheelchair and a pair of crutches) proper to the handicapped of Korean adults with improvement of these problems.

• The Journal of the Korean bone and joint tumor society
• /
• v.1 no.2
• /
• pp.133-144
• /
• 1995

After resection of intraarticular, periacetabulum(P2) and pubic rami(P23) and extraarticular, proximal femur(P2-H12) by Enneking classification, reconstruction is very difficult. We experienced three cases of saddle prostheses for reconstruction after P2, P23, and P2-H12 resection in pelvic malignancies. Case 1 was a high grade chondrosarcoma in 36 year-old-man and P2 resection was done. But he died of disease 19 months after operation. Case 2 was a malignant giant cell tumor in 32 year-old-woman. P23 resection was given and she is disease-free 32 months after operation. Case 3 was an osteosarcoma of 27-year-old-man and P2-H12 resection was performed and he is disease-free postoperative 12 months now. According to MSTS functional evaluatin system, all three patients showed no pain(5), intermediate function(2), emotinally satisfied(3), one cane or crutch supported(1), limited walking(3), and minor cosmetic gait(3). There was no significant complication and no dislocation except intermittent inguinal hernia in case 2. All patients started crutch walking 3 weeks after operation. Around 6 months postoperatively, the preserved iliac wing(P1 component) was hypertrophied enough to endure the full weight bearing. All could have squating and kneeling positions. In conclusion, saddle prosthesis would be a very useful method of reconstruction after P2, P23, and/or H1-2 resection to shorten the operation time and to reduce the infection rate without significant loss of function.

• Journal of the Korean School Mathematics Society
• /
• v.20 no.4
• /
• pp.537-560
• /
• 2017

This study aims to investigate secondary mathematics teachers' beliefs about graphing calculator use in mathematics classrooms. For the purpose, we adopted a research instrument that was developed by Brown et. al(2007) and surveyed 32 mathematics teachers about their beliefs about graphing calculator use and teaching practice with calculators in their mathematics instruction. The data analysis suggested that the teachers rarely used calculators in their instruction and they have not had opportunities to use calculators in learning and teaching mathematics. Also, results suggested that the many teachers showed "Crutch beliefs"about the use of calculators in mathematics instruction.

• Journal of Korean Foot and Ankle Society
• /
• v.8 no.1
• /
• pp.111-113
• /
• 2004

In neurogenic equinovarus deformity, surgical intervention such as tendon transfer or osteotomy can be expected to improve symptoms. However, in rare cases of hereditary spastic paraplegia, the deformity and paralysis gradually progress. So limited operation and early post-operative rehabilitation are preferred to aggressive operation. We would like to report our clinical experience with one case of hereditary spastic paraplegia patient with reference review. A 40 year-old male, given tendon transfer of ankle and foot and tendo achilles lengthening 10 years ago, complained about aggravated spastic paraplegia which resulted in dynamic equinovarus and limited walking ability since his operation. Family history showed limited walking ability of his father with gradually progressing spastic paralysis and he was diagnosed as hereditary spastic paraplegia type I. We had performed a limited operation such as tendo achilles and tibialis posterior lengthening to induce plantigrade standing and walking with crutch. As a result, the patient was able to maintain a stabilized standing posture and walk after the operation. Hereditary spastic paraplegia presents with a progressive paralysis which limits rehabilitation after tendon transfer, and the symptoms can be aggravated. Therefore, considering potential hereditary neurogenic disorders in paients with equinovarus deformity and performing limited operative procedures seem to be important.

• Journal of the Korean Society of Clothing and Textiles
• /
• v.20 no.1
• /
• pp.54-65
• /
• 1996

The purposes of this study were 1) to present the optimum slacks pattern for young men, 2) to develope a methodology to draft basic slacks pattern using AutoCAD The total crotch legth and the shape of the crutch line were determined by anthropometric data analysis. The total crotch length was calculated with the waist girth, the hip girth and the crotch length measurements. The anthropometric data utilized for this procedure was National Anthropometric Survey of Korea, 1992. And multidimensional anthropometric measurements were carried out for 6 male college students between the age of 18 to 24. The subjects were measured with the Martin's anthropometer and the sliding gauge. Mean, standard deviation and t-test were performed for statistical analysis of the data. The automatic drafting method was programmed by AutoLISP in AutoCAD. The automatic drafting was based on the Muller's slacks pattern drafting method, the measurements of slacks construction components and the curve of crotch line. The crotch line was drafted using of the arc function in AutoCAD. The total crotch length was calcuated using the multiple regression equation. The experimental pattern developed to accomodate individual body wleasurements expected to produce customized apparel production in QRS(Quick Response System) production system.

• The Journal of the Korea Contents Association
• /
• v.11 no.4
• /
• pp.207-214
• /
• 2011

The purpose of this study was to investigate effect of feedback methods and ambulatory assistive aids on accuracy of partial weight bearing in healthy adults. Twenty subjects were recruited and trained to 30% weight bearing of body weight (BW) using 3-point gait crutches and wheeled walker pattern. Dynamic feedback group (n=11) was received dynamic postresponse feedback and static group (n=9) received static feedback. Force plate was used to measure %BW and GAITRite used to measure gait parameters in immediately and after 3 days of training. Immediately after training, there was not significantly at 30%BW target load in dynamic group with crutch gait (p>.05). There were significantly differences in %BW according to feedback methods and ambulatory aids (p<.05). There was not significant difference between immediately and after 3 days of training (p>0.05). There were significantly differences in gait velocity and stance ratio between crutches and wheeled walker gait (p<.05). Thus, it was suggested that if possible, use crutches, training for partial weight bearing via dynamic feedback is necessary.

• Archives of Plastic Surgery
• /
• v.32 no.4
• /
• pp.539-542
• /
• 2005

Reconstructions of soft tissue defect of the posterior ankle including Achilles the tendon should take into account not only coverage but functional outcome. Various methods of tendon transfer and tendon graft have been reported as a single-stage procedure. With advances and refinements in microsurgical techniques, several free composite flaps including tendon, fascia, or nerve have been used in single-stage reconstructions of large defects in this area minimizing further damage to the traumatized leg. However, when free flap is not feasible for some reasons, this cannot be accomplished successfully. Here we present a patient with Achilles tendon and circumferential large soft tissue defect. Because of circulatory compromise of the lower extremity, free flap reconstruction could not be applied. Instead, cross-leg composite flap of the dorsalis pedis flap including the extensor hallucis brevis musle and tendon, and tendon strips of the Second, third and fourth extensor digitorum logus were employed, Functional reconstruction of the tendon and resurfacing were obtained at the same time. The flap was detached 3 weeks postoperatively, and the transplanted flap has survived without any complications. By 3 months after surgery, full weight bearing, tip-toe standing and even walking without crutch assistance was possible. When functional reconstruction with the free flap is unattainable in the large defect of the posterior ankle including the Achilles tendon, cross-leg composite island flap of dorsalis pedis flap and tendon strips of the extensor digitorum longus tendon is a viable alternative.

• Journal of Yeungnam Medical Science
• /
• v.5 no.1
• /
• pp.61-67
• /
• 1988

The treatment of tibial shaft fracture has become one of the most controversial subjects in orthopedic surgery. Comminuted, segmental and rotationally unstable fractures or bone defect at fracture site have problems of the fixation. The interlocking nail solve these problems. We have experienced 8 cases of the tibial shaft fractures treated with interlocking nail from 1986 to 1988. Authors analysed these cases and our own clinical study. The results were as follows. 1. The average bone union rate was about 15 weeks. 2. The interval between operation and crutch walking was 4:3 weeks. 3. The merits of this operation were the short hospitalization and early adaptation of social activity. 4. The advantage is be able to do early ambulation without following muscular atrophy or joint stiffness. 5. The results were assessed on clinical examination and radiographic appearance by Hamza et al. An excellent results were 7 cases and good result was 1 case.