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  • 원위부 중족골 쉐브론 절골술을 이용한 무지 외반증의 치료
  • Treatment of Hallux Valgus with Distal Chevron Metatarsal Osteotomy
저자명
안재훈,최원식,김하용,이도현,배경완,Ahn. Jae-Hoon,Choy. Won-Sik,Kim. Ha-Yong,Lee. Do-Hyun,Bae. Kyoung-Wan
간행물명
대한족부족관절학회지
권/호정보
2009년|13권 2호|pp.124-128 (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 intended to analyze the operative results of mild to moderate hallux valgus treated with distal chevron metatarsal osteotomy. Materials and Methods: Twenty six feet of twenty three patients were followed for more than 1 year after the distal chevron metatarsal osteotomy. Biplanar osteotomy with wedge resection was done when the distal metatarsal articular angle (DMAA) was increased. The mean age was 39 years, and the mean follow up period was 27 months. Clinically preoperative and postoperative AOFAS hallux MP-IP scale and satisfaction after the surgery were analyzed. Radiologically hallux valgus angle, the 1st intermetatarsal angle, DMAA and sesamoid position before and after the operation were analyzed. Results: Distal chevron osteotomy was done in 15 cases and biplanar osteotomy was done in 11 cases. Clinically AOFAS scale was increased from 65.3 points preoperatively to 92.2 points postoperatively. Two patients were not satisfied with the results. Radiologically hallux valgus angle was decreased from $21.9^{circ}$ preoperatively to $8.5^{circ}$ postoperatively. The first intermetatarsal angle was decreased from $11.8^{circ}$ preoperatively to $6.7^{circ}$ postoperatively. DMAA was decreased from $11.8^{circ}$ preoperatively to $5.5^{circ}$ postoperatively. There was one case of minor wound infection. Conclusion: Distal chevron metatarsal osteotomy appears to be safe and satisfactory procedure for mild to moderate hallux valgus.