DOI QR코드

DOI QR Code

The Impact of the Amount of Displacement of Percutaneous Osteotomy on the Clinical Result in Bunionette

소건막류에서 경피적 절골술의 전위 정도가 임상 결과에 미치는 영향

  • Bae, Su-Young (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Lee, Seung-Joo (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Chung, Hyung-Jin (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • 배서영 (인제대학교 의과대학 상계백병원 정형외과학교실) ;
  • 이승주 (인제대학교 의과대학 상계백병원 정형외과학교실) ;
  • 정형진 (인제대학교 의과대학 상계백병원 정형외과학교실)
  • Received : 2015.03.31
  • Accepted : 2015.04.29
  • Published : 2015.06.15

Abstract

Purpose: The purpose of this study was to report impacts of the amount of displacement of percutaneous osteotomy on the clinical and radiologic results in the treatment of bunionette deformities. Materials and Methods: We retrospectively reviewed 36 cases of bunionette deformities treated with percutaneous modified Kramer osteotomies from 2009 to 2013. We measured amounts of displacement on anteroposterior and lateral plain radiographs as well as multiple parameters which represent degrees of the bunionette deformities. We also recorded radiological healing time, clinical healing time, residual symptoms, and the time of returning to daily activity. Results: No meaningful correlation was found between severity of preoperative deformity and amount of displacement of the osteotomy. The amount of displacement on a horizontal plane did not affect the healing time, duration of symptoms, or time of returning to daily activity. However, large sagittal displacement was related to duration of postoperative symptoms. Conclusion: Findings of this study suggest that the displacement in percutaneous osteotomy for bunionette deformity does not affect clinical results and healing time. We believe that we do not need to be excessively cautious about how large the displacement we make during the percutaneous modified Kramer osteotomy for the bunionette deformity.

Keywords

References

  1. Ajis A, Koti M, Maffulli N. Tailor's bunion: a review. J Foot Ankle Surg. 2005;44:236-45. https://doi.org/10.1053/j.jfas.2005.02.005
  2. Cohen BE, Nicholson CW. Bunionette deformity. J Am Acad Orthop Surg. 2007;15:300-7. https://doi.org/10.5435/00124635-200705000-00008
  3. Kim YC, Ahn JH. Bunionette deformity. J Korean Foot Ankle Soc. 2013;17:1-10.
  4. Mann RA, Mann JA. The bunionette deformity. Instr Course Lect. 2004;53:303-9.
  5. Coughlin MJ. Treatment of bunionette deformity with longitudinal diaphyseal osteotomy with distal soft tissue repair. Foot Ankle. 1991;11:195-203. https://doi.org/10.1177/107110079101100402
  6. Kitaoka HB, Holiday AD Jr. Metatarsal head resection for bunionette: long-term follow-up. Foot Ankle. 1991;11:345-9. https://doi.org/10.1177/107110079101100601
  7. Cooper MT, Coughlin MJ. Subcaptial oblique fifth metatarsal osteotomy versus distal chevron osteotomy for correction of bunionette deformity: a cadaveric study. Foot Ankle Spec. 2012;5:313-7. https://doi.org/10.1177/1938640012451315
  8. Lee KT, Young KW, Kim JY, Cha SD, Kim ES, Ahn YJ. Treatment of bunionette deformity with distal chevron osteotomy. J Korean Orthop Assoc. 2006;41:14-8. https://doi.org/10.4055/jkoa.2006.41.1.14
  9. Glover JP, Weil L Jr, Weil LS Sr. Scarfette osteotomy for surgical treatment of bunionette deformity. Foot Ankle Spec. 2009;2:73-8. https://doi.org/10.1177/1938640009332666
  10. Guha AR, Mukhopadhyay S, Thomas RH. 'Reverse' scarf osteotomy for bunionette correction: initial results of a new surgical technique. Foot Ankle Surg. 2012;18:50-4. https://doi.org/10.1016/j.fas.2011.03.005
  11. Seide HW, Petersen W. Tailor's bunion: results of a scarf osteotomy for the correction of an increased intermetatarsal IV/V angle. A report on ten cases with a 1-year follow-up. Arch Orthop Trauma Surg. 2001;121:166-9. https://doi.org/10.1007/s004020000210
  12. Ahn JH, Kim HY, Kang JW, Choy WS, Kim YI. Treatment of bunionette deformity with diaphyseal oblique osteotomy. J Korean Foot Ankle Soc. 2008;12:31-5.
  13. Kim SK, Kim J, Lee JI, Rhee SH. Treatment of bunionette deformity with diaphyseal oblique osteotomy. J Korean Foot Ankle Soc. 2014;18:19-23. https://doi.org/10.14193/jkfas.2014.18.1.19
  14. London BP, Stern SF, Quist MA, Lee RK, Picklesimer EK. Long oblique distal osteotomy of the fifth metatarsal for correction of tailor's bunion: a retrospective review. J Foot Ankle Surg. 2003;42:36-42. https://doi.org/10.1016/S1067-2516(03)70051-9
  15. Okuda R, Kinoshita M, Morikawa J, Jotoku T, Abe M. Proximal dome-shaped osteotomy for symptomatic bunionette. Clin Orthop Relat Res. 2002;(396):173-8.
  16. Baumhauer JF, DiGiovanni BF. Osteotomies of the fifth metatarsal. Foot Ankle Clin. 2001;6:491-8. https://doi.org/10.1016/S1083-7515(03)00109-8
  17. Haddon TB, LaPointe SJ. Relative strength of tailor's bunion osteotomies and fixation techniques. J Foot Ankle Surg. 2013;52:16-23. https://doi.org/10.1053/j.jfas.2012.05.019
  18. Weil L Jr, Weil LS Sr. Osteotomies for bunionette deformity. Foot Ankle Clin. 2011;16:689-712. https://doi.org/10.1016/j.fcl.2011.08.012
  19. Waizy H, Olender G, Mansouri F, Floerkemeier T, Stukenborg-Colsman C. Minimally invasive osteotomy for symptomatic bunionette deformity is not advisable for severe deformities: a critical retrospective analysis of the results. Foot Ankle Spec. 2012;5:91-6. https://doi.org/10.1177/1938640011433828
  20. Kim SY, Park KH, Lee JW. Treatment of bunionette deformitywith S.E.R.I. (simple, effective, rapid, inexpensive) operation. J Korean Foot Ankle Soc. 2010;14:25-30.
  21. Giannini S, Faldini C, Nanni M, Di Martino A, Luciani D, Vannini F.A minimally invasive technique for surgical treatment of halluxvalgus: simple, effective, rapid, inexpensive (SERI). Int Orthop.2013;37:1805-13. https://doi.org/10.1007/s00264-013-1980-8
  22. Laffen tre O, Millet-Barb B, Darcel V, Lucas Y Hernandez J,Chauveaux D. Percutaneous bunionette correction: results ofa 49-case retrospective study at a mean 34 months' follow-up.Orthop Traumatol Surg Res. 2015;101:179-84. https://doi.org/10.1016/j.otsr.2014.11.017
  23. Lui TH. Percutaneous osteotomy of the fifth metatarsal forsymptomatic bunionette. J Foot Ankle Surg. 2014;53:747-52. https://doi.org/10.1053/j.jfas.2014.07.016
  24. Magnan B, Samaila E, Merlini M, Bondi M, Mezzari S, Bartolozzi P. Percutaneous distal osteotomy of the fifth metatarsal for correctionof bunionette. J Bone Joint Surg Am. 2011;93:2116-22. https://doi.org/10.2106/JBJS.J.01177
  25. Michels F, Van Der Bauwhede J, Guillo S, Oosterlinck D, deLavigne C. Percutaneous bunionette correction. Foot Ankle Surg.2013;19:9-14. https://doi.org/10.1016/j.fas.2012.06.003
  26. Magnan B, Bondi M, Mezzari S, Bonetti I, Samaila E. Minimallyinvasive surgery of the forefoot: current concept review. Int J Clin Med. 2013;4:11-9. https://doi.org/10.4236/ijcm.2013.46A003
  27. Legenstein R, Bonomo J, Huber W, Boesch P. Correction of tailor'sbunion with the Boesch technique: a retrospective study.Foot Ankle Int. 2007;28:799-803. https://doi.org/10.3113/FAI.2006.0799
  28. Weitzel S, Trnka HJ, Petroutsas J. Transverse medial slide osteotomyfor bunionette deformity: long-term results. Foot Ankle Int. 2007;28:794-8. https://doi.org/10.3113/FAI.2006.0794