Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Impact of the Amount of Displacement of Percutaneous Osteotomy on the Clinical Result in Bunionette

소건막류에서 경피적 절골술의 전위 정도가 임상 결과에 미치는 영향

  • Bae, Su-Young (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Lee, Seung-Joo (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Chung, Hyung-Jin (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • 배서영 (인제대학교 의과대학 상계백병원 정형외과학교실) ;
  • 이승주 (인제대학교 의과대학 상계백병원 정형외과학교실) ;
  • 정형진 (인제대학교 의과대학 상계백병원 정형외과학교실)
  • Received : 2015.03.31
  • Accepted : 2015.04.29
  • Published : 2015.06.15
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Abstract

Purpose: The purpose of this study was to report impacts of the amount of displacement of percutaneous osteotomy on the clinical and radiologic results in the treatment of bunionette deformities. Materials and Methods: We retrospectively reviewed 36 cases of bunionette deformities treated with percutaneous modified Kramer osteotomies from 2009 to 2013. We measured amounts of displacement on anteroposterior and lateral plain radiographs as well as multiple parameters which represent degrees of the bunionette deformities. We also recorded radiological healing time, clinical healing time, residual symptoms, and the time of returning to daily activity. Results: No meaningful correlation was found between severity of preoperative deformity and amount of displacement of the osteotomy. The amount of displacement on a horizontal plane did not affect the healing time, duration of symptoms, or time of returning to daily activity. However, large sagittal displacement was related to duration of postoperative symptoms. Conclusion: Findings of this study suggest that the displacement in percutaneous osteotomy for bunionette deformity does not affect clinical results and healing time. We believe that we do not need to be excessively cautious about how large the displacement we make during the percutaneous modified Kramer osteotomy for the bunionette deformity.

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