대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제6권1호
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- Pages.73-79
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- 2002
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
가골 신연술을 이용한 단중족증의 치료
Treatment for Brachymetatarsia by Callotasis
-
박용욱
(한림대학교 의과대학 정형외과학교실)
;
- 유정한 (한림대학교 의과대학 정형외과학교실) ;
- 박홍준 (한림대학교 의과대학 정형외과학교실) ;
- 조양범 (한림대학교 의과대학 정형외과학교실) ;
- 유선오 (인천기독병원 정형외과) ;
- 김완홍 (한림대학교 의과대학 정형외과학교실)
-
Park, Yong-Wook
(Department of Orthopedic Surgery, College of Medicine Hallym University)
;
- Yoo, Jung-Han (Department of Orthopedic Surgery, College of Medicine Hallym University) ;
- Park, Hong-Jun (Department of Orthopedic Surgery, College of Medicine Hallym University) ;
- Cho, Yang-Bum (Department of Orthopedic Surgery, College of Medicine Hallym University) ;
- Yu, Sun-O (Department of Orthopaedic Surgery, Inchon Christian Hospital) ;
- Kim, Wan-Hong (Department of Orthopedic Surgery, College of Medicine Hallym University)
- 발행 : 2002.06.01
초록
Purpose: To evaluate the effectiveness of callotasis using the external fixator for the treatment of brachymetatarsia. Materials and Methods: Eleven patients(15 cases) who underwent callotasis were available. Follow-up averaged 23 months(15-38 months). Both the patients' postoperative satisfaction and the postoperative radiographic results were retrospectively evaluated. Results: The duration from applying the external fixator to remove averaged 15 weeks (8-21 weeks). We did osteotomy again in two cases because of early consolidation at the osteotomy site during distraction period. All cases were evaluated mild claw toe deformity and motional pain in metatarsophalangeal joint, but all patients satisfied the postoperative results except one complained motional pain and stiffness in metatarsophalangeal joint. The metatarsal shortening averaged 13mm(9-18mm) before operation. The amount of distraction for shortened metatarsals averaged 15mm(5-22mm). We found the 6 cases of narrowing of the metatarsophalangeal joint, 2 cases of subluxation of the metatarsophalangeal joint. Conclusion: We think that callotasis with external fixator is good operative method for the brachymetatarsia.