• 제목/요약/키워드: varus

검색결과 176건 처리시간 0.031초

족관절 안정성의 예상인자 -격자각과 비골의 길이- (Predicting Factors on Ankle Stability - Mortise Angle and Fibular Length -)

  • 이상욱;고상봉;신민철;이병관
    • 대한족부족관절학회지
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    • 제8권1호
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    • pp.11-15
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    • 2004
  • Purpose: The aim of this study was to investigate the usefulness of mortise angle and fibular length measured in radiologic findings in predicting the ankle stability. Materials and Methods: One hundred cases fifty cases were randomly selected volunteers with normal ankle function and the other fifty cases were randomly selected patients whose ankle were treated in our hospital and who were followed for over 1 years with good results. A specific experimental fixture were made to get the even AP and lateral view and objective stress view. Results: The mortise angle and fibular length was not statistically significant to the degree of talar tilt angle under valgus or varus stress and that of displacement under anterior or posterior stress. Conclusion: The mortise angle and fibular length was not the objective predicting factors on the ankle stability. Maintenance of constrained talus in dynamic status is most important factors in determining the ankle stability.

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무지 외반증의 수술적 방법에 대한 임상적 고찰 (A Clinical Study of the Operative Treatment in Hallux Valgus)

  • 박인헌;이기병;송경원;이진영;김익지
    • 대한족부족관절학회지
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    • 제1권1호
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    • pp.65-73
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    • 1997
  • Hallux valgus deformity has been slowly getting popular in Korea. Many surgical procedures are available for treating the hallux valgus, but it is still controversial for the best treatment. We operated 25 feet(15 patients) of hallux valgus between May. 88 and December. 94. The clinical results were as follow ; 1. Age distribution was 25 to 82, and all female. 10 patients have bilateral hallux valgus. 2. 19 feet were treated by soft tissue procedures only and 6 feet by combined soft tissue and bony procedures. 3. Bunion deformity was recurred in 2 feet (1 Patient) which were treated with modified McBride Method. 4. Lateral sesamoidectomies were performed in 7 feet without development of hallux varus. 5. The cosmetic and functional results were good in 6 cases treated by proximal metatarsal osteotomy. 6. 9 feet had other digits deformities, which need surgical correction. 7. Tightening repair of medial capsule seems to be important for prevention of recurrence of bunion.

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착지의 높이와 거리가 무릎 부상 메카니즘에 미치는 영향 (The Effects of Landing Height and Distance on Knee Injury Mechanism)

  • 조준행;김로빈
    • 한국운동역학회지
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    • 제21권2호
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    • pp.197-205
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    • 2011
  • Various jumping and landing motions are shown during sports event. But most previous studies have not considered landing height and distance simultaneously. The purpose of this study was to identify the effects of landing height and distance on knee injury mechanism. Fourteen male(age: $28.86{\pm}1.99$ yrs, height: $177.00{\pm}4.69$ cm, weight: $76.50{\pm}6.41$ kg) participated in this study. The subjects attempted drop landing task onto the ground from 30 cm to 45 cm heights and to 20 cm to 40 cm distances. The results were as follows. First, higher drop landing height and longer distance showed greater degree of maximal knee flexion and valgus. Second, higher drop landing height and longer distance showed greater maximal knee extension moment and varus moment. Third, higher drop landing height and longer distance showed larger maximal knee absorption power. Lastly, higher drop landing height showed increased Peak GRF. Landing height was more related to the cause of injury, which was indicated by increased maximal knee extension moment, peak GRF and maximal knee absorption power. Landing distance was also associated with increased knee valgus moment and absorption power during landing. These results suggest that landing height and distance may be the cause of injury.

족관절 인공관절 치환술 후 발생한 합병증 (Complications after Total Ankle Replacement Arthroplasty)

  • 이경태;양기원;이영구;김진수;박신이;김도연
    • 대한족부족관절학회지
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    • 제12권2호
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    • pp.128-134
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    • 2008
  • 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.

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동측과 반대편의 지팡이 사용에 대한 무릎의 모멘트 분석 (Effects of Contralateral and Ipsilateral Cane Use on Knee Moment)

  • 이현옥;양경혜;권유정
    • The Journal of Korean Physical Therapy
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    • 제26권2호
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    • pp.117-122
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    • 2014
  • Purpose: The purpose of this study was to compare the effects of force of ipsilateral versus contralateral cane usage on knee moments in healthy young adults. Methods: A convenience sample of 10 subjects volunteered for this study. Subjects walked over a force plate under three different conditions; unaided and ipsilateral cane and contralateral cane. Analysis of data on moment of the knee joint and ground reaction force was performed using the OrthoTrak program. Results: Flexion moment of the knee was decreased with the contralateral cane, but increased with the ipsilateral cane compared with normal gait. Extension moment of the knee was decreased with the contralateral cane compared with normal gait(p<0.05) and it was showed a greater decrease with the contralateral cane than with the ipsilateral cane gait(p=0.00). Valgus moment of the knee joint was increased with the ipsilateral cane but decreased with the contralateral cane. Vertical ground peak force was decreased with the ipsilateral cane compared with normal gait (p<0.05). Conclusion: The following conclusions were drawn from our data. Contralateral cane gait is more efficacious for persons with weakness of knee extensors, however, for a patient with varus deformity, the cane should be used in the ipsilateral hand.

무릎관절 뼈관절염 환자의 발과 무릎관절 자세 특성간의 상관관계 (The Correlation Between Foot and Knee Posture Characteristics in Knee Osteoarthritis People)

  • 김성환;김선엽;김호봉
    • 대한물리의학회지
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    • 제7권4호
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    • pp.433-442
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    • 2012
  • PURPOSE: This study investigated to correlation between foot and knee posture characteristics in knee osteoarthritis patients. METHODS: The subjects of this study were 103 patients with clinically and radiographically-confirmed knee osteoarthritis was investigated using the quadriceps angle (QA), distance of both knee (DBK), ankle dorsiflexion angle (ADA), navicular drop (ND). One-way ANOVA and Pearson's correlation were used to investigate the correlation between foot and knee posture measurements. All of whom agreed to participate in the study. In order to assure the statistical significance of the results, we used for SPSS ver. 18.0 for windows. RESULTS: The results of this study were as follows : 1) There were statistically significant difference in the correlation between QA and DBK. 2) There were statistically significant difference in the correlation between DBK and ADA. CONCLUSION: According the results of this study, patients with osteoarthritis exhibit more genu varus knee posture. Moreover patients with osteoarthritis were not correlation between foot and knee Posture characteristics.

후방십자인대 재건술 후 사체 아킬레스 이식건의 초기연신거동 (Initial Lengthening Behavior of Cadaveric Achilles Tendon Graft After Posterior Cruciate Ligament Reconstruction)

  • 김철웅;배지훈;이호상;왕준호;박종웅;오동준
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1461-1466
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    • 2008
  • In the case of Posterior Cruciate Ligament (PCL), the most frequent mechanism is the dashboard injury, which is directly pressurized to the anterior of the proximal tibia in the state of the knee hyperflexion. The PCL associated ligament damage happens when the posterior injury, the varus, the valgus, the hyperextension and the severe vagus torque are out of the critical value of PCL. After the successful operation cases of Anterior Cruciate Ligament (ACL) reconstruction using the allograft were informed from 1986, a number of results kept over the maximum 10 years were reported. Unfortunately, PCL reconstruction are crowded the surgery techniques such as the graft, the tibia fixing method, the fixation device, the location of the femoral tunnel, the number of the graft bundles and PCL reconstruction to access to the stability of the normal joint is being developed. Therefore, this study is the basic research of these above facts. The current transtibial tunnel surgery using the cadaveric Achilles tendon grafts is chosen for the various PCL reconstruction. The initial extension of the Achilles tendon by the fixing device and its location under the cyclic loading, were observed.

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육계 전기 사료에 엽산과 콜린의 첨가 수준이 육계의 생산성에 미치는 영향 (Effects of Dietary Supplemental Folic Acid and Choline on the Performance of Starting Broiler Chicks)

  • 류경선;최호성;박강희;신원집
    • 한국가금학회지
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    • 제22권4호
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    • pp.213-221
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    • 1995
  • Five experiments were conducted to evaluate the effect of dietary supplemental folic acid(FA) in starting broiler chicks. In the first two experiments, basal diets based on corn and soybean meal contained 0.6 mg/kg FA but no supplemental methionine or choline. At 18 d of age, chicks showed curvilinear responses to folic acid supplementation with maximum growth and feed efficiencies at 1.45 mg/kg FA diet. The liver FA response was also curvilinear but reached a plateau at 1.70 mg/kg FA diet. The basal diet for 3 additional experiments contained soybean meal that had been washed with methanol to remove most of the choline. The diet contained only 0.6 mg /kg folic acid and 754 mg /kg choline. Chicks exhibited a larger growth response to folic acid at low choline levels as evidenced by a significant FA x choline interaction. FA supplementation increased but then decreased valgus leg deformity. Choline supplementation also decreased the incidences of valgus and varus leg deformities and decreased bone ash and increased the incidence of tibial dyschondroplasia. It is concluded that chicks fed diets based on practical ingredients require from 1.45 to 1.70 mg /kg FA diet and also 1.60 mg/kg FA when choline is offered near the NRC recommended level of 1,300 mg/kg.

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드롭 착지 시 스포츠 테이핑이 하지의 충격력과 근육 조율에 미치는 영향 (Effect of Sports Taping on Impact Forces and Muscle Tuning during Drop Landing)

  • 강년주;채원식
    • 한국운동역학회지
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    • 제20권2호
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    • pp.175-182
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    • 2010
  • The purpose of this study was to evaluate the biomechanical effect of sports taping on the lower limb during drop landing. Twelve male university students who have no musculoskeletal disorder were recruited as the subjects. Principal strain, median frequency, vertical GRF, loading rate, angular velocity and resultant joint moment were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between taped and untaped conditions(p<.05). The results showed that principal strain of the thigh and the shank in taping group were significantly less than those found in control group. These indicated that sports taping may prevent excessive mechanical strain caused by impact force during the deceleration phase. Flexion(-)-extension(+) and varus(-)-valgus(+) resultant joint moment of the knee joint in taping group were greater than corresponding value for control group. It seems that extensor muscle of the knee joint were not only supported by sports taping during knee flexion but also sports taping is effective for minimizing the possibility of injury.

정상 성인 휴지종골 입각각도와 자세동요와의 관련성 연구 (A Study of the Relationship Between Normal Adults' Resting Calcaneal Stance Position and Postural Sway)

  • 이완희;이승원
    • 대한물리치료과학회지
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    • 제11권2호
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    • pp.5-17
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    • 2004
  • The purpose of this study was to investigate the relationship between normal adults' resting calcaneal stance position(RCSP) and postural sway. Subjects were 70 normal adults(34 men and 36 women) in their twenties who attend S. University. Postural sway during a single limb stance was measured using the CMS 10 Measuring System when subjects positioned on the balance trainer in their bare foot. RCSP while subjects were standing on the glass plate was measured using the angle tinder after subjects were positioned in prone to divide equally lower leg and calcaneus using the goniometer. The result was as follows. There were significant weak positive correlations between RCSP and postural sway(r=0.362, p<0.01), the leg of the small RCSP within a subject has the small postural sway index($X^2=43.758$, p<0.001). There was no significant difference between groups of rearfoot valgus(RCSp<$2^{\circ}$) and those of rearfoot varus (RCSp>$2^{\circ}$) in the postural sway. In conclusion, there is a weak relationship between increasing the absolute value of RCSP and increasing postural sway.

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