대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제18권1호
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  • Pages.19-23
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  • 2014
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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간부 사형 절골술을 이용한 소건막류의 수술적 치료

Treatment of Bunionette Deformity with Diaphyseal Oblique Osteotomy

  • 김상길 (서울대학교 보라매병원 정형외과) ;
  • 김지형 (서울대학교 보라매병원 정형외과) ;
  • 이정익 (서울대학교 보라매병원 정형외과) ;
  • 이승환 (서울대학교 보라매병원 정형외과)
  • Kim, Sang Kil (Department of Orthopaedic Surgery, Seoul National University Boramae Medical Center) ;
  • Kim, Jihyeung (Department of Orthopaedic Surgery, Seoul National University Boramae Medical Center) ;
  • Lee, Jeong Ik (Department of Orthopaedic Surgery, Seoul National University Boramae Medical Center) ;
  • Rhee, Seung Hwan (Department of Orthopaedic Surgery, Seoul National University Boramae Medical Center)
  • 투고 : 2014.01.12
  • 심사 : 2014.02.03
  • 발행 : 2014.03.15
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초록

Purpose: The purpose of this study is to evaluate the clinical and radiographic results of symptomatic bunionette treated with a diaphyseal oblique osteotomy. Materials and Methods: We retrospectively reviewed 12 feet of nine patients diagnosed as symptomatic bunionette and treated with diaphyseal oblique osteotomy. All patients were female and the average age at the time of surgery was 48 years. We checked the foot standing anteroposterior, oblique, and lateral images pre- and post-operatively. We measured the fourth intermetatarsal angle and fifth metatarsophalangeal angle and evaluated the clinical results using the American Orthopaedic Foot and Ankle Society (AOFAS) lesser metatarsophalangeal-interphalangeal (MTP-IP) scale preoperatively and six months postoperatively. Results: Of the nine patients, hallux valgus was combined with symptomatic bunionette in seven feet of five patients. In all of our cases, the average AOFAS lesser MTP-IP scale showed improvement after surgery. Painful callosity around the fifth metatarsophalangeal joint disappeared after surgery in all of our cases. The fourth intermetatarsal angle improved from $12.7^{\circ}$ to $3.1^{\circ}$ and the fifth metatarsophalangeal angle improved from $16.6^{\circ}$ to $2.3^{\circ}$. Conclusion: Diaphyseal oblique osteotomy of the fifth metatarsal appears to be a safe and satisfactory surgical procedure for treatment of symptomatic bunionette.

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참고문헌

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피인용 문헌

  1. 소건막류에서 경피적 절골술의 전위 정도가 임상 결과에 미치는 영향 vol.19, pp.2, 2014, https://doi.org/10.14193/jkfas.2015.19.2.63
  2. 소건막류의 원위부 역위 사형 절골술 후 체중부하의 효과 vol.20, pp.4, 2014, https://doi.org/10.14193/jkfas.2016.20.4.158