골간부 사형 절골술을 이용한 소건막류의 치료
Treatment of Bunionette Deformity with Diaphyseal Oblique Osteotomy
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Purpose: The authors intended to evaluate the results of symptomatic bunionette treated with a diaphyseal oblique osteotomy. Materials and Methods: Nine patients were followed for more than 1 year after diaphyseal oblique osteotomy for a bunionette deformity with plantar callosity. The mean age was 43 years (23-69 years), and the mean follow-up period was 27 months (12-70 months). As a combined disorder, 7 patients had hallux valgus, for which 3 distal metatarsal oteotomies, 3 proximal osteotomies, and 1 double osteotomy were performed. Clinically, preoperative and postoperative AOFAS MP-IP scale, patient’s satisfaction, postoperative complications were analyzed. Radiologically, the 4th intermetatarsal angle and the 5th metatarso-phalangeal angle were analyzed. Results: Clinically, AOFAS MP-IP scale was increased from 59 points preoperatively to 93 points postoperatively, and all patients were satisfied with the results. The plantar callosity had all disappeared at the final follow up. The 4th intermetatarsal angle was decreased from 12.6° preoperatively to 4.3° postoperatively, and the 5th metatarsophalangeal angle was decreased from 21.9° preoperatively to 2.4° postoperatively. There were no significant postoperative complications. Conclusion: Diaphyseal oblique osteotomy of the 5th metatarsal appears to be safe and satisfactory procedure for the treatment of a symptomatic bunionette with plantar callosity.
Abstract
Purpose: The authors intended to evaluate the results of symptomatic bunionette treated with a diaphyseal oblique osteotomy. Materials and Methods: Nine patients were followed for more than 1 year after diaphyseal oblique osteotomy for a bunionette deformity with plantar callosity. The mean age was 43 years (23-69 years), and the mean follow-up period was 27 months (12-70 months). As a combined disorder, 7 patients had hallux valgus, for which 3 distal metatarsal oteotomies, 3 proximal osteotomies, and 1 double osteotomy were performed. Clinically, preoperative and postoperative AOFAS MP-IP scale, patient’s satisfaction, postoperative complications were analyzed. Radiologically, the 4th intermetatarsal angle and the 5th metatarso-phalangeal angle were analyzed. Results: Clinically, AOFAS MP-IP scale was increased from 59 points preoperatively to 93 points postoperatively, and all patients were satisfied with the results. The plantar callosity had all disappeared at the final follow up. The 4th intermetatarsal angle was decreased from 12.6° preoperatively to 4.3° postoperatively, and the 5th metatarsophalangeal angle was decreased from 21.9° preoperatively to 2.4° postoperatively. There were no significant postoperative complications. Conclusion: Diaphyseal oblique osteotomy of the 5th metatarsal appears to be safe and satisfactory procedure for the treatment of a symptomatic bunionette with plantar callosity.
참고문헌 (19)
- Baumhauer JF., "Osteotomies of the fifth metatarsal", Foot Ankle Clin, 6, pp.491~498 (2001)
- Buchbinder IJ., "DRATO procedure for tailor’s bunion", J Foot Surg, 21, pp.177~180 (1982)
- Coughlin MJ., "Etiology and treatment of the bunionette deformity", Instr Course Lect, 39, pp.37~48 (1990)
- Coughlin MJ., "Treatment of bunionette deformity with longitudinal diaphyseal osteotomy with distal soft tissue repair", Foot Ankle, 11, pp.195~203 (1991)
- De Lint JA., "The oblique diaphyseal osteotomy for bunionette", Foot and Ankle Surg, 4, pp.99~104 (1998)
- Diebold PF., "Basal osteotomy of the fifth metatarsal for the bunionette", Foot Ankle, 12, pp.74~79 (1991)
- Fallat LM., "An analysis of the tailor’s bunion by radiographic and anatomical display", J Am Podiatry Assoc, 70, pp.597~603 (1980)
- Fallat LM., "Pathology of the fifth ray, including the tailor’s bunion deformity", Clin Podiatr Med Surg, 7, pp.689~715 (1990)
- Frankel JP., "Tailor’s bunion: clinical evaluation and correction by distal metaphyseal osteotomy with cortical screw fixation", J Foot Surg, 28, pp.237~243 (1989)
- Gerbert J., "Preliminary study of a closing wedge osteotomy of the fifth metatarsal for correction of a tailor’s bunion deformity", Am Podiatry Assoc, 62, pp.212~218 (1972)
- Kitaoka HB., "Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes", Foot Ankle Int, 15, pp.349~353 (1994)
- Koti M., "Bunionette", J Bone Joint Surg, 83(A), pp.1076~1082 (2001)
- London BP., "Long oblique distal osteotomy of the fifth metatarsal for correction of tailor’s bunion: a retrospective reveiw", J Foot Ankle Surg, 42, pp.36~42 (2003)
- Mann RA., "The bunionette deformity", Instr Course Lect, 53, pp.303~309 (2004)
- Nestor BJ., "Radiologic anatomy of the painful bunionette", Foot Ankle, 11, pp.6~11 (1990)
- Okuda R., "Proximal dome-shaped osteotomy for symptomatic bunionette", Clin Orthop, 396, pp.173~178 (2002)
- Schoenhaus H., "A review of normal inter-metatarsal angles", J Am Podiatry Assoc, 63, pp.88~95 (1973)
- Steel MW 3rd., "Radiographic measurements of the normal adult foot", Foot Ankle, 1, pp.151~158 (1980)
- Vienne P., "Modified Coughlin procedure for surgical treatment of symptomatic tailor’s bunion: a prospective followup study of 33 consecutive operations", Foot Ankle Int, 27, pp.573~580 (2006)