Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Treatment for Hallux Valgus with Scarf Osteotomy in Elderly Patients with Osteoporosis

골다공증이 있는 고령의 환자에서 Scarf 중족골 절골술을 이용한 무지 외반증의 치료

  • Hwang, Seung Hyun (Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital) ;
  • Lee, Su Chan (Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital) ;
  • Nam, Chang Hyun (Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital) ;
  • Baek, Ji-Hoon (Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital) ;
  • Ahn, Hye Sun (Joint & Arthritis Research, Department of Orthopaedic Surgery, Himchan Hospital)
  • 황승현 (힘찬병원 정형외과 관절의학연구소) ;
  • 이수찬 (힘찬병원 정형외과 관절의학연구소) ;
  • 남창현 (힘찬병원 정형외과 관절의학연구소) ;
  • 백지훈 (힘찬병원 정형외과 관절의학연구소) ;
  • 안혜선 (힘찬병원 정형외과 관절의학연구소)
  • Received : 2017.04.27
  • Accepted : 2017.07.14
  • Published : 2017.09.15
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Abstract

Purpose: The aim of this study was to evaluate the radiological and clinical outcomes of scarf osteotomy for hallux valgus (HV) deformity in elderly patient with osteoporosis. Materials and Methods: A total of 58 elderly patients (mean age, 72.6 years) underwent scarf osteotomy for HV deformity between 2008 and 2015. The mean follow-up period was 24.4 months. Of the 58 patients, 42 were diagnosed with osteoporosis and 16 were diagnosed as normal. The radiological and clinical outcomes were assessed preoperatively, postoperatively, and at final follow-up, including HV angle, intermetatarsal (IM) angle, American Orthopaedic Foot and Ankle Society (AOFAS) score, patient satisfaction, visual analogue scale (VAS), and complication. Results: There was no significant difference in HV angle and IM angle between the osteoporosis group and normal bone mineral densitometry group at all time points, preoperative, postoperative, and final follow-up. Moreover, there was no statistically significant difference between the two groups with respect to the AOFAS score and VAS evaluations. In the osteoporosis group, the mean HV angle improved from $36.7^{\circ}$ preoperatively to $11.3^{\circ}$ at the time of final follow-up, and the mean IM angle improved from $13.2^{\circ}$ to $5.7^{\circ}$. The mean AOFAS score improved from 52.6 preoperatively to 89.1 at the time of final follow-up. With respect to satisfaction, 83.4% of patients were very satisfied or satisfied. There were no serious complications, and all cases showed complete union at the osteotomy site. Conclusion: We believed that scarf osteotomy is a safe, effective procedure for the correction of elderly patients with osteoporosis.

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References

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