• 제목/요약/키워드: Hallux varus

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무지 외반증 수술 후 발생한 의인성 무지 내반증 (Iatrogenic Hallux varus deformity after Hallux valgus surgery)

  • 이경태;양기원;배상원;방유선;김도현
    • 대한족부족관절학회지
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    • 제7권1호
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    • pp.101-108
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    • 2003
  • Purpose: To evaluate and analyze the incidence, clinical features, cause and surgical outcomes of iatrogenic hallux varus deformity after hallux valgus surgery. Materials and Methods: Twenty-six Hallux varus deformities after hallux valgus surgery were evaluated. Clinical tolerability, patient's satisfaction and the main causative factor for varus deformity were evaluated. Radiologically, we measured the 1st intermetatarsal angle and hallux valgus angle on pre- & postoperatively. Results: 10 cases of 26 varus deformities were clinically intolerable. The patients complaint of mainly cosmetic and shoe fitting problems rather than pain and the main cause of deformities were over-correction of 1 st intermetatarsal angle. Radiologically, the average 1st intermetatarsal angle was 2.4 degrees and the hallux valgus angle was -9.2 degrees. After varus correction surgery, the average follow up were 17 months and the average 1st intermetatarsal angle was 2.3 degrees and the hallux valgus angle was 2.7 degrees. The average score of AOFAS Hallux Metatarsophalangeal -Interphalangeal Scale was 91 points. Conclusion: The hallux varus deformity after hallux valgus surgery came from mainly overcorrection of 1 st intermetatarsal angle. The management composed of just observation, tendon transfer and fusion, and each method could get satifactory results with appropriate indication.

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무지 내반증의 단무지 신전근을 이용한 치료 - 증례보고 1예 - (Acquired Hallux Varus Treated Using Extensor Hallucis Brevis Tendon - A Case Report -)

  • 이경태;양기원;옹상석;김진영;선재명
    • 대한족부족관절학회지
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    • 제4권1호
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    • pp.23-29
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    • 2000
  • Acquired Hallux varus is defined radiographically by a negative metatarsophalangeal angle and clinically by adduction of the hallux on the first metatarsal and most commonly occurs after hallux valgus surgery. It's the prevalence has ranged from 2% to 17%. We report a case of hallux varus resulted from weakening of support of lateral soft tissue and resection of an excessive amount of the metatarsal head during a bunionectomy after initial correction of hallux valgus. We corrected the hallux varus deformity using transfer of extensor hallucis brevis tendon with reconstruction os lateral capsule.

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가골 신연술로 치료한 무지내반증을 동반한 선천성 제 1중족골 단축증증 -증례 보고- (Congenital Brachymetatarsia of the First Metatarsal with Hallux Varus Treated by Callotasis -A Case Report-)

  • 황성관;오진록;이두희
    • 대한족부족관절학회지
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    • 제3권1호
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    • pp.33-39
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    • 1999
  • Brachymetatarsia of the first metatarsal is uncommon. It may occur as a congenital condition. Hallux varus is the name given to a medially deviated position of the first metatarsophalangeal joint with a nonpurchasing hallux in varus position. To have a patient with not only both hallux varus and brachymetatarsia, but for the brachymetatarsia to occur about the first metatarsal, is extremly rare. We experienced a case of the brachymetatarsia of the first metatarsal with hallux varus treated by callotasis. Excellent cosmetical and funtional outcome were obtained. So we reporting the case with a review of the literatures.

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무지외반증 교정술 이후 합병된 무지내반증과 병발한 장무지굴건 파열에 대한 최소침습적 수술 및 건 봉합술: 증례 보고 (Minimally Invasive Surgery with Tenorrhaphy for Postoperative Hallux Varus Deformity Combined with Flexor Hallucis Longus Rupture after Hallux Valgus Correction: A Case Report)

  • 남범준;서진수;최준영
    • 대한족부족관절학회지
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    • 제24권2호
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    • pp.102-106
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    • 2020
  • A postoperative hallux varus deformity is a dreaded complication of hallux valgus surgery. Several surgical options have been introduced to overcome this problem. This paper reports an uncommon case of a 68-year-old female patient who presented with a postoperative hallux varus deformity combined with a rupture of the flexor hallucis longus (FHL) tendon. She was treated successfully by a minimally invasive correctional osteotomy with open tenorrhaphy. With experience in treating this complicated case, it was noted that FHL could be transected during the trans-articular adductor tenotomy. Hence, extra caution is needed when the degree of hallux valgus deformity is excessive. To the best of the author's knowledge, correctional valgization osteotomy for a postoperative hallux varus deformity in a minimally invasive manner has not been reported. This case report is expected to benefit surgeons and their patients with severe hallux valgus deformity.

외상성 역동적 무지 내반증(1예 보고) (Traumatic Dynamic Hallux Varus (A Case Report))

  • 임수재;이영구;김진수;박찬호;강희경
    • 대한족부족관절학회지
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    • 제13권2호
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    • pp.193-196
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    • 2009
  • The first metatarsophalangeal joint injury is common in professional soldiers and athletes. But this was rarely reported. A professional soldier has varus instability in the first metatarsophalangeal joint due to hyperextension. In the MR Imaging, weavy appearance in lateral collateral ligament and high signal change in plantar plate was shown. So he has surgical treatment using reconstructive procedure. At first, $4^{th}$ extensor digitorum longus tendon was splitted longitudinally and harvested, second triangular shape reconstruction on lateral joint line was done using harvested tendon. One year later, fifteen degrees was limited compared with intact side. Reconstruction using $4^{th}$ extensor digitorum longus tendon in traumatic dynamic hallux varus was good method.

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중족골 단축술을 이용한 동통성 족저부 굳은살과 무지 내반증을 동반한 양측 제 1,4 단중족증의 치료(1예 보고) (Operative Treatment of the Bilateral 1,4th Brachymetatarsia with Painful Callosity and Hallux Varus using Massive Metatarsal Axial Shortening (A Case Report))

  • 이영현;안길영;문기혁;김기철;남일현;이상충
    • 대한족부족관절학회지
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    • 제13권2호
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    • pp.218-222
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    • 2009
  • In general, the operative treatment of the brachymetatarsia is the lengthening of the affected metatarsal bone due to the cosmetic problem rather than the functional one. We experienced 22 year-old female bilateral congenital foot deformities such as hallux varus and 1,4th brachymetatarsia treated with reverse Scarf osteotomy on the hallux varus and massive axial metatarsal shortening Weil osteotomy on the 2,3,5th metatarsals which could reconstruct the normal metatarsal parabola.

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무지 외반증 교정 수술 후 합병증 (Complications after Surgical Correction of Hallux Valgus)

  • 배서영;이의종
    • 대한족부족관절학회지
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    • 제21권2호
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    • pp.50-54
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    • 2017
  • The goal of surgical correction for hallux valgus is to achieve a painless, shoe-wearable, and relatively straight toe with a balanced joint motion that results in aesthetically and functionally satisfactory toe. To date, there has not been a consensus on the ultimate surgical procedure for hallux valgus correction. Unfortunately, such a consensus may be difficult since it is not uncommon to encounter complications after hallux valgus correction. Postoperative soft tissue complications include difficult wound healing, infection, hypertrophy, or pain of the scar, joint stiffness, and tendon or sensory nerve damage. Postoperative bony complications include malunion, nonunion, failure of fixation, failure of angle correction, recurred deformity, osteomyelitis, and failure of balance between the metatarsal heads. Herein, we review common complications after surgical correction of hallux valgus, such as stiff joint, bony complications, recurrence of the deformity, and hallux varus.

무지 외반증의 수술적 방법에 대한 임상적 고찰 (A Clinical Study of the Operative Treatment in Hallux Valgus)

  • 박인헌;이기병;송경원;이진영;김익지
    • 대한족부족관절학회지
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    • 제1권1호
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    • pp.65-73
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    • 1997
  • Hallux valgus deformity has been slowly getting popular in Korea. Many surgical procedures are available for treating the hallux valgus, but it is still controversial for the best treatment. We operated 25 feet(15 patients) of hallux valgus between May. 88 and December. 94. The clinical results were as follow ; 1. Age distribution was 25 to 82, and all female. 10 patients have bilateral hallux valgus. 2. 19 feet were treated by soft tissue procedures only and 6 feet by combined soft tissue and bony procedures. 3. Bunion deformity was recurred in 2 feet (1 Patient) which were treated with modified McBride Method. 4. Lateral sesamoidectomies were performed in 7 feet without development of hallux varus. 5. The cosmetic and functional results were good in 6 cases treated by proximal metatarsal osteotomy. 6. 9 feet had other digits deformities, which need surgical correction. 7. Tightening repair of medial capsule seems to be important for prevention of recurrence of bunion.

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