Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Effectiveness of Plantar Aponeurosis Release for the Limitation in First Metatarsophalangeal Joint Extension after Hallux Valgus Surgery

무지 외반증 수술 후 발생하는 제 1중족지관절 신전제한에 대한 족저근막 유리술의 유용성

  • Choi, Hong-Joon (Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Dae-Wook (Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kang, Yeong-Hun (Department of Orthopedic Surgery, Busan Centum Hospital) ;
  • Park, Jong-Ho (Department of Orthopedic Surgery, Busan Centum Hospital) ;
  • Son, Chan-Mo (Department of Orthopedic Surgery, Busan Centum Hospital)
  • 최홍준 (인제대학교 의과대학 해운대백병원 정형외과학교실) ;
  • 김대욱 (인제대학교 의과대학 해운대백병원 정형외과학교실) ;
  • 강영훈 (부산센텀병원 정형외과) ;
  • 박종호 (부산센텀병원 정형외과) ;
  • 손찬모 (부산센텀병원 정형외과)
  • Received : 2017.01.05
  • Accepted : 2017.04.06
  • Published : 2017.06.15
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Abstract

Purpose: Stiffness in the first metatarsophalangeal joint after surgery for hallux valgus has been reported. The goal of this study was to test the efficacy of releasing plantar aponeurosis for improving the range of extension in the first metatarsophalangeal joint that was limited after hallux valgus surgery. Materials and Methods: Thirteen patients (1 man, 12 women [17 feet]; median age, 54.4 years; range, 44~69 years) with limited first metatarsophalangeal joint extension after hallux valgus surgery, who underwent an additional procedure of plantar aponeurosis release between March 2015 and August 2015, were included. Subsequently, the passive range of extension in the first metatarsophalangeal joint was evaluated via knee extension and flexion positions. Hallux valgus angle, inter-metatarsal angle, distal metatarsal articular angle, and talo-first metatarsal angle were measured on weightbearing dorsoplantar and lateral radiographs of the foot preoperatively. Results: The mean range of extension for the first metatarsophalangeal joint improved significantly, from $2.5^{\circ}$ to $40.9^{\circ}$ in the knee extension position (p<0.00). The mean extension range for the first metatarsophalangeal joint also improved, from $18.2^{\circ}$ to $43.2^{\circ}$ in the knee flexion position (p<0.00). In all patients, congruence of the first metatarsophalangeal joint was recovered. Conclusion: Plantar aponeurosis release is an effective additional procedure for improving the extension range of the first metatarsophalangeal joint after hallux valgus surgery.

Keywords

References

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