Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Short-Term Results of a Modified Kidner Procedure Using a Suture Bridge Technique for Symptomatic Type II Accessory Navicular

증상을 동반한 제 2형 부주상골에서 교량형 봉합술을 이용한 변형 Kidner 술식의 단기 치료 결과

  • Kim, Eungsoo (Surgery of Foot and Ankle, Gwangmyeong Saeum Hospital) ;
  • Moon, Jinseon (Department of Orthopedic Surgery, Seongseo Hospital)
  • 김응수 (광명새움병원 족부정형외과) ;
  • 문진선 (성서병원 정형외과)
  • Received : 2016.02.03
  • Accepted : 2016.04.19
  • Published : 2016.06.15
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Abstract

Purpose: The purpose of this study was to evaluate the clinical outcome of a modified Kidner procedure using a suture bridge technique in symptomatic type II accessory navicular. Materials and Methods: Between January 2013 and December 2014, a total of 35 cases with symptomatic type II accessory navicular were treated with a modified Kidner procedure using the suture bridge technique. The patients were evaluated preoperatively, 3 months after surgery, and at the latest follow-up (at least six months postoperatively) clinically via the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score, visual analogue scale (VAS), and the self-subjective satisfaction score. Results: The mean AOFAS midfoot score demonstrated significant improvement from a mean of 45.3 preoperatively to a mean of 89.2 at 3 months after surgery. At the latest follow-up, the mean AOFAS midfoot score was 92.6 (p<0.001). The mean VAS also improved significantly, decreasing from 6.7 out of 10 preoperatively to 1.8 at 3 months after surgery. At the latest follow-up, the VAS was 1.2 (p<0.001). The mean time of a single-limb heel raise was 4.6 months postoperatively and the self-subjective satisfaction score was 1.4 out of 4 at the latest follow-up. Conclusion: The short-term surgical results of the modified Kidner procedure with a suture bridge technique for symptomatic type II accessory navicular were good to excellent in terms of pain, functional and clinical assessments. In conclusion, the modified Kidner procedure with the suture bridge technique is a reasonable treatment option for symptomatic type II accessory navicular.

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References

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