지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.9
- 수록면
- 88 - 92 (5page)
- DOI
- https://doi.org/10.14193/jkfas.2017.21.3.88
이용수
초록· 키워드
오류제보하기
Purpose: The objective of this study was to confirm the results of the modified Lapidus procedure on moderate to severe hallux valgus patients with first tarso-metatarsal joint hypermobility.
Materials and Methods: A retrospective study was conducted on 42 cases of 35 patients who underwent the modified Lapidus procedure between March 2006 and December 2014. A comparative analysis was performed on the preoperative and postoperative subjective satisfaction of patients and radiologic index. Moreover, the correlation between the follow-up time and patient’s operative satisfaction, as well as between the proficiency of the operator and patient’s operative satisfaction was analyzed. Complications were also evaluated.
Results: Out of the total of 35 patients, 3 were male and 32 were female. The mean age was 61.3 years (range, 34∼79 years), and the mean follow-up time was 22.1 months (range, 6∼90 months). The overall satisfaction level was 67.6% and the mean hallux valgus angle improved from preoperative 40.5° to postoperative 12.2° (p<0.001). The mean 1, 2 intermetatarsal angle improved from preoperative mean of 16.9° to postoperative mean of 7.6° (p<0.001), and the sesamoid position improved significantly, from preoperative 2.7 to postoperative 0.9 (p<0.001). Furthermore, there was no correlation between the follow-up time and the American Orthopaedic Foot and Ankle Society (AOFAS) hallux scale; also no correlation between the year the operation took place and the AOFAS hallux scale. In terms of complications, we observed screw irritation in 6 cases, hallux varus in 2 cases, and recurrence of hallux valgus and nonunion in one case.
Conclusion: Contrary to our concerns, the level of complications was not high; however, the satisfaction level of patients was also not very high. Therefore, careful selecting of patients and sufficient consultation time is needed before surgery. In addition, since the causes of postoperative dissatisfaction still remain unclear, further studies are necessary.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Johnson AE / 2004 / Treatment of adolescent hallux valgus with the first metatarsal double osteotomy : the denver experience / J Pediatr Orthop 24:358~362
Nix S / 2010 / Prevalence of hallux valgus in the general population : a systematic review and meta-analysis / J Foot Ankle Res 3:21
Owoeye BA / 2011 / Prevalence of hallux valgus among youth population in Lagos, Nigeria / Niger Postgrad Med J 18:51~55
Bednarz PA / 2000 / Modified lapidus procedure for the treatment of hypermobile hallux valgus / Foot Ankle Int 21:816~821
Fuhrmann RA / 2005 / Arthrodesis of the first tarsometatarsal joint for correction of the advanced splayfoot accompanied by a hallux valgus / Oper Orthop Traumatol 17:195~210
Nix S / 2010 / Prevalence of hallux valgus in the general population : a systematic review and meta-analysis / J Foot Ankle Res 3:21
Owoeye BA / 2011 / Prevalence of hallux valgus among youth population in Lagos, Nigeria / Niger Postgrad Med J 18:51~55
Bednarz PA / 2000 / Modified lapidus procedure for the treatment of hypermobile hallux valgus / Foot Ankle Int 21:816~821
Fuhrmann RA / 2005 / Arthrodesis of the first tarsometatarsal joint for correction of the advanced splayfoot accompanied by a hallux valgus / Oper Orthop Traumatol 17:195~210
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