남성 무지 외반증 환자에 대한 수술적 치료
Operative Treatment of Hallux Valgus Deformity in Male Patients
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: We evaluated the result of operative treatment of the hallux valgus in male patients. Materails and Methods: Total 11 cases (10 patients) of the hallux valgus deformity that treated with operation were evaluated. Following Mann’s radiological classification system, there was 1 cases of mild, 8 cases of moderate, and 2 cases of severe. Preoperative, postoperative, postoperative 3 months and postoperative 6 months follow up standing radiographs were used as radiologic evaluation. And we evaluated radiological outcomes by hallux valgus angle (HVA), first-second intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), proximal phalangeal articular angle (PPAA) and clinical outcomes by hallux-metatarsophalangeal scale of American Orthopaedic Foot and Ankle Society (AOFAS) score. Result: Radiologically, the mean preoperative HVA 37° and IMA 13.7° were improved postoperatively as HVA 11.9° and IMA 4.7°, and the mean preoperative DMMA 29.4° and PPAA 8.6° were improved postoperatively DMMA 13.9° and PPAA 7°. But, postoperative 6 months follow up HVA, IMA, DMMA and PPAA was increased at 14.2°, 6.3°, 16.1° and 8.3°. Average AOFAS score were improved from 61.2 points to 75.2 points. Conculsion: In our study, operative treatment of hallux valgus in male patients with proximal metatarsal osteotomy and distal soft tissue procedure showed good results but it was necessary to pay attention to increase aspect of follow up radiologic measurements.
Abstract
Purpose: We evaluated the result of operative treatment of the hallux valgus in male patients. Materails and Methods: Total 11 cases (10 patients) of the hallux valgus deformity that treated with operation were evaluated. Following Mann’s radiological classification system, there was 1 cases of mild, 8 cases of moderate, and 2 cases of severe. Preoperative, postoperative, postoperative 3 months and postoperative 6 months follow up standing radiographs were used as radiologic evaluation. And we evaluated radiological outcomes by hallux valgus angle (HVA), first-second intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), proximal phalangeal articular angle (PPAA) and clinical outcomes by hallux-metatarsophalangeal scale of American Orthopaedic Foot and Ankle Society (AOFAS) score. Result: Radiologically, the mean preoperative HVA 37° and IMA 13.7° were improved postoperatively as HVA 11.9° and IMA 4.7°, and the mean preoperative DMMA 29.4° and PPAA 8.6° were improved postoperatively DMMA 13.9° and PPAA 7°. But, postoperative 6 months follow up HVA, IMA, DMMA and PPAA was increased at 14.2°, 6.3°, 16.1° and 8.3°. Average AOFAS score were improved from 61.2 points to 75.2 points. Conculsion: In our study, operative treatment of hallux valgus in male patients with proximal metatarsal osteotomy and distal soft tissue procedure showed good results but it was necessary to pay attention to increase aspect of follow up radiologic measurements.
참고문헌 (27)
- Ahn YJ, "The results of distal chevron osteotomy for hallux valgus in young adult", J Korean Foot Ankle Soc, 9, pp.158~161 (2005)
- Borton DC, "Basal metatarsal osteotomy for hallux valgus", J Bone Joint Surg Br, 76, pp.204~209 (1994)
- Cho NH, "The prevalence of hallux valgus and its association with foot pain and function in a rural Korean community", J Bone Joint Surg Br, 91, pp.494~498 (2009)
- Coste F, "Locomotor apparatus and classical dancing", Rev Rhum Mal Osteoartic, 27, pp.259~267 (1960)
- Coughlin MJ, "Women’s shoe wear and foot disorders", West J Med, 163, pp.569~570 (1995)
- Coughlin MJ, "Arthrodesis of the first metatarsophalangeal joint for idiopathic hallux valgus: intermediate results", Foot Ankle Int, 26, pp.783~792 (2005)
- Ferrari J, "Size and shape differences between male and female foot bones: is the female foot predisposed to hallux abducto valgus deformity?", J Am Podiatr Med Assoc, 94, pp.434~452 (2004)
- Ferrari J, "The shape of the metatarsal head as a cause of hallux abductovalgus", Foot Ankle Int, 23, pp.236~242 (2002)
- Frey C, "The Akin procedure: an analysis of results", Foot Ankle, 12, pp.1~6 (1991)
- Gottschalk FA, "A comparison of the prevalence of hallux valgus in three South African populations", S Afr Med J, 57, pp.355~357 (1980)
- Gottschalk FA, "The prevalence of hallux valgus in South African males", S Afr Med J, 65, pp.725~726 (1984)
- Johnson KA, "Cofield RH and Morrey BF: Chevron osteotomy for hallux valgus", Clin Orthop Relat Res, 142, pp.44~47 (1979)
- Kato T, "The etiology of hallux valgus in Japan", Clin Orthop Relat Res, 157, pp.78~81 (1981)
- Kinnard P, "The Akin procedure in hallux valgus", Can J Surg, 34, pp.491~493 (1991)
- Kitaoka HB, "Clinical rating systems for the anklehindfoot, midfoot, hallux, and lesser toes", Foot Ankle Int, 15, pp.349~353 (1994)
- Klosok JK, "Chevron or Wilson metatarsal osteotomy for hallux valgus. A prospective randomised trial", J Bone Joint Surg Br, 75, pp.825~829 (1993)
- Maclennan R, "Prevalence of hallux valgus in a neolithic New Guinea population", Lancet, 1, pp.1398~1400 (1966)
- Mann RA, "Bunion surgery: decision making", Orthopedics, 13, pp.951~957 (1990)
- Mann RA, "Repair of hallux valgus with a distal soft-tissue procedure and proximal metatarsal osteotomy. A long-term follow-up", J Bone Joint Surg Am, 74, pp.124~129 (1992)
- Mitchell LA, "A Chevron-Akin double osteotomy for correction of hallux valgus", Foot Ankle, 12, pp.7~14 (1991)
- Pearson SW, "Results and complications following a proximal curved osteotomy of the hallux metatarsal", Contemp Orthop, 23, pp.127~132 (1991)
- Robinson AH, "Modern concepts in the treatment of hallux valgus", J Bone Joint Surg Br, 87, pp.1038~1045 (2005)
- Roddy E, "Prevalence and associations of hallux valgus in a primary care population", Arthritis Rheum, 59, pp.857~862 (2008)
- Shapiro F, "The Mitchell distal metatarsal osteotomy in the treatment of hallux valgus", Clin Orthop Relat Res, 107, pp.225~231 (1975)
- Sim-Fook L, "A comparison of foot forms among the non-shoe and shoe-wearing Chinese population", J Bone Joint Surg Am, 40, pp.1058~1062 (1958)
- Smith RW, "Hallux valgus assessment: report of research committee of American Orthopaedic Foot and Ankle Society", Foot Ankle, 5, pp.92~103 (1984)
- Yoo CI, "A clinical and radiological study of the hallux valgus angle, intermetatarsal angle and hallux valgus of Koreans", J Korean Orthop Assoc, 25, pp.1188~1190 (1990)