경도-중등도 무지외반증 환자의 생체 흡수성 마그네슘 나사못과 티타늄 나사못을 사용한 수술의 단기 결과 비교
Comparing the Results of Using Bioabsorbable Magnesium Screw with Those Using a Titanium Screw for the Treatment of Mild to Moderate Hallux Valgus: Short-term Follow-Up
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: Hallux valgus (HV) is a common foot deformity that causes pain in the first metatarsophalangeal joint. Distal metatarsal osteotomies are commonly performed as a treatment. This retrospective study compared the clinical and radiological results of bioabsorbable magnesium (Mg) versus titanium (Ti) screw fixation for modified distal chevron osteotomy in HV. Materials and Methods: Forty-nine patients, who underwent modified distal chevron osteotomy for HV in 2018 and 2019, were reviewed retrospectively. Bioabsorbable Mg screw fixation was applied in 20 patients (22 feet), and a traditional Ti compression screw was applied in 29 patients (40 feet). The patients were followed up for at least six months. The clinical results were evaluated using the American Orthopaedic Foot and Ankle Society hallux metatarsophalangeal-interphalangeal (AOFAS-MTP-IP) scale and a visual analogue scale (VAS). The hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) were measured before, after surgery, and at the six months follow-up. Results: The AOFAS-MTP-IP scale and VAS points were improved in both groups, with no significant difference between them. At the six-month follow-up, HVA, IMA, and DMAA were similar. Bone union was confirmed in both groups, and there were no significant major complications in both groups. Four people in the Ti screw group underwent implant removal surgery. Conclusion: Bioabsorbable Mg screws showed comparable clinical, radiologic results to Ti standard screws six months after distal modified chevron osteotomy. These screws are an alternative fixation material that can be used safely and avoid the need for implant removal operations.
Abstract
Purpose: Hallux valgus (HV) is a common foot deformity that causes pain in the first metatarsophalangeal joint. Distal metatarsal osteotomies are commonly performed as a treatment. This retrospective study compared the clinical and radiological results of bioabsorbable magnesium (Mg) versus titanium (Ti) screw fixation for modified distal chevron osteotomy in HV. Materials and Methods: Forty-nine patients, who underwent modified distal chevron osteotomy for HV in 2018 and 2019, were reviewed retrospectively. Bioabsorbable Mg screw fixation was applied in 20 patients (22 feet), and a traditional Ti compression screw was applied in 29 patients (40 feet). The patients were followed up for at least six months. The clinical results were evaluated using the American Orthopaedic Foot and Ankle Society hallux metatarsophalangeal-interphalangeal (AOFAS-MTP-IP) scale and a visual analogue scale (VAS). The hallux valgus angle (HVA), intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA) were measured before, after surgery, and at the six months follow-up. Results: The AOFAS-MTP-IP scale and VAS points were improved in both groups, with no significant difference between them. At the six-month follow-up, HVA, IMA, and DMAA were similar. Bone union was confirmed in both groups, and there were no significant major complications in both groups. Four people in the Ti screw group underwent implant removal surgery. Conclusion: Bioabsorbable Mg screws showed comparable clinical, radiologic results to Ti standard screws six months after distal modified chevron osteotomy. These screws are an alternative fixation material that can be used safely and avoid the need for implant removal operations.
참고문헌 (21)
- W. Schneider, "Chevron osteotomy in hallux valgus", The Journal of Bone and Joint Surgery. British volume, 86-B(7), pp.1016~1020 (2004), British Editorial Society of Bone & Joint Surgery[DOI]
- Spenser J. Cassinelli, "Distal Metatarsal Osteotomy for Moderate to Severe Hallux Valgus", Foot & Ankle International, 37(10), pp.1137~1145 (2016), SAGE Publications[DOI]
- Austin DW, "A new osteotomy for hallux valgus: a horizontally directed “V” displacement osteotomy of the metatarsal head for hallux valgus and primus varus", Clin Orthop Relat Res, (157), pp.25~30 (1981)
- John J. Stienstra, "Large displacement distal chevron osteotomy for the correction of hallux valgus deformity", The Journal of Foot and Ankle Surgery, 41(4), pp.213~220 (2002), Elsevier BV[DOI]
- Philip R. Yearian, "Chevron bunionectomy with microplate and screw fixation: A retrospective follow-up of 26 feet", The Journal of Foot and Ankle Surgery, 35(6), pp.532~536 (1996), Elsevier BV[DOI]
- Clancy JT, "Modified Austin bunionectomy with single screw fixation : a comparison study", J Foot Surg, 28, pp.284~289 (1989)
- Klein MS, "Self-tapping screw fixation of the Austin osteotomy", J Foot Surg, 29, pp.52~54 (1990)
- DJ DeFronzo, "Austin bunionectomy with 3M Staplizer fixation. An assessment of 20 cases", Journal of the American Podiatric Medical Association, 81(3), pp.140~149 (1991), American Podiatric Medical Association[DOI]
- Charles M. Zelen, "Alternative Methods in Fixation for Capital Osteotomies in Hallux Valgus Surgery", Clinics in Podiatric Medicine and Surgery, 30(3), pp.295~306 (2013), Elsevier BV[DOI]
- Brian Kelly, "Adverse Sequelae Due to Plate Retention Following Submuscular Plating for Pediatric Femur Fractures", Journal of Orthopaedic Trauma, 27(12), pp.726~729 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Daniel S. Jorgenson, "Detection of Titanium in Human Tissues after Craniofacial Surgery", Plastic and Reconstructive Surgery, 99(4), pp.976~979 (1997), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Brian Alpert, "Removal of asymptomatic bone plates used for orthognathic surgery and facial fractures", Journal of Oral and Maxillofacial Surgery, 54(5), pp.618~621 (1996), Elsevier BV[DOI]
- Raymond Pavlovich, "Granuloma formation after chevron osteotomy fixation with absorbable copolymer pin: A case report", The Journal of Foot and Ankle Surgery, 42(4), pp.226~229 (2003), Elsevier BV[DOI]
- Böstman OM, "Adverse tissue reactions to bioabsorbable fixation devices", Clin Orthop Relat Res, (371), pp.216~227 (2000)
- Kia Pelto-Vasenius, "Osteolytic Changes After Polyglycolide Pin Fixation in Chevron Osteotomy", Foot & Ankle International, 18(1), pp.21~25 (1997), SAGE Publications[DOI]
- J.-M. Seitz, "Magnesium degradation products: Effects on tissue and human metabolism", Journal of Biomedical Materials Research Part A, 102(10), pp.3744~3753 (2014), Wiley[DOI]
- Rachel W. Li, "The influence of biodegradable magnesium alloys on the osteogenic differentiation of human mesenchymal stem cells", Journal of Biomedical Materials Research Part A (2014), Wiley[DOI]
- F. Witte, "In vivo corrosion of four magnesium alloys and the associated bone response", Biomaterials, 26(17), pp.3557~3563 (2005), Elsevier BV[DOI]
- Jinhao Zeng, "Short-term effect of magnesium implantation on the osteomyelitis modeled animals induced by Staphylococcus aureus", Journal of Materials Science: Materials in Medicine, 24(10), pp.2405~2416 (2013), Springer Science and Business Media LLC[DOI]
- Jee-Wook Lee, "Long-term clinical study and multiscale analysis of in vivo biodegradation mechanism of Mg alloy", Proceedings of the National Academy of Sciences, 113(3), pp.716~721 (2016), Proceedings of the National Academy of Sciences[DOI]
- Acar B, "Comparison of bioabsorbable magnesium versus titanium screw fixation for modified distal chevron osteotomy in hallux valgus", Biomed Res Int, 2018, pp.5242806~ (2018)[DOI]