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      무지외반증 치료에서 근위 중족골 절골술과 원위 갈매기형 절골술의 비교 = Comparison of Proximal Metatarsal Osteotomy and Distal Chevron Osteotomy for Correction of Hallux Valgus

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      https://www.riss.kr/link?id=A100756783

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      다국어 초록 (Multilingual Abstract)

      Purpose: The purpose of this study is comparison of radiological and clinical outcomes between proximal metatarsal osteotomy and distal chevron osteotomy for the correction of hallux valgus. Materials and Methods: In this retrospective study, we included subjects who underwent the correction of hallux valgus in our institution between March 2001 and August 2006, with a minimum follow-up of 12 months. The group of proximal metatarsal osteotomy was 23 patients (34 feet); the group of distal chevron osteotomy was 20 patients (26 feet). The group of proximal metatarsal osteotomy was composed of 26 severe cases (76.5%) and 8 moderate cases (23.5%); the group of distal chevron osteotomy was composed of 13 severe cases (50.0%) and 13 moderate cases (50.0%). Results: Compared to preoperative values, the hallux valgus angle, the first-second intermetatarsal angle and the distance of first-fifth metatarsal head were significantly decreased in two groups (p<0.05). In each parameter, the hallux valgus angle was decreased 66.3% (proximal metatarsal osteotomy) versus 49.6% (distal chevron osteotomy), which were significant (p=0.037). The first-second intermetatarsal angle and the distance of first-fifth metatarsal head were not significant. Mayo clinic forefoot scoring system (FFSS) score was significantly improved in two groups (p<0.05). The ratio of improvement was not significant (p=0.762). In severe group, hallux valgus angle and the first-second intermetatarsal angle was significantly decreased in proximal metatarsal osteotomy group compared to distal chevron osteotomy group (p<0.05), but the difference of the distance of first-fifth metatarsal head and FFSS score was not significant in both groups. In moderate group, the difference of all parameters was not significant in both groups. Conclusion: Although both proximal metatarsal osteotomy and distal chevron osteotomy showed satisfactory result in FFSS, proximal metatarsal osteotomy was more proper operative technique than distal chevron osteotomy in severe group, because of superiority of correction in radiological parameters.
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      Purpose: The purpose of this study is comparison of radiological and clinical outcomes between proximal metatarsal osteotomy and distal chevron osteotomy for the correction of hallux valgus. Materials and Methods: In this retrospective study, we inclu...

      Purpose: The purpose of this study is comparison of radiological and clinical outcomes between proximal metatarsal osteotomy and distal chevron osteotomy for the correction of hallux valgus. Materials and Methods: In this retrospective study, we included subjects who underwent the correction of hallux valgus in our institution between March 2001 and August 2006, with a minimum follow-up of 12 months. The group of proximal metatarsal osteotomy was 23 patients (34 feet); the group of distal chevron osteotomy was 20 patients (26 feet). The group of proximal metatarsal osteotomy was composed of 26 severe cases (76.5%) and 8 moderate cases (23.5%); the group of distal chevron osteotomy was composed of 13 severe cases (50.0%) and 13 moderate cases (50.0%). Results: Compared to preoperative values, the hallux valgus angle, the first-second intermetatarsal angle and the distance of first-fifth metatarsal head were significantly decreased in two groups (p<0.05). In each parameter, the hallux valgus angle was decreased 66.3% (proximal metatarsal osteotomy) versus 49.6% (distal chevron osteotomy), which were significant (p=0.037). The first-second intermetatarsal angle and the distance of first-fifth metatarsal head were not significant. Mayo clinic forefoot scoring system (FFSS) score was significantly improved in two groups (p<0.05). The ratio of improvement was not significant (p=0.762). In severe group, hallux valgus angle and the first-second intermetatarsal angle was significantly decreased in proximal metatarsal osteotomy group compared to distal chevron osteotomy group (p<0.05), but the difference of the distance of first-fifth metatarsal head and FFSS score was not significant in both groups. In moderate group, the difference of all parameters was not significant in both groups. Conclusion: Although both proximal metatarsal osteotomy and distal chevron osteotomy showed satisfactory result in FFSS, proximal metatarsal osteotomy was more proper operative technique than distal chevron osteotomy in severe group, because of superiority of correction in radiological parameters.

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      참고문헌 (Reference)

      1 Vittetoe DA., "Validity and reliability of the first distal metatarsal articular angle" 15 : 541-547, 1994

      2 Catanzariti AR., "The modified Lapidus arthrodesis: a retrospective analysis" 38 : 322-332, 1999

      3 Yoo CI., "The effect of sesamoid position on results of treatment for hallux valgus" 8 : 131-137, 2004

      4 Mann RA., "Surgery of the foot and ankle. 6th ed." Mosby Year Book 176-296, 1993

      5 Mann RA., "Repair of hallux valgus with distal soft tissue procedure and proximal metatarsal osteotomy. A long-term follow-up" 74 (74): 124-129, 1992

      6 Patel S., "Modified lapidus arthrodesis: rate of nonunion in 227 cases" 43 : 37-42, 2004

      7 Kitaoka HB., "Metatarsal head resection for bunionette: long-term follow-up" 11 : 345-349, 1991

      8 Sanders AP., "Medial deviation of the first metatarsal head as a result of flexion forces in hallux valgus" 13 : 515-522, 1992

      9 Goldberg I., "Late result after correction of hallux valgus deformity by basilar phalangeal osteotomy" 69 (69): 64-67, 1987

      10 Rink-Brune O., "Lapidus arthrodesis for management of hallux valgus-a retrospective review of 106 cases" 43 : 290-295, 2004

      1 Vittetoe DA., "Validity and reliability of the first distal metatarsal articular angle" 15 : 541-547, 1994

      2 Catanzariti AR., "The modified Lapidus arthrodesis: a retrospective analysis" 38 : 322-332, 1999

      3 Yoo CI., "The effect of sesamoid position on results of treatment for hallux valgus" 8 : 131-137, 2004

      4 Mann RA., "Surgery of the foot and ankle. 6th ed." Mosby Year Book 176-296, 1993

      5 Mann RA., "Repair of hallux valgus with distal soft tissue procedure and proximal metatarsal osteotomy. A long-term follow-up" 74 (74): 124-129, 1992

      6 Patel S., "Modified lapidus arthrodesis: rate of nonunion in 227 cases" 43 : 37-42, 2004

      7 Kitaoka HB., "Metatarsal head resection for bunionette: long-term follow-up" 11 : 345-349, 1991

      8 Sanders AP., "Medial deviation of the first metatarsal head as a result of flexion forces in hallux valgus" 13 : 515-522, 1992

      9 Goldberg I., "Late result after correction of hallux valgus deformity by basilar phalangeal osteotomy" 69 (69): 64-67, 1987

      10 Rink-Brune O., "Lapidus arthrodesis for management of hallux valgus-a retrospective review of 106 cases" 43 : 290-295, 2004

      11 Coughlin MJ., "Hallux valgus" 46 : 357-391, 1997

      12 Okuda R., "Distal soft tissue procedure and proximal metatarsal osteotomy in hallux valgus" 379 : 209-217, 2000

      13 McInnes BD., "Critical evaluation of the modified Lapidus procedure" 40 : 71-90, 2001

      14 Seiberg M., "Closing base wedge versus Austin bunionectomies for metatarsus primus adductus" 84 : 548-563, 1994

      15 Johnson KA., "Chevron osteotomy for hallux valgus" 142 : 44-47, 1979

      16 Trnka HJ., "Basal closing wedge osteotomy for correction of hallux valgus and metatarsus primus varus: 10- to 22-year follow-up" 20 : 171-177, 1999

      17 Coreless JR., "A modification of Mitchell procedure" 58 (58): 136-142, 1976

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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.07 0.07 0.1
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