무지외반증 교정술 이후 합병된 무지내반증과 병발한 장무지굴건 파열에 대한 최소침습적 수술 및 건 봉합술: 증례 보고
Minimally Invasive Surgery with Tenorrhaphy for Postoperative Hallux Varus Deformity Combined with Flexor Hallucis Longus Rupture after Hallux Valgus Correction: A Case Report
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
A postoperative hallux varus deformity is a dreaded complication of hallux valgus surgery. Several surgical options have been introduced to overcome this problem. This paper reports an uncommon case of a 68-year-old female patient who presented with a postoperative hallux varus deformity combined with a rupture of the flexor hallucis longus (FHL) tendon. She was treated successfully by a minimally invasive correctional osteotomy with open tenorrhaphy. With experience in treating this complicated case, it was noted that FHL could be transected during the trans-articular adductor tenotomy. Hence, extra caution is needed when the degree of hallux valgus deformity is excessive. To the best of the author’s knowledge, correctional valgization osteotomy for a postoperative hallux varus deformity in a minimally invasive manner has not been reported. This case report is expected to benefit surgeons and their patients with severe hallux valgus deformity.
Abstract
A postoperative hallux varus deformity is a dreaded complication of hallux valgus surgery. Several surgical options have been introduced to overcome this problem. This paper reports an uncommon case of a 68-year-old female patient who presented with a postoperative hallux varus deformity combined with a rupture of the flexor hallucis longus (FHL) tendon. She was treated successfully by a minimally invasive correctional osteotomy with open tenorrhaphy. With experience in treating this complicated case, it was noted that FHL could be transected during the trans-articular adductor tenotomy. Hence, extra caution is needed when the degree of hallux valgus deformity is excessive. To the best of the author’s knowledge, correctional valgization osteotomy for a postoperative hallux varus deformity in a minimally invasive manner has not been reported. This case report is expected to benefit surgeons and their patients with severe hallux valgus deformity.
참고문헌 (13)
- Robinson AH, "Modern concepts in the treatment of hallux valgus", J Bone Joint Surg Br, 87, pp.1038~1045 (2005)[DOI]
- Bösch P, "Technik und erste ergebnisse der subkutanen distalen metatarsale-I-osteotomie", Orthop Praxis, 26, pp.51~56 (1990)
- Faour-Martín O, "Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus", Int Orthop, 37, pp.1799~1803 (2013)[DOI]
- Sammarco GJ, "Complications after surgery of the hallux", Clin Orthop Relat Res, (391), pp.59~71 (2001)[DOI]
- Schuh R, "Angular correction and complications of proximal first metatarsal osteotomies for hallux valgus deformity", Int Orthop, 37, pp.1771~1780 (2013)[DOI]
- Raikin SM, "Recurrence of hallux valgus : a review", Foot Ankle Clin, 19, pp.259~274 (2014)[DOI]
- Crawford MD, "Iatrogenic hallux varus treatment algorithm", Foot Ankle Clin, 19, pp.371~384 (2014)[DOI]
- Lee KT, "Iatrogenic hallux varus deformity after hallux valgus surgery", J Korean Soc Foot Surg, 7, pp.101~108 (2003)
- Choi KJ, "Distal metatarsal osteotomy for hallux varus following surgery for hallux valgus", J Bone Joint Surg Br, 93, pp.1079~1083 (2011)[DOI]
- Brogan K, "Third-generation minimally invasive correction of hallux valgus : technique and early outcomes", Int Orthop, 38, pp.2115~2121 (2014)[DOI]
- Devos Bevernage B, "Hallux varus : classification and treatment", Foot Ankle Clin, 14, pp.51~65 (2009)[DOI]
- Brand JC Jr, "Rupture of the flexor hallucis longus after hallux valgus surgery : case report and comments on technique for adductor release", Foot Ankle, 11, pp.407~410 (1991)[DOI]
- Gillott E, "Repair of iatrogenic rupture of the flexor hallucis longus tendon following an Akin osteotomy : a case report and review of literature", Foot Ankle Online J, 5, pp.1~ (2012)
