증상을 동반한 제 2형 부주상골에서 교량형 봉합술을 이용한 변형 Kidner 술식의 단기 치료 결과
Short-Term Results of a Modified Kidner Procedure Using a Suture Bridge Technique for Symptomatic Type II Accessory Navicular
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Purpose: The purpose of this study was to evaluate the clinical outcome of a modified Kidner procedure using a suture bridge technique in symptomatic type II accessory navicular. Materials and Methods: Between January 2013 and December 2014, a total of 35 cases with symptomatic type II accessory navicular were treated with a modified Kidner procedure using the suture bridge technique. The patients were evaluated preoperatively, 3 months after surgery, and at the latest follow-up (at least six months postoperatively) clinically via the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score, visual analogue scale (VAS), and the self-subjective satisfaction score. Results: The mean AOFAS midfoot score demonstrated significant improvement from a mean of 45.3 preoperatively to a mean of 89.2 at 3 months after surgery. At the latest follow-up, the mean AOFAS midfoot score was 92.6 (p<0.001). The mean VAS also improved significantly, decreasing from 6.7 out of 10 preoperatively to 1.8 at 3 months after surgery. At the latest follow-up, the VAS was 1.2 (p<0.001). The mean time of a single-limb heel raise was 4.6 months postoperatively and the self-subjective satisfaction score was 1.4 out of 4 at the latest follow-up. Conclusion: The short-term surgical results of the modified Kidner procedure with a suture bridge technique for symptomatic type II accessory navicular were good to excellent in terms of pain, functional and clinical assessments. In conclusion, the modified Kidner procedure with the suture bridge technique is a reasonable treatment option for symptomatic type II accessory navicular.
Abstract
Purpose: The purpose of this study was to evaluate the clinical outcome of a modified Kidner procedure using a suture bridge technique in symptomatic type II accessory navicular. Materials and Methods: Between January 2013 and December 2014, a total of 35 cases with symptomatic type II accessory navicular were treated with a modified Kidner procedure using the suture bridge technique. The patients were evaluated preoperatively, 3 months after surgery, and at the latest follow-up (at least six months postoperatively) clinically via the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score, visual analogue scale (VAS), and the self-subjective satisfaction score. Results: The mean AOFAS midfoot score demonstrated significant improvement from a mean of 45.3 preoperatively to a mean of 89.2 at 3 months after surgery. At the latest follow-up, the mean AOFAS midfoot score was 92.6 (p<0.001). The mean VAS also improved significantly, decreasing from 6.7 out of 10 preoperatively to 1.8 at 3 months after surgery. At the latest follow-up, the VAS was 1.2 (p<0.001). The mean time of a single-limb heel raise was 4.6 months postoperatively and the self-subjective satisfaction score was 1.4 out of 4 at the latest follow-up. Conclusion: The short-term surgical results of the modified Kidner procedure with a suture bridge technique for symptomatic type II accessory navicular were good to excellent in terms of pain, functional and clinical assessments. In conclusion, the modified Kidner procedure with the suture bridge technique is a reasonable treatment option for symptomatic type II accessory navicular.
참고문헌 (17)
- Kidner FC, "The prehallux(accessory scaphoid)in its relation to flat-foot", J Bone Joint Surg Am, 11, pp.831~837 (1929)
- Lee KT, "Midterm results of the modified Kidner procedure for the symptomatic accessory navicular in athletes", J Korean Orthop Soc Sports Med, 11, pp.82~86 (2012)
- Clark GC, "A modified Kidner procedure for symptomatic flat feet", Clin Orthop Relat Res, 228, pp.258~260 (1988)
- Lee KT, "Midterm outcome of modified Kidner procedure", Foot Ankle Int, 33, pp.122~127 (2012)
- Dawson DM, "Modified Kidner procedure utilizing a Mitek bone anchor", J Foot Ankle Surg, 37, pp.115~121 (1998)
- McCormick F, "Single-row, double-row, and transosseous equivalent techniques for isolated supraspinatus tendon tears with minimal atrophy : a retrospective comparative outcome and radiographic analysis at minimum 2-year followup", Int J Shoulder Surg, 8, pp.15~20 (2014)
- Myerson MS, "Instructional course lectures, The American Academy of Orthopaedic Surgeons: adult acquired flatfoot deformity. Treatment of dysfunction of the posterior tibial tendon", J Bone Joint Surg Am, 78, pp.780~792 (1996)
- Sammarco GJ, "Treatment of stage II posterior tibial tendon dysfunction with flexor hallucis longus transfer and medial displacement calcaneal osteotomy", Foot Ankle Int, 22, pp.305~312 (2001)
- Scott AT, "Fusion versus excision of the symptomatic Type II accessory navicular : a prospective study", Foot Ankle Int, 30, pp.10~15 (2009)
- Lee WC, "The symptomatic accessory navicular in adult", J Korean Foot Ankle Soc, 5, pp.62~68 (2001)
- 이종석, "족부 제2형 부주상골에서 절제술과 골유합술 간의 임상적 결과 비교", 대한족부족관절학회지, 15(2), pp.72~78 (2011), 대한족부족관절학회
- Garras DN, "Outcome of modified Kidner procedure with subtalar arthroereisis for painful accessory navicular associated with planovalgus deformity", Foot Ankle Int, 33, pp.934~939 (2012)
- Kanatli U, "The relationship between accessory navicular and medial longitudinal arch : evaluation with a plantar pressure distribution measurement system", Foot Ankle Int, 24, pp.486~489 (2003)
- Kopp FJ, "Clinical outcome of surgical treatment of the symptomatic accessory navicular", Foot Ankle Int, 25, pp.27~30 (2004)
- Sella EJ, "The accessory navicular synchondrosis", Clin Orthop Relat Res, 209, pp.280~285 (1986)
- Park MJ, "A comparative study of the healing of tendon autograft and tendon-bone autograft using patellar tendon in rabbits", Int Orthop, 25, pp.35~39 (2001)
- Malicky ES, "Modification of the Kidner procedure with fusion of the primary and accessory navicular bones", Foot Ankle Int, 20, pp.53~54 (1999)