Journal of Korean Foot and Ankle Society (대한족부족관절학회지)
- Volume 8 Issue 2
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- Pages.131-137
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- 2004
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
The Effect of Sesamoid Position on Results of Treatment for Hallux Valgus
무지외반증에서 종자골 전이 정도가 치료결과에 미치는 영향
- Yoo, Chong-Il (Department of Orthopaedic Surgery, Pusan National University College of Medicine) ;
- Lee, Dong-Ho (Department of Orthopaedic Surgery, Pusan National University College of Medicine) ;
- Kim, Hui-Taek (Department of Orthopaedic Surgery, Pusan National University College of Medicine)
- Published : 2004.12.01
Abstract
Purpose: We evaluated the results of various surgical treatments for hallux valgus with and without attempting to correct sesamoid subluxation. Materials and Methods: Thirty-one cases in 26 patients were involved in this study: Group I (15 cases) - surgery performed only to correct the hallux valgus angle (HVA) and the first-second intermetatarsal angle (IMA) in AP view; Group II (16 cases) - surgery performed to correct HVA and IMA and also to reduce the subluxation of sesamoid. The degree of sesamoid subluxation was measured from a pre- and intraoperative sesamoid tangential views. For both groups, we analysed the status of the sesamoid in pre- and postoperative radiographs and performed clinical evaluation using the Mayo clinic forefoot scoring system. Results: The average amount of correction during postoperative period and loss of correction at last follow-up in the sesamoid tangential view were as follows: soft tissue procedures (5 cases) - group I: grade