Journal of Korean Foot and Ankle Society (대한족부족관절학회지)
- Volume 16 Issue 4
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- Pages.223-228
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- 2012
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
Treatment for Hallux Valgus with Chevron Metatarsal Osteotomy in Patients over 60 Years Old
60세 이상의 고령에서의 중족골 절골술을 이용한 무지 외반증 치료
- Jeong, Bi O (Department of Orthopedic Surgery, School of Medicine, Kyunghee University) ;
- Lee, Sang Hyeon (Department of Orthopedic Surgery, School of Medicine, Kyunghee University)
- Received : 2012.10.17
- Accepted : 2012.11.13
- Published : 2012.12.15
Abstract
Purpose: To treat hallux valgus in old age patients with chevron metatarsal osteotomy and to see the subsequent clinical and radiological outcomes. Materials and Methods: 23 cases of 18 hallux valgus patients of age 60 years or older who received proximal or distal corrective osteotomy from April 2007 to August 2009 and were followed up for at least 1 year were included in the study. The mean age at operation was 65 years (range, 60~81 years), and the mean follow-up period was 2 years and 6 months (range, 1 year~3 years 6 months). Clinical outcome was assessed with the American Orthopaedic Foot and Ankle Society (AOFAS) score, complications, satisfaction rate, as well as measurements and comparison of pre- and postoperative hallux valgus angles, the 1st~2nd intermetatarsal angle, and the position of hallucal medial sesamoid bone. Results: The AOFAS score was improved from preoperative average of 35.1 (range, 13-47) to average 85.1 at last follow-up (range, 75-100). Patients were satisfied about the operation in 21 cases (91.3%). Preoperative hallux valgus angle was