대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제19권3호
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  • Pages.91-96
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  • 2015
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
권호 표지
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무지외반증에 대한 근위 갈매기형 절골술 시행 후 임상적 및 방사선학적 결과는 언제 안정화되는가?

When Do Clinical and Radiographic Results Stabilize after Proximal Chevron Osteotomy in Hallux Valgus?

  • 박철현 (영남대학교 의과대학 정형외과학교실) ;
  • 이우천 (인제대학교 의과대학 서울백병원 정형외과학교실) ;
  • 박재우 (영남대학교 의과대학 정형외과학교실) ;
  • 문정재 (영남대학교 의과대학 정형외과학교실)
  • Park, Chul Hyun (Department of Orthopaedic Surgery, Yeungnam University College of Medicine) ;
  • Lee, Woo Chun (Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Park, Jae Woo (Department of Orthopaedic Surgery, Yeungnam University College of Medicine) ;
  • Moon, Jeong Jae (Department of Orthopaedic Surgery, Yeungnam University College of Medicine)
  • 투고 : 2015.03.24
  • 심사 : 2015.07.24
  • 발행 : 2015.09.15
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초록

Purpose: The purpose of this study is to evaluate the sequential changes of clinical and radiographic results after proximal chevron osteotomy in patients with moderate to severe hallux valgus. Materials and Methods: Between January 2008 and December 2009, 93 patients (117 feet) were treated with proximal chevron osteotomy and distal soft tissue procedure for symptomatic moderate to severe hallux valgus deformity. The mean age of patients was 51 years (range, 19 to 71) and the mean duration of follow-up was 27.5 months (range, 24 to 35). Clinical results were evaluated using visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) score preoperatively, at 3, 6, and 12 months after surgery, and at the last follow-up. Radiographic parameters including hallux valgus angle, intermetatarsal angle, and sesamoid position were evaluated preoperatively, immediately postoperatively, at 6 weeks, at 3, 6, and 12 months after surgery, and at the last follow-up. Results: VAS and AOFAS score showed significant improvement until 12 months after surgery. Hallux valgus angle and sesamoid position stabilized at 12 months after surgery and intermetatarsal angle stabilized at 6 months after surgery. Conclusion: Clinical and radiographic results were stabilized beyond 12 months after proximal chevron osteotomy in patients with moderate to severe hallux valgus.

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참고문헌

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