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Operative Treatment of Hallux Valgus Deformity in Male Patients

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À±ÅÂÇö(Yoon Tae-Hyun) - ¼­³²´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
ÀÌÁØ¿µ(Lee Jun-Young) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
±è¼ºÅÃ(Kim Seong-Tek) - ¼­³²´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
½ÉÈñÁ¾(Shim Hee-Jong) - ¼­³²´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
¾È±â¿ë(An Ki-Yong) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç

Abstract

Purpose: We evaluated the result of operative treatment of the hallux valgus in male patients.

Materials and Methods: Total 11 cases (10 patients) of the hallux valgus deformity that treated with operation were evaluated. Following Mann¡¯s radiological classification system, there was 1 cases of mild, 8 cases of moderate, and 2 cases of severe. Preoperative, postoperative, postoperative 3 months and postoperative 6 months follow up standing radiographs were used as radiologic evaluation. And we evaluated radiological outcomes by hallux valgus angle (HVA), first-second intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), proximal phalangeal articular angle (PPAA) and clinical outcomes by hallux-metatarsophalangeal scale of American Orthopaedic Foot and Ankle Society (AOFAS) score.

Results: Radiologically, the mean preoperative HVA 37¡Æ and IMA 13.7¡Æ were improved postoperatively as HVA 11.9¡Æ and IMA 4.7¡Æ, and the mean preoperative DMMA 29.4¡Æ and PPAA 8.6¡Æ were improved postoperatively DMMA 13.9¡Æ and PPAA 7¡Æ. But, postoperative 6 months follow up HVA, IMA, DMMA and PPAA was increased at 14.2¡Æ, 6.3¡Æ, 16.1¡Æ and 8.3¡Æ. Average AOFAS score were improved from 61.2 points to 75.2 points.

Conslusion: In our study, operative treatment of hallux valgus in male patients with proximal metatarsal osteotomy and distal soft tissue procedure showed good results but it was necessary to pay attention to increase aspect of follow up radiologic measurements.

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Hallux valgus, Male, Proximal metatarsal osteotomy and distal soft tissue procedure
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proximal metatarsal osteotomy and distal soft tissue procedure showed good results.
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DOI
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ICD 03
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