대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제12권1호
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- Pages.26-30
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- 2008
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
무지 외반증의 근위 갈매기형 절골술 후 고정 방법에 따른 결과 차이
The Differences between Fixation Devices for Proximal Chevron Osteotomy in Hallux Valgus Surgery
- Kim, Taik-Seon (Department of Orthopaedic Surgery, Seoul Veterans Hospital) ;
- Kang, Kyu-Bok (Department of Orthopaedic Surgery, Seoul Veterans Hospital) ;
- Kang, Jong-Woo (Department of Orthopaedic Surgery, Seoul Veterans Hospital) ;
- Kim, Hak-Jun (Department of Orthopaedic Surgery, Seoul Veterans Hospital)
- 발행 : 2008.06.01
초록
Purpose: The authors evaluated the differences between K-wires and Bold screw for fixing the proximal metatarsal chevron osteotomy of moderate and severe hallux valgus. Materials and Methods: There were 59 patients (81 feet) who were moderate and severe degree hallux valgus according to the classification of Mann. They all got the proximal chevron osteotomy when correcting the deformity. All patients were followed up at least 6 months. We divided the patients into 2 groups, K-wires fixed group as A, Bold screw fixed group as B. Group A were 42 patients (63 feet) and Group B were 18 patients (19 feet). Among the Group B, 2 feet who were failed to fix the oetotomy site with Bold screw, were fixed with K-wires during operation. We measured the AOFAS score preoperatively, postoperatively and at final follow-up, VAS score at 2 weeks after the operation. Also preoperative, postoperative and follow-up hallux valgus angle (HVA) and intermetatarsal angle (IMA) were measured for each patients. Results: Mean follow up period was 1.34 year (range: 6 months-6.16 years). Mean VAS score of group A was