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중등도 이상의 무지 외반증에서 근위 초승달형 절골술의 효과
Results of the Proximal Crescentic Osteotomy for Moderate to Severe Hallux Valgus Deformity

대한족부족관절학회지 2010년 14권 1호 p.11 ~ p.15

이윤태:Lee Yun-Tae 김형복:Kim Hyoung-Bok/윤한국:Yoon Han-Kook

Abstract

Purpose: The purpose of this study was to retrospectively analyze the clinical and radiologic results of the proximal crescentic osteotomy for moderate to severe hallux valgus deformity.

Materials and Methods: Between March 2001 and March 2008, 55 patients (71 feet) who had undergone crescentic osteotomy and distal soft tissue procedure for hallux valgus were followed up for more than one year. The average follow-up period was 15.8 months (12~28 months) and the average age at the time of surgery was 49.8 years (20~69 years). We analyzed the hallux valgus angle (HVA), the first-second intermetatarsal angle (IMA), the length of 1st metatarsal bone and the position of medial sesamoid in preoperative and the last follow-up radiographs. The American Othopeaedic Foot and Ankle Society (AOFAS) score and patient satisfaction were measured by modifying Johnson’s method which were used for clinical outcome assessments.

Results: The HVA and the IMA were 36.2 and 15.8 degrees preoperatively, and 10.8 and 3.9 degrees at the last follow-up, respectively. The amount of shortening of 1st metatarsal bone averaged 2.3±1.1 mm postoperatively. The medial sesamoid position improved from a preoperative average of grade 6.6 to the last follow-up average of grade 1.9. The AOFAS score improved from a preoperative average of 45.3 points to an average 90.6 points at the last follow-up. The patient`s satisfaction was completely satisfied in 61 cases (85.9%), satisfied with minor reservations in 6 cases (8.5%), satisfied with major reservations in 2 cases (2.8%), and dissatisfied in 2 cases (2.8%).

Conclusion: Proximal crescentic osteotomy produced satisfactory results for moderate to severe hallux valgus deformity.

키워드

Foot, Hallux valgus, Crescentic osteotomy

KMID : 1130920100140010011

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주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

Proximal crescentic osteotomy produced satisfactory results for moderate to severe hallux valgus deformity.

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

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DOI

KCD코드

ICD 03

건강보험코드

중등도 이상의 무지 외반증에서 근위 초승달형 절골술의 효과 Results of the Proximal Crescentic Osteotomy for Moderate to Severe Hallux Valgus Deformity

Abstract

키워드

중등도 이상의 무지 외반증에서 근위 초승달형 절골술의 효과
Results of the Proximal Crescentic Osteotomy for Moderate to Severe Hallux Valgus Deformity