Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Modified Lapidus procedure for the Treatment of Hallux Valgus

무지 외반증 환자에서 변형 Lapidus 술식을 이용한 치료

  • Lee, Kyung-Tai (Department of Orthopaedic Surgery, Nowon Eulji Hospital Eulji Medical College) ;
  • Young, Ki-Won (Department of Orthopaedic Surgery, Nowon Eulji Hospital Eulji Medical College) ;
  • Kim, J-Young (Department of Orthopaedic Surgery, Nowon Eulji Hospital Eulji Medical College) ;
  • Lee, Se-Young (Department of Orthopaedic Surgery, Nowon Eulji Hospital Eulji Medical College)
  • 이경태 ( 을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 양기원 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 김재영 (을지대학교 의과대학 노원을지병원 정형외과학교실) ;
  • 이세영 (을지대학교 의과대학 노원을지병원 정형외과학교실)
  • Published : 2003.12.01
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Abstract

Purpose: The purpose of this study was to evaluate the result of modified Lapidusprocedure for Hallux valgus associated with first ray hypermobility Materials and Methods: A retrospective study was conducted between Aug. 1999 and Oct. 2003. We evaluated 20 cases (12patients)of hallux valgus that performed modified Lapidus procedure. We asked to patient about postoperative satisfaction in terms of overall, pain, and appearance. preoperative and postoperative AOFAS score for the forefoot was calculated, also preoperative and postoperative radiologic evaluation was done. Results: In terms of satifaction, overall rate was 70%, pain relief and appearance were 70% and 70%. preoperative mean Hallux valgus angle and mean intermetatarsal angle were 42.6degree and 19.4degree. after procedure, at last follow up, mean hallux valgus angle and mean intermetatarsal angle were 16degree and 8.7degree. In terms of complication, nonunion was seen in 3 cases and recurrence of hallux valgus deformity was 2 cases. Conclusion: In consideration of high complication rate, modified Lapidus prociduremust be improved in terms of more rigid fixation technique, etc.

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