대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제17권4호
  • /
  • Pages.302-308
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  • 2013
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
권호 표지

무지외반증에서 저상형 금속판 고정을 이용한 근위 개방형 절골술의 임상적 결과: 근위 갈매기형 절골술 후 K-강선 고정술과의 비교

The Clinical Results of the Proximal Opening Wedge Osteotomy Using a Low Profile Plate in Hallux Valgus: Comparison with Proximal Chevron Osteotomy Fixed with K-wires

  • 서은석 (국립중앙의료원 정형외과) ;
  • 방태정 (국립중앙의료원 정형외과) ;
  • 전숙하 (국립중앙의료원 정형외과)
  • Seo, Eun-Seok (Department of Orthopaedic Surgery, National Medical Center) ;
  • Bang, Tae-Jung (Department of Orthopaedic Surgery, National Medical Center) ;
  • Jeon, Suk-Ha (Department of Orthopaedic Surgery, National Medical Center)
  • 투고 : 2013.10.20
  • 심사 : 2013.11.12
  • 발행 : 2013.12.15
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초록

Purpose: To present clinical results of proximal first metatarsal opening wedge osteotomy and low profile plate fixation in hallux valgus deformity. Materials and Methods: Thirty-two patients (39 feet) underwent surgery for hallux valgus deformity. Fourteen patients (18 feet; Group A) underwent proximal first metatarsal opening wedge osteotomy fixed with low profile titanium plate ($Arthrex^{(R)}$), and 18 patients (21 feet; Group B) underwent proximal chevron osteotomy with two K-wires. Improvement in hallux valgus angle (HVA), 1, 2 intermetatarsal angle (IMA), range of motion of 1st metatarsophalangeal joint, VAS score, and the length of first metatarsal on weight-bearing radiograph were evaluated preoperatively and at final follow-up. Results: HVA improved from $36.2{\pm}6.6$ degrees to $11.7{\pm}5.1$ degrees, and 1, 2 IMA improved from $15.7{\pm}2.6$ degrees to $7.2{\pm}1.9$ degrees. VAS score improved from $7.2{\pm}1.2$ to $1.4{\pm}0.9$. There were no significant differences clinically and radiologically. Conclusion: Proximal first metatarsal opening wedge osteotomy with stable fixation using low profile plate may be an effective surgical option for correction of hallux valgus deformity.

키워드

참고문헌

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