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무지 외반증에 시행한 Scarf 절골술의 3차원적 변형 교정력에 관한 연구
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  • 무지 외반증에 시행한 Scarf 절골술의 3차원적 변형 교정력에 관한 연구
  • Multi-dimentional Correction of the Scarf Osteotomy for the Treatment of Hallux Valgus
저자명
문기혁,안길영,윤호현,이영현,이정익,남일현,Moon. Gi-Hyuk,Ahn. Gil-Yeong,Yun. Ho-Hyun,Lee. Yeong-Hyun,Lee. Jung-Ick,Nam. Il-Hyun
간행물명
대한족부족관절학회지
권/호정보
2007년|11권 1호|pp.23-27 (5 pages)
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대한족부족관절학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose: Scarf osteotomy can provide the simultaneous correction of the hallux valgus angle (HVA), 1-2 intermetatarsal angle ($IMA_{1-2}$), DMAA and the plantar displacement of the fragment. The study was conducted to understand the multi-dimensional correction of the hallux valgus. Materials and Methods: Fourty eight patients who had undergone Scarf osteotomy with hallux valgus at more than $30^{circ}$ of HVA and more than $15^{circ}$ of $IMA_{1-2}$ were studied. Before an osteotomy, a reference K-wire was inserted to the 1st metatarsal head. After the osteotomy, the plantar fragment was moved laterally and the proximal end of the fragment was forced beyond the distal end which resulted in an internal rotation of the head fragment to correct the DMAA. Results: The HVA improved an average of $33.3^{circ}$ to $7.7^{circ}$ with the IMA1-2 respectively from $15.4^{circ}$ to $6.5^{circ}$. The DMAA improved an average of $19.5^{circ}$ ($5.2-30.9^{circ}$) to $4.5^{circ}$ ($0.4-13.8^{circ}$). By checking the angle, which was at an average of $25^{circ}$ between the plantar surface of the foot and the osteotomy plane, the average distance of 1.9 mm (1.18-3.1 mm) of plantar displacement was measured using the value of sine (sin 25 = 0.422). Conclusions: It is possible to correct the HVA, IMA1-2 and DMAA simultaneously with one osteotomy making the lateral shift, the internal rotation and the plantar displacement of the plantar head fragment as desired. Despite the technicality and difficulty of the Scarf osteotomy, once familiarized through myriad procedures, all disadvantages are outweighed by the success and satisfaction of both patient and surgeon.