Journal of Korean Foot and Ankle Society (대한족부족관절학회지)
- Volume 15 Issue 4
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- Pages.217-222
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- 2011
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
Weil Osteotomy for Freiberg's Disease
Freiberg병에서 시행한 Weil 절골술
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Lee, Hwa-Sung
(Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, The Catholic Universtiy of Korea) ;
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Kwon, Soon-Yong
(Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, The Catholic Universtiy of Korea) ;
- Kim, Dong-Wook (Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, The Catholic Universtiy of Korea) ;
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Chung, Jin-Wha
(Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, The Catholic Universtiy of Korea)
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이화성
(가톨릭대학교 의과대학 여의도성모병원 정형외과) ;
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권순용
(가톨릭대학교 의과대학 여의도성모병원 정형외과) ;
- 김동욱 (가톨릭대학교 의과대학 여의도성모병원 정형외과) ;
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정진화
(가톨릭대학교 의과대학 여의도성모병원 정형외과)
- Received : 2011.10.16
- Accepted : 2011.11.15
- Published : 2011.12.15
Abstract
Purpose: The aim of this study was to evaluate the result of combined Weil and dorsal closing wedge osteotomy for Freiberg's disease. Materials and Methods: We performed combined Weil and dorsal closing wedge osteotomy of the second metatarsal under the diagnosis of Freiberg's disease in 7 patients, 7 feet (2 male and 5 female). The mean age at the time of operation was 29 years and the mean follow-up period was 31 months. Patients had no trauma history and no combined deformity of the foot. The surgical results were evaluated by VAS and weight bearing radiographs in antero-posterior and oblique projection. Results: According to Smillie staging system, there were 1 of stage II, 2 of stage III and 4 of stage IV patients. The osteotomy site was united at 8 weeks and the second metatarsal was shortened in length of average 2.8 mm. Remodeling of the metatarsal head was observed at 24 months. The mean VAS was decreased from 8.2 points preoperatively to 2.7 points at follow-up. And average range of motion of second metatarso-phalangeal joint was increased from 30o preoperatively to 45o at follow-up. There was no transfer metatarsalgia or arthritis of the metatarsal head during follow-up. Conclusion: Combined Weil and dorsal closing wedge osteotomy of the metatarsal appears to be an effective procedure for the treatment of Freiberg's disease with a view to shortening of metatarsal length and elevation of metatarsal head.