대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제5권2호
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- Pages.142-148
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- 2001
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
류마토이드 관절염 환자의 족무지 외반증에 대한 제 1 중족 족지 관절 고정술 -지연 나사못과 배부 금속판을 이용한 치험-
Arthrodesis of the First metatarsophalangeal joint for Rheumatoid arthritis, using a lag screw and dorsal plate
- 성일훈 (한양대학교 의과대학 정형외과학교실) ;
- 이형상 (한양대학교 의과대학 정형외과학교실) ;
- 황건성 (한양대학교 의과대학 정형외과학교실) ;
- 박기철 (한양대학교 의과대학 정형외과학교실)
- Sung, Il-Hoon (Department of Orthopaedic Surgery, Hanyang University College of medicine) ;
- Lee, Hyung-Sang (Department of Orthopaedic Surgery, Hanyang University College of medicine) ;
- Whang, Kuhn-Sung (Department of Orthopaedic Surgery, Hanyang University College of medicine) ;
- Park, Kee-Cheol (Department of Orthopaedic Surgery, Hanyang University College of medicine)
- 발행 : 2001.12.01
초록
Purpose: To investigate the short term result of the first metatarsophalangeal arthrodesis for treating the hallux valgus deformity of rheumatoid arthritis, using a lag screw and dorsal mini-plate. Materials and Methods: From December 1999 to September 2001, The first metatarsophalangeal arthrodesis of 14 cases (9 patients) was underwent, using a lag screw and dorsal mini-plate. The follow-up period was averaged in 14.6 months. The subjective findings with respect to pain, functional aspect of ability to stand and walk, and to shoe-wearing were evaluated. The objective findings, such as the gross alignment and the radiological measurements for the hallux valgus angle, 1,2 intermetatarsal angle, and dorsiflexion angle were also studied. Results: After the arthrodesis of the first metatarsophalangeal joint, the subjective improvement in pain, function and alignment was graded as excellent in seven (50%) feet, good in seven (50%) feet, and fair or poor in none. The hallux valgus angle and 1,2 intermetatarsal angle were reduced from
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