Journal of Korean Foot and Ankle Society (대한족부족관절학회지)
- Volume 11 Issue 1
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- Pages.28-34
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- 2007
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
The Results of Triple Osteotomy in Adult Hallux Valgus Patients with Highly Increased Distal Metatarsal Articular Angle
고도의 원위 중족골 관절면 각을 동반한 성인 무지 외반증 환자에서의 삼중 절골술의 결과
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Lee, Kyung-Tai
(Department Of Orthopedic Surgery, College of Medicine, Eulji University) ;
- Cha, Seung-Do (Department of Orthopedic Surgery, College of Medicine. Kwandong University, Myongji Hospital) ;
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Young, Ki-Won
(Department Of Orthopedic Surgery, College of Medicine, Eulji University) ;
- Kim, Jae-Young (Department Of Orthopedic Surgery, College of Medicine, Eulji University) ;
- Joh, Joo-Won (Department of Orthopedic Surgery, College of Medicine. Kwandong University, Myongji Hospital)
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이경태
(을지대학교 의과대학 을지병원 정형외과학교실) ;
- 차승도 (관동대학교 의과대학 명지병원 정형외과학교실) ;
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양기원
(을지대학교 의과대학 을지병원 정형외과학교실) ;
- 김재영 (을지대학교 의과대학 을지병원 정형외과학교실) ;
- 조주원 (관동대학교 의과대학 명지병원 정형외과학교실)
- Published : 2007.06.01
Abstract
Purpose: To evaluate the clinical and radiographical results of triple osteotomy as a treatment for adult hallux valgus with highly increased distal metatarsal articular ankle (DMAA). Materials and Methods: From October 2003 to April 2005, we retrospectively reviewed 7 hallux valgus patients (3 cases: moderate, 4 cases: severe) treated with triple osteotomy and followed-up for more than 1 year after operation. The mean follow up was 15.1 months. The hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA) and the length of 1 : 2 metatarsal bone were measured. Proximal chevron osteotomy and distal biplanar chevron osteotomy were done in 1st metatarsal bone. Akin osteotomy was added to the base of the proximal phalanx. The clinical result was assessed using the AOFAS Hallux score, tenderness on the medial eminence, ROM of 1st metatarsophalangeal joint, calluses and patient satisfaction. Results: The mean HVA and IMA was improved from