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족무지 외반증에서 $60^{circ}$ 원위부 갈매기형 절골술과 $40^{circ}$ 원위부 갈매기형 절골술 간의 방사선학적 비교
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  • 족무지 외반증에서 $60^{circ}$ 원위부 갈매기형 절골술과 $40^{circ}$ 원위부 갈매기형 절골술 간의 방사선학적 비교
  • Radiological Comparison between $60^{circ}$ Distal Chevron Osteotomy and $40^{circ}$ Distal Chevron Osteotomy in Hallux Valgus
저자명
라종득,박현수,임창석,장영수,전용수,진현배,김경훈,Rha. Jong-Deuk,Park. Hyun-Soo,Lim. Chang-Suk,Jang. Young-Soo,Jeon. Yong-Soo,Jin. Hyun-Bae,Kim. Kyung
간행물명
대한족부족관절학회지
권/호정보
2005년|9권 2호|pp.146-150 (5 pages)
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대한족부족관절학회
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기타
이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Purpose: We made a radiological comparison between $60^{circ}$ distal Chevron osteotomy with short armed two parts and $40^{circ}$ distal Chevron osteotomy with long armed one part performing operation in cases of hallux valgus angle of less than $40^{circ}$, intermetatarsal angle of less than $15^{circ}$. Materials and Methods: 12 cases with $60^{circ}$ distal Chevron osteotomy and 12 cases with $40^{circ}$ distal Chevron osteotomy were selected from October 2000 to March 2005. We have analysed the hallux valgus angle, 1-2 intermetatarsal angle, metatarsal length, distal metartarsal articular angle and angulation at osteotomy site on lateral view in each radiological films taken at preoperative, postoperative and 3 months after operation presuming bone union. All cases were women, both sides were 9 cases and average age was 52.3 years old. Results: Data taken at preoperative, postoperative and 3 months follow up films in $60^{circ}$ distal Chevron osteotomy were as follows; the hallux valgus angles were $32.1^{circ}$, $10.9^{circ}$, $13.8^{circ}$, the 1-2 intermetatarsal angles were $13.6^{circ}$, $8.5^{circ}$, $8.4^{circ}$, the metatarsal length were 60.6 mm, 58.8 mm, 58 mm, the distal metartarsal articular angles were $13^{circ}$, $6^{circ}$, $6.6^{circ}$ and 3 cases were over $3^{circ}$ angulation at lateral view. In $40^{circ}$ distal Chevron osteotomy, the hallux valgus angles were $34.5^{circ}$, $11.6^{circ}$, $15.3^{circ}$, the 1-2 intermetatarsal angles were $12.7^{circ}$, $8.2^{circ}$, $7.8^{circ}$, the metatarsal length were 59.2 mm, 56.9 mm, 55.9 mm, the distal metartarsal articular angles were $12^{circ}$, $7.3^{circ}$, $7.3^{circ}$ and there were no case with angulation over $3^{circ}$ at lateral view. Conclusion: In comparison between $60^{circ}$ distal Chevron osteotomy and $40^{circ}$ distal Chevron osteotomy measuring at postoperative and follow up, most of all data were similar, but 3 cases over $3^{circ}$ angulation at lateral view happened in $60^{circ}$ Chevron osteotomy. This result showed that $40^{circ}$ distal Chevron osteotomy fixing with screws through long armed one part may have benefit than $60^{circ}$ distal Chevron osteotomy fixing with K-wires through short armed two parts in making rigid fixation, even though there is a personal difference of technigue.