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무지 외반증 환자에서 근위지골 기저부의 내측 돌출부 절제술 후 관절면을 통한 AKIN 절골술
Transarticular Fixation of Akin Osteotomy on Patients with Hallux Valgus after Resection of Medial Protrusion of Base of Proximal Phalanx

대한족부족관절학회지 2013년 17권 3호 p.220 ~ p.224

안성준(Ahn Seong-Jun) - 부산대동병원 정형외과
김부환(Kim Bu-Hwan) - 부산대동병원 정형외과
송무호(Song Moo-Ho) - 부산대동병원 정형외과
강석웅(Kang Suk-Woong) - 부산대동병원 정형외과
오관택(Oh Kwan-Taek) - 부산대동병원 정형외과
유성호(Yoo Seong-Ho) - 부산대동병원 정형외과

Abstract

Purpose: When medial protrusion in the base of proximal phalanx is severe from removing metatarsal bunion during the hallux valgus surgery, it could lead to skin irritation and medial pain after the surgery. The purpose of this paper was to report our clinical and radiographic results with transarticular fixation of Akin osteotomy for the treatment of patients with hallux valgus after resection of the medial protrusion of base of the proximal phalanx. Materials and Methods: Our study is subject to 34 cases of 30 patients who went through proximal phalanx medial corticectomy among patients undergone both hallux valgus surgery and Akin osteotomy at our institution from March 2006 to March 2012. In all cases, we used absorbable suture material through the articular surface for Akin osteotomy after resection of the medial protrusion in proximal phalanx. Radiographs were reviewed to assess the union and displacement of osteotomy site at the time of postoperative 6 months. The clinical results were assessed by using AOFAS score and complication such as skin irritation and pain. Results: AOFAS score was improved from average 44 points(36-58), before operation and average 87 points(74-96), 12 months after operation. In two cases, partial union was suspected in radiological perspective, however, complete union on the osteotomy site was observed in all cases, 12 months after the operation. No patients was dissatisfied with pain, joint discomfort, skin irritation and inflammation from the knot. Conclusion: When medial protrusion in the base of proximal phalanx is severe from removing metatarsal bunion during the hallux valgus surgery, We have good results by transarticular fixation of Akin osteotomy using absorbable suture material.

키워드

Hallux valgus, Akin osteotomy

KMID : 1130920130170030220

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주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

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질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

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키워드(Keyword)

유효성결과(Recomendation)

Transarticular fixation of Akin osteotomy for the treatment of patients with hallux valgus is useful after resection of the medial protrusion of base of the proximal phalanx.

연구비지원(Fund Source)

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DOI

KCD코드

ICD 03

건강보험코드

무지 외반증 환자에서 근위지골 기저부의 내측 돌출부 절제술 후 관절면을 통한 AKIN 절골술 Transarticular Fixation of Akin Osteotomy on Patients with Hallux Valgus after Resection of Medial Protrusion of Base of Proximal Phalanx

Abstract

키워드

무지 외반증 환자에서 근위지골 기저부의 내측 돌출부 절제술 후 관절면을 통한 AKIN 절골술
Transarticular Fixation of Akin Osteotomy on Patients with Hallux Valgus after Resection of Medial Protrusion of Base of Proximal Phalanx