반월형 절골술을 이용한 무지 외반증의 치료

Proximal Dome Osteotomy for Hallux Valgus

  • 박용욱 (한림대학교 의과대학 춘천성심병원 정형외과) ;
  • 김도영 (한림대학교 의과대학 춘천성심병원 정형외과) ;
  • 이상수 (한림대학교 의과대학 춘천성심병원 정형외과) ;
  • 윤태경 (한림대학교 의과대학 춘천성심병원 정형외과) ;
  • 노규철 (한림대학교 의과대학 강남성심병원 정형외과) ;
  • 손현일 (한림대학교 의과대학 한강성심병원 정형외과)
  • Park, Yong-Wook (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine Hallym University) ;
  • Kim, Do-Young (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine Hallym University) ;
  • Lee, Sang-Soo (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine Hallym University) ;
  • Yoon, Tae-Kyung (Department of Orthopedic Surgery, Chunchon Sacred Heart Hospital, College of Medicine Hallym University) ;
  • Noh, Kyu-Cheol (Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, College of Medicine Hallym University) ;
  • Son, Hyun-Il (Department of Orthopedic Surgery, Hangang Sacred Heart Hospital, College of Medicine Hallym University)
  • 발행 : 2003.12.01

초록

Purpose: The purpose of this study was to evaluate the radiographic results and complications after the proximal dome osteotomy for hallux valgus. Material and Methods: 127 cases of clinically moderate to severe hallux valgus from October 1994 to September 1997 were included in this study. All had been surgically corrected with proximal dome osteotomy, bunionectomy, and distal soft tissue release. We compared the hallux valgus angle(HVA) and intermetatarsal angle(IMA) at preoperative, postoperative 3 weeks, postoperative 6 weeks, and postoperative 3 months. Also we reviewed the postoperative com plications. Result: The HVA averaged $34.1^{\circ}$ at preoperative, $4.3^{\circ}$ at 3 weeks after operation, $8.1^{\circ}$ at 6 weeks after operation, and $10.2^{\circ}$ at 3 months after operation. The lMA averaged $14.6^{\circ}$ at preoperative, $5.1^{\circ}$ at 3 weeks after operation, $5.6^{\circ}$ at 6 weeks after operation, and $7.3^{\circ}$ at 3 months after operation. We experienced 7 cases of malunion, 5 cases of limitation of motin at the first metatarso-phalangeal joint, 3 cases of hallux varus deformity, 2 cases of delayed union. Conclusion: Proximal dome osteotomy for moderate to severe hallux valgus deformity was considered as one of the effective treatment methods. And we try to avoid limitation of motion at the first metatarso-phalangeal joint after operation.

키워드