대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제23권4호
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  • Pages.143-148
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  • 2019
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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무지 외반증의 치료에 대한 고찰

Approach for the Treatment on Hallux Valgus

  • 이성현 (원광대학교 의과대학 원광대학교병원 정형외과학교실) ;
  • 이영창 (원광대학교 의과대학 원광대학교병원 정형외과학교실)
  • Lee, Sung-Hyun (Department of Orthopedic Surgery, Wonkwang University Hospital, School of Medicine, Wonkwang University) ;
  • Lee, Yeong-Chang (Department of Orthopedic Surgery, Wonkwang University Hospital, School of Medicine, Wonkwang University)
  • 투고 : 2019.10.07
  • 심사 : 2019.11.26
  • 발행 : 2019.12.15
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초록

Although many patients who undergo bunion repair do well and have satisfactory results, a critical evaluation of these results shows the potential for improvement. Metatarsal deformity of the hallux valgus is a 3-dimensional deformity, including rotation in the coronal plane. Theoretically, it is important to understand the 3-dimensional displacement of the first metatarsal for correcting the deformities of valgus rotation in the frontal plane. Yet the current methods of metatarsal osteotomy principally attempt to correct the deformity in the transverse plane. The modified technique for the Lapidus procedure can be used in a variety of hallux valgus conditions and severities, and the early results suggest that a powerful correction can be maintained. In addition, efforts have been made to correct the 3-dimensional deformity by performing metatarsal shaft osteotomy. In the case of degenerative arthritis, first metatarsophalangeal joint arthrodesis is a good option to correct the 3-dimensional deformation. Correction of the 3-dimensional deformity, including a rotational deformity in the frontal plane of the metatarsals, should be considered when selecting surgical treatment and is essential for achieving a good prognosis for patients with hallux valgus. This article reviews the classification and treatment of hallux valgus for correction of the 3-dimensional deformity.

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참고문헌

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