Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Operative Treatment of Hallux Valgus Deformity in Male Patients

남성 무지 외반증 환자에 대한 수술적 치료

  • Youn, Te-Hyun (Department of Orthopaedic Surgery, Seonam University College of Medicine, Namgwang Hospital) ;
  • Kim, Seong-Kek (Department of Orthopaedic Surgery, Seonam University College of Medicine, Namgwang Hospital) ;
  • Shim, Hee-Jong (Department of Orthopaedic Surgery, Seonam University College of Medicine, Namgwang Hospital) ;
  • Lee, Jun-Young (Department of Orthopaedic Surgery, Chosun University College of Medicine) ;
  • An, Ki-Young (Department of Orthopaedic Surgery, Chosun University College of Medicine)
  • 윤태현 (서남대학교 의과대학 정형외과학교실) ;
  • 김성택 (서남대학교 의과대학 정형외과학교실) ;
  • 심희종 (서남대학교 의과대학 정형외과학교실) ;
  • 이준영 (조선대학교 의과대학 정형외과학교실) ;
  • 안기용 (조선대학교 의과대학 정형외과학교실)
  • Published : 2009.12.15
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Abstract

Purpose: We evaluated the result of operative treatment of the hallux valgus in male patients. Materails and Methods: Total 11 cases (10 patients) of the hallux valgus deformity that treated with operation were evaluated. Following Mann's radiological classification system, there was 1 cases of mild, 8 cases of moderate, and 2 cases of severe. Preoperative, postoperative, postoperative 3 months and postoperative 6 months follow up standing radiographs were used as radiologic evaluation. And we evaluated radiological outcomes by hallux valgus angle (HVA), first-second intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), proximal phalangeal articular angle (PPAA) and clinical outcomes by hallux-metatarsophalangeal scale of American Orthopaedic Foot and Ankle Society (AOFAS) score. Result: Radiologically, the mean preoperative HVA $37^{\circ}$ and IMA $13.7^{\circ}$ were improved postoperatively as HVA $11.9^{\circ}$ and IMA $4.7^{\circ}$, and the mean preoperative DMMA $29.4^{\circ}$ and PPAA $8.6$ were improved postoperatively DMMA $13.9^{\circ}$ and PPAA $7^{\circ}$. But, postoperative 6 months follow up HVA, IMA, DMMA and PPAA was increased at $14.2^{\circ}$, $6.3^{\circ}$, $16.1^{\circ}$ and $8.3^{\circ}$. Average AOFAS score were improved from 61.2 points to 75.2 points. Conclusion: In our study, operative treatment of hallux valgus in male patients with proximal metatarsal osteotomy and distal soft tissue procedure showed good results but it was necessary to pay attention to increase aspect of follow up radiologic measurements.

Keywords

References

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