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무지 외반증의 근위 갈매기형 절골술 후 고정 방법에 따른 결과 차이
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  • 무지 외반증의 근위 갈매기형 절골술 후 고정 방법에 따른 결과 차이
  • The Differences between Fixation Devices for Proximal Chevron Osteotomy in Hallux Valgus Surgery
저자명
김택선,강규복,강종우,김학준,Kim. Taik-Seon,Kang. Kyu-Bok,Kang. Jong-Woo,Kim. Hak-Jun
간행물명
대한족부족관절학회지
권/호정보
2008년|12권 1호|pp.26-30 (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: The authors evaluated the differences between K-wires and Bold screw for fixing the proximal metatarsal chevron osteotomy of moderate and severe hallux valgus. Materials and Methods: There were 59 patients (81 feet) who were moderate and severe degree hallux valgus according to the classification of Mann. They all got the proximal chevron osteotomy when correcting the deformity. All patients were followed up at least 6 months. We divided the patients into 2 groups, K-wires fixed group as A, Bold screw fixed group as B. Group A were 42 patients (63 feet) and Group B were 18 patients (19 feet). Among the Group B, 2 feet who were failed to fix the oetotomy site with Bold screw, were fixed with K-wires during operation. We measured the AOFAS score preoperatively, postoperatively and at final follow-up, VAS score at 2 weeks after the operation. Also preoperative, postoperative and follow-up hallux valgus angle (HVA) and intermetatarsal angle (IMA) were measured for each patients. Results: Mean follow up period was 1.34 year (range: 6 months-6.16 years). Mean VAS score of group A was $3.21{pm}1.7$ and group B $1.76{pm}1.0$. Preoperative mean AOFAS score of group A was $45.61{pm}8.3$, group B $44.41{pm}8.9$, the final mean score of group A was $88.87{pm}8.3$ and group B $92.47{pm}4.4$. Preoperative mean HVA was $30.82{pm}6.6$ degrees in group A and $32.88{pm}14.5$ degrees in group B, the final mean angle of group A was $14.89{pm}8.3$ degrees and group B $17{pm}4.4$ degrees. The preoperative mean IMA of group A was $13.69{pm}3.6 $degrees and group B $12.35{pm}5.2$, the final mean angle of group A was $9.26{pm}3.6$ degrees and group B $12.35{pm}5.8$ degrees. Conclusion: There were no statistical differences in radiologic and clinical results (p>0.05) but, group B exceeded group A in VAS score (p=0.0007) and had no statistical significance in terms of reduction angle loss (p=0.06). Early returning to normal life activity may be possible for patients using Bold screws.