연부조직 교정술에 의한 무지 외반증의 치료

Treatment of Hallux Valgus with Modified McBride Method

  • 최호 (부산 삼선병원 정형외과) ;
  • 김훈 (부산 삼선병원 정형외과) ;
  • 조형래 (부산 삼선병원 정형외과) ;
  • 고영철 (부산 삼선병원 정형외과) ;
  • 박영일 (부산 삼선병원 정형외과) ;
  • 안수한 (부산 삼선병원 정형외과)
  • Choi, Ho (Department of Orthopedic Surgery, Samsun Hospital) ;
  • Kim, Hoon (Department of Orthopedic Surgery, Samsun Hospital) ;
  • Cho, Hyung-Lae (Department of Orthopedic Surgery, Samsun Hospital) ;
  • Ko, Young-Chul (Department of Orthopedic Surgery, Samsun Hospital) ;
  • Park, Young-Il (Department of Orthopedic Surgery, Samsun Hospital) ;
  • Ahn, Su-Han (Department of Orthopedic Surgery, Samsun Hospital)
  • 발행 : 2003.06.01

초록

Purpose: We are going to present a report from clinical and radiographic results of hallux valgus done only by soft-tissue procedure, when intermetatarsal joint is totally unfit under mild to moderate deformity. Materials and Methods: As a retrospective study, among all the patients who went under the surgery for hallux valgus, and of those who were possible to follow up,(excluding those whose intermetatarsal joint is fit) it was done over 28 cases (18 patients). the soft-tissue procedure was all done by Modified Mc Bride. Results: Hallux valgus angle and intermetatarsal angle each showed correction of $19.4^{\circ}$ and $5.2^{\circ}$, and from the final follow up, they were each decreased by $5.1^{\circ}$ and $1.5^{\circ}$. 21% (6case) were recurred, in one case, the intermetatarsal angle decreasing 120 and the other 5 case all decreased by $13^{\circ}$. Conclusion: when the intermetatarsal joint is unfit and there is no degenerative change, and, if the intermetatarsal angle is not large, moderate hallux valgus can show a good result, just by the distal soft-tissue procedure. a critical indication and a well through out preparation can reduce unneccessary surgeries.

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