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Modified chevron 절골술을 이용한 무지외반증의 치험
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  • Modified chevron 절골술을 이용한 무지외반증의 치험
  • Modified Chevron Osteotomy for the Treatment of Hallux Valgus
저자명
이범구,박홍기,위성,Lee. Bum-Gu,Park. Hong-Gi,We. Sung
간행물명
대한족부외과학회지= The journal of the Korean society of foot surgery
권/호정보
1997년|1권 2호|pp.95-101 (7 pages)
발행정보
대한족부족관절학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Hallux valgus has been characterized by a valgus deformity of the great toe at the metatarsophalangeal joint, along with medial deviation of the first metatarsal, and by three components. First, there is a valgus angle more than $20^{circ}$ at the first, metatarsophalangeal joint. Second, there is a greater angle than $9^{circ}$ between the first. and second metatarsals. Third, there is bursal hypertrophy at the medial eminence of the first metatarsals head. The etiology is multifactorial and many procedures have been reported in the treatment of hallux valgus. Most of the procedures are directed towards pain relief, correction of deformity, and preservation of dorsiflexion in the first metatarsophalangeal joint. One such treatment is the Modified chevron osteotomy. It is technically simple, and provides greater stability than a standard osteotomy, and allows early ambulation after surgery. We a reviewed 19 cases with 13 patients of hallux valgus deformity. They were all treated with the Modified chevron osteotomy at the Department of Orthopedic Surgery, Choong ang Gil Hospital, between June 1988 and May 1994. The results of the study were as follows; 1. The mean age was 36 years. Three patients(5 case) were male and ten patients(14 cases) were female. 2. The mean value of the hallux valgus angle was $34.1^{circ}$, and the first to second intermetatarsal angle was $12.1^{circ}$, preoperatively. These angles were corrected to $15.8^{circ}$ and $8.5^{circ}$, respectively. 3. The metatarsalgia subsided in 17 cases (89.5%). avascular necrosis, non union, and dorsal angulation complicatious were nonexistant. Early bone healing occurred in all cases. 4. The Modified chevron osteotomy is technically simple. It provides excellent pain relief, early ambulation, increased mechanical stability, and many avoids many complications such as AVN, non-union, and dorsal angulation.