• 대한족부족관절학회지
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• 제2권1호
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• pp.42-47
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• 1998

The conventional surgical treatment for deformed foot has always consisted of massive soft tissue releases combined with varying methods of osteotomies and fusions to plantigrade functional foot. But, the resulting feet have often been foreshortened, stiff, and nothing more than a cosmetically acceptable but functionally poor foot. Now the techniques of distraction histogenesis has been given a new tool to apply to the complex foot deformity. We have recently experienced two cases of severe deformed feet and treated with Ilizarov technique. One patient had postcompartmental severe rigid equinocavovarus foot. And the other had traumatic severe rigid metatarsus abductus. The follow up periods were 14 and 28 months respectively. The feet were aesthetically pleasing. So, we believed that the Jlizarov technique is an excellent treating method for severe deformed foot.

• 대한족부족관절학회지
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• 제15권3호
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• pp.139-143
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• 2011

Purpose: The purpose of this study was to introduce the 'Matrixplasty' for the treatment of a severely incurved toenail with growth plate deformity and to report our results treating this disease entity. Materials and Methods: Between January 2010 and May 2010, 48 consecutive patients (62 cases) underwent treatment of symptomatic incurved toenails with the 'matrixplasty'. The mean period of time at last follow-up was $14.0{\pm}1.3$ months. The recurrence rate and complication rate were evaluated. An American Orthopedic Foot and Ankle Society (AOFAS) forefoot hallux score was assigned and patients were evaluated at pretreatment and the last follow-up meeting. For evaluation of improvement in toenail shape, the center to edge angle of the toenail was measured at pretreatment and last follow-up. Results: All ingrown toenails healed and the nail deformity was corrected within 3 weeks after the procedure. Among the 62 cases, four cases had recurred by the last follow-up. The mean pretreatment AOFAS forefoot hallux score was $73.1{\pm}12.8$, and it improved to $98.7{\pm}1.1$ by the last follow-up (p<0.01). The mean center to edge angle of the toenail improved from $53.3{\pm}12.9$ degrees to $18.2{\pm}7.4$ degrees by the last follow-up (p<0.01). Minor paronychia, which was managed with local wound dressing and oral antibiotics, was identified in eight cases. Conclusion: Matrixplasty showed excellent clinical results in the treatment of severe incurved toenail (pincer nail) and this procedure also showed great improvement of the deformed toenail and its growth plate.