Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Effect of Weightbearing after Distal Reverse Oblique Osteotomy for Bunionette Deformity

소건막류의 원위부 역위 사형 절골술 후 체중부하의 효과

  • Kim, Gab-Lae (Department of Orthopaedic Surgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Hyun, Yoonsuk (Department of Orthopaedic Surgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Shin, Jae-Hyuk (Department of Orthopaedic Surgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Sangmin (Department of Orthopaedic Surgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Kwon (Department of Orthopaedic Surgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Junsik (Department of Orthopaedic Surgery, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
  • 김갑래 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 현윤석 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 신재혁 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 최상민 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 김권 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 박준식 (한림대학교 의과대학 강동성심병원 정형외과학교실)
  • Received : 2016.07.07
  • Accepted : 2016.10.02
  • Published : 2016.12.15
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Abstract

Purpose: To evaluate the radiological and clinical effects of early weightbearing after distal reverse oblique osteotomy of bunionette. Materials and Methods: Between 2009 and 2015, 52 patients who underwent surgical treatment at our hospital for bunionette deformity with a minimum follow up of one year were included in the study. Postoperatively, foot cast was applied and full weightbearing was permitted in 28 patients. And short leg splint was applied with only partial weightbearing using crutches allowed in 24 patients. Clinical scores were evaluated. Radiologically, the 4th~5th intermetatarsal angle (IMA), and 5th metatarsophalangeal angle (MPA) were analyzed preoperatively and at the final follow up visit. Results: The visual analogue scale and American Orthopaedic Foot and Ankle Society scores improved in the partial weightbearing group and full weightbearing group, but without significant differences. The average 4th~5th IMA and average 5th MPA correction also did not showed significant differences between the partial weightbearing group and full weightbearing group. Moreover, the full weightbearing group did not encourage non-union rate compared with the partial weightbearing group. Conclusion: Effective bone union may be achieved through early weightbearing, resulting in better clinical outcomes. It is considered that early weightbearing did not have any effect on the changes of IMA and bone union.

Keywords

References

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