간부 사형 절골술을 이용한 소건막류의 수술적 치료
Treatment of Bunionette Deformity with Diaphyseal Oblique Osteotomy
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참고문헌
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초록
Purpose: The purpose of this study is to evaluate the clinical and radiographic results of symptomatic bunionette treated with a diaphysealoblique osteotomy. Materials and Methods: We retrospectively reviewed 12 feet of nine patients diagnosed as symptomatic bunionette and treated withdiaphyseal oblique osteotomy. All patients were female and the average age at the time of surgery was 48 years. We checked the footstanding anteroposterior, oblique, and lateral images pre- and post-operatively. We measured the fourth intermetatarsal angle and fifthmetatarsophalangeal angle and evaluated the clinical results using the American Orthopaedic Foot and Ankle Society (AOFAS) lessermetatarsophalangeal-interphalangeal (MTP-IP) scale preoperatively and six months postoperatively. Results: Of the nine patients, hallux valgus was combined with symptomatic bunionette in seven feet of five patients. In all of our cases,the average AOFAS lesser MTP-IP scale showed improvement after surgery. Painful callosity around the fifth metatarsophalangeal jointdisappeared after surgery in all of our cases. The fourth intermetatarsal angle improved from 12.7o to 3.1o and the fifth metatarsophalangealangle improved from 16.6o to 2.3o. Conclusion: Diaphyseal oblique osteotomy of the fifth metatarsal appears to be a safe and satisfactory surgical procedure for treatmentof symptomatic bunionette.
Abstract
Purpose: The purpose of this study is to evaluate the clinical and radiographic results of symptomatic bunionette treated with a diaphysealoblique osteotomy. Materials and Methods: We retrospectively reviewed 12 feet of nine patients diagnosed as symptomatic bunionette and treated withdiaphyseal oblique osteotomy. All patients were female and the average age at the time of surgery was 48 years. We checked the footstanding anteroposterior, oblique, and lateral images pre- and post-operatively. We measured the fourth intermetatarsal angle and fifthmetatarsophalangeal angle and evaluated the clinical results using the American Orthopaedic Foot and Ankle Society (AOFAS) lessermetatarsophalangeal-interphalangeal (MTP-IP) scale preoperatively and six months postoperatively. Results: Of the nine patients, hallux valgus was combined with symptomatic bunionette in seven feet of five patients. In all of our cases,the average AOFAS lesser MTP-IP scale showed improvement after surgery. Painful callosity around the fifth metatarsophalangeal jointdisappeared after surgery in all of our cases. The fourth intermetatarsal angle improved from 12.7o to 3.1o and the fifth metatarsophalangealangle improved from 16.6o to 2.3o. Conclusion: Diaphyseal oblique osteotomy of the fifth metatarsal appears to be a safe and satisfactory surgical procedure for treatmentof symptomatic bunionette.
참고문헌 (27)
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