Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Treatment of Failed Arthrodesis of First Metatarsophalangeal Joint with Tensor Fascia Lata Interposition Arthroplasty: A Case Report

실패한 제 1중족 족지관절 유합술 후 대퇴근막 장근 개재 관절 성형술을 이용한 치료: 증례 보고

  • Sim, Jaewoo (Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hyun, Yoonsuk (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Junsik (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kang, Saehyun (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kwon, Hwanjin (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Gablae (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
  • 심재우 (성균관대학교 의과대학 삼성서울병원 정형외과학교실) ;
  • 현윤석 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 박준식 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 강세현 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 권환진 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 김갑래 (한림대학교 의과대학 강동성심병원 정형외과학교실)
  • Received : 2017.01.09
  • Accepted : 2017.02.02
  • Published : 2017.03.15
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Abstract

Surgical treatments for arthritis in the first metatarsophalangeal joint include arthrodesis, interposition arthroplasty using silicone or meniscus cartilage, and rarely arthroplasty. Although arthrodesis was performed successfully, pain can persist if the angle of fusion was inappropriate. Interposition arthroplasty can be tried for the treatment of persisting pain after the arthrodesis. Interposition arthroplasty using tensor fascia lata is known that has low risk of adhesions and easy to harvest. Compared to autologous grafts, grafting rates is high and low risk of rejection additionally. Herein, we report a successfully managed arthritis with severe pain with interposition arthroplasty using tensor fascia lata after a failed metatarsophalangeal joint arthrodesis.

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References

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